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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!!!
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Avatar universal
You’re correct, sometimes there seems as if there are no answers and nothing definitive, just treatment after treatment.  Unfortunately that’s the way the world of STD’s is.  As I said before, the medical community does not know everything and they do not or cannot test for every bacteria out there, so some times treatment is empirical and based on symptoms without any positive test results.  There are a lot of guys out there who continue to experience persistent NGU or some sort of penile symptoms, and I’m included in that group.  It’s very frustrating, I know.  

Regarding Trich, you should be treated for it, no matter how remote a possibility you think it might be.  Do not believe everything you read on the internet.  You will find all kind of literature that states Trich isn’t passed through oral, however, the only unprotected experience I had was oral.  I had discharge for almost 4 months and took every antibiotic known to man.  My doctor kept telling me Trich was unlikely, and then I finally asked him for treatment and within 3 days my discharge and other symptoms were gone.  The same thing happened to another guy on this forum.  He experienced discharge for over 2 months and nothing stopped it. I recommended Trich treatment and he was cleared up in a week.  All the literature, people on this site, and even the doctors on this forum state Trich isn’t passed through oral.  Did we have Trich?  No test every confirmed it, but it was the only med that cleared our discharge.  

Yet another example is a guy who contracted Chlamydia from oral and people on this site and the docs on the site state it’s not possible or so rare that oral is not considered a way mode of transmission.  However, within a few days he had posted a recent study that found Chlamydia passed through oral is indeed possible and happens more often than it was previously believed.  

What I’m saying is, don’t rule anything out, no matter how unlikely it may seem.  Anything is possible and you should get treated for Trich to see if it helps.  I didn’t think it would do anything for me, but it cleared my discharge.  

Regarding Moxi- yes, I have lasting symptoms of joint pain, muscle weakness, and tendonitis.  Like I said, you can try it, but without a confirmed diagnosis, you may be putting your long term health at risk for no reason at all.  I would continue to work with other antibiotics first and if you have sex, always make sure it’s protected.  
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Avatar universal
Hi,
I have been given every treatment available including Moxi with no side effects.Just lucky I guess.I personally will try any antibitiotic going to try and get rid of this.When the clinic gave me Moxi he did say that it was the atom bomb of antibiotics and as that did not work he will not give me anymore.I think when I see my doctor on Monday I bet he will say that the Cystoscopy found no strange bacteria in my prostate and just learn to live with it.
I do not think anything more can be done and I am on anti depressants at the moment as I am struggling big time.
Thanks shaken2core for saying that I can meet someone else but I have a couple of times over the last year and had to walk away as I will never be able to tell someone I meet that I have an STD but safe sex will be ok.
Getting tired of people aking me why I am not with anyone.Tried to talk to my best friend of 22 years about this who got drunk at my birthday party and decided to shout out that I had been in and out of the clap clinic.Lots of people I do not see or talk to anymore because of that.
I use to be a strong man and think I could handle anything.I am beat.

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Avatar universal
So if no bacteria that they test for can be found, and you've been thru several courses of antibiotics, at what point can you consider yourself not contagious?  I'm struggling with this now and wondering if I have something u can pass on and how would I even know if that were the case. I have no discharge just inflammation swelling around opening. No bacteria can be grown from my sample.  It's been difficult to find testing for mycoplasma for me(impossible) so I don't think I have any choice but to treat for it.  Unless the symptoms go away, how can I be sure? Those out there with persistent symptoms and failed treatmentsand no answers, do you consider yourself a permanent std carrier? Are you infectious? At what point are you all clear?  Im finding it hard to accept this fate. Have to keep  trying different antibiotics until something works. Something has to work. I know treatment isn't clear cut but if this is happening to so many people why can't there be better testing and help with this?
Does a PCR use blood or urine? Maybe I will try a lab in the US like Shaken said.  I'm sure getting a blood sample to the States would be time sensitive and expensive.   
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Avatar universal
Hi,results from cystoscopy were no infection found.I wish they found what is causing my Nsu/ngu.
I think I will go back to the gum clinic and talk to them and maybe go private as they do PCR testing.
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Avatar universal
Hi,
Spoke to a doctor from a top private clinic yesterday on the phone.Expensive phone call.I remember being told you cannot put a price on health but private clinics certainly do.
Explained my two years of Nsu/Ngu.
Doctors thoughts are:
Stop taking general meds:Easy my doc and gum clinic are not giving me anymore.
Go to his clinic and have a PCR test done as gum clinic do not check for everything.i.e Herpes? I thought they did.But the others mycoplasma etc we know they do not check specifically for that and others.
Told me I should seriously consider herpes as a cause.?
Have a trial of Herpes supressants.
No sign to me ever of that and surely cystoscopy would have noticed something.
Regarding prostate;
Have another DRE exam as I was told mine was very tender last time and could be Chronic prostatitis but cystoscopy found no infection and I have no usual prostate problems at all.
Have an MRI scan of pelvis to check tissues etc to see if there is any problems.
Have a rectal ultrasound.
Have your seminal vesicles checked and an image made of your prostate.
He said if the PCR test comes back negative then I should consider myself not to have an STD and start to think about Alkalizing my urine etc
Well after two years and no better I am told to try all that.My urologist appointment is every three months for reasons I do not understand and I bet he will not put me up for most of them tests.
I will be paying privately for the PCR Tests but I could not afford the rest privately.
Still amazes me that clinics do not do PCR tests and after a while basically tell you to stop coming back and work with a urologist who seems very slow in trying to help me out.I have been seeing him a year and all I have had is a cystoscopy.
It will take me another five years at this rate to have the other tests done even if he can be bothered.
Keep you informed.




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Avatar universal
Hi,
Shaken2core,my last post may be of interest to you.Even  though its long.
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