Trichomoniasis treatment in men drugs. Symptoms and treatment of trichomoniasis in men

Trichomoniasis is an infectious disease caused by the protozoan Trichomonada vaginalis. The disease is transmitted sexually.

Trichomoniasis is considered to be the most common sexual infection. According to the WHO, approximately 180 million people worldwide develop trichomoniasis every year. Men and women are infected with the same frequency.

The main symptoms and signs of trichomoniasis in men

Most often, this disease in men occurs without severe clinical symptoms. However, even in the absence of severe symptoms of the disease, trichomoniasis leads to severe violations of the genital area up to infertility.

The main symptoms that can be observed in men with trichomoniasis:

pain along the urethra;
the appearance of frequent, unexpected and irresistible urge to urinate;
foamy;
dark urine;
the presence of streaks of blood in the seminal fluid;
pain, feeling of heaviness or discomfort in the perineum or pelvic area.

Urination disorders in men at a young age are alarming and make you see a doctor. If treatment is not carried out, then after 6-15 days the signs of the disease disappear. This indicates the transition of the disease from acute to chronic form.

The long course of trichomoniasis leads to urethral strictures, as well as to the development of prostatitis.

The presence of trichomoniasis significantly increases the risk of infection with other sexually transmitted infections. This is because the body's resistance to infections decreases when the epithelial cells are damaged by Trichomonas.

Very often, trichomoniasis is detected along with other infections of the genitourinary system, for example, with gonorrhea or. This complicates the diagnosis and affects the duration of treatment. The risk of contracting HIV, herpes simplex virus, HPV and other infections in patients with trichomoniasis is also significantly increased due to the constant traumatization of the mucous membranes.

The incubation period of trichomoniasis in men. Ways of transmission of Trichomonas

The incubation period for trichomoniasis varies widely. Usually it is 6-20 days, but in some cases it can be from 48 hours to 2 months.

The incubation period can only be determined if the disease occurs with severe clinical symptoms. If the course of trichomoniasis is asymptomatic, then the duration of the incubation period cannot be determined.

Symptoms of the disease can occur even 3 years after infection under the influence of factors such as:

exacerbation of extragenital pathology;
accession of another sexual infection;
decrease in immunity.

From the moment of infection, regardless of whether there are symptoms of the disease or not, a person can infect others. That is why trichomoniasis is a very common disease. A person for a long time may be unaware of his illness and not realize that he is a source of infection for others.

What are the symptoms and how is trichomoniasis treated in women?

These organisms quickly die when:

exposure to antiseptics;
temperature increase over 40°C;
lowering the temperature below 15°C;
exposure to ultraviolet radiation;
drying.

Therefore, the transmission of the pathogen by household means is possible, but this is unlikely, because Trichomonas do not live long in the environment.

Infection can occur only if you use a towel or washcloth immediately after a sick person, while these items are still wet, so that the genitals come into contact with his secretions. In wet secretions from the genital organs, Trichomonas can survive up to 24 hours.

There is a possibility of contracting trichomoniasis when visiting a public toilet.

With unprotected sexual contact with a woman infected with Trichomonas, the probability of becoming infected is about 70%. The use of condoms reduces the possibility of infection by 2-3%.

Treatment of trichomoniasis and treatment regimens for trichomonas in men

Trichomoniasis should not be left to chance. It is extremely important to carry out the treatment to the end, because the disappearance of symptoms can not always be considered a sign of a cure for the disease.

Treatment depends on the duration of the disease. If less than two months have passed since the onset of initial symptoms, antiprotozoal drugs are used. If the disease has been going on for a long time, immunomodulators and adaptogens are prescribed before starting antiprotozoal therapy. In both cases, in addition to taking drugs inside, local treatment is prescribed.

Local treatments include:

instillation of the urethra;
prostate massage;
physiotherapy.

There are several regimens for taking antiprotozoal drugs. In some cases, a single dose of a loading dose of the drug is recommended, in others - taking small doses of the drug for several days. The treatment regimen is selected for each patient individually and depends on such factors:

duration of the disease;
the severity of the flow;
state of the body.

While taking antiprotozoal drugs, you must follow a certain diet. It is worth limiting the consumption of fatty, spicy, salty foods, as well as completely eliminating the use of various alcoholic beverages.

If you do not adhere to the diet, the effectiveness of treatment is reduced. In addition, alcohol intake during therapy significantly increases the toxic effect of drugs on the body, which can cause liver dysfunction up to the development of toxic hepatitis.

During the period of treatment, it is necessary to refrain from unprotected sexual intercourse. If there is a permanent sexual partner, it must be examined for trichomoniasis, and, if necessary, treated.

Immunity after the disease is not produced, so a person can get trichomoniasis several times in his life. In this regard, if the sexual partner is not treated, after the cure, you can become infected again.

PCR is used to monitor the effectiveness of treatment. It is prescribed 14 days after completion of antiprotozoal therapy to confirm the absence of Trichomonas in the body. It is recommended to do PCR every month for 3-7 months after therapy, so that a small number of pathogens do not go unnoticed.

Medicines for trichomoniasis in men (medicines and pills)

The main antiprotozoal drug used in the treatment of trichomoniasis is metronidazole. It is available in the form of tablets of 500 and 250 mg. There are several ways to use it:

250 mg 2 times a day for 10 days;
500 mg 2 times a day for 7 days;
on the first day, 1000 mg per day, divided into 2 doses, on the second day, 750 mg divided into 3 doses, and on the remaining 4 days, 500 mg per day, divided into 2 doses.
4 tablets of 500 mg orally once.

Other antiprotozoal drugs such as tinidazole, nitazol, nimorazole or ornidazole are used in case of individual intolerance to metronidazole or if Trichomonas are resistant to it. Trichomonas resistance to metronidazole therapy is observed in 6% of cases.

Tinidazole is produced in tablets of 0.5 g and is prescribed according to one of the presented schemes:

4 tablets inside once;
4 tablets are taken for one hour, 500 mg every 15 minutes;
1 tablet every 12 hours for 7 days.

Ornidazole in tablets of 0.5 g is taken according to one of two schemes:

3 tablets inside once in the evening;
1 tablet in the morning and evening for 5 days.

Nitazol is taken 1 tablet (100 mg) 3 times a day. Therapy lasts 15 days.

Nimorazole is prescribed 4 tablets (2000 mg) once or 1000 mg per day for 6 days.

In chronic trichomoniasis, Solcotrichovac R is also used. The drug is a vaccine from certain strains of lactobacilli and acts as an immunocorrector.

Vaccination is carried out in several stages. At the same time, 0.5 ml of the drug is administered 3 times with a break of two weeks. A year later, there is a need for re-vaccination, during which the vaccine is administered once in the same amount.

During the period of treatment and after the course of therapy, immunomodulators and adaptogens are prescribed. These include:

ginseng extract;
aloe extract;
pyrogenal;
multivitamins;
honey preparations.

Improving immunity and strengthening the body play an important role in the treatment of chronic recurrent trichomoniasis.

Local treatment of trichomoniasis in men includes the introduction of weak solutions into the urethra:

ethacridine lactate;
mercury oxycyanide;
silver nitrate.

These solutions have a pronounced bactericidal and antiprotozoal effect. In addition, instillations help to carry out a soft mechanical cleaning of the urethra from pathological secretions.

If the patient has developed trichomonas prostatitis, local treatment consists of prostate massage twice a week with troxevasin gel. This improves microcirculation, relieves swelling and inflammation.

Consequences of trichomoniasis. Cause of infertility

Trichomoniasis is an extremely insidious disease. In men, it may not manifest itself in any way or have poor symptoms, but despite this, it leads to serious consequences.

Trichomoniasis, starting in the form of urethritis, with a long course can spread to other parts of the male genitourinary system and cause:

vesiculitis;
epididymitis;
orchitis;
prostatitis.

With orchitis, the cells of the spermatogenic epithelium are damaged, so the number of spermatozoa in the ejaculate is significantly reduced. With vesiculitis and prostatitis, the quality of seminal fluid changes. Reproducing in it, Trichomonas secrete their waste products, which are very toxic to spermatozoa.

Changes that occur in the seminal fluid with trichomonas prostatitis:

the number of spermatozoa decreases;
sperm motility deteriorates;
changes in the rheological properties of sperm.

All this leads to infertility. According to statistics, every tenth man with infertility is diagnosed with trichomoniasis.

The high prevalence of trichomoniasis among the population and the peculiarities of its course make this disease a serious problem. It is important to check your health from time to time. This contributes to the early detection and treatment of the disease, which significantly reduces the risk of developing severe complications.

Trichomoniasis is a sexually transmitted disease. In men, trichomoniasis is almost asymptomatic, so it is often detected at a late stage. Treatment of trichomoniasis should take place under the strict guidance of a doctor: following all his recommendations allows you to cope with the disease quickly enough. Let's talk about how trichomoniasis in men is treated in more detail.

How to treat trichomoniasis in men? It should be immediately noted that the treatment of this disease is carried out according to its own scheme, unlike the treatment regimens for other sexually transmitted infections. This is due to the fact that the disease is caused not by viruses and bacteria, but by special microorganisms from the flagellate family, which, in fact, are representatives of the animal world. If a man has the first symptoms of trichomoniasis, treatment should begin immediately. Very often, the disease occurs with virtually no symptoms, so the ideal option to detect it on time is regular examinations for infections in the body.

Chronic trichomoniasis: treatment

There is no need to treat trichomoniasis on your own: an incorrectly chosen scheme can cause undesirable consequences and aggravate the condition of the body. There are frequent cases when, due to untimely access to a doctor and self-treatment, trichomoniasis from an acute form flowed into a chronic one.

In the treatment of trichomoniasis in men, including chronic, drugs are used to destroy the causative agent of the disease. In the chronic course of the disease, in addition to drugs, procedures are used that eliminate the external symptoms of the disease. The doctor may prescribe ultrasound therapy, urethral instillation, paraffin treatment and a number of other procedures.

Since trichomoniasis also affects the immune system in men, it is cured, including with the help of immunomodulatory drugs, which are taken in combination with other drugs.

How to find out that it is chronic trichomoniasis that develops in the body? This is indicated by a number of symptoms, including:

frequent colds, fatigue;
sexual dysfunction, in particular, worsening of erection and decreased libido;
discharge from the urethra of an unclear nature, often purulent.

It should be noted that trichomoniasis often manifests itself repeatedly, due to the fact that the disease was previously undertreated in one of the partners. In this case, it is treated in the same way as in the acute course of the disease. To avoid relapse, both partners need to undergo treatment, regardless of whether they have symptoms of the disease or not. Recovery can only be judged after a study is completed, which is re-appointed after a course of treatment. If the tests did not reveal the presence of microorganisms, you are healthy.

Treatment of trichomoniasis in men: medications

Treatment of trichomoniasis is carried out, as mentioned above, with the help of special medications. If the disease is acute rather than chronic, medication is usually sufficient.

In the treatment of trichomoniasis in men, various drugs are taken. The main group is nitroimidazoles. Metronidazole is considered the most effective medicine for the stronger sex. For more than half a century, this drug has been helping to cope with the disease caused by Trichomonas. Metronidazole has many different analogues, for example, klion and trichopol. Usually, a single dose of 2 g tablets is enough to get rid of an uncomplicated form of the disease. The doctor, as a rule, prescribes the drug depending on the patient's condition. It happens that he offers to undergo a weekly course of treatment.

Metronidazole is well absorbed by the body and in places where the pathogen is localized, it creates a high concentration. But, unfortunately, the drug also has side effects. For example, heaviness in the stomach, dizziness, sometimes even vomiting.

Tinidazole metronidazole has a similar effect, but this drug has fewer side effects. They can also be prescribed either one-time or for a weekly course of admission: it all depends on the severity of the course of the disease.

It must be remembered that even after treatment for trichomoniasis, there is a high risk of re-infection. That is why men should be attentive to the choice of sexual partners and avoid casual relationships - this will save the stronger sex from unpleasant diseases and, one way or another, the complications that may be associated with them.

Symptoms
- Disease danger
Diagnostics
Therapy
- Medications
- home remedies

Forms of the disease depending on its course

Trichomoniasis in men goes through 2 stages of development:

Acute.

Chronic.

Trichomoniasis in men of this form is observed if more than two months have passed since the day of infection and during this period no treatment was carried out or the man did not follow the doctor's prescription. In the photo of men with trichomoniasis, the genitals look healthy.

The chronic form of trichomoniasis greatly impairs the quality of life of the patient, leading to inflammation of the organs of the genitourinary system, causing problems in sexual life. It is in the chronic form that the attachment of other infections is observed, resulting in various complications.

In this case, the attending physician, when deciding how to treat trichomoniasis in a man, must take into account the associated complications. The chronic form is characterized by a sluggish course of trichomoniasis with temporary exacerbations. Factors contributing to the occurrence of exacerbations are: non-compliance with intimate hygiene, metabolic disorders, hypothermia, weak immunity, hormonal imbalance.

There is such a type of chronic course of the disease, in which a man does not feel any discomfort at all (trichomonas carriers). But at the same time, Trichomonas breed and multiply in his body, they are on the mucous membranes of the genital organs, the patient's urethra, and with any unprotected sexual contact they will quickly migrate to the partner's body. Such a man is a source of danger, although he considers himself healthy, does not think about how to treat trichomoniasis, or does not even suspect that he is sick.

How can you get trichomoniasis

domestic infection. In this case, the infection occurs with personal items that the patient used.
Direct contact with blood, saliva, sperm of the patient.
Sexual contact and touching the genitals of a patient with trichomoniasis.

There is a high probability of infection with Trichomonas not only during vaginal contact, but also during oral sex, anal sex.

Reasons why the disease appears

These include people:

having sex with many partners;
suffering from STDs.

If trichomonas were found in a husband, the wife should think about where he "caught" them, and at the same time be sure to check and be treated herself.

Symptoms

The course of trichomoniasis in men is sluggish, the disease develops gradually, the first symptoms do not appear immediately. Initially, there is an incubation period, the duration of which is approximately a month.

Trichomoniasis affects the prostate gland, urethra, testicles. After the incubation period, the main symptoms of trichomoniasis in men appear:

burning and sharp pain when urinating;
feeling of a full bladder after emptying it;
grayish, yellowish or white discharge from the urethra;
ulceration of the urethra;
inflammation of the seminal vesicles;
residual traces of blood in urine and semen;
pain in the anus, perineum.

These symptoms of trichomoniasis are characteristic of its acute form. After a few weeks, all symptoms disappear, and men are happy to believe that trichomoniasis has passed by itself. This belief is fundamentally wrong, the causative agent of trichomoniasis has not disappeared anywhere, the disease has become chronic. Treatment of trichomoniasis in men is carried out by urologists and venereologists.

Disease danger

Sometimes there are no symptoms at all. In this case, the diagnosis of trichomoniasis in men is delayed for a long time, because he feels healthy. A person carries an infection in himself, becoming dangerous for all his sexual partners.

Trichomonas, developing, open the way for other pathogens of infectious diseases. They negatively affect the epithelium that lines the urethra from the inside, which contributes to the rapid development of other infections. Therefore, often along with trichomoniasis, mycoplasmosis, chlamydia, gonorrhea, and thrush are found. In this case, there are additional symptoms of trichomoniasis in men, and the treatment will be longer.

Diagnostics

By external signs, trichomoniasis cannot be recognized, since there are no specific manifestations of the disease.

The sensitivity of the analysis is 40%. By staining a smear with 1% methylene blue, it is possible to detect trichomonas, candida, gonococci. But in the chronic stage of the disease, such an analysis may be negative.

If, according to the results of the diagnosis, trichomoniasis is detected, a man will need to be tested for other sexually transmitted diseases.

Therapy

Medications

In the treatment of the disease with the help of medications, the following medications are used:

Flagyl, Metrogil, Trichopolum (the basis is metronidazole).
Amethin, Tridazole, Fazizhin (as part of tinidazole).
Meratin, Orgil (base ornidazole).
Complex antimicrobial drugs such as Ginalgin, Klion-D, Macmirror.
Immunomodulators (Kagocel, tinctures of ginseng, magnolia vine).
Medicines that promote the formation of antibodies and enhance the therapeutic effect of antitrichomonas drugs, such as Solcotrichovac, Pyrogenal. With the help of such means, a person receives temporary immunity to the disease.
Topical ointments (Rozeks, Rozamet).

Choosing how to treat trichomoniasis in men, the doctor focuses on specially designed therapeutic regimens. The duration of therapy averages 8-12 days. In the chronic form, the medicine for trichomoniasis is administered with injections or droppers.

Therapy is carried out according to specially designed treatment regimens. There are short and long regimens for the treatment of trichomoniasis in men. The short one is designed for 6 days, the long one is designed for 10 days.

Sometimes, according to indications, symptomatic treatment is prescribed with the use of antispasmodics and painkillers.

The use of aggressive treatment must necessarily be accompanied by the use of hepatoprotectors to protect the liver and drugs with lacto and bifidobacteria to restore the intestinal microflora, which is killed by antibiotics.

home remedies

Self-treatment of trichomoniasis at home is highly discouraged. This will cause the disease to progress. Use home remedies in the fight against Trichomonas should be only after consulting your doctor and only as an additional therapy, not replacing it with medication.

Home treatments for trichomoniasis in men can help maintain a therapeutic dose of the antibiotic. The most effective folk remedies are:

Garlic.

It contains selenium, which has a positive effect on the immune system.

This tool is not only an immunomodulator, but also prevents the development of infection, increases the effectiveness of antibiotic therapy.

Although trichomoniasis is difficult to diagnose, it responds quite well to treatment. You should not hope that the disease will go away by itself, even if the symptoms have disappeared. If the disease is not treated, then cystitis, pyelonephritis, urethritis, prostate cancer, and infertility may subsequently develop. After the treatment, it is necessary to observe preventive measures, which include the use of a condom, compliance with the rules of intimate hygiene, the presence of a permanent sexual partner, and an annual preventive examination by a doctor.

In modern venereology, there are several dozen dangerous diseases that are transmitted from one partner to another through sexual contact. One of them is trichomoniasis. It develops due to the ingestion of Trichomonas, a microscopic bacterium, into the body. Of particular danger is trichomoniasis in men. In the absence of high-quality timely treatment, it leads to the appearance of serious complications up to irreversible infertility. Therefore, all representatives of the stronger sex need to remember the features of such a problem and its first signs.

What is a disease?

Trichomoniasis is a sexually transmitted disease, the development of which is associated with the vital activity of Trichomonas. When this microorganism enters the human body, damage to the urethra is primarily observed. Later, the infection can rise up and spread to the entire genitourinary system.

Active reproduction of Trichomonas in men occurs in the seminal fluid. They secrete a large amount of their waste products, which stop the formation of new spermatozoa and significantly reduce their activity. If treatment is not started on time, there is a high probability of a complete loss of reproductive function.

The presence of trichomonas in men makes them potentially dangerous for sexual partners. During intercourse, the infection is transmitted to a woman, causing her to develop cystitis, pyelonephritis and other complications.

Experts have identified a list of people in whom the manifestation of such a disease is diagnosed most often:

Those who drink excessive amounts of alcohol or smoke regularly.
Men with weakened immunity due to various factors.
Patients with various diseases of the genital organs.
People who have an active sex life with unverified partners and do not use a condom.

Men at risk should carefully monitor their health and always remember what trichomoniasis is. At the same time, regular medical examinations and timely treatment of all detected problems are shown.

If trichomoniasis is diagnosed in a man, he is obliged to warn his sexual partner about this. Otherwise, it may be regarded as intentional harm to health.

Features of the pathogen

Trichomonas is called the simplest microorganism, which belongs to the class of flagella. With the help of thin flagella, the bacterium quickly moves through the urinary system. This largely determines the rapid development of the disease. Trichomonas do not have distinctive sexual characteristics. Their reproduction occurs by the method of longitudinal division.

The size of one bacterium can range from 13 to 18 microns. Due to this, they can easily penetrate into the intercellular space. Increased plasticity helps them in this.

Trichomonas belong to the group of anaerobic microorganisms. Therefore, for life they do not need the presence of oxygen in the environment. Nevertheless, they can live outside the human body.

A favorable environment for the activity of these protozoa is considered to be the temperature of the environment in the range from 35 to 37 degrees. Bacteria can live not only in the reproductive system, but also penetrate into the vessels. They often masquerade as lymphocytes or platelets, making them difficult for the immune system to recognize.

There are three main types of Trichomonas:

Vaginal. It poses the greatest threat to humans.
Intestinal.
Oral.

The danger of vaginal bacteria for men and women is also that they can carry other pathogenic microorganisms. Often, along with trichomoniasis, people are diagnosed with herpes, ureaplasmosis, gonorrhea and other diseases. In severe cases, infection leads to HIV.

Trichomonas is able to live only in an environment with a high level of humidity. When dried or exposed to sunlight, it dies. Outside the human body, such bacteria can exist for no more than a couple of hours. But even this time is sometimes enough for infection.

The main modes of transmission of infection

No one is immune from trichomoniasis. Experts identify several main ways of infection:

Contact with body fluids of an infected person. It can be not only vaginal discharge, but also blood, saliva, and so on. Even a simple kiss with an infected partner can be dangerous.
Sexual intercourse and touching the genitals of a sick person. The microorganism is transmitted both during classical and during anal or oral intercourse.
On contact with contaminated household items. Since the pathogen can exist outside the human body for some time, there is a possibility of infection when using hygiene items, bed linen, towels and other things of the carrier.
A child can also infect while passing through the birth canal of a sick mother. Therefore, pregnant women are advised to carefully monitor their health.

It is not easy to cure the disease. Therefore, it is best to try to warn him. And for this, first of all, it is necessary to avoid dangerous situations.

Forms of the course of the disease

Depending on the nature of the course of the disease, the following forms are distinguished:

Acute. It develops a couple of weeks after the pathogen enters the body. It is characterized by vivid symptoms characteristic of the inflammatory process. The weaker the immune system, the stronger the signs of trichomoniasis in men.
Subacute. Symptoms are less pronounced. In this regard, it becomes more difficult to identify the disease.
Chronic. One of the most severe forms of the disease. It develops due to insufficient or untimely therapy. Subsequently, this leads to serious complications that damage men's health. The chronic stage is characterized by a sluggish course. Periods of exacerbation may occur periodically. The transition of the disease to the chronic stage is facilitated by: reduced immunity, hormonal disruptions, hypothermia, improper hygiene of the intimate area, and violation of metabolic processes in the body.
Trichomonas carrier. This is a condition in which the pathogen lives on the mucous surfaces of the human body, but does not provoke the appearance of any symptoms. Such a man becomes a carrier of the disease and at the same time he himself may not be aware of it. Trichomonas carriers can be temporary and heal on their own. The duration and consequences of such a state are individual for each person.

The method of therapy for each of the forms of the disease is selected individually. To avoid the transition of the problem to the chronic stage, it is necessary to identify the first symptoms in a timely manner and seek help from a specialist.

Symptoms of the disease

To avoid serious health consequences, it is necessary to remember how the presence of trichomonas in men manifests itself. Experts identify a number of main symptoms:

Pain and burning sensation during emptying of the bladder.
Aching pain in the genitals, which can be expressed very weakly.
Separation of secretions from the urethra. Discharge from trichomoniasis may have a yellowish tint due to the admixture of pus in them.
False urge to urinate. Even after complete emptying of the bladder does not leave the feeling of its fullness.
An admixture of blood is detected in semen or urine.
Sometimes men with trichomoniasis develop small sores in the urethra.
After sexual contact, severe itching appears in the genital area.