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.