The treatment of trichomoniasis is chosen, taking into account the characteristics of the disease. It belongs to the number of infectious, from person to person can be transmitted by intimate contact. The cause of the disease is infection with a specific microscopic organism Trichomonas. The vaginal variety may take root in the reproductive system, but this is far from the only representative of the Trichomonas species. There are varieties that can survive in the oral cavity or intestinal tract, others live on the human mucous membranes, in the urethra, and the bladder - in short, the areola of Trichomonas in the human body is quite large. Comfort for the pathological agent is due to temperature - it suits him perfectly, as well as alkaline conditions. Once in the outside world, Trichomonas soon dies, because it does not tolerate low levels of humidity.
Relevance of the issue
On average, due to the appearance of appropriate symptoms, treatment of trichomoniasis in women is necessary, according to some estimates, every third lady. Other analysts say that up to 80% of all women on the planet have suffered or are currently suffering from the disease. It has been ascertained for certain that there is a higher risk of contracting infection if the sexual partner is not the only one. If a person carefully avoids accidental sexual contact, the probability of infection is low.
There are peculiarities of treating trichomoniasis in men. Most of the stronger sex do not have symptoms at all, so many carriers of the pathological agent do not suspect the problem. If a woman has a disease, treatment is necessary for her and her partner (or several, if there are more than one). Otherwise, relapses will constantly occur.
Where did the trouble come from?
Before finding out what are the symptoms, treatment of trichomoniasis in women, men, it is reasonable to consider the causes of the disease. Of course, the very first and main thing is intimate contact with an infected person. Even having good immunity, a woman whose sexual partner is the carrier of the infection, with a probability estimated at 80-100%, will catch the disease. For men, the risk of infection is estimated at 70%. In order to somewhat reduce the risks to oneself, if there are more than one sexual partners, it is necessary to introduce the use of barrier contraceptives into the mandatory habit. If an infection of one of the constant pair is detected, both are sent for treatment.
Treatment of trichomoniasis may be required in contact with the organic secretions of a person infected with this pathological organism. The cause of infection can be a variety of substances: urine, semen, and others. Small elements of these secretions can be stored on a washcloth, towel or other hygiene items. You can get infected by using one toilet with the patient, since Trichomonads survive on the rim. However, everything is not so scary: the causative agent of the disease dies in contact with a two percent soap solution, does not tolerate the relatively low humidity of the surrounding world. Knowing that one of the inhabitants is sick with trichomoniasis, you can take measures to ensure safety for all other residents of the apartment by hygienic treatment of common areas.
Sometimes trichomoniasis treatment is required for very young children: if the mother is sick, she can pass the infectious agent to the baby during childbirth.
The spread of the disease is due to the absence of symptoms in the male sex, the way of life of people who welcome casual sex. Often trichomoniasis develops against the background of other genital infections. Only in one patient out of ten infected only trichomoniasis is detected; in others, a whole “bouquet” of sexually transmitted diseases is found.
How to notice?
You can understand that you need treatment for trichomoniasis by the following symptoms:
- itches, burns in the perineum;
- a foamy, specifically smelling substance of a greenish or yellowish hue is released from the vagina;
- rapid urination, accompanied by pain;
- redness of the labia, uterine neck, vaginal mucosa.
The appearance of the entire complex of symptoms at once is possible, but only individual manifestations from the listed list may be present. Should begin immediately, if symptoms appear, treatment of trichomoniasis in men and women, since the disease with a high degree of probability can provoke complications. Trichomonads disrupt the reproductive system, and the consequences are not always predictable. The lack of an adequate, complete treatment leads to the transition of the disease to the chronicle.
What to do?
As a rule, women often turn to doctors more often than representatives of the stronger sex with questions about the treatment of trichomoniasis, since the symptoms worry much more. If studies show a positive result, trichomonads are detected, a permanent sexual partner (or several, if there are more than one) must undergo a similar analysis procedure. When infection is confirmed, an antibacterial course is prescribed for both people. If only one of the couple has trichomonads, then isolated therapy of the carrier of the disease is sufficient.
The main idea of treating trichomoniasis in women and men is the complete destruction of the pathogen colony. Begin the course of treatment in women from the beginning of the next menstruation. The program is divided into three stages. As a rule, the disease is usually accompanied by a violation of the integrity of the mucous membrane of the reproductive, urinary systems. To combat infection in this case, a whole range of drugs is required. The main element of therapy is medications containing metronidazole.
For the treatment of trichomoniasis in women, preparations with metronidazole are used in various forms. The dose is chosen by the doctor based on the patient’s general condition, tolerance, chronic diseases, severity of the infection. They supplement the main course with means for local exposure - candles and tablets installed in the vagina. It must be remembered that such drugs are not terrible to the pathogen that has settled in the urethra, glands. To increase the body's own abilities to resist an infectious agent, it is reasonable to use multivitamin complexes and biologically active additives. It is necessary to first coordinate the administration of such formulations with the doctor. The doctor will also tell you which antimicrobial and antifungal agents in a particular case will allow you to achieve a pronounced effect faster and more reliable.
There are many options
For the treatment of trichomoniasis in women, drugs are produced in the following forms:
- candles;
- tablets for oral administration;
- pills for the vagina;
- douching solutions;
- bath products;
- substances for irrigation of the affected cavities.
Sometimes the doctor recommends doing enemas with medications.
The combination of several forms, types, active components allows you to achieve the most pronounced effect, but there is a risk of the compounds entering into interaction with each other. To avoid such consequences, you must adhere to the program compiled by the doctor. If in doubt, consult your doctor regarding the admissibility of the selected remedy.
Effective or not?
As a rule, treatment of trichomoniasis with drugs with metronidazole is practiced. In 95% of cases, the shock dose of the drug is enough to obtain a lasting effect. The doctor will tell you exactly how much medicine you need to take. All prescribed volumes are consumed at a time. In some cases, it is recommended to stay on a longer program: the medicine on metronidazole is used from three to five days.
As a rule, this is a rather effective treatment for trichomoniasis, therefore, additional measures are not required. If control studies have shown the presence of a pathogen in the body, you will have to consult a doctor for the selection of an alternative course: it makes no sense to repeat taking metronidazole. As a rule, experts recommend trying to eliminate the colony with the help of drugs:
Perhaps local treatment. Most often resort to candles:
- Meratin Combi.
- "Terzhinan."
To prevent a relapse of the disease, it is worth using the preventive composition "Solkotrichovak". This is a vaccine that contains lactobacilli. The drug in pharmacies is presented with a powder for dilution. The prepared medication is injected. The drug is considered good for prevention, but can cause side effects. Its use in a specific case, especially if it is necessary to treat trichomoniasis, the symptoms of which are very disturbing, should be agreed with the doctor.
Problems: many at once
The need for treatment of trichomoniasis (chronic - first of all!) Is due to the ability of infectious cells to transfer other pathogens that can provoke a variety of extremely unpleasant diseases. Up to 90% of patients with trichomoniasis are also infected:
- urea, mycoplasma;
- chlamydia
- gonorrhea.
Trichomoniasis is often combined with the papilloma virus, which can cause uterine hyperplasia, and this condition is assessed as precancerous. In a certain percentage of cases, cell degeneration is possible, giving rise to cancer.
There are many cases when trichomoniasis was accompanied by herpes simplex. This can cause various health problems while weakening the immune system. The urogenital system is particularly susceptible to HIV. Inadvertent intimate contacts oppress the situation.
Preparations: what to use and how?
The most reliable treatment for trichomoniasis is drugs containing metronidazole. During the course, it is shown to drink 5 g of the active ingredient. You can take it according to the following program: the first four days, a quarter of a gram three times, two more days such doses are used twice.
If the doctor recommended Trichopolum, on the first day the drug is taken in an amount of 0.75 g four times, then the frequency of use is maintained for two days, but each dose is reduced to 0.5 g. In total, the patient uses 5 g of the active component during the program.
“Flagil” is another remedy widely used as a treatment for the symptoms of trichomoniasis. The photo below demonstrates how the packaging of the drug looks. On the first day, the drug is used twice in half a gram, then cut a single dose by half, and the frequency is increased to three times a day. From the third day, 0.25 g of the drug is used twice a day. This program continues for four days. In total, 3.75 g enter the patient’s body during treatment.
When choosing "Fazizhina" treatment will have to take one week. The drug is used twice a day, a single dosage is 0.5 g.
The Efloran medicine has a good reputation. The first five days it is consumed four times a day for half a gram, then the frequency is halved, but the dose is doubled. The second stage lasts from seven to ten days.
What else will help?
With signs of trichomoniasis in women, treatment may include the drug “Atrikan”. It is used four days in a row, taking a quarter of a gram twice a day.
Reliable proven Meratin. The product is intended for use for five days orally twice a day, half a gram. To increase the reliability of the course, local means are used vaginally - Meratin tablets, which are installed at night. In just a day, 1.5 g of the active component enters the body.
Sometimes the doctor recommends staying with the Naxojin tablets. In the acute form of infection, treatment of trichomoniasis in men and women involves the simultaneous use of four capsules at once. In fact, the loading dose is two grams. If the disease proceeds in a chronic form, the medication is indicated for six days in a row on a capsule every day. A single dosage is 0.25 g of the active component.
The drug "Nitazole" can be used for trichomoniasis two weeks in a row, using 0.1 g three times a day. To increase the effectiveness of the program, they use vaginal suppositories with a dosage of the active substance 0.12 g. Suppositories are set twice a day. Alternatively, topical application of the foam, 2.5% consisting of the active compound, twice a day.
Combined Topical Therapy
If trichomoniasis has begun (due to various reasons) in women, treatment can be practiced with the use of the Klion D-100 preparation. In this medication, both metronidazole and miconazole are present; each in an amount of 100 mg. The medicine is used ten days in a row, taking in the evening, shortly before going to bed, one tablet.
A good option is the Neo-Penotran drug. It contains the same components as in Klion D-100, but metronidazole is five times more, but miconazole is the same 100 mg. The drug is available in the form of suppositories for vaginal use. The course of treatment lasts two weeks, the medicine is used twice a day, installing one candle in one procedure.
The drug Terzhinan can be used if treatment of trichomoniasis is necessary due to specific symptoms. The photo below shows how the packaging of the product looks. It is in this box that you can buy medicine in a modern pharmacy. The combined medication contains nystatin 100,000 units, prednisone 3 mg, ternidazole 0.2 g and neomycin 0.1 g.
The drug "Meratin Combi" has proven itself well. It is used ten days in a row, installing a vaginal suppository at night. In the medication, nystatin, prednisone, neomycin and ornidazole are combined.
Special occasion
There is a risk of infection with Trichomonas during gestation. In an “interesting” position, a woman suffers from weakened immunity, so colonies can develop especially actively. If it is possible to identify the disease at the very beginning, the treatment will be short-term and as safe as possible, but delaying therapy becomes a risk factor for the health of the mother and child. Usually trichomoniasis is detected already at the first gynecological examination when a fact of conception is detected. It must be remembered that without treatment, the risk of giving birth to a baby ahead of time, untimely discharge of water and rupture of the membranes surrounding the fetus is increased.
Therapy is carried out strictly under the supervision of a doctor. The doctor chooses the drugs that are as safe as possible for the child. The patient will have to carefully follow the recommended program, the prescribed doses. Do not do without funds to boost the immune system. They are also prescribed by a doctor.
Important aspects
It was indicated above that you can become infected with Trichomonas from another person. If, for example, treatment of trichomoniasis in a man is not practiced, a woman will become infected during sexual intercourse with him - the probability tends to be absolute. Even if during the contact the partners used barrier contraceptives, the pathogen can penetrate the female body if it appears on bedding - in such conditions it can survive up to five hours. Infection can be prevented only by careful hygiene and a responsible approach to choosing a couple. Timely washing of clothes, ironing linen allow you to disinfect household items.
Doctors recommend: when planning pregnancy, both partners should first be tested for the need for treatment of trichomoniasis. The drugs for men, women (systemic effects) are used the same, and the doctor will tell you the best option. Experts insist: conception should be avoided until the body of both partners is completely healed. Only getting rid of Trichomonas and other pathological life forms, it is worth thinking about procreation.
If trichomoniasis is found in a pregnant woman, treatment is prescribed for both: the expectant mother and the man. Drugs for the treatment of trichomoniasis are used in accordance with the recommendations of a doctor, otherwise the course will be ineffective.
Most modern remedies for trichomoniasis can have a negative effect on the fetus in the first three months of gestation, which means that the baby will be born with defects. To prevent this phenomenon, the expectant mother is prescribed only the safest drugs, mainly local ones. At this time, a man can take regular pills (a wide variety of options are listed above).
Medicines: what will help?
For pregnant women, the following vaginal suppositories for trichomoniasis are shown:
- "Clotrimazole."
- Polygynax.
- Betadine.
- "Terzhinan."
In some cases, the doctor may recommend using the drug “Ginezol”.
For women in the second or third stage of the term, funds based on imidazole are allowed. In pharmacies, they are presented under the following names:
- "Metronidazole".
- Ornidazole.
- "Tinidazole".
The doctor can recommend options for topical use of "Naxojin", "Atrikan".
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There are many use cases. Fresh juice is squeezed from Kalanchoe and taken three times a day for a teaspoon a quarter of an hour before a meal. In all recipes of drugs for the treatment of trichomoniasis folk remedies, the emphasis is on the greatest effectiveness of aloe, if you let the juice stand for a day or two in the refrigerator. You can put a cut sheet in storage and immediately make juice from it before use.
The local disinfecting action is shown by chamomile and calendula. Broths are prepared on these herbs, which are douched, and sedentary baths are made with them.
The nuances of treatment
If trichomoniasis has been treated, but there is a relapse, the previously applied remedy will not show effectiveness, you will have to use something else. The doctor will refer patients for analysis to determine the nature of the infection and the sensitivity of the agent to various pharmaceutical compounds, based on the information received, it will decide on the optimal course. Three months after completion of therapy, you will have to undergo regular examinations, passing smears for laboratory examination as necessary. You will have to very clearly follow the rules of hygiene.
If during pregnancy infection with Trichomonas is established and measures are taken to inhibit the vital activity of the colony, infection of the baby is practically excluded. Exceptions are isolated cases when the expectant mother behaves irresponsibly, does not follow the rules of hygiene. Infection occurs when a child is in the genital tract of a woman. Since infection of the female body depresses the immune system, the baby's protection is weakened, so infection occurs rapidly. This may affect:
- tonsils;
- eye elements;
- integuments in the groin area;
- anus;
- lung tissue;
- female reproductive system if a girl was born.
In an infant, the disease is always acute, and obvious symptoms appear on the third day after infection, sometimes a day earlier, sometimes a day later. Affected mucous membranes turn red, foamy vaginal discharge is possible if the child is a female. There is a risk of angina, accompanied by the release of pus, pulmonary inflammation. In some cases, a fatal outcome was recorded. To prevent such a development of events, it is necessary immediately after birth to send the baby under the supervision of a qualified doctor to ensure the life of all systems and organs.