Trichomoniasis is a specific lesion of the urogenital organs caused by a vaginal trichomonas (Trichomonas vaginalis) – the simplest single-celled parasite belonging to the flagellate class is called genitourinary trichomoniasis. This term is legalized by the International Classification of Diseases of the 9th Revision (M., 1984) instead of the various names used in the past. […]
Trichomoniasis: useful information for everyone Trichomoniasis is a unique disease in the full sense of the word. On the one hand, it occurs three times more often than syphilis, chlamydia and HIV. But, on the other hand, it often remains without due attention, both from the side of doctors, and from the side of the […]
Psychosomatic causes of sexually transmitted diseases. Syphilis, gonorrhea, genital herpes, trichomoniasis, AIDS Syphilis, gonorrhea, genital herpes, trichomoniasis, AIDS Feeling of guilt on sexual grounds and the need for punishment, as well as the belief that the genitals are sinful or unclean, in other words, dislike of one’s genitals is the main reason for the occurrence […]
Syphilis is an infection caused by the bacterium Treponema pallidum (pale treponema). Initially, syphilis affects the area at the site of the introduction of pale treponema (genitalia, pharynx, rectum). After a while, syphilis can become a systemic infection that affects other organs. Before the discovery of antibiotics, syphilis was a widespread and incurable disease. After the discovery of penicillin in 1940, the situation changed. Early forms of syphilis are now effectively treated, late forms are rare, the overall incidence of syphilis has significantly decreased. There are three stages of syphilis: Primary syphilis occurs 1–12 weeks after infection and manifests as a solid, painless ulcer at the site of the pathogen (most commonly the genitals, rarely the pharynx, rectum). In addition, the nearest lymph nodes (inguinal, cervical) increase. Secondary syphilis occurs after about 6–24 weeks. There is a rash all over the body (including the palms and soles), wetting growths in the anus. Eruptions in secondary syphilis are contagious. Tertiary syphilis develops not in every syphilis patient in the absence of treatment, but only in a third of patients. Currently, this stage of syphilis is rare. With tertiary syphilis, there are irreversible changes in the nervous system and internal organs. In order to confirm primary syphilis, it is possible to take material from an ulcer to identify pale treponema. Diagnosis of all stages of syphilis is based on blood tests to identify antibodies to pale treponema. The treatment of syphilis is long enough (from several weeks to several months) and reduces to the administration of antibiotic injections. Primary and secondary syphilis is completely curable. The defeat of organs with tertiary syphilis is often irreversible even after treatment. Trichomoniasis is an infection caused by the simplest Trichomonas vaginalis (Trichomonas). Infection is possible only with vaginal intercourse. Infection with oral or anal sex is very unlikely. Trichomoniasis in women is most often manifested by vulvovaginitis (inflammation of the vagina and external genitalia) and causes: Foamy discharge from the vagina irritation, itching of the vulva pain when urinating In men, trichomoniasis is very often asymptomatic. Sometimes trichomonads in men are the cause of urethritis (inflammation of the urethra) and are manifested: incisor with urination secretions from the penis To confirm the diagnosis, a swab is taken from the vagina; from the urethra) to identify trichomonads. Treatment of trichomoniasis reduces to the appointment of drugs that effectively kill Trichomonas. As a rule, these drugs are prescribed inside.
When to see a doctor Purpose of examination Preparation for the test How to understand the result of a nonspecific survey Results of a specific study Reliability of analyzes Syphilis is a serious disease of a high degree of contagiousness. For the detection of the disease, blood tests (venous and capillary) are used, as well as spinal fluid in some cases. The analysis of the analysis for syphilis is carried out by the attending physician. The patient can independently see and understand some of the signs in the analysis, but the final conclusion about the presence or absence of the disease should be made by a qualified doctor. A false positive or false negative test for syphilis is possible. WHEN YOU NEED TO APPLY TO THE DOCTOR For a long time, syphilis was a dangerous disease that could not be cured. Modern medicine has all the means to completely cure the disease. The sooner a diagnosis is made and the disease is detected, the easier it will be to undergo treatment. Infection with syphilis occurs not only during sexual contact, but also when using the same household items with a patient (toothbrush, towel, kitchen utensils, etc.). Therefore, periodic rapid blood test for syphilis is recommended for each person. Medical capsule with cap During infection, there is an increase in lymph nodes in the inguinal area, the appearance of sores and skin rashes in the mouth and genital area. If you find the first symptoms of the disease, you should immediately consult a doctor. The examination can be anonymous in the direction of the gynecologist, urologist, proctologist, venereologist or ordinary therapist. After passing the test, you should ask for a transcript of the syphilis test to the doctor. DESIGNATION OF THE SURVEY Often during medical examinations a doctor can prescribe a lot of laboratory tests, including a test for syphilis. Do not take such a direction as suspicion of the disease. In many spheres of public life, a certificate of absence of the disease is required. Family planning Registration in the hostel Admission to the workplace for health workers, food service employees, etc. Donation of organs or blood Patients with active sex life Presence of clinical symptoms End of treatment for syphilis As a primary study, as a rule, one of the nonspecific (non–treponemal) tests is prescribed. The reliability of such tests is relatively low and the patient can get a false positive result. In this case, a re–study will be performed using a specific (treponemal) test. Positive or negative analysis should be considered by the attending physician. PREPARATION FOR THE TEST Before donating blood from a finger or vein for laboratory testing, it is necessary to adhere to certain rules, so that the analysis is as reliable as possible. Do not eat food, tea or coffee 8–12 hours before taking blood. During the day before going to the laboratory, it is not recommended to use sharp, fatty, fried, salted or smoked foods. Antibiotics and other medications can also distort the test. All the substances taken should be reported to the doctor in charge. Perhaps he would recommend refraining from taking the test within 1 or several weeks. A blood sample can be taken in a private laboratory, a district polyclinic or a health care provider at home. In any case, sterile equipment and disposable gloves are used. Express analysis for syphilis can be done independently at home. Pharmacies offer special tests with detailed instructions in Russian. The test result is known in 10 minutes. One red strip on the indicator is a negative analysis for syphilis, two strips are positive. The reliability of such tests is not high enough and can not serve as a confirmation of the diagnosis. HOW TO UNDERSTAND THE RESULT OF NON–SPECIFIC SURVEY Patients often feel insecure after the test. To hand over a blood and not to be able to make decoding of analyzes on a syphilis independently, certainly, is unpleasant. Interpretation of the blood test requires medical education and appropriate qualification of the doctor, as well as consideration of all factors affecting the result. Can the patient independently read the results of his analysis for syphilis? After seeing the report of the laboratory, you can draw simple conclusions, but the doctor must confirm or deny the diagnosis. The test with toluidine red is prescribed not for diagnosis, but for testing the effectiveness of the treatment of the disease. The study shows how much the amount of antibodies has changed compared to the previous analysis. If the figure has decreased, then the treatment is successful. The analysis is carried out during the treatment several times as prescribed by the doctor. After 3 months after completion of the procedures, a control test is conducted.
Doctor dermatovenereologist. Candidate of Medical Sciences, doctor of the 1st category. ENTRY FOR RECEPTION Syphilis is one of the most well-known sexually transmitted diseases. The disease is known since ancient times, first described in the middle of the Middle Ages. The cause of it is the bacterium Treponema pallidum (pale treponema). It is worth noting […]