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Unprotected sex is a bad idea in principle. Although the number of HIV cases remains stable in Germany, in recent years there have been significantly more cases of infections with gonorrhea (gonorrhea), syphilis and chlamydia. Cases of gonorrhea, in which the usual antibiotics are no longer useful, are also more and more recorded
Dr. med. Siegfried Borelli is a senior doctor at the outpatient dermatology clinic of City Hospital Triemli in Zurich.
How Mycoplasma genitalium is treated
If the pathogen is treated with azithromycin, the patient receives 500 milligrams on the first day and 250 milligrams from the second to the fifth day. If it is a resistant strain, doctors use the antibiotic moxifloxacin. The patient receives 400 milligrams for each of them for 7 to 10 days. It is important that sexual partners are informed, examined and, if necessary, treated, as pointed out by Siegfried Borelli.
British doctors now warn of another sexually transmitted disease until then unknown. It is transmitted by the bacterium Mycoplasma genitalium, responsible for urethritis in men and women. The symptoms resemble those of chlamydia and are manifested mainly by burning and pain during urination, as well as by clear discharge to purulent vagina or urethra. There are also men and women who, although carriers of the bacteria, have no symptoms.
Imminent Infertility
If left untreated, the disease can cause inflammation of the pelvis, cervix, uterus and fallopian tubes in women. In the worst case, infertility threatens. Even men can become infertile by sticking the vas deferens. Low birth weight and premature birth can result from the transmission of pathogens to the child during pregnancy.
A major problem with Mycoplasma genitalium is reported by the British Society for Sexual Health and HIV (BASHH) that the disease is often overlooked or confused with another sexually transmitted disease such as chlamydia. This is a problem, especially because incorrect treatment could lead to antibiotic resistance. The resistance to azythromycin commonly used is already a problem, according to the German AIDS Aid.
Packaging Condoms
BASHH has now published new guidelines for the diagnosis and treatment of Mycoplasma genitalium. Among other things, experts should be made aware of a new test procedure. At the same time, the population should also be sensitized.
Peter Greenhouse, a member of BASHH, told the BBC: "It's time for the population to know Mycoplasma genitalium." And he added: "This is another good reason to pack and use condoms for the summer holidays." As with any sexually transmitted disease, the use condoms also offers the best protection for Mycoplasma genitalium.
1 to 3 percent are carriers
In Switzerland, about 10 to 35% of patients with urethritis who do not have gonococcal or chlamydial infections are diagnosed with Mycoplasma infection genitalium, as explained Siegfried Borelli, chief physician of the outpatient dermatological clinic of the Zurich Triemli Municipal Hospital. About 1 to 3% of the population was carrying the bacteria, up to 70% of them had symptoms, according to Borelli.
It is difficult to say whether there has been an increase because Mycoplasma genitalium is known only since 1980 is known and has been increasingly sought after systematically for a few years.
(jcg)
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