Cream for men against trichomoniasis. Effective treatment of trichomoniasis in men

The causative agent of trichomoniasis is the simplest unicellular microorganisms - Trichomonas, which live in oxygen-free conditions and go through their entire life cycle in the human body.

The organs that are primarily affected in men are the testicles and their epididymis, the urethra, the prostate gland and the seminal vesicles.

Trichomonas

The incubation period of the disease ranges from several days to several months, and it itself can occur in several forms:

• acute;
• subacute;
• chronic;
• carrier form.

The disease, as a rule, begins with unpleasant sensations that arise during the urination process, in the form of cutting, burning and soreness (at this stage it is difficult to distinguish it from gonorrhea).

In addition, the urge to urinate becomes more frequent, and in the vast majority of cases they are false.

Green or yellow discharge from the urethra is also observed.

The chronic course of the disease is characterized by mild symptoms or their complete absence. And, naturally, treatment of chronic trichomoniasis takes much more time.

Drug treatment

Speaking about drug therapy for trichomoniasis at home, first of all it is worth noting that the treatment is quite complex (one injection will not fix the problem), aggressive and is prescribed exclusively by a doctor - self-medication in this case is unacceptable.

In the vast majority of cases, medications for trichomoniasis for men include:

• drugs based on metronidazole (Trichopol, Flagyl, Metrogyl);
• products based on ornidazole (Orgil, Meratin);
• drugs based on tinidazole (Fazizhin, Ametin, Tridazole);
• medications based on nitazole (Aminitrozol), furazolidone, osarol (Acetarsol);
• complex action antibiotics (Makmiror, Klion-D, Ginalgin);
• agents that ensure the production of antibodies, enhance the effects of specific drugs and allow the acquisition of temporary immunity;
• drugs that enhance immunity and prevent exacerbation in the presence of a chronic form of the disease (Kagocel, infusions of lemongrass, ginseng and leuzea);
• products intended for sanitation of the urethra (silver citrate solution, ethacridine lactate, mercury oxycyanide);
• creams Rosamet, Rozeks (possibly treatment with ointments);
• macrolide drugs (Clarithromycin);
• antispasmodics and painkillers;
• preparations containing bifidobacteria;
• hepatoprotective agents.

Let's look at some of the listed medications in more detail.

Trichopolum is an effective remedy based on metronidazole, which has a pronounced effect against protozoan microorganisms, anaerobic and aerobic bacteria.

After consuming the drug, it is quickly absorbed in the digestive tract, and after one and a half to three hours it reaches its maximum.

Attention! Taking Trichopolum together with any food can complicate the process of its absorption and, accordingly, the time required to achieve maximum concentration in plasma.

The drug easily penetrates the blood-brain barrier and enters bile, physiological fluids, liver tissue, brain, and saliva.

The drug is processed in the liver, and its half-life is 6-8 hours. The active substances are excreted by the kidneys, which is why the urine may darken.

Side effects from treatment with Trichopolum include:

• dyspeptic symptoms;
• dryness and metallic taste in the mouth;
• stomatitis;
• drug-induced pancreatitis;
• cerebellar syndrome;
• liver dysfunction;
• myopia;
• anemia;
• neuropathy;
• ataxia;
• headache;
• diplopia;
• dizziness;
• agranulocytosis;
• thrombocytopenia;
• allergic reactions of varying severity.

• personal intolerance to its active and auxiliary substances;
• children under 6 years of age.

Treatment of trichomoniasis in men with the drug and its regimen is prescribed by a doctor.

Orgil is a drug based on ornidazole, widely used for trichomoniasis in men and has a powerful effect against protozoan microorganisms, as well as some bacteria that live in airless space. The drug effectively fights Trichomonas, however, the following side effects may develop while taking it:

• nausea to the point of vomiting;
• destructive changes in the liver;
• taste disturbances;
• headache;
• insomnia;
• fatigue;
• dizziness;
• tremor;
• sensory or mixed peripheral neuropathy;
• seizure activity;
• violation of movement coordination;
• loss of consciousness;
• allergy.

• increased intolerance to the components of the drug;
• epilepsy;
• organic lesions of the central nervous system.

The treatment regimen for trichomoniasis with the drug is prescribed by a doctor.

Fazizhin

Fazizhin is a tinidazole-based drug that effectively fights protozoan microorganisms and bacteria that live in airless spaces and is widely used to treat trichomoniasis. The drug is characterized by rapid absorption, is able to bind to proteins and is excreted by the liver and kidneys.

Side effects caused by taking the drug include:

• convulsions;
• dizziness;
• nausea;
• peripheral polyneuropathy;
• ataxia;
• nausea to the point of vomiting;
• abdominal pain and stool disorders;
• taste of metal in the mouth;
• headache;
• allergic manifestations.

Contraindications to the use of the product are:

• neurological manifestations that developed while taking the drug;
• alcohol consumption.

A drug overdose can be caused by incorrect dosage, and symptoms may include:

• nausea and vomiting;
• dizziness;
• severe headache;
• skin rashes;
• fever and chills.

If these symptoms are detected, the stomach should be rinsed and treatment should be stopped for a while.

Aminitrozole

Aminitrozole is a drug that has a destructive effect on protozoa, as well as some pathogenic bacteria. Widely used in the treatment of trichomoniasis, however, it can lead to the development of the following side effects:

• nausea;
• headache;
• general malaise;
• dysuria;
• allergic manifestations.

A contraindication to the use of the product is individual intolerance to its active and auxiliary substances.

• loss of appetite;
• nausea up to vomiting;
• neuritis and polyneuritis;
• allergic reactions.

Contraindications to the use of the drug are:

• individual intolerance to its active and auxiliary substances;
• chronic renal failure that has progressed to the terminal stage.

In addition, there are relative contraindications for use. Thus, the drug should be used with caution in persons with:

• chronic renal failure;
• deficiency of the enzyme glucose-6-phosphate dehydrogenase;
• liver diseases;
• diseases of the nervous system.

An overdose of the drug can lead to the development of toxic hepatitis and polyneuritis. In such cases, the drug is discontinued, and the patient is prescribed plenty of fluids along with symptomatic therapy, which includes antiallergic drugs, B vitamins, and enterosorbents.

Macmiror is one of the most effective antibacterial and disinfectants that effectively fights, among other things, Trichomonas. The active ingredient of the drug is nifuratel, and it itself is produced in tablet form.

Side effects from using the drug may include:

• digestive disorders;
• nausea and vomiting;
• a feeling of bitterness in the mouth;
• allergic manifestations;
• peripheral neuropathies.

Contraindications to the use of the drug are:

• individual intolerance to its active and auxiliary substances;
• serious renal pathologies;
• neuropathy;
• lack of glucose-6-phosphate dehydrogenase.

Kagocel

Kagocel is a drug that has antiviral, antibacterial and immunomodulatory effects. The drug stimulates the production of interferon, which is responsible for nonspecific immunity, and also accelerates the production of alpha, beta and gamma interferons, which inhibit the production of RNA and proteins of pathogenic microorganisms.

The therapeutic effect of the drug is observed 4 hours after administration, and an increased level of interferons is observed for several days.

Despite the fact that the drug does not have a toxic effect on the male body, the following side effects may develop while taking it:

• allergic manifestations of varying severity;
• headache
• pain in the abdomen;
• dizziness.

Contraindications to the use of the drug are:

• individual intolerance to its active and auxiliary substances;
• lactase deficiency or hypersensitivity to it;
• glucose-galactose malabsorption.

Rozamet

A contraindication to the use of the drug is individual intolerance to its components, and side effects include various allergic reactions.

The described drugs allow you to avoid chronicity of trichomoniasis and cure it in a short time, however, a doctor must treat trichomoniasis in men, and both partners must be treated.

Is it possible not to be treated?

An inappropriate attitude towards one’s own health and ignoring the symptoms of the disease can lead to chronicity of the process and threaten a man with the following complications:

• inflammation of the seminal vesicles and tubercle;
• prostatitis, accompanied by inflammatory processes in the excretory ducts of the prostate gland;
• inflammatory processes in the bladder and kidneys;
• inability to conceive a child.

Moreover, according to some scientists, unlike gonorrhea and other sexually transmitted diseases, trichomoniasis is one of the factors that provokes the development of prostate cancer, and the risk of this pathology in this case increases by 40%.

That is why treatment of trichomoniasis in men with drugs prescribed by a doctor is mandatory.

Preventive measures

Prevention of the disease in men includes:

• using condoms for all forms of sexual contact;
• the use of local antiseptics for treating the genitals if the condom is suspected of being damaged during coitus (for this purpose, for example, Miramistin can be used);
• regular preventive examinations and contacting a doctor for any signs of illness;
• avoidance of casual sex. and find out how experts recommend treating...

Treatment of trichomoniasis follows a general scheme for both sexes. The main principle and goal of treatment is to completely rid the body of the pathogen.

Website editor-in-chief: Pharmacist

Drugs for the effective treatment of trichomoniasis should be selected by a medical specialist in venereology.

Treatment is carried out according to generally accepted national and international schemes. In addition to the main etiological therapy, it is rational to simultaneously prescribe symptomatic and pathogenetic therapy. These treatment methods include:

• painkillers and antipruritics;
• physiotherapy;
• paraffin therapy;
• mud bath therapy;
• vitamin therapy;
• immunomodulatory therapy;
• auxiliary herbal medicine.

The modern approach to treatment is complex. This approach is the most effective, as it eliminates chronicity, reinfection and further spread of the pathogen.

Pharmacological agents for the treatment of trichomoniasis

Optimal therapy for urogenital infections is based on the principle of using a minimum therapeutic dose of drugs to achieve maximum effect in the shortest possible time.

Treatment is carried out on an outpatient basis. A combination of drugs is often used to eliminate pathogen resistance.

The basis of therapy is antibacterial drugs. Metronidazole has proven effectiveness in the treatment of trichomoniasis.

Alternative effective drugs for trichomoniasis:

1. Klion D is a strong combination drug for local and systemic use with metronidazole and an antifungal agent.
2. Tinidazole has a pronounced antibacterial effect, but has a whole list of side effects and limitations.
3. Solcotrichovac is used in cases of persistent infection or when the pathogen is resistant to treatment. The drug is a vaccine that stimulates nonspecific immunity and stimulates the production of antibodies to fight the microorganism.
4. It is possible to use Macmiror in case of resistance to first-line drugs.
5. Clindamycin is a second-line drug and is used in case of failure of Metronidazole therapy.

To increase the effectiveness of treatment, drugs for topical use are prescribed. Local forms are available in gynecological practice in the form of vaginal tablets, suppositories, pellets, creams and gels.

Trichomonas is sensitive to the following local drugs:

• Metronidazole in forms for topical use;
• Ginalgin vaginal tablets with a combination of Metronidazole and an antiseptic auxiliary;
• suppositories with Ornidazole;
• the above-mentioned combination candles Klion “D”;
• suppositories with Tenonitrozole;
• silver nitrate in the form of a half percent solution;

In addition, the microorganism is sensitive to a one percent solution of Collargol.

Instructions for the use of medications

Treatment is based on the use of medications with a pronounced anti-Trichomonas effect.

Therapy is aimed at eradicating the pathogen and sanitizing foci of infection.

Any medicine for trichomoniasis has a pronounced toxic effect.

In this regard, antioxidant and supportive pathogenetic therapy should be carried out.

The treatment approach combines the following principles:

1. Tablets for trichomoniasis are eliminated from the body by the liver. Because of this, hepatocytes may be damaged during treatment. To avoid damage to liver cells, hepatoprotectors are prescribed.
2. Along with the main treatment, it is necessary to take medications that stimulate the immune system.
3. With concomitant candidiasis, antifungal treatment is prescribed.
4. When combined with chlamydia, simultaneous treatment of both infections is carried out.
5. It is important to carry out a set of therapeutic measures for both sexual partners in order to avoid further spread, reinfection and prolongation of the disease.

Moreover, to achieve the maximum effect from therapy, the patient is required to carry out a daily set of individual hygiene measures at home:

• washing with specialized antiseptic solutions;
• use of individual personal hygiene products;
• regular and complete emptying of the bladder;
• hair depilation;
• daily hygienic shower.

Features of drugs for the treatment of trichomoniasis

Medicines for trichomoniasis are used according to protocols to achieve maximum effectiveness in the shortest possible time.

It is especially important to prevent negative side effects from treatment.

The main antibiotic used to treat trichomoniasis belongs to the group of imidazoles.

The following adverse reactions are typical for this group of drugs:

1. from the digestive tract: diarrhea, lack of appetite, nausea, nausea with vomiting, intestinal colic, constipation, possible presence of a “metallic” taste in the mouth, dry mouth, inflammation of the tongue, stomatitis, inflammation of the pancreas;
2. from the central nervous system, periodic dizziness, impaired coordination, ataxia, impaired consciousness, apathy, nervousness, aggression, depressive disorders, increased excitability of the central nervous system, constant fatigue, sleep disturbance, headaches, convulsive attacks, hallucinatory phenomena, peripheral polyneuropathy are possible;
3. in case of individual intolerance, allergic reactions and idiosyncratic phenomena may occur: urticaria, skin rash, redness of the skin, feeling of nasal congestion, increased body temperature, joint pain;
4. from the urogenital tract: impaired and painful urination, inflammation of the bladder, increased amount of daily urine, urinary incontinence, addition of a fungal candidal infection against a background of weakened immunity, changes in the color of urine;
5. local reactions include thrombophlebitis;
6. Rare reactions include neutropenia, leukopenia, changes in electrocardiography parameters.

Before starting therapy, it is important to carry out the entire range of diagnostic procedures to confirm the diagnosis. Symptoms of the disease can vary, and therefore only the patient’s subjective complaints are not enough to make a diagnosis.

Men who are sick often end up in the hands of doctors quite late. The fact is that in representatives of the stronger half of humanity this disease practically does not manifest itself in any way. Delayed diagnosis leads to delayed treatment. This often leads to the development of serious complications, such as infertility. If you do not neglect therapy, then unpleasant consequences can be easily avoided.

Since in men the disease often passes without obvious symptoms, therapy should begin immediately after the first signs appear. If this is not done, then trichomoniasis can become chronic and also become atypical with dangerous complications.

There are also a number of rules, the observance of which will maximally protect the body from complications and increase the effectiveness of treatment:

• Treatment should be carried out not only to the patient, but also to his regular sexual partner. Otherwise, relapse cannot be avoided.
• Therapy should be carried out for no more than 12 days. If during this time the desired result has not been achieved, then the decision to continue the course is made by the doctor.
• Trichomoniasis in men should be treated regardless of the severity of symptoms.
• During the course of treatment, sexual intercourse is permissible, but it must be protected.

If during treatment you experience side effects from the drugs, for example, nausea, heaviness in the abdomen or frequent dizziness, you should immediately consult a doctor for advice.

Treatment regimen

Unilateral therapy for trichomoniasis is unacceptable. If you get rid of the causative agent of the disease, but do not strengthen the immune system and do not restore the functionality of the genitourinary system, then the risk of relapse increases significantly. Thus, treatment of the disease includes:

• complete destruction of the infection;
• restoration of prostate functionality;
• restoration of affected tissues of the genitourinary system;
• strengthening the immune system;
• complete relief of symptoms.

Treatment of complications cannot be considered a mandatory element of therapy. They must be treated by “their” specialist according to a separate regimen and with the help of special medications.

Dosages of drugs and the order of their administration cannot be chosen independently. Treatment of trichomoniasis is individual; the specific regimen and set of medications is determined by the attending physician for each patient separately. This depends on the characteristics of his body and the capabilities of the immune system.

Drugs for treatment

After examining the patient, the specialist prescribes one of the drugs that destroy the infection:

• "Ornidazole". Available in tablet form. You should take one per day for six days. The medicine costs no more than 200 rubles.
• "Nimorazole". The action of the drug is based on the destruction of the DNA structure of the microorganism. During the course of therapy with this drug, you should not drink alcohol; this can cause side effects such as vomiting, dizziness and intestinal disorders. Cost - from 230 to 350 rubles.

However, Metronidazole is recognized as the most effective drug. It has been used for more than 50 years, and if the disease has not become chronic and has not caused complications, a single dose is sufficient. The dosage is small - only 2 grams. The reason for this effectiveness - high concentration of active substances. There are side effects, the most unpleasant of which are vomiting and severe nausea. The price of the drug does not exceed 60 rubles.

In addition to agents that destroy infection, medications should be used that restore the body’s strength and also restore the functionality of certain systems and organs:

• Hepatoprotectors. Antimicrobial agents, although safe, almost always cause liver problems. To alleviate her condition, you should take Silybin and Artichoke.
• Immunomodulators. Treatment of trichomoniasis attacks the immune system. This is fraught with the development of additional diseases, including sometimes even HIV. The problem can be easily resolved by taking Introbion or Lavomax.

Do not forget that the active substances of such drugs often cause dysbiosis, which leads to intestinal disorders. Helps in eliminating this consequence of “Linex” and “Hilak”.

If, along with the treatment of trichomoniasis, the patient is struggling with another disease, then this should be reported to the doctor. The fact is that some of the drugs discussed above do not combine well with medications from other groups.

Additional Treatments

Local therapy for trichomoniasis is actively used to enhance the effect of basic medications. This is especially true in cases where the patient has contraindications to Metronidazole. Among them are active diseases of the central nervous system. There is, however, one thing - the use of such drugs is somewhat unpleasant for men from a physiological point of view. They should be inserted into the urethra.

The most effective local remedies for the treatment of trichomoniasis are:

• mercuric oxycyanide;
• silver nitrate;
• ethacridine lactate.

At the same time, it is necessary to use Osarsol with glucose and boric acid in similar ways. The course of additional therapy should not exceed 11 days, provided that it is used daily.

These remedies can also be used strictly as prescribed by a doctor. The consequences of unauthorized use of drugs are fraught with complications and side effects.

Prevention

The main way to prevent trichomoniasis - abstaining from casual sex with untested partners. If, due to circumstances, such contact is inevitable, then it is imperative to use condoms. But what to do if unprotected casual sex occurs:

• The penis should be washed thoroughly with antibacterial soap under running water.
• You must immediately undergo examination at the clinic.
• If a disappointing diagnosis is made, treatment should be started immediately.

Do not forget that in rare cases, trichomoniasis can be transmitted through household means, for example, by using someone else's towel or bed linen. A good remedy against illness - observing basic rules of personal hygiene.

Trichomoniasis is relatively rare in men, but if infection has occurred, it is quite difficult to identify the disease - There are practically no symptoms. It is much easier to prevent the development of pathology than to treat it. It is enough to follow basic precautions, and a dangerous disease will bypass you. However, if you are still overtaken by this disease, then you can watch a video where they talk about various treatment options.

Trichomoniasis is considered one of the most common sexually transmitted diseases. Most often, infection is diagnosed among men who have an active sex life. Unprotected promiscuous sexual intercourse and lack of a single regular sexual partner are the main causes of infection. Very often, the disease in men is almost asymptomatic, so the treatment regimen for trichomoniasis with drugs is slightly complicated.

The causative agent of this disease is Trichomonas, which penetrates the genital tract and causes the formation of the disease. In men, trichomoniasis is usually diagnosed after unprotected sexual intercourse.

This disease can provoke the formation of the following pathologies:

• urethritis;
• cystitis;
• pyelonephritis;
• prostatitis, etc.

In men, trichomoniasis is mainly localized:

• in the urethra;
• prostate gland;
• seminal vesicles.

The main route of infection is considered to be sexual contact. It is almost impossible to become infected with trichomoniasis through everyday life, for example, in a sauna or swimming pool, since Trichomonas cannot survive outside the human body for more than a day.

Factors that contribute to the development of trichomoniasis among men can be identified:

1. The presence of chronic diseases that weaken the body.
2. Strong and frequent stressful situations.
3. Poor nutrition.

A sharp change in climate and hypothermia can cause an exacerbation of the disease.

The disease is diagnosed based on complaints from the infected patient. A man notices the appearance of discharge from the penis. In some situations, itching may occur when urinating.

But it should be noted that in most cases, the chronic form of trichomoniasis occurs without visible manifestations. In such situations, trichomoniasis can provoke the development of serious inflammatory diseases, which are accompanied by pain during urination, burning and stinging in the genital area, and itching in the groin.

To make an accurate diagnosis, the following diagnostic measures are prescribed:

• Analysis of urine;
• urethral smear;
• blood test for the presence of antibodies;
• bacterial culture of secretions.

In addition, prostate secretions are taken for research, in which the pathogen can also be detected.

Treatment of trichomoniasis

After making a diagnosis, the doctor draws up an individual regimen for the effective treatment of trichomoniasis in men. Depending on the severity of the disease, the schemes can be short or long. To prevent re-infection, treatment must be carried out on both partners.

Trichomoniasis requires complex treatment, which consists of:

• the use of medications that act on the pathogen;
• vitamin therapy and taking immune stimulants;
• physiotherapeutic methods.

During treatment, any sexual contact is prohibited.

Drug treatment

The goal of treating Trichomonas infection in men is to alleviate the symptoms of the disease and eliminate the causative agent of the disease.

You should not self-medicate. Medications, dosage and duration of use should be prescribed individually only by a doctor, since pathogenic microorganisms, if the medications are selected incorrectly, can develop resistance to antibiotics.

As a result, the untreated process becomes chronic, difficult to treat.

The main treatment for Trichomonas infection is antibiotic therapy.

The following medications are commonly used to cure trichomoniasis in men:

• Metronidazole;
• Klion;
• Flagyl;
• Trichopolol.

Metronidazole is considered the most effective medication for curing trichomoniasis in men. The drug is characterized by rapid absorption and is prescribed for oral administration.

Metronidazole is taken according to the following regimens:

1. 0.25 g twice a day. The interval between doses should be approximately 12 hours. Duration of treatment – ​​10 days.
2. 0.5 g three times a day. The interval between doses should be approximately 8 hours. The number of tablets is gradually reduced to 1 t pcs. in a day. The duration of treatment according to this scheme is 5-6 days.

In addition, for the treatment of trichomoniasis in men, the drugs Tinidazole and its analogues – Triconidazole and Fazizhin – are prescribed. These remedies help eliminate the manifestations of the disease in a short time and effectively cure the disease.

For treatment with the above medications, one of the following regimens is prescribed:

1. Take 0.5 g of the drug for one hour every 15 minutes.
2. One-time dose of 2 g of the drug (4 tablets).

Clindamycin is also prescribed for the treatment of Trichomonas infection. Single dose 300 g. Take orally twice a day. The course of treatment is determined by the doctor.

To relieve pain, discomfort, and temperature, the doctor prescribes non-steroidal anti-inflammatory drugs in the form of rectal suppositories:

• Celecoxib;
• Meloxicam.

All of the above medications and regimens are effectively prescribed to cure Trichomonas infection in the early stages or in mild forms without complications.

Treatment of complicated trichomoniasis

Advanced trichomoniasis requires long-term complex treatment.
To treat the chronic form of the disease, Sicotrichovac is often prescribed for intramuscular administration.

To protect the liver from the negative effects of anti-trichomonas medications, the following hepatoprotectors are prescribed:

• Artichoke;
• Silymarina;
• Silibina;
• Vitamin E.

To maintain the immune system, the attending doctor prescribes immunomodulators:

• Alfarekina;
• Lavomax;
• Longidaza;
• Introbion.

In addition, the doctor prescribes multivitamins.

To prevent dysbacteriosis, the following medications are prescribed:

• Yogurt;
• Lactovit;
• Hilak.

Trichomoniasis causes burning and itching in the genitals. To get rid of these uncomfortable sensations, it is recommended to apply ointments, gels and special solutions to the affected areas.

Doctors usually prescribe:

• Metrogyl-gel;
• Hexicon;
• Clindamycin;
• Clomegel.

The above remedies are used as additional therapy to drug treatment. They help relieve discomfort and pain during infection.

Physiotherapeutic methods for treatment

For effective treatment of chronic or complicated forms of trichomoniasis, the following physiotherapeutic procedures are used:

1. Diathermy.
2. Electrophoresis.
3. Ultrasound.
4. Mud therapy.
5. Laser therapy.
6. Paraffin-ozokerite therapy.
7. Inductothermy, etc.

A week after the end of treatment, the doctor prescribes repeated tests to ensure the effectiveness of the therapy.

During treatment of trichomoniasis for 2 months, drinking alcoholic beverages is strictly prohibited.

Consequences and prevention

You should not self-medicate trichomoniasis as this disease can have dangerous consequences. Trichomonas is considered a harbinger of malignant diseases of the genitourinary system in men.

Lack of treatment for trichomoniasis in men can provoke the development of subsequent complications:

• prostatitis;
• epididymitis;
• vesiculitis;
• formation of multiple structures in the urethra.

Basic preventive measures:

• maintaining genital hygiene;
• use of personal hygiene products;
• preventive examinations with a doctor;
• regular and complete emptying of the bladder.

To avoid infection during sexual contact, it is recommended to take precautions. A condom and sexual contact with one partner are considered an excellent protector. Promiscuous intimate relationships do not lead to anything good.

Trichomoniasis should not be ignored, as this disease can cause serious complications. Regular preventive examinations will allow you to detect infection at an early stage. At the slightest manifestation of the disease, you should immediately consult a doctor and begin treatment before the disease becomes chronic, which is not so easy to treat.

Among diseases affecting the genitourinary system that are transmitted during sexual intercourse, trichomoniasis takes precedence. According to information provided by WHO, this disease is diagnosed in 10% of people from all over the world. Therefore, the infection affects 170 million people every year.

– severe complications that can lead to infertility. The disease is often accompanied by other genitourinary infections. There is also evidence that unfavorable conditions in the body that occur during the course of the disease increase the likelihood of contracting AIDS, hepatitis B and C.

Often, the causative agents of the disease in men choose the seminal vesicles, prostate gland and urethra as their localization sites. Less commonly, they live in the lungs and oral cavity, which is due to poor immunity.

The appearance of infection in the genitourinary system is facilitated by a protozoan microorganism Trichomonas vaginalis. The main source of infection for a man is vaginal sex with a sick woman.

Infection occurs during vaginal, oral, anal and homosexual intercourse.

In addition, studies have proven that the pathogen can live for a long time in the external environment in conditions of high humidity. Therefore, there is a small risk of infection through household methods (towel, washcloth, toilet rim). The version that trichomoniasis is transmitted through water has not been confirmed.

Reference: Only 3 types of Trichomonas live in the human body - vaginal, intestinal and oral.

Signs of the disease appear 4-28 days after invasion. The average incubation period is about one week.

The main ones for males:

• burning and cutting pain when urinating;
• a small amount of foamy white discharge;
• discomfort in the perineum and pelvic area;
• the appearance of blood streaks in the urine;
• if the prostate gland is affected, prostatitis develops.

With trichomoniasis, a man may develop cystitis or pyelonephritis. A weakened immune system leads to the development of vesiculitis, prostatitis, orchitis and inflammation of the urethra.

As these diseases progress, sexual dysfunction and deterioration in sperm quality are noted, which leads to infertility. Therefore, it is important to know how and how to treat Trichomonas in men.

Treatment regimen and drugs against Trichomonas

The success of treatment depends on a comprehensive and individual approach. Moreover, it is extremely important that the therapy is completed. Otherwise, the disease will become chronic and will manifest itself with any weakening of the immune system, even after years.

But what is the most effective treatment regimen for trichomoniasis in men?

Often, drugs based on Flagyl, Metrogyl, Trichopolum are used to destroy Trichomonas. Today, doctors have developed various treatment regimens. But basically there are three leading methods:

1. Take 250 mg (1 tablet) Metronidazole 2 times. in a day. Duration of therapy – 10 days.
2. Eight-day course of treatment. The first half of the period is 250 mg three times a day, the second - two tablets in the evening and in the morning.
3. A single dose of large dose (2g or 8 tablets) of Metronidazole. In advanced cases, the duration of therapy is increased to three days.

Relapses are treated with Metronidazole solution, which is administered into the body in the form of droppers and injections. The treatment regimen is as follows: 500 mg of the drug 3 times. per day for 7 days.

Important: During the treatment period, a man must abstain from sexual intercourse and not drink alcohol.

Drug intolerance

But what tablets and medications for trichomoniasis for men are used if the patient intolerance to Metronidazole? In this case, other drugs belonging to the group of 5-nitroimidazoles are prescribed. This Ornidazole(2 g once) or Tinidazole(500 mg 2 times a day for 1 week).

Their analogues are: Meratin, Ametin, Orgil, Fazizhin and Tridazole.

If all 5-nitroimidazoles are intolerant, nitrofurans are prescribed ( Furazolidone). The medicine is taken for 3 days, 100 mg 4 times a day. in a day. Also, as an alternative, arsenic compounds are used - Osarsol (Spirotsid, Acetarsol).

Nitazol is also effective against Trichomonas, which is taken orally (100 mg 3 times a day for two weeks) or used in the form of foam every 12 hours.

In case of intolerance to Metronidazole, if there are contraindications to its use, or with chronic trichomoniasis, local treatment is carried out.

So, mercury oxycyanide (1 ml of product per 1 liter of water), silver nitrate (similar dosage) or ethacridine lactate (1 ml per 2 liters of water) is injected into the urethra. Sometimes the doctor prescribes local applications based on mefenamic acid (one percent solution).

Attention: if a man has been diagnosed with trichomoniasis, he is obliged to inform his sexual partner about this in order to avoid invasion and prevent further spread of the infection.

In order for the treatment of the disease to be as effective as possible, in addition to taking several medications, a man should undergo a course of prostate massage and physiotherapy. Instillation of the urethra also gives good results.

Immunotherapy

In severe cases, with a very weak immune system, patients are given vaccine SolkoTrichovak. The injection is administered intramuscularly three times every 14 days.

Once in the body, the substance activates the production of antibodies against Trichomonas and other pathogens.

This creates good conditions for the growth of beneficial bacteria and an unfavorable environment for the development of pathogenic microbes. However, the effect of the vaccine becomes noticeable only after 14-20 days. After 1-2 years, if necessary, revaccination can be carried out.

If medications for trichomoniasis for men do not bring the desired result, the following are prescribed immunomodulators, like Cycloferon and Genferon.

Cycloferon has an immunoactivating, anti-inflammatory and antimicrobial effect. The product can be taken orally or in the form of instillations (10 ml for 15 days).

Genferon stimulates local immune cells, eliminates symptoms of infection and accelerates regeneration. Rectal suppositories are used twice a day for at least 10 days.

Other immunostimulants and adaptogens may also be prescribed:

• multivitamins;
• extract of aloe, Leuzea, Chinese lemongrass, ginseng;
• products based on bee products;
• pyrogenal;
• tincture of Eleutherococcus.

Reference: after treatment of trichomoniasis, a control study using PCR is necessary. Therapy is considered successful if the pathogen is not identified within 60 days.

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