Trichomonas urethritis is an infectious disease of the human urogenital system. The causative agent of this disease is a flagellated microorganism, Trichomonas. Pathology is dangerous for its complications, therefore, its treatment is given great attention all over the world.
The essence of pathology
Trichomonas urethritis refers to sexually transmitted diseases during unprotected sexual intercourse. In this way, 90% of all patients become infected. However, there is also a household method of transmission of infection, but the likelihood of such infection is extremely small. It is believed that the infection can be transmitted through towels, a washcloth, a toothbrush and other personal hygiene items. Other people's underwear and bedding are also dangerous. Affecting the genitourinary system, the disease can lead to infertility, both men and women.
Treatment of trichomonas urethritis is performed in pairs. That is, if a pathology is found in one of the sexual partners, then not only he, but also his constant companion is subject to therapy. Otherwise, the infection will occur again and again from the spouse who has not passed treatment.
Some features of the disease
Trichomonas urethritis is more common in men than in women, due to their psychological characteristics, namely in the desire for close relationships with a large number of women. This behavior is due to the anthropological characteristics of the male. Accordingly, the risk of infection in them is higher than in women, several times.
Trichomonas urethritis has the property of quickly becoming a chronic form. If it is not cured within 2 weeks after infection, then all the symptoms disappear, and the disease goes into a hidden regimen. From this moment, the patient becomes a dangerous carrier, because he thinks he is healthy and does not take any measures to protect him during sex.
Symptoms of the disease in men
Symptoms of trichomonas urethritis in men and women differ, and in some cases the disease proceeds without any manifestations. Therefore, you must carefully monitor your condition so as not to miss the warning signs.
- Discharge from the urethra at the end of the penis appears, most often yellow or light green in color with an unpleasant odor.
- Sensitivity of the penis increases due to inflammation. This leads to pleasant sensations during intercourse or, conversely, to painful ones.
- When the bladder is empty, there is a burning sensation and itching in the urethra.
- In the morning, urination is difficult, the stream of urine is weak and thin. This is due to the urethra sticking together during the night.
- Pus and blood appear in the urine, it becomes cloudy with red threads.
- A purulent scab appears on the head of the penis. Inflammation also affects the foreskin.
If one or two of the above symptoms appear, consult a doctor. Any delay can lead to complications and a chronic form of the disease.
Symptoms of the disease in women
Symptoms of trichomonas urethritis in women may not appear during the course of the disease. Pathology is detected only during a routine examination by a gynecologist. So this examination should be carried out as often as possible, preferably 4 times a year.
In most cases, the following signs of the disease occur:
- A clear fluid is released from the vagina, which becomes thicker and greener every day, and its smell changes too - it becomes unpleasant.
- Intoxication caused by Trichomonas waste products leads to an increase in body temperature.
- When urinating, pain and burning appear in the urethra.
- With intercourse, a woman experiences discomfort, pain.
- Blood stains are visible in urine.
- Large and small lips swell and increase in size.
Complications
For the most part, patients do not know that they have become carriers of Trichomonas, especially women in whom the pathology may be asymptomatic. In this regard, a variety of pathologies develop in patients with urethritis, resulting from their inattention.
In the female body, cystitis first begins. Left without treatment, over time, it degenerates into renal failure.
Once in the urinary system of the female body, Trichomonas continues to capture all new organs of the small pelvis. Therefore, at some stage of the disease, a woman develops cervical erosion. After this, the fallopian tubes, the uterine mucosa, and the ovaries are affected. All this leads to incurable infertility. In other words, trichomonas urethritis in women is a direct path to infertility. Of course, if it is not cured in the first weeks after infection.
Trichomonas urethritis in the male body moves slowly up the urogenital system, affecting all organs in its path. First, it causes inflammation of the urinary tract. Since it passes through the prostate gland, it is she who becomes the next victim of inflammation. After prostatitis, the turn comes to the testes. Sperm lose their motility and die. A man at this stage of the disease becomes infertile, but this is not a problem. Prostatitis leads to early impotence, and the representative of the stronger sex simply does not know about his infertility.
The disease, which has become chronic, is sometimes manifested by pain during urination, which with prostatitis also becomes weak, but frequent. Chronic urethritis is treated for a very long time and is difficult, therefore, a doctor should be consulted at the first symptoms of pathology.
Diagnosis of the disease
First of all, the presence of trichomonas urethritis is determined by characteristic signs. During the collection of an anamnesis, the doctor interviews the patient about his feelings, conducts an initial examination of the genital organ.
Then the patient is sent for bacterial analysis to the laboratory. This determines the type of disease and its severity.
After confirming the diagnosis, a conversation is held with the patient, designed to identify all his sexual contacts. This is done so that the infection does not spread more widely. People with whom the patient had sex are required to undergo treatment in the prescribed manner.
Treatment
Treatment of trichomonas urethritis in men and women is carried out by a conservative method. The patient is prescribed one of the most effective drugs in this direction. These are Metronidazole, Tiberal, and Tinidazole. Also, Trichopol and Azithromycin can be used.
The type of drug, dosage and regimen is determined by the attending physician, based on the results of diagnosis and the general condition of the patient. At the same time, therapy is carried out with a permanent sexual partner or partner of the patient.
The chronic form of the disease, in addition to traditional therapy, is treated with trichomonacidin instillations. The course of treatment is 5-6 days for 15-20 minutes.
For the entire duration of treatment and for 2 months after it, a special diet is prescribed for him to prevent relapse, as well as to strengthen the patient’s immune system. It completely excludes fried, spicy dishes, preservatives and artificial colors from the human diet. And most importantly, alcohol.
On average, the entire course of treatment takes about 30 days. During this period, the patient is advised to refrain from sexual intercourse.
Curability criterion
On the 7th or 10th day of treatment, the patient is sent for a second bacteriological analysis. After this, the so-called provocation is carried out. This procedure allows harmful microorganisms to activate and thereby express themselves. This may be an intramuscular injection of Pyrogenalum or an injection of silver nitrate solution into the urethra. Sometimes heated by induction currents of the reproductive system of the patient. And at the dawn of the treatment of sexually transmitted diseases, a provocation was carried out with alcohol or fatty foods. After this procedure, an analysis of the secretion of the prostate and smears from the urethra is performed for 3 days.
Such a procedure with provocation is repeated after another 1 month. If the test results are negative, then the patient is considered recovered.
It is important to understand that trichomonas urethritis can affect the human body many times. The immune system does not produce antibodies to this type of disease.
What are the forecasts
With proper and timely therapy, the prognosis is positive. The main condition for a full recovery with trichomonas urethritis is the implementation of absolutely all the recommendations of the attending physician, up to and including diet and sexual abstinence.
Preventive actions
Prevention of this disease is much simpler than its treatment. In order for trichomoniasis or another STD not spoil life, the following rules must be observed:
- You can not have sex with unfamiliar people. If this still happened, you should definitely use a condom. True, this method does not guarantee 100% protection. It is much safer and safer to have one permanent sexual partner.
- To strengthen immunity, you need to eat properly. Do not eat fried, fatty, spicy meat, do not abuse alcohol, smoked meats, sweet pastries. Need more to eat fresh fruits, berries, vegetables.
- It is necessary to lead an active lifestyle, walk more, run and exercise regularly. This is especially important for people with a sedentary lifestyle associated with professional activities. The task of sports exercises and walking is to ensure high-quality blood flow in the pelvic organs.
- Do not use other people's washcloths, towels, toothbrushes and razors.
- It is useful for the psyche and nervous system to observe the regime of the day - to go to bed and get up at the same time and sleep at least 7-8 hours a day.
- It is necessary to undergo a medical examination at least 2 times a year with a mandatory analysis for STDs. Women are recommended to undergo the same examination at least 4 times a year, since they may have asymptomatic diseases.
From all of the above, it is clear that urethritis is dangerous for both women and men. Simple preventative actions significantly reduce the risk of infection.