Have you been treated for chlamydia? Treatment of chlamydia is difficult, but possible

Chlamydia is one of the most common sexually transmitted diseases. The danger of infection lies in the fact that the clinical picture is characterized by an asymptomatic course, therefore, to identify the disease on early stages very difficult. A person can be a carrier of the chlamydia bacteria without even knowing it and inadvertently infecting their sexual partners. According to statistics, about 50% of men and 30-60% of women of childbearing age are infected with chlamydia.

In almost 75-90% of cases, chlamydia is combined with other sexual infections, increasing the pathogenicity of pathogenic viruses involved in the combination. Very often, the disease occurs in conjunction with syphilis, trichomoniasis, gonorrhea, ureaplasmosis and thrush, complicating the treatment process. Because the general symptoms diseases are quite vague, often patients seek a solution to the problem from general practitioners, rheumatologists, pulmonologists, ophthalmologists, without even guessing to turn to a venereologist.

There are two main routes of infection with chlamydia:

• Sexual way. Infection can occur through unprotected sexual contact: genital, oral, anal. Approximately every fourth partner falls into the risk zone, and women are the most susceptible to "reception" of the infection.
• vertical path. In this case, the transmission of chlamydia occurs from mother to child during childbirth. Data on the possibility of intrauterine infection of the fetus to date does not exist.

The option of infection by the domestic method is practically excluded, since chlamydia bacteria are not viable in the external environment. Therefore, using a shared toilet (toilet seat), bath towels and other hygiene items, visiting saunas, swimming pools and other crowded places are not particularly dangerous.

Signs of manifestation of chlamydia

The development of chlamydia occurs in stages:

• First stage- direct infection at the time of sexual intercourse. At the same time, a person does not notice any characteristic changes in well-being. One of possible signs disease is a slight itching in the mucous membranes of the vagina or the head of the penis when urinating. However, such meager symptoms do not attract attention and, as a rule, pass after a few days by themselves.
• Second stage- clinical manifestations. The disease can be expressed by symptoms of urethritis, characterized by painful contractions and cuts during urination. Quite often, there are signs of proctitis associated with pain in the anus during defecation, as well as cases of diagnosing pharyngitis, which entails difficulty in swallowing and swelling of the mucous membrane of the larynx.
• Third stage- the development of complications. The asymptomatic course of the disease often turns it into a chronic stage, causing a number of serious complications: epididymitis, endometritis, cystitis, reactive arthritis, radiculitis, etc.

The transition of chlamydia to the chronic phase can lead to serious consequences, in particular, the development of such pathologies as:

• inflammation of the appendages, uterus and ovaries;
• prostatitis;
• cystitis;
• impotence;
• pyelonephritis;
• defeat of cardio-vascular system;
• arthritis;
• conjunctivitis
• infertility, etc.

ICD-10 code A74 - Other diseases caused by chlamydia.

Individual distinctive features there are no manifestations of chlamydia in women, so you can only focus on common features inherent in other sexually transmitted infections. These include:

• Pain in the lower abdomen and lower back, bearing a periodic short-term character.
• Slight malaise (weakness, loss of appetite, body aches), occurring against the background of a slight increase in temperature in the range of 37-7.5 ° C.
• Painful urination, burning sensation on emptying, identical to clinical picture cystitis.
• Discharge from the vagina of a mucopurulent nature. The outer color may be white or with a yellowish tinge. The discharge is accompanied by an unpleasant fishy odor, so chlamydia is easily confused with bacterial vaginosis.
• Burning in the genital area, since the infection is localized on the mucous membranes and thereby irritates their surface.

Important: Often, when infected with chlamydia, erosive formations on the cervix, as well as bloody discharge, can be observed.

Symptoms of the disease are expressed in the following signs:

• Painful sensations when urinating. You may notice that the first drop of urine is cloudy, and the emptying process is accompanied by itching and burning.
• Bloody discharge during ejaculation, and also at the end of urination.
• Inflammation of the testicles, characterized by enlargement of their size, pain when touched, local redness.
• Appearance of vitreous discharge from the urethra. Usually such phenomena occur in the morning before urination.
• Inflammation of the prostate gland (prostatitis). It is characterized by pain in the perineal area, a decrease in sexual desire, erectile dysfunction, difficulty urinating, and discharge from the head of the penis.
• General malaise, accompanied by an increase in temperature to 37-37.5 ° C.

Diagnostic methods

The complexity of diagnosing chlamydia lies in the fact that chlamydia belongs to the category of intracellular microorganisms that accumulate inside cells and remain there, becoming active when favorable conditions. The location of the infection is the mucous membranes of the female and male genital organs, or more precisely, their epithelial layer. That is why relapses of the disease are often associated with problems in terms of genitourinary system.

There are a number of options for diagnosing chlamydia, each with its own pros and cons. Quite often they are used in combination with each other in order to obtain the most significant result in the detection of pathogenic chlamydia bacteria. These include:

• Express test. Designed to determine a possible infection at home. It works on the principle of litmus paper: when pathogens enter the test surface, it turns red. A positive answer is two characteristic stripes. Along with ease of use and availability of purchase (in conventional pharmacies), this method of recognizing chlamydia is considered ineffective. The probability of identifying chlamydia is only 25-50%.
• Smear. This method diagnostics involves a microscopic examination of a part of the mucous membrane separated from the genital organs and the urethra. In women, a smear is taken from the urethra, vaginal mucosa and cervix. In men, a scraping is made from the urethra, and prostate secretions are also taken to detect chlamydia in hard-to-reach places of the urinary organ. The sensitivity of the method is all 20-30%, however, it helps to determine the level of leukocytes, which may indicate the onset of the inflammatory process.
• REEF (immune fluorescence reaction). This method requires the presence of special equipment: a special fluorescent microscope and appropriate reagents. A smear from the urethra is tinted with a fluorescent dye, which makes it possible to identify chlamydia bacteria by luminous illumination. The complexity of such a diagnosis lies in the fact that not only the desired microorganisms, but also particles of staphylococci and streptococci can be highlighted, therefore only a highly qualified specialist is able to distinguish the type of bacterium. Another one important detail- this is the ability to distinguish living chlamydia cells from dead ones that have not yet been removed from the body after treatment. Taking into account the specifics of the study, the effectiveness of this method is 70-75%.
• RSK (complement binding reaction). The essence of the analysis is as follows: a blood sample is taken, then certain antibodies that can bind to chlamydia and thereby determine the presence of an infection are “planted” into the sample. The serological method is not used for diagnosis acute infection due to its inefficiency. Most often, it is justified when conducting screening tests necessary for the comprehensive identification of pathogens of various infections.
• ELISA (linked immunosorbent assay). The essence of the method is the determination not of the chlamydia themselves, but of antibodies to them. For analysis, blood or scrapings taken from the walls of the mucous genital organs are used. The sensitivity of the test is about 60-65%. The main advantage of this diagnostic is that it allows you to understand the "status" of the infection: the chronic stage of the disease, acute relapse, etc.
• Bacteriological culture. It is considered the most expensive, labor-intensive and time-consuming method for diagnosing chlamydia, but giving the most correct result. Smears from the genitourinary organs are sown on a specially prepared nutrient surface, where only chlamydia bacteria can grow. The material is closed from the incubator and the changes taking place are observed. If infected cells are present in the smear, they reveal themselves, growing on a nutrient basis in the form of characteristic colonies. Also, this method allows you to determine the type of antibiotic that is deadly for pathogens for a particular person.
• Methods of DNA diagnostics. These include the method of DNA probes, Ligase chain reaction (LGC), polymer chain reaction (PCR), transcriptional amplification (TA). The level of sensitivity of the listed diagnostic techniques is 95-100%. The main drawback is the availability of a properly equipped laboratory, expensive reagents, and qualified personnel.

In the video in this article, the doctor talks in detail about the methods for diagnosing chlamydia.

How is chlamydia treated: regimen and types of treatment

It is a difficult task to completely cure chlamydia, so the venereologist must carefully study the results of the studies and tests that the patient underwent in order to prescribe the right treatment. Chlamydia microorganisms are able to get inside the cell membranes and conduct their vital activity there.

Treatment for chlamydia includes A complex approach with the obligatory use of antibacterial drugs that can penetrate the cell membrane. An individual treatment regimen is developed for each patient, based on the characteristics of the body and sensitivity to certain groups of antibiotics. Since chlamydia destroys the immune system, immunomodulators are prescribed in parallel, and diagnostics are also performed for the presence of concomitant infections. In particular, preparation for the main treatment may look like this:

• Normalization of the digestive tract and bringing the intestinal microflora into a state of balance (Linex, Hilak Forte, Bifidumbacterin).
• Disease prevention digestive system associated with pancreatic dysfunction (Creon, Festal).
• Cleansing the liver with drugs from the category of hepaprotectors (Heptral, Essentiale, Karsil, Ovesol).

The need for a preparatory stage lies in the fact that the use of antibiotics has a strong burden on the body, and long-term use of potent toxic agents provokes an exacerbation of other diseases, including chronic ones.

Interruption of therapy due to a deterioration in the patient's well-being and the subsequent resumption of treatment after stabilization of the condition leads to the fact that chlamydia bacteria become insensitive to the drugs used, that is, addiction occurs.

The most effective antibacterial spectrum drugs include the following:

Among antibiotics, it is possible to single out more funds that can destroy pathogenic fungi, for example, it can be Pimafucin suppositories for the treatment of chlamydia. Also, the drug is effective against strains of the Candida fungus.

Expert opinion

Most often, chlamydia is treated in a complex way. The main blow to bacilli is produced with the help of antibacterial drugs - these are macrolides, a tetracycline line and fluoroquinolones. Antibiotics are necessarily added drugs that help strengthen the immune system, thus increasing the chance of a speedy recovery. Treatment should be carried out by both sexual partners, after therapy, test analyzes are taken.

Complementary Therapies

Along with taking antibiotics, the application of local procedures, aimed at increasing the permeability of cell membranes and, as a result, better absorption of antibacterial drugs, also has a beneficial effect on the treatment process. For example:

• vaginal baths, tampons, suppositories (for women);
• enemas;
• rectal suppositories;
• instillation of drugs directly into the cavity of the urethra.

A good effect is also observed from the use of various physiotherapy procedures, in particular, infrared radiation, quantum therapy, ultrasound, iontophoresis, magnetic field, electrophoresis, etc.

It is important to remember that both partners should be treated, regardless of the presence or absence of symptoms of the disease. If chlamydia manage to acquire immunity to the antibiotics used, it must be taken into account that the resistance of bacteria will be observed to all drugs of this group.

Urogenital chlamydia

For the treatment of uncomplicated urogenital chlamydia, antibacterial drugs are prescribed, where the doctor takes into account the sensitivity of the pathogenic microorganism. Most often, the doctor prescribes Erythromycin, Clarithromycin, and the drug Azithromycin can be taken once. In some cases, a dosage of 1000 mg is enough to completely suppress the growth of bacilli.

How to cure persistent chlamydia?

This type of disease is initially treated with weak antichlamydia drugs. If after a few days there is no improvement, then the doctor replaces them with potent drugs. These are the so-called reserve medicines belonging to the group of florquinolones. They are able to destroy strains of chlamydia group L.
Along the way, the patient takes immunomodulators, vitamin complexes and antifungal agents.

Advanced chlamydia

If the disease is difficult to treat or not treated at all, it goes into a chronic stage, which is much more difficult to treat. In this case, are used antibacterial drugs in the required dosage, but the duration of therapy itself can be 2-3 times longer.
Complicated forms of chlamydia will need to be treated for three weeks or more. In parallel, specialized doctors conduct pathogenetic and symptomatic therapy.

The scheme of treatment of chlamydia by day

So, how long is chlamydia treated?

The main treatment regimen for chlamydia, scheduled for one week.

• Preparations from the tetracycline group are prescribed as follows: 1 day - 200 mg once, 2-7 days - 100 mg taken 2 times a day. It could be Vibracin, Doksibene.
• Medicines from the group of macrolides: 1 day - a dosage of 500 mg immediately drink 2 tablets of the drug Sumamed, then 3, 5, 7 days - 500 mg 1 tablet / day. You can take Josamycin all week, daily 3 times / day, 500 mg.

In most cases, chlamydia is asymptomatic, so women who have not planned a pregnancy and have not taken appropriate tests for the presence of infection may not know that they are carriers of chlamydia. In some cases, the disease is manifested by such symptoms:

• vaginal discharge white and yellowish;
• pain in the lower abdomen;
• inflammatory processes in the cervix (cervicitis);
• pain when urinating.

If the infection affected not only the vaginal mucosa and cervix, but also got into the uterine cavity and fallopian tubes, then the pain syndrome will be more pronounced, and inflammation of the appendages may be detected during the examination.

Possible Complications

Chlamydia is one of the most common causes of miscarriage, and also leads to the development of a number of serious complications during pregnancy. With primary infection in the first trimester, an exacerbation of the clinical picture of the disease can be observed, in the second, the formation of fetal infectious insufficiency is possible, in the third, cases of intrauterine infection of the child are not excluded.

Among the risks that most often accompany pregnant women, the following are observed:

• increased toxicosis;
• anemia;
• jumps in blood pressure;
• cervical erosion;
• high water;
• premature birth;
• spontaneous miscarriages;
• inflammatory processes of the genitourinary system.

Weakness may occur during childbirth labor activity, premature discharge of amniotic fluid, as well as a high probability of infection of the fetus through the birth canal.

Deviations in the development of the child

Babies infected with chlamydia at birth or infected in the womb may be diagnosed with various deviations in development, in particular - heart disease, hypoxia, lesions nervous system, dysfunction of the digestive system and gastrointestinal tract.

Because chlamydia bacteria block entry into the uterus nutrients, then the child may be born with low body weight, suffer iron deficiency anemia, and subsequently often get sick with otitis media, pharyngitis, pneumonia and viral conjunctivitis.

When the fetus is infected in late pregnancy, it is quite often affected internal organs, causing severe pathologies of the liver, kidneys, pancreas. There are frequent cases of manifestation of the Fitz-Hugh-Curtis syndrome, as well as encephalopathy complicated by convulsions.

Diagnosis of chlamydia in pregnant women

When registering in a antenatal clinic, tests for chlamydia are not mandatory, but it is recommended that pregnant women who have certain health problems undergo an examination. In particular:

• chronic diseases respiratory tract(bronchitis, pharyngitis, laryngitis, pneumonia);
• frequent inflammation of the urinary organs (cystitis, urethritis);
• transferred sexual infections (gonorrhea, syphilis, trichomoniasis);
• arthritis, arthrosis of the joints;
• previous spontaneous miscarriages;
• premature birth;
• ectopic pregnancies.

Women who have experienced the above pathologies in the past automatically fall into the risk zone and should approach pregnancy planning as responsibly as possible. Since the symptoms of chlamydia are similar to other sexually transmitted infections, it is recommended to be tested simultaneously for three pathogens: chlamydia, ureplasmosis, mycoplasmosis. It is noticed that taking contraceptives reduces the likelihood of infection with chlamydia by reducing the degree of cell permeability.

Treatment of chlamydia during pregnancy

When chlamydia is detected in the early stages of pregnancy, there are no indications for its termination. Therapeutic therapy is reduced to the use of generally accepted schemes, including the use of antibiotics. Some doctors are of the opinion that in the absence of clinical symptoms (leucorrhoea, painful urination, general malaise), you can refrain from prescribing antibacterial drugs while the infection is dormant.

When the disease passes into an active form, antibiotics are used, which have the property of not penetrating the placenta, "settling" in the mother's body. The peculiarity of such drugs is that their molecular weight is greater than the throughput of intracellular capillaries. As a result, the fetus receives a minimal toxic load, which reduces the risk of complications and birth defects.

For the treatment of chlamydia during pregnancy, preference is given to tetracycline and macrolide antibiotics, such as Rovamycin, Spiramycin, Josamycin, Erythromycin. The dosage is selected individually in each individual case, taking into account the specifics of the infection and the conditions of its course. Antibiotics are prescribed in short courses so that the harmful effects on the body are gentle.

General prevention

The complex of preventive measures is similar to the prevention of other sexually transmitted infections, implying the implementation of the following recommendations:

• Observance of sexual culture. Frequent change of partners increases the risk of chlamydia. Casual relationships should be avoided, condoms should be used and one should not forget that chlamydia infection is also possible during oral and anal sex.
• Personal hygiene of the genitals. This includes washing with cleansers, douching, and so on. Folk methods the fight against chlamydia is not only ineffective, but can also cause significant harm to health. When douching, using chlorine-containing antiseptics and other unjustified medical point In view of actions, the balance of the vaginal microflora is disturbed, which means that the likelihood of pathogenic microorganisms entering the mucous membranes increases.
• Carrying out periodic diagnostics for the detection of pathogenic infection by passing tests and tests for STIs.
• Taking vitamins A, B and C, as well as immunomodulatory drugs that help strengthen the body's defenses.

With timely and correctly prescribed therapy, the prognosis for recovery from chlamydia is quite optimistic, but you need to be patient and be prepared that the treatment will take a long period of time.

Question to the expert: Delayed periods after chlamydia treatment

Expert opinion

Chlamydia - insidious disease, capable of disguising itself for a while, so it’s not possible to completely cure it the first time. This, in turn, can manifest itself as undesirable consequences, for example, a delay in menstruation in women. The bacilli primarily attack the reproductive system.

Remember, if negative changes in the genital area were found, immediately visit a doctor. A timely diagnosis will help to avoid undesirable consequences.

Question to the expert: How to quickly cure chlamydia?

Expert opinion

Artem Sergeevich Rakov, venereologist, more than 10 years of experience

In the standard version, the duration of therapy for urogenital chlamydia is one to two weeks, in more complex cases - up to three weeks. The scheme of the treatment process is drawn up in accordance with the incubation period for chlamydia, the duration of which is within 5-30 days. But on average it is three weeks.

From this we can conclude that it will take an average of 21 days to treat chlamydia. This is enough to destroy all outbreaks (there can be up to 6 of them) of chlamydia reproduction with drugs.

Question to the expert: What to do after treatment for chlamydia?

Expert opinion

Madmuzev ​​Armen Davidovich, specialized in male sexually transmitted diseases

Question to the expert: which doctor treats chlamydia?

Expert opinion

Luvanova Arina Viktorovna, specialized in female sexually transmitted diseases

Gynecologist (for women) and urologist (for men)

Chlamydia occupies an honorable place among the most common sexually transmitted diseases. The complexity of the treatment lies in the fact that its course in most cases is asymptomatic, and a person can live with chlamydia for many years without realizing it. Meanwhile, pathological processes are constantly evolving and cause a number of complications. As a result of belated diagnosis, the disease is difficult to cure, and long and complex therapy is required.

When making a diagnosis, many patients ask themselves questions - is a chlamydia infection completely cured, has anyone cured it the first time? Uncertainty in these matters is absolutely justified, but there is a clear answer.

What is an infection and the complexity of its treatment

Before answering questions about whether chlamydia can be cured or the disease is incurable, you need to understand what it is.

It is transmitted mainly through unprotected intercourse with an infected partner (with any type of sex). There is no natural immunity in the body to chlamydia. The introduction of a pathogen does not necessarily mean that the disease will develop, but the risks are high. The most susceptible are women due to their anatomical structure. In addition, it is the female genitalia that are a favorable environment for their habitat.

The household route of transmission is not excluded - chlamydia are able to survive in the external environment for several days.

Why does the disease become chronic?

It is much more difficult to cure chlamydia than to acquire it. The disease is one of the most secretive of the sexually transmitted diseases. Therefore, often patients receive a diagnosis of a chronic form. The information that bacteria lived in their bodies for many years puts patients into a stupor, the question arises - is chlamydia completely cured? Doctors unanimously answer - chlamydia in women (in men) is a curable disease.

In chronic chlamydia, it is really difficult to choose a treatment regimen due to the resistance of bacteria to the active components of many drugs. Before the disease is detected, years can pass from the moment of infection, during which time a person undergoes antibiotic therapy for other diseases. Concentrations active substances was not enough to kill chlamydia, and they gained "immunity" to some drugs.

Illness detected early acute stage, which did not have time to turn into chronic, can be treated with ease. It is enough to take a course of antibiotics and you can forget about the problem. The competence and experience of the doctor is very important in this matter. Illiterate treatment can lead to chronic disease.

The key to a successful attempt to cure chlamydia forever is the correct diagnosis, an adequately developed treatment regimen, the implementation of all doctor's prescriptions, and compliance with the rules that contribute to obtaining positive therapeutic results. Full recovery can be achieved only if maximum efforts are made by both the doctor and the patient.

Possible symptoms

Since the disease is secretive, the symptoms are often absent or not sufficiently pronounced in order to become a reason for seeking medical attention. medical care. It happens that a weak clinic disappears after a few days. The patient believes that the body has cured itself. In the meantime, bacteria multiply rapidly and harm. The disease spreads to chronic form, reminds of itself at the moments of decrease in protective forces by the manifestation of the same blurred signs.

It is important to take care of your health. Women are more responsible for their well-being, so they should pay attention to possible symptoms with chlamydia:

• the appearance of mucous secretions with an unpleasant odor from the genitals;
• painful urination;
• discomfort during sexual intercourse;
• drawing pains in the lower back, lower abdomen.

A man may experience the same Clinical signs but rarely takes them seriously. When the first symptoms appear, you should immediately consult a doctor, go through full examination. Only a specialist can prescribe adequate treatment and answer the question - is chlamydia curable.

If the pathology is completely asymptomatic, then it is detected against the background of proceedings on other problems - infertility, the inability to bear a fetus, general intoxication of the body.

Read also related

What is the danger of the consequences of chlamydia?

Diagnostics

According to medical data, chlamydia does not cause death, even chlamydia that occurs for several years is cured. First of all, the patient must undergo a complete examination.

IN medical practice the last two methods are most often used - the "gold standard" for diagnosing chlamydia.

Most modern method diagnostics - transcriptional amplification, which uses the tactics of determining the Ribonucleic acid molecule in biological material. Efficiency - 99%, however, the method is not widely used, requires specially trained professionals, expensive equipment.

In public clinics, microscopic smear analysis is carried out free of charge. The material is dried in a special way and stained according to Romanovsky-Giemsa to determine the presence of bacteria. However, its efficiency is only 20%, with accuracy it will reveal inflammatory process but not its cause.

Confirmation of the diagnosis means that it is necessary to be treated. Lack of therapy leads to the emergence of other diseases, infection of partners.

Why are there difficulties in treatment?

Many infected patients think that chlamydia is incurable, they are not even treated. It happens that patients lose faith in the possibility of a cure, among those already treated, who, due to the prevailing circumstances, did not cure the disease immediately after timely diagnosis. This could happen as a result of incorrectly selected antibiotics or their doses, failure to comply with therapeutic instructions by the patients themselves.

For many years people live with chlamydia and are sure that the disease is not treated. They may not even wonder if chronic chlamydia is curable? This tactic is very wrong - the pathological process can be stopped, and, most importantly, it is necessary, the disease can be cured completely and forever.

Even more often there is a situation in which we are treated ourselves. For example, pathogens were found in a partner, he was prescribed therapy by a doctor, and the second partner, without visiting medical institution, takes exactly the same course or goes to the pharmacy for the "recommendations" of the pharmacist. But the treatment regimen for the disease is absolutely individual, it should be developed by a specialist, based on the results of the tests, general condition health, the presence of concomitant pathologies, the age of the patient.

Many patients assume that the disease is incurable. But this is not true. Indeed, sometimes long enough therapy is required to cure chlamydia. This may be due to the inability to prescribe more effective drugs, for example, due to the state of immunity, intestinal microflora or the genitourinary tract.

In addition to antibiotics, treatment may include taking an immunomodulator, antimicrobial drugs, multivitamins, probiotics, bacteriophages. For local therapy, vaginal and rectal suppositories, baths, enemas, tampons are used. Both sexual partners should be treated. Even if a person completely cures the disease, then there is a high probability of re-infection, since immunity is not formed against sexually transmitted infections.

Why is it difficult to cure chronic chlamydia and should it be treated?

If the patient seeks medical help in the acute period, then the treatment lasts for several weeks and ends with a complete recovery. But the problem is that in most cases the clinical picture is erased. A person either has no symptoms, or they appear to a slight extent and do not cause concern. After a couple of days of minimal discomfort in the genitourinary system, everything subsides and the person believes that the problem resolved itself. But the disease has become chronic, and with the next decrease in immunity, it reappears.

Therefore, it is necessary to pay attention to the manifestations of chlamydia. For women it is:

• discharge from the genitals;
• pain when urinating;
• pain in the lower back and lower abdomen;
• temperature increase;
• discomfort during intercourse.

One of the methods of selecting a drug for the treatment of chlamydia is the preparation of an antibiogram. This is a laboratory test in which chlamydia taken from a patient is grown to determine the most effective antibiotic for that species. The dosage of the drug is also important, because if it is underestimated, it will be ineffective. If the desired result is not obtained in two weeks of treatment, then the microorganism has adapted to the antibiotic, and the symptoms will decrease until the next decrease in immunity.

During treatment chronic chlamydia you must adhere to the following rules:

Chlamydia depresses the immune system, which leads to various complications. For men it is:

1. Urethritis. Signs of pathology mucopurulent discharge from the urethra and frequent painful urination.
2. Prostatitis. The infection causes inflammation in the prostate gland. A man has pain in the rectum, groin, lower back, as well as difficulty urinating, problems with potency may appear.
3. Epididymitis. Appears inflammation in the epididymis. This provokes a violation of spermatogenesis and infertility. It is manifested by fever, redness and swelling of the scrotum.

women, in connection with anatomical structure are more susceptible to chlamydia infection.

In the absence of therapy, it is possible:

• endocervicitis - the cervix is ​​inflamed;
• endometritis - inflammation of the uterus;
• salpingitis - the fallopian tubes are inflamed;
• salpingoophoritis- uterine appendages are inflamed.

Chlamydia in women contributes to the formation of adhesions and scars, which lead to the formation of tubal infertility, provoke spontaneous abortion, and cause ectopic pregnancy. Chlamydia can lead to inflammation of the pharynx, kidneys, joints, bronchi, lungs, kidneys, rectum. Reiter's disease is a disease that causes chlamydia and affects the eyes (conjunctivitis), the genitourinary system (urethritis), and the joints (arthritis).

How long does it take to treat chlamydia

How much chlamydia is treated depends on:

Can we cure chlamydia the first time?

Yes, we can cure, but all the efforts and knowledge of a specialist will not yield results if the patient forgets to take medication and does not follow the instructions.

There are many myths that chlamydia infection is for life. So can chlamydia be cured? If you make an effort and perseverance, you can even lift an elephant. Therefore, in this case, the answer is yes: yes, the disease is treated.

Causes of chlamydia

Chlamydia is a sexually transmitted disease. Its causative agent is the tiny microorganism Chlamydia trachomatis. The peculiarity of chlamydia is that when they enter the body of the victim, they are introduced into the cells. They live and breed there. Gradually, the colony is increasing, covering more and more areas. As a result, the body's forces are depleted, resistance to viruses and infections decreases due to constant intoxication.

Microorganisms are immune to a number of antibiotics. And to those that destroy them, they gradually adapt and become also immune.

Chlamydia can be contracted:

• during intercourse;
• through household items;
• through sick birds or animals;
• during oral sex.

The most common chlamydia among young people, less common in middle-aged people. The risk group consists of men and women who are sexually promiscuous, often changing sexual partners. Also people who neglect the basic rules of hygiene. Often, chlamydia enters the body along with another sexual disease. For example, the combination of chlamydia with gonorrhea is not uncommon.

Characteristic symptoms

The incubation period for men is 5-7 days, for women - about a month. While the disease has not made itself felt with pronounced symptoms, the sick person does not experience any suspicious or unusual sensations.

Common symptoms of chlamydia are:

• the appearance of translucent discharge from the urinary canal;
• sensation of pain and burning during urination;
• severe itching of the genitals;
• adhesion of the edges of the urethra.

Some patients feel weak. Sometimes the temperature rises slightly. If the disease is not treated, it soon becomes chronic. Symptoms at the same time are lubricated, expressed not as clearly as at the beginning. In women, chlamydia initially settle in the urinary canal and on the cervix.

• the appearance of abundant mucous secretions with particles of pus;
• the appearance of an unpleasant pungent smell of rot;
• spotting throughout the entire monthly cycle;
• burning sensation when urinating;
• periodic bouts of pain in the pelvis;

In chronic chlamydia, sexual intercourse becomes painful. In men, the onset of the disease may resemble cystitis. Feeling pain when urinating. In the morning after sleep, small translucent drops of mucus stand out from the urethra. Gradually, the discharge turns into purulent. The urethra begins to itch strongly. After urination and during sexual intercourse, some blood comes out during ejaculation.

How soon does it heal

Is there a cure for chlamydia? Yes, chlamydia, even chronic, can be treated and cured completely. That's just a specialist who will undertake such treatment, you need to choose carefully. It is not uncommon for a venereologist to compose a complex treatment regimen, prescribe a huge amount of medication. The results are often disappointing. The healed disease after a while again makes itself felt. It also happens that drugs are prescribed that are mutually exclusive to each other in terms of therapeutic characteristics. Then the patient begins to have serious health problems.

In the treatment of chronic chlamydia, it is impossible to prescribe the same drug for the entire period of therapy. Chlamydia easily adapt to the components of the drug and cease to perceive it. At the first symptoms of the disease, you should immediately contact a specialist. Then the treatment will be short. On average, it will take about two weeks. Yes, and medications do not have to constantly alternate.

Treatment for chronic chlamydia is long and difficult. Treatment may take six months. In this case, it is necessary to take tests every 20 days to determine whether the disease is amenable to the prescribed treatment. Chlamydia treatment is complex. To get rid of chlamydia, various antibiotics (tetracyclines, fluoroquinolones, macrolides), as well as antibacterial drugs, are prescribed. To support an exhausted body, increase immunity, vitamins and immunomodulating agents are additionally prescribed.

During treatment, sexual intercourse should be avoided. They are treated for chlamydia together with their regular sexual partner, so as not to be re-infected later. During drug therapy you need to watch your diet. All dairy products should be avoided, including ice cream. Do not flavor dishes with spicy and spicy seasonings. It is forbidden to drink alcoholic drinks. Food should be nutritious, rich in vitamins and minerals.

Chlamydia and pregnancy

Pregnant women with chlamydia are more at risk of losing a baby.

Often in the first - second trimester there is a spontaneous miscarriage. Yes, and giving birth with this disease is not recommended: a child can be born dead or, due to serious illnesses provoked by intrauterine infection with chlamydia, die shortly after birth.

Infection can occur during childbirth, when the child passes through the birth canal. In such newborns, chlamydia affects the mucous membranes of the eyes. Babies get conjunctivitis. To avoid all those problems that appear when infected with chlamydia, you should be careful and selective in choosing a sexual partner. You should worry about the upcoming sexual intercourse in advance: purchase a condom.

Questions

Q: Can chronic chlamydia be cured?

Is there a cure for chronic chlamydia?

Due to the complexity and duration of the course of treatment chlamydia many patients begin to doubt whether a complete cure of this disease can be achieved at all. It should be noted that such a cure is possible, but there are still prerequisites for such misconceptions. The fact is that chlamydial infection, getting into the body, often does not manifest itself. A person may not even have a reason to go for a preventive examination to a doctor. At the same time, chlamydia actively multiply and can even spread throughout the body, leading to various complications.

Successful treatment of chronic chlamydia can be achieved with a course of antibiotic therapy. In this case, the treatment will have a number of features that need to be paid attention to both the doctor and the patient.

The main principles of treatment of chronic chlamydia are:
1. detection of concomitant infections;
2. selection effective drug;
3. antibiotic regimen;
4. search for atypical foci of the disease.

Detection of associated infections.

To achieve the maximum effect from the course of treatment, it is recommended to conduct the necessary tests to detect secondary infections before starting antibiotic therapy. The fact is that chronic chlamydia greatly weakens local immunity, and the mucous membrane of the urethra becomes especially susceptible to various microorganisms. In almost 70% of patients with chronic chlamydia, secondary infections can be found.

Most often, the course of chlamydia is accompanied by the development of the following genitourinary infections:

• gonorrhea;
• trichomoniasis;
• mycoplasmosis;
• ureaplasmosis;
• candidiasis ( thrush);
• herpes;
• syphilis.

The detection of these infections is extremely important for the selection of the most effective antibiotic. A competent doctor will try to combine the treatment of two infections and prescribe a drug to which both microorganisms are sensitive. If you start treatment of chlamydia, regardless of other concomitant diseases, then the second pathogen may be insensitive to the selected antibiotic. Then the treatment chlamydial infection lead to severe exacerbation of another disease.

Selection of an effective drug.

The effectiveness of the drug should be evaluated primarily in relation to chlamydia. Sometimes it is not easy to choose an antibiotic even in the absence of concomitant sexual infections. Despite the fact that chlamydia is considered relatively sensitive to many antibiotics, it is sometimes possible to stumble upon resistant ones ( sustainable) strains of microorganisms. This is because a person with chronic chlamydia is often unaware of it for a long time. During this period, he may take antibiotics for other diseases. At the same time, chlamydia develop resistance to drugs that they have already encountered. It is especially difficult to choose an antibiotic for those patients who have already tried to treat chlamydia in the past, but did not finish the job. Their strains of chlamydia will be resistant to most of the standard drugs used to treat the disease. However, in cases where the patient denies taking antibiotics or incomplete courses of treatment in the recent past, doctors are guided by statistical data on the sensitivity of chlamydia to various antibiotics.

Most effective teams drugs for the treatment of chlamydia are:

• tetracyclines ( tetracycline, doxycycline);
• macrolides ( azithromycin, clarithromycin, roxithromycin, josamycin, etc.);
• fluoroquinolones ( ofloxacin, ciprofloxacin).

Most of these drugs are effective against other genitourinary infections.

If the course of antibiotics did not bring the desired result, it is advisable to conduct a special laboratory analysis - the preparation of an antibiogram. In this case, the pathogen will be isolated from the patient's body, from which a whole colony will be grown in the laboratory. After that, the sensitivity of this particular strain in relation to a number of drugs will be checked. This will ultimately allow us to determine the most effective antibiotic for a successful re-treatment.

Antibiotic regimen.

The regimen of antibiotics plays no less important role than the selection of an effective drug. The fact is that even if chlamydia is sensitive to the chosen medication, too low a dose can lead to treatment failure. The problem is the special ability of chlamydia to go into a protective L-form in adverse conditions. If the antibiotic does not kill the pathogen in 10-14 days, then the microorganisms become covered with a specific protective shell and stop responding to treatment. That is, in the course of antibiotic therapy, there will not be a cure for the disease, but remission ( subsidence acute symptoms ). Moreover, when chlamydia then flares up again, the strain will no longer be sensitive to the drug that failed to cure it.

Therefore, in the treatment of chronic chlamydia, the following rules are followed:

• Appointment of sufficiently high doses of the drug. This is necessary so that all chlamydia die before the formation of resistant L-forms.
• The course of antibiotic therapy is only during the period of exacerbations of the disease. During remission, chlamydia is much less sensitive to antibiotics, so taking them will not lead to the treatment of the infection, but only to the development of resistance of the bacterial strain.
• Change of drugs. For achievement best effect It is desirable to change drugs from course to course. This is explained by different groups Antibiotics have different mechanisms of action on bacteria. Thus, the combination and change of preparations exclude the phenomenon of resistance of strains.

It is also important to follow the medication schedule prescribed by the doctor during antibiotic treatment. Each drug has its own characteristics. It acts by entering the bloodstream and accumulating in it at a concentration effective to affect chlamydia. It is assumed that this concentration will be maintained for a sufficiently long time, which will lead to the unconditional death of the pathogen. Taking an antibiotic with a difference of even a few hours from the appointed time will lead to a decrease in the concentration of the drug in the blood, which can significantly affect the effectiveness of the entire course of treatment.

Search for atypical foci of the disease.

For the correct selection of the drug and the regimen of its administration, the doctor must clearly determine with what clinical form he is dealing with chlamydia. Otherwise, the most common urogenital chlamydia can be cured, while viable bacteria remain in atypical foci. Treatment of some forms of this disease requires a special approach. For example, with the development of chlamydial conjunctivitis ( inflammation of the mucous membrane of the eyes) the antibiotic will be prescribed not only inside, but also in the form of drops or special ointments. Thus, success can only be guaranteed if all foci of infection in the body are found.

Given the complexity of the treatment of chronic chlamydia, it is understandable why in medical practice there are often situations when the course of treatment does not lead to recovery, but only to a temporary remission. Most often, insufficiently detailed diagnostics or a frivolous attitude of patients to treatment are to blame for this. However, it is not excluded medical errors. Together, this leads to the fact that the treatment of chronic chlamydia requires an average of 3-4 courses of treatment during periods of exacerbations. That is, the total treatment time can stretch for several months.

Is it possible to cure chlamydia: cures for chlamydia

Despite the fact that chlamydia were found in the human body just over fifty years ago, in the world of scientists for a long time there could not be a consensus on where they came from. Can chlamydia be cured? Medicines for chlamydia are given below in the article. But first you need to know what this disease is.

Chlamydia: characteristics of the disease

And although four types of microorganisms that cause chlamydia are known today, only one of them has the maximum danger to humans: Chlamydia trachomatis is a sedentary intracellular bacteria that affects mainly the genitourinary system (approximately 60% of non-coccal urethritis usually occur in chlamydia). How does infection occur? Chlamydia can be classified as a sexually transmitted disease (STD), i.e. The main route of infection is sexual contact. But it should be noted that during sexual contact, infection is not carried out in 100% of situations. To compare: sexual intercourse with a person with gonorrhea ends in infection in 3 out of 4 cases, and chlamydia after intercourse with a peddler of chlamydia occurs in only 1 out of 4 cases. However, women are more susceptible to chlamydia than men.

Can chlamydia be cured?

Wondering if chlamydia can be cured? According to the advice of the WHO, the therapy of the disease should include: diet; taking antibiotics (a single use of azithromycin, or a weekly course of doxycycline); sexual abstinence.

Chlamydia treatment should be started after a high-quality diagnosis. Relying only on the symptoms (discharge, burning) during the treatment of chlamydia is not worth it. Quite often, the symptoms of the disease can be misleading, so a high-quality chlamydia test is necessary. You also need to use special drugs.

Getting rid of this STD is possible in the case of the right and timely approach. If the study was able to identify microorganisms in the blood, the treatment regimen for chlamydia is often based on the use of antibiotics that have a detrimental effect on bacteria. Based on features human body and stage of the disease, chlamydia therapy can take 1-3 weeks.

Can chlamydia be cured during pregnancy?

The treatment of chlamydia in women during pregnancy needs special attention. It should be safe for the health of the mother and fetus, and also the most effective, because with an advanced disease, during childbirth, the child may be infected with chlamydia.

Therapy and drugs in the treatment of chlamydia are chosen by the doctor, based on the degree of the disease and the characteristics of the patient's body. It is also necessary to take into account every subtlety in the case of prescribing certain medications.

Medicines for chlamydia

Medicines for chlamydia are prescribed mainly for antibacterial action, i.e. antibiotics. These medicines have a destructive effect on microorganisms, thus “cleansing” the body of bacteria.

In addition to pills, health care providers also prescribe chlamydia medications to help support the gastrointestinal tract. This is necessary in order to prevent dysbacteriosis, which can be caused by agents for the treatment of chlamydia.

Behind last years physiotherapy began to be used in the treatment of chlamydia: quantum therapy, electrophoresis, ultrasound, etc.

To cure chlamydia, various external preparations are prescribed, such as baths, enemas. Candles are also given. Women are prescribed vaginal suppositories.

In addition to a direct effect on bacteria in the treatment of chlamydia in men, as well as in women, it is important to be careful about strengthening immune system. Infection can undermine the body's defenses. With chlamydia, doctors prescribe a course of immunomodulators. Therapy of chlamydia with means gives a result when everything is done in accordance with the doctor's recommendations.

Is it possible to cure chlamydia completely and forever, are chlamydia curable?

How many patients, having seen a positive result for the presence of chlamydia, begin to rush about in fear and look for an answer to the questions: “Is it possible to completely cure chlamydia? Is chlamydia curable?

I want to immediately comfort the sick, virus-infected Chlamidia trachomatis, that there is no lethal outcome from this sexually transmitted disease. This is not such a terrible disease as syphilis, which affects the brain in severe cases. These microorganisms, represented by several serotypes, behave much more modestly in the body, but their activity becomes especially noticeable when immunity is weakened or the desire to become pregnant. This infection is hidden, which is why doctors often hear the question of a protracted illness, is it possible to cure chlamydia forever.

Doctors say with confidence that chlamydia is curable, but you can think about a speedy recovery only if you go to the clinic in a timely manner. Some patients hear only the first part of the answer, so they are in no hurry to begin treatment, and then endlessly wander from one specialist to another in the hope of finding out if chlamydia can be cured when the disease has already acquired a chronic form. And again, the answer will be in the affirmative, because even chronic chlamydia is cured completely, only more efforts will have to be made to get better.

Is this a life sentence?

There is an opinion that no matter how much you treat chlamydia, anyway, at the slightest failure in the body, the infection is again detected and the disease remains forever. Based on such statements, some patients refuse to treat the disease, believing that chlamydia is incurable. So why do some still have to draw such disappointing conclusions and go through the pitch hell of treatment for the Chlamidia trachomatis virus for a long time and completely to no avail?

Patients who develop chlamydial infection on early dates development of the disease, they can forget about the disease within 1-3 weeks. To do this, it is enough to take a course effective treatment from an experienced specialist who helps people with the answer to the question: is chlamydia completely cured? It is more difficult to cure someone who falls into the hands of such a specialist who illiterately draws up a course of therapy. Then, instead of the supposed improvement, the transition of the disease to a chronic form is observed.

With prolonged treatment, complete exhaustion immune-compensatory reserves of an organism weakened by antibiotics. In such cases, it is possible to cure chlamydia only by adding immunomodulatory drugs to the main complex of drugs to fight viruses.

You should not set yourself up in advance for a sad outcome of treatment and think that chlamydia is incurable. It all depends on the desire to become healthy. Even a bad doctor who failed to overcome the disease the first time can be replaced.

How to defeat the disease forever?

What kind of malicious words are not thrown by patients against such tiny microorganisms as Chlamidia trachomatis. Infection, filth, abomination, rubbish... This list can be even more extensive, because the number of infected patients is added every day, and the complications from the infection become more and more. Despite the huge amount of information about the disease, only after discovering an infection, everyone tries with the hope to find out whether chlamydia is completely cured or this scourge will be mentioned in every test result all his life, trailing behind like a tail.

There are cases when microorganisms are very resistant to the most powerful drugs used in the treatment. But even in this case, there is no doubt whether chlamydia is cured forever, because by choosing a comprehensive treatment regimen, it will be possible to get rid of the infection in several courses.

Remember, chlamydia can only be completely cured if all sexual partners who have been in contact with an infected patient are also treated. To permanently get rid of chlamydia, both spouses need to undergo treatment at the same time, but at the same time, each must receive their own prescription from a doctor in order to purchase medicines individually for themselves. In no case should treatment be carried out without diagnosis. Sometimes these bacteria coexist with other intractable sexually transmitted diseases.

A one-time contact may not always end in a disease that everyone is so afraid of. But in order to exclude the disease in the future, it is necessary to use a condom or other barrier methods of contraception during intimate contacts with people who cause distrust, although it is best to have a permanent sexual partner, then you will not have to wake up in a dream with fear, thinking whether it is possible to cure chlamydia ?

Is it possible to cure chlamydia permanently and completely

Faced with the diagnosis of "chlamydia" and having received information about this disease, almost every person thinks about whether it is possible to completely get rid of chlamydia, and how long it will take. An unambiguous answer cannot be given, since the earlier the disease is detected, the easier and faster it will be possible to cope with it, and the less negative consequences for the body will be.

Is there a cure for chlamydia?

If the disease was detected in the early stages, then the patient will need to spend about three weeks on treatment and then forget about this trouble. The main thing is to find an experienced doctor to receive competent therapy.

Another thing is when the deadlines are missed and the disease has passed into the chronic stage. This happens because at the end of the acute period, the symptoms of chlamydia disappear or appear to such a small extent that they do not bother the person. The latter believes that everything was successfully resolved by itself. However, as soon as the next decrease in immunity occurs, the disease will again manifest itself.

Another reason for the development chronic stage- not fully completed course of therapy. And in this case, the treatment will be even more difficult, as the bacterial strains are now stably resistant to the drugs that were already taken during the first attempt to eliminate the disease.

To cope with the problem, the patient will have to be patient, because the treatment will be long (sometimes dragged on for several years), but the result is worth it.

Symptoms of chlamydia

To determine the presence of the disease as early as possible, it is necessary to be able to recognize the signs of chlamydia, which are general order and separate for men and women.

General symptoms

• Subfebrile temperature (during the acute course of the disease), its rise to 39-40 degrees is also possible.
• Fever and chills.
• Enlarged lymph nodes.
• Loss of appetite.
• General weakness due to intoxication of the body.

Chlamydial infection can cause acute respiratory infections, bronchitis, conjunctivitis, laryngotracheitis, pneumonia, pyelonephritis, arthritis, pharyngitis, proctitis, lymphadenitis, damage to the nervous and cardiovascular systems, etc.

Manifestation in men

• Mucous, watery or glassy discharge from the urethra, which increases greatly in the morning.
• Bloody discharge during ejaculation and at the end of urination;
• discomfort in the groin and lower back.
• Swelling and redness of the opening of the urethra.
• Frequent urge to urinate, which is especially annoying at night, reduces the quality of sleep.
• Pain in the scrotum, reddening of the skin of the latter, enlargement and hardening of the testicles, squeezing of the arteries, followed by necrosis.

Chronic chlamydia leads to prostatitis, weakening of erection and sexual satisfaction.

Signs in women

• Swelling of the labia.
• Itching and burning of the vagina.
• Discharge from the urethra and vagina yellow color with inclusions of mucus and pus, with an unpleasant fishy smell.
• Pain in the lower abdomen, aggravated before the monthly cycle.
• Bleeding between periods.
• An increased need to urinate, even if the bladder is underfilled.
• Damage to the cervix - enlargement and inflammation of the organ, bloody issues, the possibility of erosion.

Chlamydia causes infertility in women, the appearance of ectopic pregnancy, miscarriage, fetal pathology, early delivery.

Can chronic chlamydia be cured permanently?

If you follow the established scheme exactly, then, in the end, it will be possible to cope with the disease. For the treatment of chlamydial infection, basic and auxiliary means are used.

Antibiotics

Antibacterial drugs are the basis of treatment:

• tetracycline series - Doxycycline or Tetracycline;
• macrolides - Azithromycin, Erythromycin, Clarithromycin, etc .;
• fluoroquinolones - Ciprofloxacin or Ofloxacin.

In order to determine with maximum accuracy which drug most effectively affects the bacterium, an antibiogram is compiled. To do this, one pathogen is selected, on which many specimens are grown, and various preparations are tested on them.

When prescribing an antibiotic, it is important to choose the right dosage, since with an insufficient dose, the effectiveness of treatment will be low, and chlamydia itself will quickly acquire resistance to it. If after two weeks of therapy a positive result is not obtained, then the drug should be changed.

Rules for the treatment of chlamydia with antibiotics:

• appointed higher doses means to destroy the infection before it acquires protection from this drug;
• therapy is carried out only during the acute phase, since with less sensitivity, the bacterium quickly develops resistance;
• during long-term treatment, each new course carried out with an antibiotic of another series, since each type has a separate effect;
• the schedule of admission must be strictly observed by the patient, since it is especially important to maintain the desired concentration of the drug in the blood.

When making a diagnosis and developing a treatment regimen, a specialist searches for atypical foci of the disease, which will help to correctly determine the form of chlamydia. If this is not done, then curing one disease, you can get a rapid spread of chlamydia from an additional focus throughout the body.

Immunotherapy

The main complication of chlamydia is a decrease in immunity. Specialized preparations based on interferon, as well as vitamin complexes, will help activate the robot of the system. A good immunomodulating effect is denied by Imunofan, Polyoxidonium, Immunal, Immunomax, Echinacea, etc.

Hepatoprotectors

Large doses of antibiotics often have a negative effect on the liver, which the hepatoprotectors Essentiale Forte, Karsil, Legalon are designed to protect.

Probiotics

Antibacterial agents can destroy not only harmful microflora, but also beneficial ones, thereby causing dysbacteriosis, which can lead to a serious deterioration in the patient's health. To restore the microflora of the intestines and vagina will help such means as Bifidumbacterin, Linex, Bifiform - for oral use, as well as Trichopolum or Metronidazole - for local therapy.

To completely cure chlamydia, the patient must follow the following rules:

• avoid sexual intercourse (even protected) during treatment;
• undergo therapy with your partner so as not to be re-infected in the future;
• follow a diet - exclude dairy products, spicy and spicy dishes, alcoholic beverages from the diet, give preference to dietary foods rich in vitamins and trace elements;
• follow the rules of personal hygiene.

At the end of each course of treatment, the patient is tested. If chlamydia was not detected, then after three weeks the examination is repeated. Negative results obtained within two months will allow us to state that the therapy was effective, and the patient completely got rid of chlamydia.

Treatment of chlamydia in women: features of therapy and the most popular drugs

Urogenital chlamydia is an infection with protozoa of the species Chlamydia trachomatis.

The causative agent can stay in the body for a long time without causing pronounced or specific signs of acute or chronic infection.

Since chlamydia can provoke inflammatory processes in the small pelvis and worsen reproductive health in the future, all women who do not have a permanent sexual partner, and who are planning pregnancy in the near future, should be routinely examined.

Which doctor treats chlamydial infection?

Persistence of chlamydia female body not always accompanied by a vivid clinical picture, however Infection can be suspected if the following symptoms are present:

• pulling, It's a dull pain lower abdomen;
• non-physiological transparent discharge, regardless of the day of the cycle;
• painful intercourse;
• violation of the process of urination.

If an obstetric history is complicated (miscarriage, non-developing pregnancy or infertility) or an inflammatory process of the genitourinary system (adnexitis, cervicitis, endometritis, urethritis) is recorded, it is also imperative to consult a specialist.

If a chlamydial infection is suspected, a woman should consult a gynecologist for the appointment of a specific diagnostic method.

A standard smear for purity is not capable of confirming or refuting the presence of this pathogen with sufficient efficiency.

The combination of PCR methods and bacteriological culture with the determination of sensitivity to antibiotics is considered optimal.

When an infection is confirmed the gynecologist prescribes the appropriate treatment in the form of antibiotic therapy suitable for this patient.

How to quickly cure - an effective scheme for getting rid of chlamydia trachomatis

To eliminate chlamydia, a course of a suitable antibiotic is prescribed to both sexual partners, where important condition acts protected sexual intercourse for a period until complete recovery.

In parallel, to suppress concomitant anaerobic infection taking an antimicrobial, most often based on metronidazole or other nitroimidazoles with confirmed resistance to the first substance.

For the treatment of chlamydia, macrolide and tetracycline antibiotics are used, since they have the maximum ability to infect intracellular microorganisms and any form of protozoa - both in their active state and in the latent phase.

Decisive in choosing an antibiotic are not so much its properties, but the individual sensitivity of the chlamydia of a particular patient to the active substance.

How to treat chlamydia trachomatis in women and what drugs are used to treat chlamydia? Watch the video on this topic:

Overview of commonly prescribed remedies from all used groups

Among tetracyclines, doxycycline is considered the gold standard.- basic active substance modern drug Unidox Solutab. Doxycycline - antibiotic a wide range highly effective in a wide variety of infectious lesions.

It is used in a course of 10-14 days, 100 mg 2 times a day, based on the severity of the disease, the presence of concomitant infection and the condition of the patient's liver and kidneys.

Azithromycin is the most commonly used macrolide.- a unique antibiotic with a minimum number of side effects.

The ease of use lies in the fact that azithromycin in chlamydia can be taken once at a dosage of 1 gram and get rid of the pathogen with the same efficiency if this medicine applied to the course.

The nuance is that a dose of 1 gram is not always well tolerated by patients, which requires fractional use.

A relatively new, but no less effective macrolide is josamycin.- the active substance of the drug Vilprafen.

Suitable for those who have resistance to doxycycline and azithromycin.

It is applied twice a day, 500 mg for one week. Safe for pregnant women, does not have a damaging effect on spermatozoa.

Due to less effectiveness, but as an emergency measure, when treatment with the above drugs has not been successful, the following antibiotics may be used:

• spiramycin or erythromycin from the group of macrolides according to the standard scheme: 250-800 mg 4 times a day for one to two weeks. Considered less effective among macrolides for the treatment of chlamydia;
• ofloxacin, ciprofloxacin, levofloxacin from the group of fluoroquinolones: 300-500 mg 1-2 times a day for 7 days. Not used in pregnant women, can be combined with antibiotics from other groups according to indications;
• amoxicillin from the penicillin group: 500 mg 3-4 times a day for 7 days. Penicillins are poorly effective for the treatment of urogenital lesions, in particular due to the development of resistance in microorganisms to the active substance.

IN outpatient settings treatment of chlamydia in women is preferably with antibiotics in the form of tablets and capsules.

Watch a video about drugs that are prescribed for the treatment of chlamydia:

Is there a cure for Chlamydia Trachomatis and how long will it take?

Is there a cure for chlamydia in women? Chlamydia is an absolutely curable disease in both women and men.. Since macrolide antibiotics have appeared on the pharmaceutical market, chlamydial infection can be quickly cured, no matter what stage of activity it is at.

And after a month from the day of the last medication, a control study can be carried out, which will confirm the absence of pathogen DNA in the genital tract.

An important point is the exclusion of enzyme immunoassay for antibodies to chlamydia as a measure to determine the effectiveness of antibiotic therapy.

Antibodies produced by the body against chlamydia, even after treatment, can long time persist in the body, which does not indicate the failure of the treatment.

Stable immunity to chlamydia is not developed - re-infection is possible. Early diagnosis after treatment by PCR can also be false positive, since this method captures not only the DNA of living microorganisms, but also dead ones.

You should focus only on bacteriological culture - if it did not reveal chlamydia, then this pathogen is not in the body.

What to do if it doesn't help?

If the antibiotic was chosen correctly, the regimen was correct and observed, sexual intercourse was either excluded or protected, then the treatment should definitely be effective. If the pathogen is detected some time after treatment, it is necessary to conduct a repeated antibiogram to select an alternative antibacterial drug.

If laboratory criteria indicate the absence of chlamydia after the treatment, but the symptoms of infection remain, it is recommended to conduct an additional examination for the presence of other infectious agents in the body.

However modern medicine allows you to get rid of the infectious agent as soon as possible when determining the sensitivity of the microorganism to existing antibacterial drugs.

Many patients begin to doubt whether a complete cure of this disease can be achieved at all. It should be noted that such a cure is possible, but there are still prerequisites for such misconceptions. The fact is that chlamydial infection, getting into the body, often does not manifest itself. A person may not even have a reason to go for a preventive examination to a doctor. At the same time, chlamydia actively multiply and can even spread throughout the body, leading to various complications.

Successful treatment of chronic chlamydia can be achieved with a course of antibiotic therapy. In this case, the treatment will have a number of features that need to be paid attention to both the doctor and the patient.

The main principles of treatment of chronic chlamydia are:
1. detection of co-infections;
2. selection of an effective drug;
3. antibiotic regimen;
4. search for atypical foci of the disease.

Detection of associated infections.

To achieve the maximum effect from the course of treatment, it is recommended to conduct the necessary tests to detect secondary infections before starting antibiotic therapy. The fact is that chronic chlamydia greatly weakens local immunity, and the mucous membrane of the urethra becomes especially susceptible to various microorganisms. In almost 70% of patients with chronic chlamydia, secondary infections can be found.

Most often, the course of chlamydia is accompanied by the development of the following genitourinary infections:

The detection of these infections is extremely important for the selection of the most effective antibiotic. A competent doctor will try to combine the treatment of two infections and prescribe a drug to which both microorganisms are sensitive. If you start treatment of chlamydia, regardless of other concomitant diseases, then the second pathogen may be insensitive to the selected antibiotic. Then the treatment of chlamydial infection will lead to a severe exacerbation of another disease.

Selection of an effective drug.

The effectiveness of the drug should be evaluated primarily in relation to chlamydia. Sometimes it is not easy to choose an antibiotic even in the absence of concomitant sexual infections. Despite the fact that chlamydia is considered relatively sensitive to many antibiotics, it is sometimes possible to stumble upon resistant ones ( sustainable) strains of microorganisms. This is because a person with chronic chlamydia is often unaware of it for a long time. During this period, he may take antibiotics for other diseases. At the same time, chlamydia develop resistance to drugs that they have already encountered. It is especially difficult to choose an antibiotic for those patients who have already tried to treat chlamydia in the past, but did not finish the job. Their strains of chlamydia will be resistant to most of the standard drugs used to treat the disease. However, in cases where the patient denies taking antibiotics or incomplete courses of treatment in the recent past, doctors are guided by statistical data on the sensitivity of chlamydia to various antibiotics.

The most effective groups of drugs in the treatment of chlamydia are:

• tetracyclines ( tetracycline, doxycycline);
• macrolides ( azithromycin, clarithromycin, roxithromycin, josamycin, etc.);
• fluoroquinolones ( ofloxacin, ciprofloxacin).

Most of these drugs are effective against other genitourinary infections.

If the course of antibiotics did not bring the desired result, it is advisable to conduct a special laboratory analysis - the preparation of an antibiogram. In this case, the pathogen will be isolated from the patient's body, from which a whole colony will be grown in the laboratory. After that, the sensitivity of this particular strain in relation to a number of drugs will be checked. This will ultimately allow the most effective antibiotic to be determined so that a second course of treatment is successful.

Antibiotic regimen.

The regimen of antibiotics plays no less important role than the selection of an effective drug. The fact is that even if chlamydia is sensitive to the chosen medication, too low a dose can lead to treatment failure. The problem is the special ability of chlamydia to go into a protective L-form in adverse conditions. If the antibiotic does not kill the pathogen in 10-14 days, then the microorganisms become covered with a specific protective shell and stop responding to treatment. That is, in the course of antibiotic therapy, there will not be a cure for the disease, but remission ( subsidence of acute symptoms). Moreover, when chlamydia then flares up again, the strain will no longer be sensitive to the drug that failed to cure it.

Therefore, in the treatment of chronic chlamydia, the following rules are followed:

• Appointment of sufficiently high doses of the drug. This is necessary so that all chlamydia die before the formation of resistant L-forms.
• The course of antibiotic therapy is only during the period of exacerbations of the disease. During remission, chlamydia is much less sensitive to antibiotics, so taking them will not lead to the treatment of the infection, but only to the development of resistance of the bacterial strain.
• Change of drugs. To achieve the best effect, it is desirable to change the drugs from course to course. This is due to the fact that different groups of antibiotics have a different mechanism of action on bacteria. Thus, the combination and change of preparations exclude the phenomenon of resistance of strains.

It is also important to follow the medication schedule prescribed by the doctor during antibiotic treatment. Each drug has its own characteristics. It acts by entering the bloodstream and accumulating in it at a concentration effective to affect chlamydia. It is assumed that this concentration will be maintained for a sufficiently long time, which will lead to the unconditional death of the pathogen. Taking an antibiotic with a difference of even a few hours from the appointed time will lead to a decrease in the concentration of the drug in the blood, which can significantly affect the effectiveness of the entire course of treatment.

Search for atypical foci of the disease.

For the correct selection of the drug and the mode of its administration, the doctor must clearly determine which clinical form of chlamydia he is dealing with. Otherwise, the most common urogenital chlamydia can be cured, while viable bacteria remain in atypical foci. Treatment of some forms of this disease requires a special approach. For example, with the development of chlamydial conjunctivitis ( inflammation of the mucous membrane of the eyes) the antibiotic will be prescribed not only inside, but also in the form of drops or special ointments. Thus, success can only be guaranteed if all foci of infection in the body are found.

Given the complexity of the treatment of chronic chlamydia, it is understandable why in medical practice there are often situations when the course of treatment does not lead to recovery, but only to a temporary remission. Most often, insufficiently detailed diagnostics or a frivolous attitude of patients to treatment are to blame for this. However, medical errors are not excluded. Together, this leads to the fact that the treatment of chronic chlamydia requires an average of 3-4 courses of treatment during periods of exacerbations. That is, the total treatment time can stretch for several months.