Mycoplasma Genitalium (MG) is an increasingly recognized sexually transmitted infection (STI) that can cause symptoms similar to other STIs like Chlamydia and Gonorrhea, but is often asymptomatic. Due to rising antibiotic resistance globally, its diagnosis and treatment require specific attention. If you're in Korea and concerned about MG, Gangnam J Andrology Clinic is a place where you can seek testing and appropriate medical advice.
Testing for Mycoplasma Genitalium at Gangnam J Andrology Clinic
Gangnam J Andrology Clinic, located at 4F, 203 Hakdong-ro, Gangnam-gu, Seoul, is a well-established clinic specializing in men's health and comprehensive STD screening. They are equipped to test for Mycoplasma Genitalium.
- Accurate Testing: MG is primarily diagnosed using NAATs (Nucleic Acid Amplification Tests), such as PCR (Polymerase Chain Reaction) tests. These are highly sensitive and specific, detecting the genetic material of the bacteria.
- For Men: Testing typically involves a first-voided urine sample (the first part of your urine stream) or, less commonly, a urethral swab.
- For Women: A vaginal swab (which may be self-collected) or a cervical swab is usually taken.
- Results Turnaround: While some rapid STI tests offer same-day results, PCR tests for MG usually take a few business days (e.g., 3-5 days) for results to be processed. It's always best to inquire about the exact turnaround time when you visit the clinic.
- Convenient Location and Hours: The clinic's location in Gangnam, near the Apgujeong area, makes it easily accessible.
- Mon–Fri: 10 AM – 7 PM
- Sat: 10 AM – 3 PM
- Closed on Sundays and public holidays
- Confidentiality and English Services: Clinics in this area of Seoul typically maintain high levels of patient confidentiality. Many also offer services in English, which can be very helpful for foreign residents or visitors seeking clear communication about their health.
Understanding Mycoplasma Genitalium
MG can infect the urethra, cervix, and rectum. Many people infected with MG show no symptoms (asymptomatic). When symptoms do occur, they can include:
- In Men:
- Watery or clear discharge from the penis
- Burning, stinging, or pain during urination
- Itching or discomfort in the urethra
- Pain in the testicles (less common)
- In Women:
- Abnormal vaginal discharge
- Burning or pain during urination
- Pain during sex (dyspareunia)
- Bleeding between periods or after sex
- Pelvic or lower abdominal pain
Potential Complications if Untreated:
- In Women: MG can lead to serious conditions like Pelvic Inflammatory Disease (PID), which can cause chronic pelvic pain, infertility, and ectopic pregnancy. It's also linked to cervicitis (inflammation of the cervix).
- In Men: MG can cause urethritis and may be associated with epididymitis (inflammation of the tube that stores and carries sperm).
- Increased HIV Risk: MG infection can increase the risk of acquiring or transmitting HIV.
Mycoplasma Genitalium Treatment in Korea
Treatment for MG in Korea follows international guidelines, with a strong emphasis on addressing antibiotic resistance. The 2023 Korean STIs guidelines for Mycoplasma genitalium are quite specific:
- Initial Treatment:
- Azithromycin: 500 mg orally in a single dose, followed by 250 mg once daily for 4 days.
- Important Consideration - Antibiotic Resistance Testing: Due to the global rise in macrolide (like azithromycin) resistance, the Korean guidelines emphasize macrolide susceptibility/resistance testing if initial treatment fails or if symptoms recur.
- Treatment for Treatment Failure or Recurrence (if resistance test not feasible):
- Doxycycline or Minocycline 100 mg orally twice daily for 7 days, followed by Azithromycin 1g orally on the first day, then 500 mg orally once daily for 3 days.
- Treatment for Macrolide Sensitivity (if confirmed):
- Doxycycline or Minocycline 100 mg orally twice daily for 7 days, followed by Azithromycin 1g orally initial dose, then 500 mg orally once daily for 3 days.
- Treatment for Macrolide Resistance (if confirmed):
- Doxycycline or Minocycline 100 mg orally twice daily for 7 days, followed by Moxifloxacin 400 mg orally once daily for 7 days.
Key Points for Treatment:
- Complete the Full Course: It is crucial to complete the entire course of antibiotics exactly as prescribed, even if symptoms improve.
- Treat All Partners: All sexual partners should be tested and treated simultaneously to prevent reinfection and further spread.
- Abstinence: Abstain from sexual activity until both you and your partner(s) have completed treatment and any symptoms have resolved.
Cost of Testing and Treatment
- National Health Insurance (NHIS): If you have valid Korean National Health Insurance, a significant portion of the consultation, PCR testing, and prescribed medication costs will be covered. This makes care quite affordable.
- Without Insurance: If you do not have NHIS, you will be responsible for the full cost. The price for an STD panel that includes MG testing can range, but expect it to be in the range of ₩100,000 to ₩200,000+ KRW, with medication as an additional cost. Clinics in Gangnam are generally transparent about their pricing.
If you have symptoms or concerns about Mycoplasma Genitalium, prompt and accurate diagnosis followed by appropriate treatment is essential for your health and to prevent further transmission. Gangnam J Andrology Clinic can be a good starting point for this process in Seoul.
