{"id":57602,"date":"2026-03-09T14:37:01","date_gmt":"2026-03-09T14:37:01","guid":{"rendered":"https:\/\/www.mediconanet.pt\/?p=57602"},"modified":"2026-03-11T11:34:17","modified_gmt":"2026-03-11T11:34:17","slug":"mycoplasma-genitalium","status":"publish","type":"post","link":"https:\/\/www.mediconanet.pt\/en\/mycoplasma-genitalium\/","title":{"rendered":"Mycoplasma genitalium: A IST Emergente \u2014 Sintomas, Diagn\u00f3stico e Desafios"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"57602\" class=\"elementor elementor-57602\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-570cfe3 e-flex e-con-boxed e-con e-parent\" data-id=\"570cfe3\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1761780 elementor-widget elementor-widget-text-editor\" data-id=\"1761780\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h2>Introdu\u00e7\u00e3o<\/h2><p><span style=\"font-weight: 400;\">O <strong>Mycoplasma genitalium<\/strong> \u00e9 uma bact\u00e9ria sexualmente transmiss\u00edvel emergente, reconhecida cada vez mais como causa significativa de uretrite n\u00e3o gonoc\u00f3cica, cervicite e doen\u00e7a inflamat\u00f3ria p\u00e9lvica. Descoberta em 1981, esta bact\u00e9ria sem parede celular ganhou relev\u00e2ncia cl\u00ednica na \u00faltima d\u00e9cada com o desenvolvimento de m\u00e9todos de diagn\u00f3stico molecular espec\u00edficos.<\/span><\/p><p><span style=\"font-weight: 400;\">A preval\u00eancia estimada de <\/span><b>Mycoplasma <\/b><span style=\"font-weight: 400;\">na popula\u00e7\u00e3o geral \u00e9 de 1 a 3 %, semelhante \u00e0 da clam\u00eddia, mas pode atingir 15 a 20 % em popula\u00e7\u00f5es de risco. A British Association for Sexual Health and HIV (BASHH) e a European Society of Clinical Microbiology and Infectious Diseases (ESCMID) classificam o Mycoplasma genitalium como uma IST de import\u00e2ncia crescente, particularmente devido \u00e0 resist\u00eancia antimicrobiana.<\/span><\/p><h2>Sintomas e Apresenta\u00e7\u00e3o Cl\u00ednica<\/h2><p><span style=\"font-weight: 400;\">Nos homens, o <\/span><b>Mycoplasma genitalium<\/b><span style=\"font-weight: 400;\"> \u00e9 respons\u00e1vel por 15 a 25 % dos casos de uretrite n\u00e3o gonoc\u00f3cica (UNG), manifestando-se com corrimento uretral escasso, dis\u00faria e, ocasionalmente, uretrite persistente ou recorrente ap\u00f3s tratamento para clam\u00eddia. A epididimite \u00e9 uma complica\u00e7\u00e3o poss\u00edvel, embora menos frequente que na clam\u00eddia.<\/span><\/p><p><span style=\"font-weight: 400;\">Nas mulheres, o <\/span><b>Mycoplasma genitalium<\/b><span style=\"font-weight: 400;\"> pode causar cervicite mucopurulenta, uretrite, endometrite e doen\u00e7a inflamat\u00f3ria p\u00e9lvica (DIP). Estudos publicados na revista Sexually Transmitted Infections associam o Mycoplasma genitalium a infertilidade tub\u00e1ria e complica\u00e7\u00f5es obst\u00e9tricas, incluindo parto pr\u00e9-termo e aborto espont\u00e2neo.<\/span><\/p><p><span style=\"font-weight: 400;\">Tal como a clam\u00eddia, o <\/span><b>Mycoplasma\u00a0<\/b><span style=\"font-weight: 400;\">\u00e9 frequentemente assintom\u00e1tico em ambos os sexos (40 a 75 % dos casos), contribuindo para a transmiss\u00e3o silenciosa. A International Union against Sexually Transmitted Infections (IUSTI) recomenda considerar o Mycoplasma genitalium no diagn\u00f3stico diferencial de uretrite e cervicite persistentes.<\/span><\/p><h2>Diagn\u00f3stico<\/h2><p><span style=\"font-weight: 400;\">O diagn\u00f3stico do <\/span><b>Mycoplasma genitalium<\/b><span style=\"font-weight: 400;\"> requer testes de amplifica\u00e7\u00e3o de \u00e1cidos nucleicos (NAAT), pois esta bact\u00e9ria \u00e9 extremamente dif\u00edcil de cultivar em meios convencionais (o crescimento em cultura pode demorar at\u00e9 6 meses). O NAAT \u00e9 o \u00fanico m\u00e9todo diagn\u00f3stico vi\u00e1vel na pr\u00e1tica cl\u00ednica.<\/span><\/p><p><span style=\"font-weight: 400;\">A BASHH e a ESCMID recomendam que o teste para <\/span><b>Mycoplasma genitalium<\/b><span style=\"font-weight: 400;\"> seja acompanhado de teste de resist\u00eancia \u00e0 azitromicina (dete\u00e7\u00e3o de muta\u00e7\u00f5es no gene 23S rRNA), sempre que poss\u00edvel. Esta abordagem permite tratamento dirigido e reduz o risco de selecionar resist\u00eancia adicional.<\/span><\/p><p><span style=\"font-weight: 400;\">As indica\u00e7\u00f5es para teste de <\/span><b>Mycoplasma <\/b><span style=\"font-weight: 400;\">incluem uretrite persistente ou recorrente ap\u00f3s tratamento para clam\u00eddia, cervicite mucopurulenta, DIP, contacto sexual com parceiro com <\/span><b>Mycoplasma genitalium<\/b><span style=\"font-weight: 400;\"> e contexto de investiga\u00e7\u00e3o de infertilidade. O rastreio universal n\u00e3o \u00e9 atualmente recomendado.<\/span><\/p><h2>Resist\u00eancia Antimicrobiana<\/h2><p><span style=\"font-weight: 400;\">A resist\u00eancia antimicrobiana \u00e9 o maior desafio no tratamento do <\/span><b>Mycoplasma genitalium<\/b><span style=\"font-weight: 400;\">. A resist\u00eancia \u00e0 azitromicina, tratamento de primeira linha, atingiu 40 a 60 % em muitos pa\u00edses europeus, segundo dados da vigil\u00e2ncia do ECDC. A resist\u00eancia \u00e0s fluoroquinolonas (moxifloxacina) est\u00e1 tamb\u00e9m a aumentar.<\/span><\/p><p><span style=\"font-weight: 400;\">A aus\u00eancia de parede celular torna o <\/span><b>Mycoplasma<\/b><span style=\"font-weight: 400;\">\u00a0intrinsecamente resistente a betalact\u00e2micos (penicilinas, cefalosporinas) e outros antibi\u00f3ticos que atuam na parede celular. As op\u00e7\u00f5es terap\u00eauticas s\u00e3o, portanto, mais limitadas do que para outras ISTs bacterianas.<\/span><\/p><p><span style=\"font-weight: 400;\">A OMS incluiu o <\/span><b>Mycoplasma genitalium<\/b><span style=\"font-weight: 400;\"> na lista de bact\u00e9rias priorit\u00e1rias para vigil\u00e2ncia da resist\u00eancia antimicrobiana em ISTs. A investiga\u00e7\u00e3o de novos antibi\u00f3ticos e estrat\u00e9gias terap\u00eauticas, incluindo a lefamulina e a sitafloxacina, est\u00e1 em curso para abordar este desafio crescente.<\/span><\/p><p><i><span style=\"font-weight: 400;\">Na M\u00e9dico na Net, a equipa cl\u00ednica oferece diagn\u00f3stico molecular de <\/span><a href=\"https:\/\/www.mediconanet.pt\/produto\/mycoplasma\/\"><b>Mycoplasma genitalium<\/b><\/a><span style=\"font-weight: 400;\"> com teste de resist\u00eancia, permitindo tratamento dirigido e eficaz para esta IST emergente.<\/span><\/i><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-375973d elementor-widget elementor-widget-image\" data-id=\"375973d\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/03\/ChatGPT-Image-Mar-10-2026-01_18_36-PM.jpg\" title=\"Consulta m\u00e9dica online sobre sa\u00fade sexual\" alt=\"Mulher em consulta m\u00e9dica online no computador enquanto fala com m\u00e9dico sobre Mycoplasma genitalium\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1545e08 e-flex e-con-boxed e-con e-parent\" data-id=\"1545e08\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-9ad30cf e-con-full e-flex e-con e-child\" data-id=\"9ad30cf\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-66e4f21 e-con-full e-flex e-con e-child\" data-id=\"66e4f21\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c44ae3e elementor-widget elementor-widget-heading\" data-id=\"c44ae3e\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Perguntas frequentes (FAQ)<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-439b5c3 elementor-widget elementor-widget-n-accordion\" data-id=\"439b5c3\" data-element_type=\"widget\" data-settings=\"{&quot;default_state&quot;:&quot;all_collapsed&quot;,&quot;max_items_expended&quot;:&quot;one&quot;,&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:400,&quot;sizes&quot;:[]}}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-7080\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-7080\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> O que \u00e9 o Mycoplasma genitalium? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7080\" class=\"elementor-element elementor-element-d801294 e-con-full e-flex e-con e-child\" data-id=\"d801294\" data-element_type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7080\" class=\"elementor-element elementor-element-67dd609 e-flex e-con-boxed e-con e-child\" data-id=\"67dd609\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2204be5 elementor-widget elementor-widget-text-editor\" data-id=\"2204be5\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">\u00c9 uma bact\u00e9ria sexualmente transmiss\u00edvel, reconhecida como causa importante de uretrite, cervicite e doen\u00e7a inflamat\u00f3ria p\u00e9lvica. \u00c9 considerada uma IST emergente pela sua preval\u00eancia crescente e resist\u00eancia antimicrobiana.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-7081\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"2\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-7081\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Como se deteta o Mycoplasma genitalium? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7081\" class=\"elementor-element elementor-element-f07e3ff e-con-full e-flex e-con e-child\" data-id=\"f07e3ff\" data-element_type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7081\" class=\"elementor-element elementor-element-ba0d7df e-flex e-con-boxed e-con e-child\" data-id=\"ba0d7df\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-bd0918d elementor-widget elementor-widget-text-editor\" data-id=\"bd0918d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">O diagn\u00f3stico \u00e9 feito exclusivamente por NAAT (teste molecular), pois a bact\u00e9ria n\u00e3o cresce em culturas convencionais. As amostras incluem zaragatoa uretral, cervical ou urina de primeiro jato.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-7082\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"3\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-7082\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> O Mycoplasma genitalium \u00e9 resistente aos antibi\u00f3ticos? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7082\" class=\"elementor-element elementor-element-1948aa2 e-con-full e-flex e-con e-child\" data-id=\"1948aa2\" data-element_type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7082\" class=\"elementor-element elementor-element-44203e4 e-flex e-con-boxed e-con e-child\" data-id=\"44203e4\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-90363e4 elementor-widget elementor-widget-text-editor\" data-id=\"90363e4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Sim, a resist\u00eancia \u00e0 azitromicina \u00e9 elevada (40 a 60 % na Europa). Por isso, o teste de resist\u00eancia antes do tratamento \u00e9 cada vez mais recomendado para garantir terap\u00eautica eficaz.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-7083\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"4\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-7083\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Devo ser testado para Mycoplasma genitalium? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7083\" class=\"elementor-element elementor-element-e6b82d0 e-con-full e-flex e-con e-child\" data-id=\"e6b82d0\" data-element_type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7083\" class=\"elementor-element elementor-element-ff98332 e-flex e-con-boxed e-con e-child\" data-id=\"ff98332\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b745fb3 elementor-widget elementor-widget-text-editor\" data-id=\"b745fb3\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">O teste \u00e9 recomendado em casos de uretrite ou cervicite persistente ou recorrente, especialmente ap\u00f3s tratamento para clam\u00eddia. O rastreio universal n\u00e3o \u00e9 atualmente indicado.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-7084\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"5\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-7084\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> O Mycoplasma genitalium pode causar infertilidade? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7084\" class=\"elementor-element elementor-element-7547615 e-con-full e-flex e-con e-child\" data-id=\"7547615\" data-element_type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7084\" class=\"elementor-element elementor-element-8c9a957 e-flex e-con-boxed e-con e-child\" data-id=\"8c9a957\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2f07efa elementor-widget elementor-widget-text-editor\" data-id=\"2f07efa\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"6119\" data-end=\"6336\"><span style=\"font-weight: 400;\">Estudos sugerem associa\u00e7\u00e3o entre <strong>Mycoplasma<\/strong>\u00a0e infertilidade tub\u00e1ria, embora a evid\u00eancia n\u00e3o seja t\u00e3o robusta como para a clam\u00eddia. O tratamento atempado \u00e9 prudente para prevenir potenciais complica\u00e7\u00f5es.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<script type=\"application\/ld+json\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@type\":\"FAQPage\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"O que \\u00e9 o Mycoplasma genitalium?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"\\u00c9 uma bact\\u00e9ria sexualmente transmiss\\u00edvel, reconhecida como causa importante de uretrite, cervicite e doen\\u00e7a inflamat\\u00f3ria p\\u00e9lvica. \\u00c9 considerada uma IST emergente pela sua preval\\u00eancia crescente e resist\\u00eancia antimicrobiana.\"}},{\"@type\":\"Question\",\"name\":\"Como se deteta o Mycoplasma genitalium?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"O diagn\\u00f3stico \\u00e9 feito exclusivamente por NAAT (teste molecular), pois a bact\\u00e9ria n\\u00e3o cresce em culturas convencionais. As amostras incluem zaragatoa uretral, cervical ou urina de primeiro jato.\"}},{\"@type\":\"Question\",\"name\":\"O Mycoplasma genitalium \\u00e9 resistente aos antibi\\u00f3ticos?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Sim, a resist\\u00eancia \\u00e0 azitromicina \\u00e9 elevada (40 a 60 % na Europa). Por isso, o teste de resist\\u00eancia antes do tratamento \\u00e9 cada vez mais recomendado para garantir terap\\u00eautica eficaz.\"}},{\"@type\":\"Question\",\"name\":\"Devo ser testado para Mycoplasma genitalium?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"O teste \\u00e9 recomendado em casos de uretrite ou cervicite persistente ou recorrente, especialmente ap\\u00f3s tratamento para clam\\u00eddia. O rastreio universal n\\u00e3o \\u00e9 atualmente indicado.\"}},{\"@type\":\"Question\",\"name\":\"O Mycoplasma genitalium pode causar infertilidade?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Estudos sugerem associa\\u00e7\\u00e3o entre Mycoplasma\\u00a0e infertilidade tub\\u00e1ria, embora a evid\\u00eancia n\\u00e3o seja t\\u00e3o robusta como para a clam\\u00eddia. O tratamento atempado \\u00e9 prudente para prevenir potenciais complica\\u00e7\\u00f5es.\"}}]}<\/script>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-02d7fba e-flex e-con-boxed e-con e-parent\" data-id=\"02d7fba\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ca91313 elementor-widget elementor-widget-text-editor\" data-id=\"ca91313\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h2>Conclus\u00e3o<\/h2><p><span style=\"font-weight: 400;\">O <\/span><b>Mycoplasma genitalium<\/b><span style=\"font-weight: 400;\"> \u00e9 uma IST emergente com preval\u00eancia crescente e desafios significativos de resist\u00eancia antimicrobiana. O diagn\u00f3stico molecular com teste de resist\u00eancia, o tratamento dirigido e a investiga\u00e7\u00e3o de novas op\u00e7\u00f5es terap\u00eauticas s\u00e3o essenciais para a gest\u00e3o eficaz desta infe\u00e7\u00e3o e a preven\u00e7\u00e3o de complica\u00e7\u00f5es reprodutivas.<\/span><\/p><h2>Refer\u00eancias<\/h2><p><a href=\"https:\/\/iusti.org\/guidelines\/mycoplasma-genitalium\/\" rel=\"dofollow noopener\" target=\"_blank\">European guideline on the management of Mycoplasma genitalium \u2014 International Union against Sexually Transmitted Infections<\/a><\/p><p><a href=\"https:\/\/www.bashh.org\/resources\/83\/mycoplasma_genitalium\/\" rel=\"dofollow noopener\" target=\"_blank\">Guideline on Mycoplasma genitalium \u2014 British Association for Sexual Health and HIV<\/a><\/p><p><a href=\"https:\/\/www.thelancet.com\/journals\/laninf\/article\/PIIS1473-3099(23)00227-7\/fulltext\" rel=\"dofollow noopener\" target=\"_blank\">Antimicrobial resistance in Mycoplasma genitalium \u2014 The Lancet Infectious Diseases<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Introdu\u00e7\u00e3o O Mycoplasma genitalium \u00e9 uma bact\u00e9ria sexualmente transmiss\u00edvel emergente, reconhecida cada vez mais como causa significativa de uretrite n\u00e3o gonoc\u00f3cica, cervicite e doen\u00e7a inflamat\u00f3ria p\u00e9lvica. Descoberta em 1981, esta bact\u00e9ria sem parede celular ganhou relev\u00e2ncia cl\u00ednica na \u00faltima d\u00e9cada com o desenvolvimento de m\u00e9todos de diagn\u00f3stico molecular espec\u00edficos. A preval\u00eancia estimada de Mycoplasma na [&hellip;]<\/p>\n","protected":false},"author":13102,"featured_media":57781,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[59],"tags":[],"class_list":["post-57602","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saude-sexual"],"jetpack_featured_media_url":"https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/03\/casal_quarto_espelhado_1632x640_100kb-1.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/posts\/57602","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/users\/13102"}],"replies":[{"embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/comments?post=57602"}],"version-history":[{"count":31,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/posts\/57602\/revisions"}],"predecessor-version":[{"id":57989,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/posts\/57602\/revisions\/57989"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/media\/57781"}],"wp:attachment":[{"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/media?parent=57602"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/categories?post=57602"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/tags?post=57602"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}