Where to Find Mycoplasma Genitalium Testing in Taiwan?

Q: Where to Find Mycoplasma Genitalium Testing in Taiwan?

Hello Ms. <br>Nana： I personally do not have much knowledge about Mycoplasma genitalium, and since you mentioned that National Taiwan University and Chang Gung University do not have testing methods for it, I apologize that I cannot answer your question. <br>I suggest you seek fu

Where in Taiwan can I find testing methods for drug sensitivity of Mycoplasma (reproductive mycoplasma)?

I conducted a culture of mycoplasma secretions abroad and was infected with Mycoplasma hominis and Ureaplasma urealyticum.
The incubation period seems to be three to four weeks.
This infection causes severe pain in the genital area, with a burning sensation, often leading to misdiagnosis as a fungal infection, delaying treatment.
Initially, I underwent a sensitivity test, which showed resistance to Azithromycin, so the doctor prescribed Doxycycline 100 mg twice daily, starting with two pills.
After taking it for two weeks and stopping for five days, the pain persisted.
I took it again for another two weeks and felt some improvement, but there was still some pain.
In Taiwan, it seems to be referred to as Ureaplasma.
After returning to Taiwan, I searched various hospitals but could not find a testing method for this organism, as standard bacterial cultures seem to have difficulty growing it.
It appears that very few doctors are familiar with genital mycoplasma.
After finishing my medication, I experienced severe swelling and pain again, akin to the pain of a skin injury, localized in the genital area.
I developed fever and muscle spasms, which prevented me from sleeping for several days, and my immune system felt compromised.
The entire pelvic area was uncomfortable.
I went to the hospital for a general bacterial culture of the secretions, but only Klebsiella was cultured.
Typically, a regular bacterial infection does not cause such intense pain.
Is it possible that the mycoplasma has already attached to my cells and caused damage? I feel as though my immune system has been compromised, and I have been weak, with other issues arising in different parts of my body.
However, testing is necessary to determine if the infection is still present and its antibiotic resistance.
I contacted National Taiwan University Hospital and Chang Gung Memorial Hospital, but they do not have testing methods for Ureaplasma, stating that they only test for pneumonia.
Which institutions in Taiwan are researching testing methods and treatments for this condition? Could you provide this information to major hospitals? I have been suffering for three months and am truly distressed.
I only realized upon returning to Taiwan that there are no tests available for this type of disease, and I am unsure of what to do.

Nana, 30~39 year old female. Ask Date: 2020/07/31

Dr. Huang Yiwen reply Obstetrics and Gynecology

Hello Ms.
Nana: I personally do not have much knowledge about Mycoplasma genitalium, and since you mentioned that National Taiwan University and Chang Gung University do not have testing methods for it, I apologize that I cannot answer your question.
I suggest you seek further assistance at a medical center.

Reply Date: 2020/07/31

More Info

Finding appropriate medical testing for Mycoplasma genitalium in Taiwan can be quite challenging, especially given the complexity of the infection and the limited availability of specific tests. Mycoplasma genitalium is a sexually transmitted infection that can cause significant discomfort and pain, often leading to misdiagnosis due to its symptoms overlapping with other conditions such as yeast infections or bacterial vaginosis.

In Taiwan, the availability of Mycoplasma genitalium testing is not widespread, and many hospitals may not have the specific testing capabilities for this organism. As you have experienced, even larger medical centers like National Taiwan University Hospital and Chang Gung Memorial Hospital may not offer this test, as it is more commonly associated with respiratory infections rather than urogenital infections.
To find testing for Mycoplasma genitalium, consider the following steps:
1. Consult Specialized Clinics: Look for sexual health clinics or urology clinics that specialize in sexually transmitted infections (STIs). These clinics may have more experience with less common infections and could potentially offer testing or refer you to a laboratory that does.

2. University Hospitals: Contact university-affiliated hospitals, particularly those with a strong focus on infectious diseases or sexual health. They may have ongoing research or specialized testing capabilities. For instance, hospitals associated with medical schools often have more resources for research and may be more familiar with Mycoplasma genitalium.

3. Private Laboratories: Some private laboratories may offer specialized testing that is not available in public hospitals. You can inquire with labs that focus on infectious diseases or microbiology to see if they can perform the test or if they can refer you to a facility that does.

4. Research Institutions: Reach out to research institutions or universities that have departments specializing in microbiology or infectious diseases. They may be conducting studies on Mycoplasma genitalium and could provide insights or testing options.

5. Telemedicine Options: Given the increasing use of telemedicine, consider consulting with a specialist online. They may be able to guide you to appropriate testing facilities or suggest alternative treatment options based on your symptoms.

6. Patient Advocacy Groups: Look for patient advocacy groups or forums focused on STIs. Other patients may have had similar experiences and could provide recommendations for testing and treatment options.

In terms of treatment, it is crucial to follow up with a healthcare provider who understands the complexities of Mycoplasma genitalium, especially considering your history of antibiotic resistance. Doxycycline is often used as a first-line treatment, but if you continue to experience symptoms, it may be necessary to explore other treatment options or combinations of antibiotics.
Additionally, the symptoms you describe, including severe pain and systemic issues, warrant immediate medical attention. If you are experiencing fever, severe pain, or other systemic symptoms, it is important to seek emergency care to rule out any serious complications.

In summary, while finding Mycoplasma genitalium testing in Taiwan may be difficult, exploring specialized clinics, university hospitals, private laboratories, and research institutions may yield results. It is essential to advocate for your health and seek out providers who are knowledgeable about this infection.

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