Just when you thought you probably knew about all the different
sexually transmitted infections (STIs) in circulation, a new one turns
up and is now striking fear amongst health experts that there could be
thousands of people living with the disease in the UK – and unaware of
it.
Well, despite being commonly reported as a “new” type of
infection…Mycoplasma genitalium (MG) – as the STI is being referred as –
was first discovered back in the 1980s.
The infection stems from a bacterium
located within the urinary and genital tracts of humans. Affecting
around 1% of people aged 16 to 44 years old, it does not produce many
symptoms – practically none for those already infected – but research
has shown it can be passed through unprotected sexual intercourse.
Researchers assessed data extracted from the National Survey of
Sexual Attitudes and Lifestyles, and determined that unsurprisingly,
those with a higher number of sexual partners, people failing to use
condoms, those living in deprived areas and people in the 25 to 44 age
range are most at risk.
Findings reported in the International Journal of Epidemiology
demonstrated that 1% of 16 to 44-year-olds in Britain who have had sex
are living with MG. The report involved a cross-sectional study
analysing the link between sexual activity and MG.
Researchers looked at the urine samples of 4500 people (both men and
women) between 16 and 44 years old that had stated previously having sex
at some point, in addition to the samples of about 200 people who
reported never having had sex.
No cases of the mycoplasma infection were discovered in the people
who had never had sex, whilst the infection was found in approximately
1% of the sexually active participants.
The mycoplasma infection was prevalent in 1.2% of men and 1.3% of
women. The prevalence peaked at 2.1% in men aged between 25 and 34,
while in women, the peak prevalence occurred in 16 to 19 year olds
(2.4%) and then decreased with age.
MG seems to more prevalent in those that have had over 4 sexual
partners in the preceding 12 months, whilst MG-positive men were found
to be likely to have reported a previously diagnosed gonorrhoea,
syphilis, or non-specific urethritis, while women reported previous
cases of trichomoniasis. Researchers also noted that incidence of MG was
higher in those living in the most deprived areas and black men.
The majority of those who came back positive for MG did not report
having any noticeable symptoms but a high proportion of women with
symptoms, said they were bleeding after sex. Other known symptoms were
genital discharge, testicular and pelvic pain, with scientists believing
that more long-term ramifications could include pelvic inflammatory
disease, ectopic pregnancy and female infertility.
Nigel Field, consultant clinical epidemiologist at Public Health
England (PHE), and one of the researchers behind the new study, said it
had found further evidence that MG is an STI.
“MG is a bacterium that was present in around 1% of the general
population aged 16 to 44 years, who had reported at least one sexual
partner,” he said.
“The study adds to the accumulating evidence-base that MG causes
infection in some men and women, and the study found that women with MG
were more likely to report bleeding after sexual activity.
“However, over 90% of men and more than half of women with MG had no
symptoms. It may be that MG does not cause illness in all individuals in
whom the infection is detected.
“Laboratory testing for MG is not yet widely available in the UK.”
He added that there would need to be more research into the “clinical
consequences of MG infection” prior to any work being carried out on
screening or preventative methods for the infection.
“PHE has recently established national surveillance to monitor
diagnoses of MG from any clinics undertaking testing and will continue
to gather public health data on MG to inform policy on infection
control,” he said.
“As for all STIs, prevention measures promoting increased condom use
and a reduction in sexual risk behaviours are likely to play an
important role in efforts to control MG.”
Mycoplasma genitalium is just one of numerous STIs in circulation and until treatment is developed, Medical Specialists® Pharmacy provide treatments for many of the more common STIs such as chlamydia, gonorrhoea and genital herpes.
In addition, Medical Specialists® can provide almost 100% accurate
pregnancy tests to be used in the privacy and comfort of your own home, a
wide variety of condoms to suit different preferences, emergency
hormonal contraception (morning after pill), other contraceptive pills, and even a chlamydia test
you can take at home and post off for a quick analysis and result,
saving you the time and embarrassment of having to personally attend a
clinic for a check-up.
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