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How do you approach a persistently positive Mycoplasma genitalium cervical swab PCR in a patient who has undergone multiple courses of the standard CDC-recommended therapy but continues to experience pelvic symptoms and vaginal discharge?
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Mednet Member
Infectious Disease · University of Washington Center for AIDS and STD
This is a tough one. The first question is whether M. genitalium is in fact the cause of the problem. The second is what "pelvic symptoms" she has. Is a gynecologist involved? If suspicious for PID -- e.g., adnexal and/or uterine tenderness on bimanual exam -- the diagnosis should be confirmed at le...