Sunday, August 29, 2010

Chlamydia: Silent but Serious

Chlamydia, a common sexually transmitted infection, often presents without obvious symptoms, making it challenging to detect. Approximately 75% of infected women and 50% of infected men show no signs of the disease. When symptoms do occur, they typically manifest one to three weeks after infection.

Manifestations in Women: In women, chlamydia primarily affects the cervix and urethra, leading to the following acute phase symptoms:

  • Unusual vaginal discharge
  • Pain or discomfort during urination
  • Abdominal and lower back pain
  • Nausea and slight fever
  • Pain during intercourse or bleeding afterward
  • Bleeding between periods

Manifestations in Men: Men with acute chlamydia may experience the following symptoms:

  • Clear or cloudy discharge from the penis
  • Pain or discomfort during urination
  • Burning and itching around the urethral opening
  • Testicular pain and swelling

Complications of Chlamydia: Chlamydia can lead to various complications if left untreated, including:

  • Urethritis (inflammation of the urethra)
  • Prostatitis (inflammation of the prostate)
  • Epididymitis (inflammation of the epididymis)
  • Vesiculitis (inflammation of the seminal vesicles)
  • Pelvic inflammatory disease (PID) in women, affecting the cervix, endometrium, fallopian tubes, ovaries, and pelvic peritoneum
  • Increased risk of miscarriage and premature detachment of the placenta in pregnant women
  • Newborns born to infected mothers can develop eye and lung infections

Transmission and Statistics: Chlamydia can be transmitted through vaginal, anal, or oral sex with an infected partner. It can also be spread via the use of sex toys with an infected partner or from a sick mother to her newborn during childbirth. Sexually active individuals are at risk, with a higher likelihood of infection among those with multiple sexual partners. Young women under 25 years of age are particularly susceptible, with about 75% of new cases observed in this age group.

Diagnosis and Treatment: Diagnosing chlamydia involves observing clinical symptoms, conducting smears from cervical scrapings and urinary canal samples, and performing PCR (polymerase chain reaction) tests. Treatment requires a comprehensive approach, including antibiotics that penetrate infected cells, immunomodulating therapy to enhance the immune response, enzyme therapy to aid in cell permeability, and local therapy targeting infected organs.

Prevention and Partner Notification: Preventing chlamydia involves safe sexual practices, regular screenings for sexually active individuals, and informing sexual partners if diagnosed with the infection. Repeated examinations are recommended four weeks after treatment to ensure successful eradication. Early detection and prompt treatment are crucial to preventing complications and further spread of the infection.

What are the manifestations of chlamydia?

What are the manifestations of chlamydia?
Chlamydia proceeds very secretive. About 75% of infected women and 50% of infected men have no manifestations of the disease. If the manifestations of the disease develop, it occurs in about 1 -3 weeks after infection.
In women, chlamydia, first striking the cervix and the urine channel, calling on the acute phase of unusual vaginal discharge, pain or discomfort when urinating, abdominal pain and in the lumbar region, nausea and slight fever, pain during intercourse or bleeding after him, bleeding between periods.
The men in the acute period of chlamydia may have clear or cloudy discharge from penis, pain or discomfort during urination, burning and itching around the exit orifice of urethra, often pain and / or swelling of the testicles.
Obvious manifestations of chlamydia, if they arise, disappear along with the acute phase and move into the hidden internal process.

What is chlamydia?

Chlamydia - common infection transmitted infections (STIs). Causes disease bacterium Chlamydia trachomatis, a microorganism, which occupies an intermediate position between viruses and bacteria, and parasitize epithelial cells of the patient, destroying them. Symptoms of chlamydiaare usually small or absent. That is why many cases go unnoticed. However, developing serious complications.

HOW TO TREAT?

Chlamydia. HOW TO TREAT?

The author of the highest category physician, urologist, andrologist Medical Center Altermed "AV Shinkarenko.

Regular folk, which in most cases is the average patient, it is difficult to understand what is chlamydia and why it is so dangerous, if the infected chlamydia do not worry. Face to face with the problem of patient encounters, as a rule, when all is far worse than the infection. But even then, few people deep into the medical issues, afraid of their complexity, relying on the doctor again and again disappointed with the treatment. We will try to explain why treatment of chlamydia is complex and sometimes tedious work, why sometimes the doctor fails, and how ultimately to achieve recovery.

Why is it so difficult to cure chlamydia or trichhomonas

Why is it so difficult to cure chlamydia or trichhomonas?
Treated for chlamydia rather difficult. The reasons are many. one of them - this is what often happens is that as a result of research by her husband, for example identified chlamydia, and his wife - no. Often in the course of even a few tests. Then one conclusion - one partner is healthy, the other sick? On the basis of logical considerations, all the same conclusion suggests that chlamydia infected with both spouses. Still, should take into account the fact that chlamydia attributed to latent infection. Therefore, the detection of these microorganisms depends on how correctly the material was taken, how the immune system and hormone, which was filmed material, what are the methods of examination.
If you consistently treat the search for chlamydia, they will be identified. If you decide to proceed with the treatment of chlamydia, infections caused by chlamydia, should both partners be treated simultaneously. Should take into account the fact that chlamydia, in most cases, occurs in conjunction with other sexually transmitted diseases. Natural (innate) immunity to chlamydiae does not exist. Anyone to whom the organism Chlamydia hit, has a fairly high risk. Past medical history does not provide immunity - in short, pain can be any number of times.
Everything you've heard about ways to get infected with sexually transmitted diseases, is most directly related to chlamydia. The most similar - and symptoms, and ways of contamination, and the consequences of the absence of proper treatment - chlamydia and gonorrhea. Many of the leading specialists in sexually transmitted disease is: if you have symptoms of acute urethritis (frequent, painful urination) and not detected gonococcus (the causative agent of gonorrhea) - the probability of chlamydia of 70% and above. Gonococcus and chlamydia - very often live together, causing urethritis and other diseases of the urogenital sphere, even contamination often occurs simultaneously. What should I do to avoid infection with urogenital chlamydia? The best way - to exclude sexually active, but many it is regarded as unacceptable. But limiting the number of sexual partners, condom + - fairly reliable ways of prevention. What to do if sick: access to specialists, the number of drugs that Chlamydia can be successfully treated, fairly large.
One to get treatment - a waste of money. If you have a permanent sexual partner - together are treated together. Often diagnostic indicate the presence of chlamydia, but no clinical symptoms at this. None of the medical guidelines there is no clear answer to the question: what in this case? Research in hlamidioznoy infection actively going on, and the study of chlamydial infection included in the program priorities of the World Health Organization. Chances are, if you're not a monk (nun), treated all the same I need - no signs of illness for a particular person does not give grounds for to expose to risk infecting others.
Untreated urogenital chlamydia can cause some serious complications in both men and women, impotence in this case is rare, but often infertility. Chlamydia is not a tragedy, but a nuisance. From chlamydia do not die. Chlamydia can be cured. But to their health, and physician's recommendation should be treated respectfully - and the choice of antibiotic, and prescriptions for stimulating immunity, and duration of treatment, and prevention of recurrent infections - is not as easy as it may seem at first sight, but not so difficult to tear his hair and sad to say goodbye as with life in general, and with sexuality in particular.
Cautious to relate to joint trichomonas, chlamydial infection. Note the following: the newest and most effective antibiotics will not be able to cope with chlamydia, which are located within the trichomonads; initiating therapy treatment for chlamydia, makes sense only in the absence of trichomonads, if you have found a joint trichomonas, chlamydial infections, especially need to treat trichomoniasis; before you begin treatment of chlamydia, it is necessary precisely to make sure that you are not already infected trichomonads.

How to avoid urethritis

Urethritis refers to a group of diseases that are much easier to prevent than to cure. Since the main way of contracting the disease - sexual, then prevention is the subject of sexual health. This regular partners and casual sexual relations with condom use. If your spouse (husband, secretary, friend, bystander) casually mentioned that when you urinate felt uncomfortable, then abstain from sexual contact with her and persuade to go to the urologist.
If you must be done with cystoscopy, probing, or any more instrumental intervention in the urethra, then make sure that it conducts a conscientious doctor. For the prevention of urethritis and cystitis in such cases are also using antibiotics.
If you have a need for a long time to wear urinary catheter, it should be changed regularly and you should also (on the advice of a doctor) to take antibiotics.

Treatment of urethritis

The main treatment of urethritis - is antibacterial therapy. There are many different drugs for each patient's urologist chooses the most effective (and affordable), primarily based on data from laboratory studies. The total course of treatment may last from several days to several weeks, depending on the severity and stage of disease - urethritis treatment is carried out, usually at home, hospitalized patients with urethritis rarely, usually during the development of severe septic complications.
What gleet
If sexual contact with patients urethritis mucous membranes healthy person gets a small amount of the agent or agent that greatly weakened (for example, the uncontrolled use of antibiotics), or your body is very "healthy" and "strong", no symptoms of the disease may not appear. But the agent does not perish, but will remain in the body "to wait for a suitable opportunity to show themselves. Then, from time to time the patient will feel discomfort when urinating in the morning to notice a drop of discharge on her underwear, but these manifestations are so mild and disappear, which rarely turns to the doctor with similar complaints.
In another case the disease in the acute stage becomes chronic - chronic urethritis treatment was inappropriate or inadequate. The disease takes a long time (months, years) and sooner or later, still makes the patient seek medical advice. But this is usually when it was already developed complications in the first place, chronic prostatitis. Also, if committed during chronic urethritis may develop an unpleasant complications such as stricture of the urethra - the narrowing of the lumen of urethra. This is manifested increased pain during urination and weak stream of urine.
How to treat chronic urethritis
Treatment of chronic urethritis is harder and longer than acute. In addition to antibiotic therapy, treatment of urethritis include instillation (injection) in the urethra of drugs and the use of various means of immunotherapy (both medicated and nemedikamendoznyh). With the development of urethral stricture resorted to probing (expansion) urethral special metal buzhami.

What does the urologist when the patient is drawn to him urethritis

What does the urologist when the patient is drawn to him urethritis
When referring to the urologist that enough to hold one study to confirm the diagnosis - urethritis. This fence and planting of discharge from the urethra (and in their absence - the first portion of urine samples from trehstakannoy). In the laboratory, determine the causative agent, as well as its sensitivity to different groups antibakterilnyh drugs that can provide a definitive diagnosis and adequate treatment.
In addition, the doctor conducts a series of studies to exclude the involvement of inflammation of other organs (for men - especially of the prostate and seminal vesicles, women - the urinary bladder).

What will happen if not treated

If ill with acute urethritis decided not to pay attention to the selection, "to suffer" unpleasant sensation when urinating and not bother the doctor "on such trifles, after a while - about a miracle!" - All symptoms disappear by themselves. As it turns out you can not go to the doctor, do not spend money on drugs? Not quite. Just the body was able to suppress inflammation. But never in such cases, the body can not get rid of all pathogens. They will remain small, but they will remain. They "saved" men - in the prostate and seminal vesicles, women - in Bartholin glands, small glands threshold to. The causative agent of "wait for" the very first episode of hypothermia, excessive alcohol consumption, violent sexuality, and then he would again cause urethritis - urethritis, but most likely no longer be limited to them, but also cause chronic prostatitis, vesiculitis, perhaps even with the threat of epididymitis development in the future obstructive forms of infertility. In this "treachery" of the disease - urethritis treatment required!

sympthoms urethritis

The main manifestations of urethritis - a burning sensation, pain or stinging when passing urine, especially at the beginning, and the allocation of the urethra. Allotments are usually in the mornings, when nonspecific baktrialnoy infections are abundant mucous-purulent character, a blue-green color, with an unpleasant smell.

It should be noted that men, by virtue of anatomical features (a long narrow urethra), earlier and more acutely feel the symptoms of urethritis. In women, the same symptoms of urethritis is less pronounced and can generally go unnoticed.

Men can celebrate sticking in the morning sponges external orifice of the urethra and redness. Urethritis may occur without the discharge from the urethra only discomfort when urinating. Moreover, as stated above, the manifestations of urethritis may be so mild that patients do not attach importance to them. However, this does not mean that the disease does not need to treat that urethritis "will take place by itself."

If urethritis is usually not observed obschevospalitelnyh symptoms - there is no increase in body temperature, weakness

Who is sick and how infected urethritis

Ill urethritis can be absolutely anyone. Infection occurs most often during sexual contact with patients. It should be noted that urethritis can occur without pronounced manifestations, unseen, and the patient himself may not know that he is ill. However, this does not mean that all his sexual partners will carry the disease - urethritis also easy - the disease is dependent on the state of the organism and even a number of factors. Also be aware of symptoms did not immediately after intercourse, and after a while (for nonspecific bacterial urethritis - from several hours to several months), which is called the incubation period.

Urethritis

Urethritis - an inflammation of the urethra (the urethra). This is a very common urological diseases. Urethritis sick about equally often, men and women.

There are two large groups urethritis - infectious and noninfectious. Infectious urethritis caused by different vozbuditelyamispetsificheskie (gonococci, gardnerellas) and nonspecific (Staphylococcus aureus, Escherichia coli, streptococcus). This article will be reviewed urethritis caused by nonspecific bacterial flora.

Noncommunicable urethritis may develop as a result of trauma urethra, which is possible with cystoscopy, catheterization of the bladder, the passage of the stone. Other causes may be an allergic reaction, narrowing of the urethra, stagnation in the pelvic area. Typically, the development of noninfectious urethritis in the urethra activated conditionally pathogenic microorganisms (especially staphylococci), and noninfectious urethritis quickly passes into a secondary bacterial nonspecific.

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