Trichomoniasis is an insidious disease, the causative agent of which is difficult to diagnose in laboratory tests, and the symptoms are often blurred and indistinct. Trichomonas can adapt to any living conditions in the human body, is resistant to many groups of drugs, is able to take the form of blood cells and hide behind the cells of other microbes, integrate bacteria and viruses, and move freely in intercellular spaces with the help of hyaluronidase. That is why the treatment of trichomoniasis in women requires increased attention from the doctor.
Which doctor treats trichomoniasis in women
Features of the influence of trichomonas on the body, namely on the state of the genitourinary system, determines that the treatment of trichomoniasis in women is carried out by specialists of different profiles – gynecologists, venereologists, specialists in diseases of the urinary system.
Trichomoniasis can be diagnosed using various methods. It is possible to suspect the need for a laboratory test for Trichomonas already at the appointment with a gynecologist, when, during examination, the patient has hyperemic swelling of the vagina and vulva. The colposcopy method allows you to see epithelial dysplasia, hemorrhages on the cervix of a point and focal nature. All these signs are sufficient grounds for the appointment of microscopy of a smear from the vagina, a cultural study. With blurred forms of the disease, it is possible to prescribe a PCR study to confirm the diagnosis and prescribe treatment for trichomoniasis in women.
Features of different forms of trichomoniasis in women
Trichomoniasis can occur in various forms, most often experts are ready to identify the following manifestations of the disease:
- acute;
- chronic;
- trichomonas carrier;
- erased form.
If the treatment of trichomoniasis in women was not started within two months from the moment of infection, the disease becomes chronic or carrier of the infection. Today, erased forms of trichomoniasis are increasingly common, which can mislead the doctor with atypical symptoms. Trichomonas carriage is considered a special form of the disease, when the patient is unaware of his infection for years, and the disease can be detected by chance, during a laboratory test for pregnancy or another reason not associated with genitourinary disorders. The chronic form of trichomoniasis can occur for a very long time with indistinct symptoms: dysuria, sexual disorders, mild pain.
The general danger of all forms of trichomoniasis, with the exception of the acute manifestation of the disease, is that the patient acts as a distributor of infection, a source of infection of sexual partners and even his own secondary infection. The division of the disease into forms is rather arbitrary, & nbsp; since they can pass into each other, and the symptoms – disappear and reappear. But without proper treatment, the disease does not go anywhere and threatens with serious complications, including:
- infertility;
- pregnancy pathology;
- chronic diseases of the urinary system;
- cervical cancer.
It is very important for a woman who is planning to become a mother to be tested for Trichomonas together with her sexual partner in order to eliminate the risk of this disease.
Treatment of trichomoniasis in women and its features
Trichomoniasis in women and men is treated with antiprotozoal drugs, since Trichomonas is insensitive to antibiotics. 5-nitroimidazoles are recommended, but if there is a co-infection, antibacterial drugs are added to them. According to indications, local and symptomatic treatment is added. It happens that the pathogen is resistant to the prescribed drug, then you should change its dosage and duration of administration, or replace it with another drug from the same group.
Thus, the patient should be informed that drug resistance of Trichomonas can be avoided only by strict adherence to the treatment regimen prescribed by the doctor. Self-treatment is fraught with the transition of the disease to a more aggressive or atypical form.
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