Andrey Viktorovich Zhuravlev
Candidate medical sciences, doctor of the highest category
Trichomonas - the causative agent of trichomoniasis
Trichomoniasis is a sexually transmitted disease. The disease affects the genitals and urinary tract. The causative agent of the process is Trichomonada vaginalis.
Trichomoniasis most often occurs in an acute form with a clear clinical picture.
But if the primary disease was treated incorrectly or not treated at all, the disease becomes chronic. This form of trichomoniasis is much more difficult to cure.
Reasons and general information are well described in our other articles:
Favorable conditions for the development of bacteria are an acidic environment of 5.9-6.5 pH and a temperature of about 36 degrees Celsius.
Bacterial growth on the vaginal walls
The acute form becomes chronic within 2-3 months from the moment of infection. This type of trichomoniasis is manifested by rare dysuric disorders, pain in the lower abdomen and discomfort during sexual intercourse.
What leads to the process becoming chronic:
- decreased immunity;
- lack of timely treatment;
- the therapy was inappropriate, or the patient did not take all the necessary medications to the end;
- the presence of other inflammatory diseases of the urogenital tract;
- promiscuity without protection.
In addition to the chronic form of the disease, Trichomonas carriage is also possible. In this case, the culture for bacteria will be positive, but the patient does not show symptoms of trichomoniasis at all. This type of disease is also needs to be treated.
Diagnosis of the disease
The diagnosis of trichomoniasis is made after bacteria are found in a smear from the vagina or urethra.
Colonies of bacteria on a nutrient medium
Several diagnostic methods are possible:
- microscopy of an unstained specimen;
- sowing material on nutrient media;
- staining with methylene blue or Romanovsky-Giemsa followed by microscopy;
- PCR diagnostics.
Although microscopy gives a reliable result, the analysis must be performed two or three times, since one of the results may be false negative.
In men, trichomonas are much more difficult to find because they often take on an atypical form.
The treatment and diagnosis of the disease is carried out by a dermatovenerologist, a urologist for men or a gynecologist for women.
Treatment of the chronic form of the disease
Self-medication for trichomoniasis is unacceptable: This can lead to the development of an aggressive form of the disease. The bacteria will take on an atypical appearance, and it will be much more difficult to deal with them.
Treatment of the infection must be carried out in both sexual partners (even if the smears of one of them are negative). Sexual contacts are prohibited not only until the end of treatment, but also throughout the control period (to avoid reinfection - re-infection).
Treatment of chronic trichomoniasis consists of local and general therapy.
General therapy
Analogues of Metronidazole - Trichopolum, Rosex, Ornidazole.
Dosage regimens for the chronic form, options:
- 500 mg 2 times a day for 7-10 days;
- the first day - 750 mg 4 times a day, the second - 500 mg twice a day. Just 5 g of Metronidazole for 2 days;
- 500 mg of solution intravenously 3 times a day for 5-7 days.
The following drugs have a similar effect:
All of the drugs listed are quite strong, therefore they have side effects: nausea, vomiting, dizziness, heartburn, weakness, drowsiness. In addition, they absolutely incompatible with alcohol.
Most likely, one course for chronic trichomoniasis will not be enough. On the doctor's recommendation, the medications can be repeated.
Additionally, the doctor prescribes immunomodulatory drugs: Viferon, Immunal, Grippferon. Duration of treatment is 7-10 days.
Local therapy
Women with trichomonas vulvitis or vaginitis can put Terzhinan into the vagina: 1 vaginal tablet at night for 10 days.
The urethra can be washed with a 0.5% solution of silver nitrate or a 2% solution of protargol. The procedure is carried out every other day for 2 weeks. Before washing, you need to take a shower, it is better to do it at night.
A positive effect is obtained by douching (washing) the vagina with herbal antiseptics (infusions of chamomile, sage, thuja cones, birch buds, calendula). The duration of treatment is 7-9 days. Then you need to take a break.
Lifestyle during therapy
During treatment, the patient is advised to follow a diet: avoid spicy, salty, spicy foods and alcohol. You can also limit sweets, chocolate, coffee and strong tea.
It is very important to maintain personal hygiene. You need to shower twice a day and change your underwear every day. Bed linen and towels should be individual for each family member to avoid the spread of infection.
Trichomoniasis is considered cured if, within 2 months after therapy, Trichomonas smears give a negative result.
Disease prevention
To avoid the formation of chronic trichomoniasis, it is necessary to treat an acute infection in a timely manner. Therefore, if you have any pathological symptoms associated with the urogenital tract, you need to consult a doctor for diagnosis.
Prevention of any sexually transmitted infections is as follows:
- avoid casual sexual contacts;
- always use condoms;
- maintain personal hygiene;
- Underwear and towels must be for individual use.
Get examined by a doctor in a timely manner to identify any diseases at an early stage and begin treatment.
I am writing how it all began: on December 29 I began the first course of treatment for trichomoniasis
Trichomoniasis is mainly transmitted through sexual contact, but it is also possible household way, through personal items, in a bathhouse in a swimming pool, etc.
Hello doctor! I can’t and don’t want to live anymore. I want to live a full life! I want to love. I have withdrawn into myself. I avoid dating. And I am only 24 years old. I have been sick with trichomoniasis for 5 years now, and I also have chronic prostatitis. I went through many courses. I took multiple tests for trichomoniasis and it was confirmed and that’s it. I took a break from antibiotics and did it all over again. I was treated with Trichopolum, Metronidazole, Tiberal, Metrogyl + various antibacterial drugs of the cephalosparin series, ultrasound, vitamins. Nothing helps. During treatment, I follow the doctor’s instructions: no sexual intercourse, no alcohol! There is only a temporary improvement and after a month everything starts all over again. Now I also have a very weak erection. Well, how long can I?. Well, am I really doomed?
Ascending trichomoniasis is quite rare. It occurs when the Trichomonas infection rises above the cervix, that is, when the inflammatory process spreads to the uterus. fallopian tubes and ovaries.
How can trichomoniasis be complicated?
The pathogen can be viable for 24 hours in urine, semen, water and wet underwear. If there is wet discharge from an infected person on the toilet seat, then it is theoretically possible for the pathogen to be transmitted to a healthy woman, but it is practically unlikely that the woman will not notice the discharge on the toilet seat.
Oxidative processes with the formation of a large number of free radicals are a common occurrence in inflammatory processes. If iron were in a free state in living organisms, it would automatically destroy these organisms. Therefore, nature took care of protection, and in the living world iron is associated with proteins (proteins). Intracellular iron is bound to the protein ferritin and is part of hemoglobin, which plays a role in important role in the transport of oxygen by red blood cells (erythrocytes). Extracellular iron is bound to another protein, transferrin, and thus iron is transported throughout the body. All mucous surfaces of many organs contain a protein, a type of transferrin - lactoferrin, which can bind iron ions.
But the most conclusive research method is to inoculate secretions on nutrient media in order to isolate a culture of the causative agent of the disease. Blood is also taken to detect the DNA of the infectious agent using PCR. In addition, a comprehensive examination of the patient is carried out to exclude other sexually transmitted infections.
Vesiculitis is inflammation of the seminal vesicles. Normally, their function is to produce seminal fluid, which is the liquid part of sperm. Without seminal fluid, sperm are quickly destroyed in acidic environment vagina, not having time to perform its function. Vesiculitis manifests itself as pain in the perineum, especially at the time of ejaculation.
Trichomoniasis in men can also cause a number of unpleasant complications: inflammation of the prostate gland and testicles, which will also affect a man’s reproductive ability. Infertility is caused by the involvement of organs that produce sperm in the inflammatory process. But even if there are sperm in the semen, they lose their viability and motor activity.
Trichomoniasis is a typical infection transmitted only through sexual contact, which means it is a minor venereal disease. If a person is diagnosed with Trichomonas and the diagnosis of trichomoniasis is confirmed correctly, it is necessary to understand that the infection occurred through sexual contact, so the sexual partner(s) should be examined and treated. Most cases of trichomoniasis in men are not diagnosed! Unprotected sexual relations should be stopped during the treatment period. Most often, both partners need treatment at the same time.
Trichomonas infection occurs in 29–84% of women (depending on the region), and half of these women have no complaints or signs of the disease. Women who have casual sex suffer from trichomoniasis 3.5 times more often than women who have one sexual partner.
Prostatitis.
On the first day of infection, this disease is almost impossible to confirm in the laboratory. This is explained by the fact that the incubation period is usually asymptomatic. It can last from two days (if the immune system is weakened or there are other sexually transmitted diseases) and up to two months. At this time, there are no signs of trichomoniasis in men. After the end of the incubation period, the disease progresses to early stage development. As a rule, at this time the doctor, through a variety of diagnostic methods can confirm that there is a problem.
According to experts, the most effective medicine from trichomoniasis in men this moment- This is Metronidazole. The drug has been actively used to combat the disease for more than half a century. In an uncomplicated form, in some cases a single dose of medication (2 g) is sufficient. Depending on the patient's condition, a weekly course of treatment may be offered. In this case, the tablets are taken twice a day for seven days. The drug spreads throughout the body quite quickly, creating a fairly high concentration of the active substance in places where the pathogen reproduces. Unfortunately, this medication is not suitable for all men, as it has side effects. Many people note heaviness in the stomach, dizziness, and vomiting.
I won’t take a large amount of money for my services, because I can’t spend a lot of time on free consultations. By helping you, I will waste my personal time, which is very precious to me! Do not misunderstand me. My prices for my services vary depending on the complexity of the disease.
Vesiculitis.
Like many other diseases of a sexually transmitted nature, which even in the 21st century medicine is not able to completely eradicate, trichomoniasis in men is sexually transmitted. That is why, as a rule, a previously infected sexual partner acts as a source of infection. The cause that provoked the development of this disease can be any of the sexual contacts. Of course, the leading position in this issue occupy sexual relations.
A person is considered cured if he has had negative test results within three months. Women are tested within the first three days menstrual cycle Menstrual cycle - what happens in different phases? for three months.
Prevention of trichomoniasis is sex life with one partner and maintaining personal hygiene.
There is reliable evidence that the presence of trichomoniasis increases the risk of HIV infection. It is important to understand that the degree of infection with sexually transmitted viral infections depends largely on the condition of the mucous membrane of the urogenital system. Healthy cells epithelium have a greater resistance to the viral agent, therefore, infection of people who do not have other sexually transmitted infections with viral infections (HIV infection, hepatitis, herpes, etc.) does not occur so often, despite sexual contact with a sick person. Conversely, the level of infection increases significantly if the mucous membranes are damaged, especially with the formation of ulcers, because ulcers are an open gate for any virus. Trichomonas cause damage to epithelial cells, therefore protective forces mucous membranes decrease sharply. Trichomoniasis is called a cofactor in HIV transmission.
Modern young people postpone reproduction for many years - in fact, until the age (33-35 years) when the ovarian reserve decreases significantly, sperm lose many healthy qualities, and the genetic material of the germ cells is replenished big amount breakdowns in the form of mutations and polymorphism. But it’s not just age that hits couples who want to have children. Many men and women suffer from trichomoniasis, which is rarely mentioned as a cause of infertility. Americans have calculated that every dollar spent on preventing infertility by timely treatment of sexually transmitted infections saves ten dollars spent on hospitalization and treatment of women suffering from serious complications of such infections.
In this article, we have described in as much detail as possible what the disease trichomoniasis is in men. Symptoms, treatment and the main causes of this disease should not be ignored. We hope that all the information presented in this article will be truly useful to you. Be healthy!
HELP! I CAN'T CURE TRICHOMONIASIS! I CAN'T ANYMORE
Russia Moscow
Sexually transmitted infections (STIs) are diseases that are caused by bacteria, viruses or protozoa and are transmitted from person to person primarily through sexual contact. These diseases often go unnoticed and cause complications that are very difficult to get rid of in the future. In addition, such a person becomes a source of infection for his potential partners.
Trichomonas
Menstrual cycle and trichomonas
With trichomoniasis, balanoposthitis often develops ( inflammation of the foreskin), as well as erosions and ulcers of the penis. Balanoposthitis is manifested by severe swelling and redness of the foreskin. The pain in balanoposthitis is nagging, tearing in nature and goes away only after proper treatment, which is often surgical intervention. Erosions and ulcers are usually located on the head and lower surface of the penis. Unlike ulcers with syphilis. with trichomoniasis they are painful. Ulcers are a defect skin, through which other pathogenic pathogens can penetrate, so they require additional local treatment.
If healthy man has contact with a woman with trichomoniasis, he has a 70% chance of becoming infected with this infection. If a healthy woman has contact with a sick man, the risk of infection is 80-100%. No other sexually transmitted infection has such a high level of pathogen transmission. Considering that trichomoniasis occurs latently for several days (the incubation period in some cases can last more than a month, but on average is 4-28 days), then the risk of transmission of trichomonas is extremely high. In men, trichomoniasis occurs without symptoms more often than in women, and this also needs to be remembered.
Examination of the external genitalia, vagina and cervix of a woman is not a reliable diagnostic method, although discharge in the presence of trichomoniasis has a specific unpleasant odor, foaminess, or may be abundant and greenish-purulent in color. In the chronic course of Trichomonas infection, changes occur in the mucous membranes of the cervix and vagina - pinpoint reddening of the epithelium occurs, which are small hemorrhages in the tissues of the squamous epithelium. Therefore, upon examination, the color of the cervix resembles strawberries (spot colpitis), which is called the “strawberry sign.”
The connection between trichomoniasis and other dangerous sexually transmitted infections has been noticed for a long time. Trichomonas infection is known to double the risk of long-term (persistent) viral infections caused by the human papillomavirus (HPV). In women, HPV is associated with the development of precancerous conditions and cervical cancer, so it is safe to say that trichomoniasis increases the risk of developing these pathological conditions of the cervix. Self-cleansing of the body from HPV types that are involved in the development of cervical cancer in healthy women occurs within 1-2 years (in 90% of cases) - an average of 180 days. In women with trichomoniasis, the body’s self-cleansing of HPV is extended by 2.5 times.
It is necessary to know how to treat trichomoniasis in men, but it is equally important to take into account the following points, otherwise the effectiveness of therapy will be insignificant.
Endocervicitis is an inflammation of the cervical canal. The main symptoms of damage to this area are nagging pain in the lower abdomen. itching and copious foamy discharge.
Vulvitis.
Thus, apo-lactoferrin is a killer for microbes, while holo-lactoferrin is an essential and devoted friend microorganisms. Trichomonas have learned to use human holo-lactoferrin to survive and reproduce in the host.
Tizonite.
Trichomoniasis, especially if it lasts for a long time, can cause complications on the internal genital organs of a woman, which then often becomes the cause of infertility, complications during pregnancy and childbirth. A long-term infection cannot but affect the child: most often, such children are born with low weight and then lag behind in development.
Vestibulitis.
There are two types of lactoferrin: apo-lactoferrin, which does not contain iron, and holo-lactoferrin, which is associated with iron ions. Lactoferrin is present in all secretions - saliva, tear fluid, semen, vaginal discharge, colostrum and milk, blood, amniotic fluid, secretions from the nasopharynx and bronchi. This important protein is involved in iron metabolism and protective function. antioxidant processes (that is, suppresses inflammatory processes); it has anticancer and antimicrobial properties, it is also involved in compensatory processes for anemia in pregnant women.
I will help you| (Female, 40 years old, Moscow, Russia) | 05.11.2013 16:20
What is the diagnosis of trichomoniasis based on?
Depending on the nature of the course, the following forms of the disease are distinguished:
It usually takes about two weeks from the moment of infection to the appearance of signs of the disease. The disease begins acutely, with itching, swelling and redness in the genital area. In women, this is accompanied by yellowish-green discharge with unpleasant smell from the vagina. Painful persistent urination is also a concern. Sexual intercourse becomes unpleasant due to pain. In men, acute trichomoniasis is manifested by painful frequent urination, itching and pain in the perineal area. Asymptomatic trichomoniasis is common, especially in men.
Trichomoniasis and other infections
If a man managed to overcome trichomoniasis, there is no reason to hope that the body will develop permanent immunity to it. At the next meeting with a pathogenic microorganism, as a rule, inflammatory processes begin again, which requires repeated contact with the appropriate specialist.
Incubation period
1. vestibulitis;
2. vulvitis;
Thus, Trichomonas infection is a serious sexually transmitted disease that should be addressed in time for timely treatment.
The prevalence of the disease depends on the socio-economic conditions of the population and the availability of timely, high-quality medical care, good hygiene, and the level of education of people. For example, in the United States, black residents are more often infected with trichomoniasis. Around the world, the incidence of trichomoniasis among adolescents is increasing because many of them are sexually active.
However, doctors still identify a group of signs characteristic of this problem. How does trichomoniasis manifest in men?
Usually the consequences of trichomoniasis are associated with infection of internal organs genitourinary system and the development of complications. Due to anatomical differences, possible complications differ between men and women.
Often a woman undergoes long-term treatment for ureaplasmosis-mycoplasmosis, chlamydia, candidiasis, dysbacteriosis, or simply “leukocytosis in smears,” which exhausts her body and suppresses its defenses, but complaints about periodic unpleasant discharge that causes discomfort continue. When communicating with such a woman, information suddenly appears that trichomonas were sometimes found in smears, which either disappear or appear again. Has the woman's partner been tested? From the answers of many women, you learn that most often sexual partners remain aloof from any examinations. And, on the contrary, where it is not rational to examine a partner, he is sent for dozens of tests and given unreasonable treatment.
Signs of trichomoniasis
In medicine, there are cases where there were no symptoms of trichomoniasis in men, but the infectious agent was still present in the body in small quantities. Moreover, patients healed themselves without using medicines. In fact, such cases of healing are extremely rare. Much more often the disease provokes the development of quite serious complications. This can be either inconvenience in the genital area or more dangerous diseases. The most common is prostatitis. Some experts are convinced that trichomoniasis can provoke the formation of tumors of a malignant nature.
Diagnosis of trichomoniasis
What should every patient know?
Drugs to combat this disease should be prescribed exclusively by a specialist, or rather a urologist or venereologist. It is not recommended to treat yourself, as this can lead to the disease becoming chronic with complications. Therapy in in this case is complex in nature.
7. infertility.
Most of these complications cause impaired sperm motility and viability. In addition, Trichomonas themselves are capable of absorbing and slowing down sperm. All this leads to male infertility. In most cases, correct treatment of trichomoniasis helps restore reproductive function.
Galina Romanenko
Regarding trichomoniasis in men, there are many gaps in the medical literature: trichomonas infection in men has hardly been studied. The last serious publications on this topic were about 50 years ago.
4. endocervicitis;
In the case of urogenital trichomoniasis, not only the urethra is affected, but also the prostate gland. The causative agent of infection, penetrating from the urethra directly into the seminal ducts and epididymis, contributes to the development of inflammatory processes. Thus, it becomes clear that this disease requires competent and timely treatment.
Only after a complete examination can a doctor confirm trichomoniasis in men.
Trichomonas infection
Trichomoniasis is often accompanied by vaginal dysbiosis (in fact, it supports it), negatively affects the healing of postoperative scars, and is accompanied by the formation of suppuration (abscesses) and fistulas.
Trichomoniasis is a disease characterized by varying intensity of clinical manifestations. In more than half of the cases, this disease is asymptomatic, and almost all cases of chronic course are not accompanied by any clinical manifestations. However, despite the paucity of symptoms, a prolonged course of trichomoniasis can sometimes cause a number of serious consequences.
However, the point is not even in the acidity of the environment, but in iron.
With vulvitis, the area of the labia majora is affected. Inflammation is manifested by redness, swelling, purulent discharge and severe itching. Sometimes painful erosions and ulcers form. Over time, the ulcers crust over and heal, leaving behind spots devoid of pigment.
Menstrual blood is an excellent resource of iron. Bloody issues not only create an optimal pH environment for the proliferation of a number of bacteria and protozoa, including Trichomonas, but also contain a large number of red blood cells, which are easily destroyed, and therefore iron becomes an easily accessible source of nutrition and reproduction for these microorganisms. If we consider that during menstruation the levels of hormones (female and male hormones, progesterone) are reduced, this also reduces the level of protection, despite the presence of a large amount different types leukocytes in the tissues of the uterus and other reproductive organs.
5. ascending trichomoniasis;
If someone doesn’t trust my letter, please don’t write bad letters or comments, but give other people the opportunity to heal. For some, my help may be the only hope for a complete cure.
Tyzonitis is an inflammation of the glands of the foreskin. It manifests itself as redness and slight swelling. The patient experiences an unpleasant throbbing pain in the foreskin and mild itching.
Let's dive a little into biochemistry to understand the role of iron in the human body and living nature. On our planet, iron exists only in the form of two ions - divalent (Fe2+) and trivalent (Fe3+). In the presence of hydrogen peroxide, divalent iron can transform into ferric iron, and vice versa, with the formation of free radicals (the well-known Fenton reaction). Free radicals are dangerous for a living organism because they can provoke a chain reaction of others chemical processes and harm cells and tissues.
Causes of infection
- Chronic form. The duration of the illness exceeds two months. Symptoms of trichomoniasis in men in this case are almost always absent; periods of exacerbation can be replaced by a rather long remission.
- To improve the body's protective function, various immunomodulators are prescribed (Lavomax, Polyoxidonium, Introbion).
- Presence of blood threads in semen and urine.
- The causative agent of the disease is distinguished by its ability to escape control from outside immune system, masquerading as normal body cells.
- In order to protect the liver from the damaging effects of the above drugs, so-called hepatoprotectors (Silymarin, Artichoke, Silybin) are prescribed.
- The appearance of nonspecific discharge from the urethra (pus, mucus, etc.).
- This disease should be treated regardless of its form and the presence of symptoms. Otherwise, there is a very high probability of complications developing.
- Dies quickly when high heat or exposure to sunlight.
- Some infections that are directly sexually transmitted can create excellent conditions for the proliferation of Trichomonas.
- Trichomonas carriage. This is an asymptomatic form. For a long time, the man does not suspect that he is a carrier of the infection and continues to infect his partners.
- The most important factor for successful treatment is compliance with all doctor’s recommendations.
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- Presentation. Report and presentation. Topic: Rh sensitization.
The Medical College www.tiensmed.ru answers:
Unfortunately, these medications are not sold in pharmacies. Some may have to order medications through the mail or ask their friends to buy this medicine in certain places.
Chronic trichomoniasis is usually the outcome of an acute or asymptomatic course of the disease, often occurring after self-medication, when the patient does not see a doctor. In addition to the urethra, the prostate gland, seminal vesicles, and testicles are often affected in men; in women, the uterus and its appendages are often affected. A long course of the disease is more common when immunity is reduced, as well as when a person has several sexually transmitted infections.
Up to 60% of women may have no signs of Trichomonas infection. Many women are carriers of trichomonas, which in combination with other microorganisms can lead to acute inflammation appendages after a certain period of time. Most often, women complain of copious amounts of gray-yellow (purulent), sometimes foamy vaginal discharge, with an unpleasant odor, as well as painful and frequent urination, itching and burning in the external genital area. In some cases, swelling of the labia, vaginal walls and cervix may be observed.
Complications
Localized inflammation of the labia minora is commonly called vestibulitis. Acute inflammation is manifested by redness, swelling and erosion of the mucous membrane. Often there is severe itching in the area of the vestibule of the vagina, a burning sensation when urinating and profuse viscous mucous discharge from the vagina.
Women with Trichomonas infection are at twice the risk of contracting the herpes simplex virus (HSV) than healthy women.
Symptoms
Treatment and prevention of trichomoniasis
The energy metabolism of Trichomonas is completely dependent on carbohydrates. Many people do not produce Trichomonas nutrients, and they are obtained due to the destruction of host cells, primarily epithelial cells.
This infection often occurs in combination with gonorrhea and/or chlamydia (only in 10.5% of cases, trichomoniasis occurs as a monoinfection, that is, one harmful pathogen), which can lead to long-term inflammation of the pelvic organs and infertility.
Question: What consequences can happen if trichomoniasis is not treated?
Main routes of penetration
As noted above, trichomoniasis in men is an infectious disease. The main route of transmission is considered to be sexual. The source of infection can be a sick person or a so-called Trichomonas carrier.
This is the most common classification, thanks to which it is possible to determine at what stage trichomoniasis is in men.
Prevention of trichomoniasis (trichomoniasis) in men implies, first of all, complete abstinence from random intimate relationships, as well as the use of condoms. If intimacy does occur, it is necessary to wash the genital organ under warm running water using special antibacterial soap. It is extremely important to immediately consult a doctor, get tested and, if necessary, undergo full course treatment. Note that regular comprehensive examination is also the prevention of trichomoniasis and other diseases transmitted directly through sexual contact.
Trichomonas vaginalis are protozoa that live and reproduce in the human body, as well as in environment. Trichomonas feed on tissue cells and bacteria, which explains their Cohabitation(symbiosis) with other infectious agents, such as gonococci. The frequent combination of long-term trichomoniasis and gonorrhea is explained by the fact that gonococci can exist for a long time inside trichomonas, causing periodic exacerbations of the disease. In the environment, Trichomonas quickly die when high temperature and in disinfectant solutions.
Urethritis is an inflammation of the urinary tract. This is a rather painful process, manifested by a burning sensation when urinating and the separation of scanty yellow-green pus in the first portions of urine. As the inflammatory process spreads up the urethra, an increase in urination up to 20–30 times a day is observed, which is associated with irritation of the bladder sphincter. At the external opening of the urethra there is redness with tissue swelling, and sometimes sticking of the urethral sponges.
Women with trichomoniasis develop the following complications:
Trichomoniasis is more common in men and women who have a large number of sexual partners. It is also more common in combination with other pathogens.
Urethritis.
Ascending trichomoniasis.
In men, Trichomonas infection can cause inflammation in the urethra. In 50% of cases of all urethritis, Trichomonas is the only causative agent of this disease, which can result in the formation of adhesions in the urethra, which can subsequently lead to male infertility. Trichomoniasis is often associated with chronic prostatitis (20% of cases).
In pregnant women, trichomonas infection may be one of the risk factors for the development of premature birth and premature rupture of membranes. Trichomoniasis is also associated with low birth weight babies. During childbirth, in some cases, trichomonas infection can be transmitted to the child.
Conclusion
Once on the mucous membranes of the genitourinary tract, Trichomonas are fixed on the cells of the squamous epithelium of the mucous membrane and cause an inflammatory process. Trichomonas secrete hyaluronidase into the external environment, which leads to significant loosening of tissues and penetration of toxic waste products of Trichomonas and accompanying flora into the intercellular space.
Trichomoniasis and infertility
If treatment for trichomoniasis in men is not prescribed on time, the likelihood of developing prostatitis increases. It can be asymptomatic or with noticeable redness of the genital organ.
Sexually transmitted infections
Guest (not registered)
Description of the disease
In women, the development of trichomonas infection depends on the menstrual cycle. This phenomenon was noticed a long time ago, but for a long period of time it could not be explained scientifically.
Laboratory examination involves vaginal discharge in women, urethral discharge and prostate secretion in men. Biological material is applied to a glass slide, stained with special paints and viewed under a microscope, thus identifying infectious agents and signs of inflammation.
Vaginitis.
The role of iron in the life of microorganisms
Trichomonas are often the cause of female infertility. In this case, difficulties with conception arise both due to the inflammatory process at some level of the female reproductive system, and due to the direct influence of Trichomonas on sperm and their motility. Correct and timely treatment allows you to avoid this disease.
I will help you cure chronic trichomoniasis(urogenital/vaginal), trichomoniasis of the mucous membrane, trichomonas. I would like to warn you that treatment of chronic urogenital/vaginal trichomoniasis can take from 3 to 6 months. Trichomoniasis of the mucous membrane of the mouth, stomach, eyes, and nose takes a very long time to treat, on the order of 3.5 - 4 years. The disease of trichomoniasis throughout the mucous membranes of the mouth, stomach, eyes, and nose is quite rare. But if someone gets sick with this disease, he can quickly infect his loved ones... Usually a person learns that he has chronic trichomoniasis throughout the mucous membrane when other diseases appear. For example, condyloma, polyps in the stomach, growths in the mouth, coughing up blood, bad smell from the mouth of a dead fish, etc.
Colliculitis.
Treatment
In the world, according to WHO, trichomoniasis affects 170-180 million people annually, which significantly exceeds the incidence of gonorrhea and chlamydia. In the USA, up to 10 million people are infected with Trichomonas, and in Europe – 11 million people. More than 150 million people are infected in developing countries. These figures may be significantly higher (according to other sources, more than 270 million people are infected in the world). In fact, this is the only sexually transmitted disease that is not subject to registration and reporting in the vast majority of countries in the world.
Colliculitis is an inflammation of the seminal tubercle, that is, the place where the common vas deferens opens into the urethra. This tubercle prevents sperm from entering the bladder during ejaculation and prevents urine from entering the ejaculate. When it is inflamed, sperm either passes into the urethra with difficulty or does not pass at all. The patient in this case will experience pain during ejaculation and a feeling foreign body.
The optimal conditions for the development of trichomonas is a pH of 5.5–6.5, so they multiply intensively during and after menstruation, which is associated with a change in the acidity of the vaginal contents during this period.
Complications of pregnancy.
Can Trichomonas infection be transmitted through non-sexual contact? There is a lot of false and speculative information on this topic. Trichomonas quickly lose their viability outside human body. These protozoa die instantly in a 2% soap solution and very quickly when dried. It is extremely rare (less than 1% of cases) that Trichomonas can be transmitted through contact of the genitals with the wet secretions of an infected person (using washcloths, wet towels, dirty linen).
Epididymitis.
Trichomoniasis can negatively affect the course of pregnancy. Trichomonas vaginalis are not able to overcome the placental barrier and cause direct harm to the fetus, but, nevertheless, they can provoke premature birth. as well as premature rupture of membranes, which can cause spontaneous abortion.
According to experts, a great many people (approximately one million) around the planet annually encounter sexually transmitted infections. Trichomoniasis is no exception. This disease is classified as an infectious disease. If a patient seeks help from a doctor in a timely manner, the probability of recovery is almost 100%. Do not underestimate the seriousness of this disease, which the stronger sex most often does not pay attention to. Such a harmless, but only at first glance, disease, which does not manifest clinical signs for a long time, can very soon become the cause of the development of inflammatory processes and even lead to infertility.
The fact remains that Trichomonas vaginalis, acting directly on the genitals, reduces immune defense. Thus, the urethra becomes open to various types of pathogenic microorganisms(for example, for gonococci). Moreover, it is among infected patients that HIV is very often diagnosed.
Trichomoniasis in men: causes, symptoms, treatment
Trichomoniasis is a unique disease in the full sense of the word. On the one hand, it occurs three times more often than syphilis, chlamydia and HIV. But, on the other hand, it often remains without due attention, both from doctors and from the patients themselves.
From a theoretical point of view, infection through household contact is possible, but this option is unlikely. The thing is that the infectious agent is practically unable to survive outside the human body.
Infertility.
Trichomoniasis is treated with anti-trichomoniasis drugs with mandatory subsequent laboratory monitoring. It is also necessary to prescribe drugs that strengthen the immune system, physiotherapeutic procedures and local treatment. Baths and infusions into the urethra with anti-inflammatory and disinfectant solutions are prescribed locally.
Treatment for this disease usually begins very late. This is explained by the fact that primary clinical signs, even during a visual examination by a specialist, often remain unnoticed. Symptoms of the disease are often hidden deep inside, and in the first few days after the infection enters the body directly, they practically do not manifest themselves. Otherwise, this situation is called Trichomonas carriage.
Prevalence of trichomoniasis
Despite the fact that Trichomonas is single cell organism, its structure is quite complex. The shape of trichomonas is usually pear-shaped, but when they attach and interact with the cells of the mucous membranes, they develop “tentacles” and are shaped like amoebas.
The causative agent of the disease
Prostatitis is inflammation of the prostate gland. With trichomoniasis, as a rule, acute inflammation of the prostate gland develops. Accompanied by severe pain in the perineum, a feeling of a foreign body. Ejaculation is usually difficult, and traces of blood may be found in the semen.
All diagnostic methods can be divided into three groups – old, new and newest. Each diagnostic method has its own advantages and disadvantages. These methods are assessed through sensitivity (less false negative results) and specificity (fewer false positives) in relation to identifying an infectious pathogen. The table below shows the sensitivity and specificity of available methods for diagnosing trichomoniasis.
Diagnostics
Trichomoniasis - infection
Vaginitis ( colpitis) is an inflammation of the vaginal mucosa. With trichomoniasis, vaginitis is manifested by redness, profuse yellow foamy discharge with an unpleasant odor, and pain during sexual intercourse. A gynecological examination reveals accumulations of pus in the posterior vaginal vault, which, in turn, is covered with erosions and small ulcers.
In men, there are even fewer signs of trichomoniasis, so in addition to a physical examination, it is important to conduct a number of laboratory tests.
Epididymitis is an inflammation of the epididymis. This is the organ in which the accumulation and maturation of sperm occurs. With trichomoniasis, the epididymis becomes inflamed, which is accompanied by severe pain and impaired ejaculation. In this case, spermatozoa are usually inactive and are not capable of fertilization.
2012-06-01 16:30:41
Alesya asks:
Hello. I was diagnosed with trichomoniasis, I was prescribed metronidazole tablets, is it even possible to cure this disease, I’m very afraid that the infection will go further(
2008-09-30 11:46:38
Natasha asks:
Today I saw a gynecologist, she told me that I have trichomoniasis and that I have inflammation of the ovaries. Could the inflammation be caused by trichomoniasis? She prescribed me Morinda and Colloid silver. They are very expensive, at least they help. Trichomoniasis can be cured completely.
2012-12-25 22:24:09
Oksana asks:
My husband and I were diagnosed with trichomoniasis, I have an acute form with symptoms, my husband has no symptoms. The doctor said that it was impossible to cure my husband because he had cysts that would last his whole life. Is it really impossible to recover? Another doctor said that these are L-forms and with proper treatment you can be cured, but first you need to aggravate the disease, and then start treatment. Tell me if this is so and how the disease worsens
Answers Zhiravetsky Taras Mironovich:
Good afternoon, trichomoniasis throughout the civilized world is curable and does not require any exacerbations; it can be treated for up to 10 days with tablets.
2011-10-12 07:24:54
Katya asks:
Hello. In February there was great erosion and HPV levels different types 3000. Had trichomoniasis.
After treatment with suppositories and tablets, the HPV indicator decreased to 500. Trichomoniasis was not cured. Due to the large number of leukocytes and the source of infection, cauterization was not performed.
They again prescribed treatment with suppositories, tablets + injections and immunostimulants. Trichomoniasis did not go away, but HPV became less than 100 (the types are still the same).
To cure trichomoniasis, they prescribed IV treatment for 6 days in the hospital + again immunostimulants Galavit 5 injections every day. Trichomonas have become an atypical form, I continue to take pills for them. Cytology has changed from type 2 to type 3a.
All this treatment + breaks for tests took about 8 months.
But, a repeat colposcopy showed that the erosion had decreased!!! Decreased by 35%!! Why then did cytology worsen? Is Allokin right for me? If so, how long after can I inject it? I still can’t do cauterization because there are a lot of leukocytes! Katya, 25 years old. Thank you
Answers Kolotilkina Tatyana Olegovna:
Hello Katyusha. What did you receive before Allokin? If you have dysplasia 3, I advise you to contact the oncology clinic. Don’t delay visiting a gynecological oncologist.
2011-03-04 21:30:02
Asks Yana K.:
Hello! Please help with advice! Last summer I had unprotected sex and were diagnosed with trichomoniasis, gardnerellosis, mycoplasma, ureaplasma and HPV. I was treated for a month and drank 200 antibiotic tablets: cycloferon 2 ml IM alternated with aloe extract 1 ml IM for 10 days this and that; hophytol 2t * 3r - 10 days; dazolic 1t * 2r - 10 days; Levolet "r" r 500 ml - 10 days; then after 10 days: atrican - 12 days; fromilid 500m - 14 days; and then after another 14 days: naxogin 2t*2r per day - 9 days; orungamine 2 caps - 8 days, and betadine suppositories from the first day.
- I passed counter tests - everything was clear, except for HPV, but the temperature remained at 37.2 - I was sent to a tuberculosis dispensary for examination - the doctors said that after such treatment my immunity collapsed and tuberculosis flared up - I was also cured - I took anti-tuberculosis drugs 2 months .. and there at the dispensary I had a laparoscopy (they looked for maybe there was tuberculosis there, but there was none), they diagnosed peritoneal endometriosis, adenomyosis, chronic salpingitis, adenomyosis and polycystic ovaries .. they prescribed duphaston. after being discharged, I continue to have a low-grade fever... I went to the doctors again, but they can’t find the cause anywhere... I took all the venereal tests again a month ago, everything was clear..., I did the manta test again, everything is normal... Today I went to the urologist - he told me immediately stated that I have Trichomonas!!! (symptoms from my words: double urge to urinate with an interval of a minute, itching in the genitals, sharp pain in the lower abdomen, low-grade fever, and urine analysis according to Nechiporenko 750 leukocytes, in general analysis urine leukocytes are the same.) He says get tested for trichomonas 3 times, 10, 20 times until you find them.. because they are very difficult to detect!! but I’m not a millionaire at all, and it sounds kind of absurd..- isn’t it enough to get tested once? Are these symptoms enough to make such a diagnosis? And can cured Trichomonas come back again? After all, I took a control test 7 days after treatment. And can I just drink one trichopolum to cure trichomonas - or is this not enough? Thanks in advance! Please advise simple diagram treatment of trichomoniasis so as not to go to doctors for tests.
Answers Vengarenko Victoria Anatolevna:
Yana K., I advise you to increase your immunity (you can use proteflazid, echinocea or geneferon...), and to treat trichomaniasis it is quite enough for both sexual partners to drink trichopolum and something for the liver (essentiale, holosas or karsil).
2011-01-21 14:20:59
Anastasia asks:
Hello, how can you cure a sexual partner of trichomoniasis without his knowledge, is this possible? Thank you.
2010-11-13 11:54:42
Lena asks:
Hello!
I have had trichomoniasis for 13 years, in 2005 I underwent treatment, tests showed that everything was cured, but now the symptoms appeared again, but they were painful (the lower abdomen hurts, it radiates to the back, discharge, itching, the appendages often hurt... I am infertile.. .) I had a smear done at a skin-vein dispensary, they didn’t find anything, but this can’t happen, because I have lifelong thrush, and they didn’t even find that, I didn’t believe their analysis... Please tell me where I can get more details to be examined and receive quality treatment in Vinnitsa? And I read in the “questions” about vaccination with solcotrichova, when should it be done before treatment or during it, what does it give? Thank you in advance.
Answers Silko Yaroslav Gennadievich:
It is better to do vaccination during the period of remission (when there are no clinical manifestations). And you can contact a antenatal clinic with a gynecologist at your place of residence, as it is necessary to exclude other inflammatory diseases internal and external genitalia. It’s better to get tested in the Sinevo laboratory - PCR scraping for chlamydia, mycoplasmosis, ureaplasmosis for starters.
2010-05-14 14:32:31
Olesya asks:
I was diagnosed with trichomoniasis. But six months have passed since the dangerous sexual contact. They said that it might not be possible to cure this disease - too much time had passed. Is this true and what deterioration can be expected over time?
Answers Vustenko Vitalina Vasilievna:
Hello. Treatment of trichomoniasis really needs to be carried out as early as possible from the moment of diagnosis, since the transition of the disease to a chronic or latent form worsens the therapeutic possibilities of curing trichomoniasis. Moreover, during this time Trichomonas can already lead to adverse consequences of trichomoniasis (for example, create preconditions for infertility). In order to help the body fight infection, it is advisable to vaccinate with solcotrichovac. Vaccination with Solcotrichovax enhances the body’s immune defense in general and local levels, contributes to the creation of a normal vaginal biocenosis, prevents recurrent cases of the disease. Be sure to start treatment as early as possible!
2008-11-03 10:25:04
Nastya asks:
Hello! I am 24 years old, my husband is 26 years old. In 2004, I had surgery using laparoscopy on my left ovary to remove a dermoid cyst. In 2006, my husband and I got married and started planning pregnancies, but for 1.6 years nothing worked out. I went to the doctor and was diagnosed with infertility of unknown origin. In September of this year, I had a hysterosalpingoscintigraphy done to check the patency of the tubes, after which they made a conclusion about functional obstruction of the right fallopian tube. After this, I underwent foliculometry; in the left ovary, on which there was surgery, ovulation does not occur, but the left tube is patent. On the contrary, in the right one there is ovulation, but the tube is functionally impassable. I was treated with aloe injections and lidase was injected under pressure into my right tube. The tests are all normal for both me and my husband. He had a spermogram, everything was fine, even very good. A slight inflammation of the prostate, but it was cured. I took tests for tank culture and DNA PCR, for ureaplasma, mycoplasma, trichomoniasis, chlamydia, nothing was found. My question is, is pregnancy possible with functional obstruction of the tube? How can ovulation be resumed in the left ovary? And will I even be able to get pregnant? All hopes are already gone! Thank you in advance!!!
Answers Bystrov Leonid Alexandrovich:
Hello, Nastya! You can never lose hope, and even more so in your case. The diagnosis is functional obstruction of the fallopian tube, quite hypothetical, established by exclusion, but it can be treated: these are physical procedures, mud therapy, electrical stimulation, etc. As for “triggering” the left ovary - this is to induce ovulation using ovarian stimulation, there are special drugs for this, and you also need a doctor who knows this method and knows how to monitor the ovaries against the background of stimulation. I hope everything goes well for you.
Today, there are methods that can successfully treat and cure chronic trichomoniasis.
Chronic trichomoniasis is considered if more than 2 months have passed since infection or if this period is unknown and there is no way to find out. It differs from a fresh infection in its more sluggish course.
Symptoms are usually hidden, which, however, is not a feature of chronic trichomoniasis, since fresh infection in more than half of cases of infection is also asymptomatic. Periods of exacerbation occur during stress and are characterized by a slight increase in symptoms. Exacerbations can be triggered by alcohol, spicy food, physical exertion, sex, menstruation.
For the treatment of chronic trichomoniasis, as well as for the treatment of fresh infection, drugs from the group of 5-nitroimidazoles are used. These are chemotherapy drugs with pronounced activity against protozoan microorganisms ( which include Trichomonas vaginalis), as well as a number of other bacteria. Treatment may include a single-dose regimen or a longer course, depending on the presence of complications. Typically, systemic medications are used to treat chronic trichomoniasis ( tablets taken orally) are combined with local dosage forms - vaginal suppositories, creams, balls.
The following drugs are used to treat chronic trichomoniasis:
- Metronidazole. Metronidazole can be used orally in a single dose of 2 grams. This is more convenient, as it does not require constant monitoring and attention, and can also be used to treat pregnant women, but only from the second trimester. A single dose allows you to avoid some side effects associated with the effect of drug accumulation in the body. If it is impossible to use a single-dose regimen, another plan can be used - metronidazole is prescribed orally at a dose of 500 mg 2 times a day for 7 days. When treating a complicated form of infection, the drug is taken orally at a dose of 500 mg 4 times a day for 3 days.
- Tinidazole. Tinidazole is used in the same way as metronidazole. According to recent studies conducted world organization health care and a number of venereology clinics, tinidazole is more effective against trichomonas than metronidazole. However, when used in clinical practice, both of these drugs are considered equivalent.
- Ornidazole. Ornidazole is prescribed orally at a dose of 500 mg 4 times a day for 4 days.
The following drugs are used as local therapy:
- metronidazole vaginal beads with a dosage of 500 mg once a day intravaginally for a week;
- vaginal tablets of ornidazole 500 mg once a day intravaginally for a week;
- vaginal tablets Ginalgin intravaginally for 10 days;
- 0.25% - 0.5% solution of silver nitrate for instillation of the urethra every other day;
- 2% solution of protargol for instillation of the urethra every other day.
For the treatment of trichomoniasis folk remedies The following recipes are used:
- An infusion of a mixture of herbs. Take one tablespoon of a mixture of celandine leaves, calendula and lilac flowers and pour 200 ml hot water, followed by boiling for 5 minutes. The resulting decoction is used for vaginal douching or for insertion into the urethra ( urethra).
- Tincture of calendula. 3 tablespoons of calendula flowers are infused in alcohol for 14 days in a dark place. Apply orally 30 minutes before meals, 2 to 3 tablespoons for two weeks.
- Purslane tincture. Purslane herb is infused in alcohol for 2 weeks along with chicken protein. The resulting infusion is drunk for 2 weeks, 2 to 3 tablespoons per day.
- Calamus tincture. A tablespoon of crushed calamus roots is infused in half a glass of vodka for 2 weeks. The resulting product is consumed half an hour before meals, 2 times a day.
- Garlic juice. A clove of garlic is inserted into the vagina for several hours.
- Douching with a vinegar solution. Table vinegar is diluted in warm water and vaginal douching is performed with the resulting solution.
- Aloe juice. Aloe juice can be taken orally, one teaspoon before meals. You can also prepare an infusion from aloe, which should be used for douching or wetting tampons inserted into the vagina.
Patients are considered cured when the results of several repeated tests taken within 1 to 2 months after taking antiprotozoal drugs fail to detect Trichomonas.
One of the most common sexually transmitted diseases is chronic trichomoniasis. This pathology is included in the group of STIs along with syphilis, HIV infection, gonorrhea, chlamydia, ureaplasmosis, genital herpes and other infections. Trichomoniasis with improper treatment leads to damage to the reproductive organs and infertility.
Consequences for women and men
Trichomoniasis is an infection with a predominantly sexual transmission, characterized by damage to the genitourinary system of men and women. Every year, this pathology is diagnosed in more than 100 million people worldwide. According to unofficial data, the prevalence of the disease among the population is 10%. If treated improperly, trichomoniasis becomes chronic.
Sexually at risk active population. In women, the peak incidence is between 16 and 35 years of age. This problem is very relevant due to possible negative consequences (infertility, infection of the fetus from a sick mother). Trichomoniasis develops:
There is evidence indicating the role of the causative agent of this infection in the development of diabetes mellitus and mastopathy. The disease is often found together with chlamydia and gonorrhea.
Reasons for appearance
Trichomoniasis is caused by small single-celled microorganisms.
The reasons for the development of the disease are few. Transmission of Trichomonas occurs through sexual, vertical or household contact. The most dangerous are unprotected vaginal contacts with a sick person or carrier. Anal and oral sex reduce the risk of infection. Most often, the source is men with an erased form of trichomoniasis or carriers.
Contact-household transmission occurs when using someone else's towels and underwear. This route of infection is rare due to the fact that external environment Trichomonas are viable for 10–15 minutes. The following factors increase the risk of developing the disease:
Chronic trichomoniasis in women and men develops against the background of acute inflammation when symptoms are ignored, self-medication or non-compliance with the treatment regimen. This diagnosis is made if the disease is more than 2 months old.
Manifestations of trichomoniasis
In men, the disease is more mild. Poor symptoms are typical. The most common diseases that develop are urethritis, prostatitis and epididymitis. It takes up to 2 months from the moment of infection to the appearance of the first complaints. The following symptoms indicate inflammation of the urethra:
- mild itching;
- burning during intercourse;
- mucopurulent discharge.
Dysuric phenomena are observed in 4% of cases. With advanced trichomoniasis, solid infiltrates are formed. A dangerous complication is urethral stricture. It makes mictions difficult. Complaints are more pronounced during exacerbations. Along with urethritis, chronic prostatitis often develops. This is due to the fact that Trichomonas penetrates into the deeper parts of the genitourinary tract.
Prostatitis develops in 40% of patients. It is manifested by the release of urine drop by drop, aching pain and burning in the perineum or anus, dyspareunia, frequent and painful urination, as well as a feeling of incomplete emptying of the bladder. There is often discomfort during bowel movements. Itching, a feeling of coldness and sweating in the perineal area may occur.
At chronic prostatitis The ejaculation process is disrupted and libido decreases. Sexual disorders are observed in 5–8% of cases. When Trichomonas infects the epididymis, epididymitis develops. It is manifested by discomfort in the scrotum and the presence of a seal. The chronic form of trichomoniasis is characterized by impaired spermatogenesis.
Women with trichomoniasis most often develop colpitis. It is characterized by the following symptoms:
- scanty discharge gray with an unpleasant odor;
- swelling of the vulva;
- aching pain in the lower abdomen.
The chronic form of trichomoniasis occurs with periodic exacerbations. They can be triggered by hypothermia, decreased immunity, sexual intercourse and drinking alcohol.
How dangerous is the disease?
If treatment for chronic trichomoniasis is not carried out, complications arise. May develop:
Trichomoniasis is dangerous during pregnancy. The pathogen promotes increased production of prostaglandins, against which a miscarriage is possible. Other Negative consequences include premature birth and early rupture of amniotic fluid. It has also been established that long-term trichomoniasis increases the risk of developing malignant neoplasms of the cervix.
Survey
Complex treatment of this pathology is carried out after the diagnosis has been clarified. The following studies will be needed:
In women, the attending physician takes material for microscopy from the mucous membrane of the vagina, urethra and cervix. In men they are studying seminal fluid, blood and scrapings from the mucous membrane of the urethra. It is recommended not to urinate for at least 2 hours before collecting material. The polymerase chain reaction is very informative. It allows you to detect the genetic material of the pathogen.
Treatment tactics
Not everyone knows how trichomoniasis is treated. The main aspects of therapy are:
- use of antimicrobial drugs;
- use of local antiseptics;
- compliance with personal hygiene rules;
- temporary sexual rest;
- taking adaptogens and immunostimulants.
Not only the patient himself is treated, but also his sexual partner. Antiprotozoal medications are prescribed. Trichomonas are sensitive to 5-nitroimidazole derivatives. The most commonly prescribed drugs are based on metronidazole (Metrogyl, Klion, Metronidazole Nycomed), tinidazole (Fazizhin, Tiniba) and ornidazole (Dazolik, Tiberal). There are various treatment regimens where local medications in the form of gels and suppositories are combined with taking tablets.
When trichomoniasis is combined with other STIs, antifungal drugs may also be prescribed. For this pathology, it is recommended to use local antiseptics. An important aspect therapy is to increase immunity. For this purpose, Immunomax, Thymogen, Estifan, Immunal and Immunorm are used.
Patients should adhere to the following recommendations:
- change underwear more often;
- drink vitamins;
- diversify the menu;
- give up alcohol;
- cure concomitant diseases.
After a course of therapy, repeat treatments are required. They are done three times. Trichomoniasis is curable if you follow all medical recommendations.
Forecast and preventive measures
You need to know not only whether this disease can be cured, but also how to prevent it. To reduce the risk of infection with Trichomonas, you must:
It is necessary to eliminate all risk factors for developing the disease. An important aspect of prevention is increasing the body's resistance. This is achieved good nutrition and an active lifestyle. The prognosis for chronic trichomoniasis with proper treatment is favorable. If complaints are ignored, infertility develops. Thus, trichomoniasis poses a danger to the reproductive health of young people.
