Do You Need Mycoplasma Testing After a Gonorrhea Diagnosis? - Urology

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When it comes to sexually transmitted infections (STIs) like gonorrhea, it is crucial to understand the implications of a diagnosis and the potential for co-infections, such as those caused by Mycoplasma. Given your recent diagnosis of gonorrhea and the circumstances surrounding your exposure, it is understandable to have concerns about the possibility of Mycoplasma infection and the need for testing.

First, let's address the question of whether you need Mycoplasma testing after a gonorrhea diagnosis. While gonorrhea and Mycoplasma infections can occur concurrently, they are caused by different pathogens. Gonorrhea is caused by the bacterium Neisseria gonorrhoeae, while Mycoplasma infections are typically caused by Mycoplasma genitalium or Mycoplasma hominis. There is some evidence suggesting that individuals with gonorrhea may be at an increased risk for Mycoplasma infections, but this does not mean that every person diagnosed with gonorrhea will also have a Mycoplasma infection.

Given your recent sexual activity, including oral sex, it is possible for the bacteria to be present in the oral cavity, especially if the partner was infected. However, the risk of transmission through kissing is generally considered lower than through sexual intercourse. If you have symptoms such as unusual discharge, pain during urination, or discomfort in the genital area, it would be prudent to discuss these with your healthcare provider, as they may warrant further testing for Mycoplasma or other STIs.

Regarding treatment, it is good to hear that you have already been prescribed medication. Azithromycin (the "15円環大環内酯" you mentioned) is commonly used to treat gonorrhea, and it is often paired with another antibiotic to cover potential co-infections. The injection of Torobishin (likely a reference to a type of cephalosporin antibiotic) is also a standard treatment for gonorrhea. It is essential to complete the full course of antibiotics as prescribed by your healthcare provider to ensure that the infection is fully cleared.

As for follow-up testing, it is standard practice to have a repeat test for gonorrhea and other STIs approximately two weeks after completing treatment. This follow-up helps confirm that the infection has been successfully treated and allows for the identification of any persistent or new infections. If you are concerned about Mycoplasma or have symptoms suggestive of an infection, you should discuss this with your healthcare provider, who may recommend specific testing based on your symptoms and risk factors.

In summary, while Mycoplasma testing is not automatically required after a gonorrhea diagnosis, it may be warranted based on your symptoms and risk factors. It is essential to maintain open communication with your healthcare provider, follow their recommendations for treatment and follow-up testing, and report any new or worsening symptoms. Taking these steps will help ensure your health and well-being moving forward.