Symptoms of Mycoplasma Infection: What You Need to Know

Mycoplasma infections are a common cause of urogenital tract infections, often developing within an incubation period of 1 to 3 weeks after exposure. Unlike many other bacterial infections, mycoplasma is known for causing mild or even asymptomatic cases, which can make it difficult to detect without proper testing. These infections are primarily transmitted through sexual contact and can affect both men and women differently.

Common Signs in Men

In males, mycoplasma infection typically manifests as non-gonococcal urethritis (NGU), a condition that affects the urethra without being caused by gonorrhea. One of the hallmark symptoms is a persistent sensation of burning or irritation during urination. Men may also experience itching along the urethra, which can be uncomfortable and disruptive to daily life.

Discharge from the urethral opening is usually minimal and may not be immediately noticeable. Often, a man has to apply gentle pressure to the urethra to see a small amount of clear or slightly cloudy fluid emerge. A common early-morning symptom is the presence of a thin, mucus-like secretion at the tip of the penis, sometimes referred to as "morning drip." Because symptoms can be mild, many men delay seeking medical advice, increasing the risk of complications such as epididymitis or chronic inflammation.

Symptoms in Women: Often Overlooked

Women infected with mycoplasma frequently do not experience obvious symptoms, which contributes to the silent spread of the infection. When signs do appear, they are often mistaken for other common vaginal conditions. Some women may develop non-gonococcal cervicitis, characterized by inflammation of the cervix.

Potential Indicators in Female Patients

Abnormal vaginal discharge, though not always present, can occur in some cases. Other possible symptoms include discomfort during intercourse, post-coital bleeding, or a frequent urge to urinate. Left untreated, mycoplasma infections in women may lead to more serious reproductive health issues, including pelvic inflammatory disease (PID), which can impact fertility.

Because mycoplasma does not respond to certain standard antibiotics—such as penicillin—accurate diagnosis through lab testing is essential. Polymerase chain reaction (PCR) tests are commonly used to confirm the presence of the bacteria in clinical settings.

Why Early Detection Matters

Given the subtle nature of mycoplasma symptoms, routine screening is recommended for sexually active individuals, especially those with multiple partners or a history of unprotected sex. Early detection not only helps prevent long-term complications but also reduces transmission rates across communities.

If you suspect a urogenital infection, consult a healthcare provider for proper evaluation and treatment. With appropriate antibiotic therapy—often involving macrolides or tetracyclines—most cases can be effectively managed and resolved.