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Mycoplasma genitalium testing
Does anyone know where I could get tested for mycoplasma genitailium in California? I was diagnosed with NGU at an STD clinic 10 months ago (via urethral smear) one week after receiving unprotected oral sex. I tested negative for gono and chlamydia. Treated with 1g azithromycin and one week Cipro. Discharge and burning after urintation disappeared. Had testicular discomfort so I returned a week later. The swab test suggested the NGU was gone. The Dr. gave me two weeks of doxy just in case. I finished this and then developed sensitivity around the head of my penis (that I feel whenever I walk as my penis rubs against my underwear....like my boxers are made of sandpaper) and it appeared like my urehtra was much pinker and puffier than usual. Returned to the STD clinic and he said it was no big deal after another urethral swab and urine test and said I was clean.
My GP gave me metradinazole as well as difulcan (one dose). No change to my penis irritation issues. I tested negative for HSV II (+ for HSV I but I have had this forever). Urologist inspected me and found nothing wrong. Both saw no WBCs in my urine.
So I am out of thoughts as to what could be going on. My only thought at this point is mycoplasma genitalium. Does this sound like a possibility given the symptoms (no lesions/bumps, no discharge, sensitivity/irritation around the coronal edge and slight pinkness at the urethral opening)? I guess I am trying to understand the difference between NGU and mycoplasma genitalium. Does a negative test for NGU via swab mean no mycoplasma genitailium?
I have looked everywhere for a test and found only one place that wil provide it but it is over 220 miles away. I will make the road trip if necessary.
Thanks everyone!!!
My GP gave me metradinazole as well as difulcan (one dose). No change to my penis irritation issues. I tested negative for HSV II (+ for HSV I but I have had this forever). Urologist inspected me and found nothing wrong. Both saw no WBCs in my urine.
So I am out of thoughts as to what could be going on. My only thought at this point is mycoplasma genitalium. Does this sound like a possibility given the symptoms (no lesions/bumps, no discharge, sensitivity/irritation around the coronal edge and slight pinkness at the urethral opening)? I guess I am trying to understand the difference between NGU and mycoplasma genitalium. Does a negative test for NGU via swab mean no mycoplasma genitailium?
I have looked everywhere for a test and found only one place that wil provide it but it is over 220 miles away. I will make the road trip if necessary.
Thanks everyone!!!
That short answer is, yes, M gen can be present without discharge. I'm not sure how likely it is, but it causes about 10% of NGU and is found in men with persistent NGU, even though discharge is not present. Although the number of men with persistent NGU w/out discahrge who are infected with M Gen. seems quite low.
I believe MDLab also does testing for this. But they are located in NJ.
http://www.mdlab.com/html/test_menu.html
I have taken both eryth and moxi, and I can tell you that both helped clear up my discharge, but it came back after I finished therapy. As to which one is more effective? I know Moxi is supposed to be more effective because of the way it works on the DNA of bacteria, but again, it has very harsh side effects (it has black box warnings). You may want to start with the eryth first, maybe an extended course. The UK guidelines say 3 weeks of eryth for persistent NGU. If that doesn't work, you may want to get the PCR test done to confirm the presence of M Gen before you take moxi. In all studies I've come across, a 10 day course of Moxi erradicated M Gen 100% of the time. Azithromycine is also supposed to be very effective against M Gen, so it's a good possibility that you do not have it at all. However you were given a 1g does, which is less effective than the 5 day course.
I can honestly tell you that I wish I didn't take Moxi for so long, but I pushed it because I wanted to get better. In the long run I'm not better and I have lingering side effects.
Please let us know, or inbox me if you ever test for M Gen and what the results are.
I believe MDLab also does testing for this. But they are located in NJ.
http://www.mdlab.com/html/test_menu.html
I have taken both eryth and moxi, and I can tell you that both helped clear up my discharge, but it came back after I finished therapy. As to which one is more effective? I know Moxi is supposed to be more effective because of the way it works on the DNA of bacteria, but again, it has very harsh side effects (it has black box warnings). You may want to start with the eryth first, maybe an extended course. The UK guidelines say 3 weeks of eryth for persistent NGU. If that doesn't work, you may want to get the PCR test done to confirm the presence of M Gen before you take moxi. In all studies I've come across, a 10 day course of Moxi erradicated M Gen 100% of the time. Azithromycine is also supposed to be very effective against M Gen, so it's a good possibility that you do not have it at all. However you were given a 1g does, which is less effective than the 5 day course.
I can honestly tell you that I wish I didn't take Moxi for so long, but I pushed it because I wanted to get better. In the long run I'm not better and I have lingering side effects.
Please let us know, or inbox me if you ever test for M Gen and what the results are.
I'm in the same boat too. Persisent Ngu after oral sex. It's been 5 months.
Azithromycin and doxy failed and I was given moxi which I haven't taken yet. I actually took moxi for a sinus infection weeks before my encounter not knowing how potent it is. Nothing happened while I was taking them, but in the weeks and months following, I'm suffering from fatigue, weakness, insomnia, nightmares, sore joints and muscles, headache, dry mouth white tongue, dizziness, etc.....
I've tested neg for everything so my doc said it could be myco.
I'm also told by my doc that there is nothing left to take and moxi is practically 100%. I don't know if it's mycoplasma or adverse moxi effects. I'm in Canada and have no means to test for it here. You mentioned lingering effects of taking moxi... What kinds of things are you suffering from? Seems like the only way to cure myself is take moxi again and risk it hurting me again if it indeed is the reason. Any advice?
Azithromycin and doxy failed and I was given moxi which I haven't taken yet. I actually took moxi for a sinus infection weeks before my encounter not knowing how potent it is. Nothing happened while I was taking them, but in the weeks and months following, I'm suffering from fatigue, weakness, insomnia, nightmares, sore joints and muscles, headache, dry mouth white tongue, dizziness, etc.....
I've tested neg for everything so my doc said it could be myco.
I'm also told by my doc that there is nothing left to take and moxi is practically 100%. I don't know if it's mycoplasma or adverse moxi effects. I'm in Canada and have no means to test for it here. You mentioned lingering effects of taking moxi... What kinds of things are you suffering from? Seems like the only way to cure myself is take moxi again and risk it hurting me again if it indeed is the reason. Any advice?
In the future you should start your own thread to keep your information in a single post. You can add a link to other posts.
You say you have persistent NGU but what are your symptoms?
Yes, Moxi is very potent and I suffered from and am still suffering from many of the same symptoms you have listed above.
I would not take Moxi again unless I had tests to confirm the presence of Mycoplasma or any other life threatening infection. I came to realize that taking this stuff based on a guess could be extremely detrimental to your health. My advice is to seek testing, even if you have to work with a lab in the U.S. If you reluctant to do that or cannot do that, you should be treated for Trich, which causes persistent NGU, and get another dose of Azithro at the same time. Take at least 2 g of azithro as well as 2 g of metronidazole or Tinidazole. Give this a try and see if it helps. If that doesn't help, go for testing. You reacted poorly to Moxi the first time, so you can expect that you will react poorly to it again. I'm sure you do not want to relive the hell of that. I wish I never took Moxi.
You say you have persistent NGU but what are your symptoms?
Yes, Moxi is very potent and I suffered from and am still suffering from many of the same symptoms you have listed above.
I would not take Moxi again unless I had tests to confirm the presence of Mycoplasma or any other life threatening infection. I came to realize that taking this stuff based on a guess could be extremely detrimental to your health. My advice is to seek testing, even if you have to work with a lab in the U.S. If you reluctant to do that or cannot do that, you should be treated for Trich, which causes persistent NGU, and get another dose of Azithro at the same time. Take at least 2 g of azithro as well as 2 g of metronidazole or Tinidazole. Give this a try and see if it helps. If that doesn't help, go for testing. You reacted poorly to Moxi the first time, so you can expect that you will react poorly to it again. I'm sure you do not want to relive the hell of that. I wish I never took Moxi.
Hi,
I have had NSU/NGU for over two years now and have tried all the various antibiotics.I have had no after affects with any of the prescribed antibitoics discussed above but yet I still have it.
I did have a cystoscopy two weeks ago to take samples from the prostate to find the organism that the urologist hopes to find as he has said I have Chonic Prostatitis which is causing my symptoms.
Will find out results from doctor next monday and keep you informed.
Got to say at many times I think this will never go away
Gum clinic have finished with me and said that if I meet someone its not a case of me passing anything on but that they would have to have a full examination as I am to susceptible to any organism that may cause me uethritis.Easier said than done.No idea how to drop that into a conversation when I might meet a lovely lady.So I am staying single but its getting harder to tell my friends that I am not interested anymore.
How great life is.Not
I have had NSU/NGU for over two years now and have tried all the various antibiotics.I have had no after affects with any of the prescribed antibitoics discussed above but yet I still have it.
I did have a cystoscopy two weeks ago to take samples from the prostate to find the organism that the urologist hopes to find as he has said I have Chonic Prostatitis which is causing my symptoms.
Will find out results from doctor next monday and keep you informed.
Got to say at many times I think this will never go away
Gum clinic have finished with me and said that if I meet someone its not a case of me passing anything on but that they would have to have a full examination as I am to susceptible to any organism that may cause me uethritis.Easier said than done.No idea how to drop that into a conversation when I might meet a lovely lady.So I am staying single but its getting harder to tell my friends that I am not interested anymore.
How great life is.Not
This is an interesting case. Please do keep us informed on what the urologist finds out.
In addition, you should be fine meeting a 'lovely lady' and having PROTECTED sex.
Hang in there man, you're not alone.
In addition, you should be fine meeting a 'lovely lady' and having PROTECTED sex.
Hang in there man, you're not alone.
Seems like more than a few people have this problem. At this point I'm wondering if this is incurable. Are we supposed to keep cycling through courses of antibiotics hoping one works?
Facing the prospect of having this and being contagious forever is destroying my life.
For me Its so hard to not just go ahead and take
moxi and be done with this ordeal. But others have taken it and it still persists. You had adverse reactions while on them that never went away? What specifically happened? The fact that they can permanently mess you up with no
way to reverse it is scary. but necessary??
I haven't been treated for trich, not sure how likely to get that from oral only but its worth a shot.
There must be other effective treatments out there for this. I've be scouring the internet looking for the answer. My doc put me on couple weeks of azithro then wants to try augmenten and septra. Feel like there's no end to this and getting very depressed.
Testing seems out of reach so it's impossible to know if this is causing my problems, or some of them.
Facing the prospect of having this and being contagious forever is destroying my life.
For me Its so hard to not just go ahead and take
moxi and be done with this ordeal. But others have taken it and it still persists. You had adverse reactions while on them that never went away? What specifically happened? The fact that they can permanently mess you up with no
way to reverse it is scary. but necessary??
I haven't been treated for trich, not sure how likely to get that from oral only but its worth a shot.
There must be other effective treatments out there for this. I've be scouring the internet looking for the answer. My doc put me on couple weeks of azithro then wants to try augmenten and septra. Feel like there's no end to this and getting very depressed.
Testing seems out of reach so it's impossible to know if this is causing my problems, or some of them.
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