Trichomoniasis in men - signs, symptoms and treatment of trichomoniasis in men

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Trichomoniasis in men - signs, symptoms and treatment of trichomoniasis in men
Trichomoniasis in men - signs, symptoms and treatment of trichomoniasis in men
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Trichomoniasis in men: symptoms, treatment, complications

Trichomoniasis in men
Trichomoniasis in men

Trichomoniasis is an infection that belongs to the group of STDs. The high frequency of diagnosing the disease in men is provoked by poor symptoms and a high risk of infection during sexual contact. In most cases, the infection does not manifest itself and is detected already when complications appear.

Distinguish between acute and chronic trichomoniasis, affecting the organs and tissues of the genitourinary system. High-quality treatment of the infection will destroy its pathogen and help reduce the risk of serious complications.

A minimum of symptoms in the first stages of trichomoniasis leads to its transition to the chronic stage. Complications, in particular inflammation of the prostate, lead the man to the doctor's office.

Features of the course of trichomoniasis in men - sexual transmission of infection, scarcity of symptoms, high susceptibility.

Gynecologist Dmitry Lubnin - talks in detail about trichomoniasis in general, about the ways of infection, symptoms, incubation period, about treatment:

Trichomoniasis causative agent

Trichomonas, or Trichomonas, belongs to the genus of the simplest microorganisms. Unicellular parasites of this class in the human body carry out their activities without access to oxygen. Body temperature is optimal for their reproduction.

Vaginal Trichomonas is most often found on the mucous membrane of the organs of the genitourinary system, although it parasitizes both in the blood and in other organs. This microorganism from the genus of protozoa introduces viruses and bacteria into its cells - the causative agents of herpes, chlamydia, gonorrhea, candidiasis, ureaplasmosis, cytomegalovirus. This feature protects pathogenic bacteria from the effects of drugs and protective cells of the immune system.

Thanks to this property, pathogens of dangerous infections spread through tissues and organs, reduce immunity, and cause complications. Damage to the mucous epithelium of the genitourinary tract opens the gate to other, more dangerous infections. So, for example, a combination of trichomoniasis with the defeat of the AIDS virus is often diagnosed.

Diagnosis of trichomoniasis in men

Diagnosis of trichomoniasis in men
Diagnosis of trichomoniasis in men

To confirm trichomoniasis in men, the doctor uses instrumental and laboratory methods. Visual examination and study of the anamnesis cannot provide a complete clinical picture.

Laboratory methods for diagnosing trichomoniasis:

  • Bacterioscopic analysis of smears from their urethra;
  • Cultivation of the infectious agent in a nutrient medium;
  • PCR method (polymerase chain reaction);
  • Method PIF - a study of the patient's blood for antibodies to trichomoniasis.

The difficulty of determining the pathogen in the male body may lie in the fact that in some cases Trichomonas takes the form of an amoeba.

Symptoms of trichomoniasis in men

Symptoms of trichomoniasis in men
Symptoms of trichomoniasis in men

Trichomoniasis operates in the male body in the following organs: in the prostate, urethra, epididymis, seminal vesicles. The latent course of the disease in most men leads to the fact that they unwittingly become active carriers of the disease, infecting their sexual partners with trichomoniasis.

From the introduction of infection into the body to the manifestation of its active symptoms in men, it takes from 2 days to 5-6 months. The impetus for the activation of the process is a decrease in immunity, infection with other infectious diseases.

Forms of trichomoniasis:

  • spicy,
  • subacute,
  • chronic,
  • asymptomatic carriage of Trichomonas (more commonly diagnosed in men).

Symptoms accompanying urination in trichomoniasis:

  • painful stinging and burning;
  • false frequent urges in the morning;
  • mucous discharge from the urethra.

Most often, these symptoms of trichomoniasis are very mild in men. Intense sensations are very rarely diagnosed, it is they who most often lead to seeking emergency medical help. Chronic prostatitis, acquired before infection with trichomoniasis, can mask the picture of the disease. In this case, the patient takes the exacerbation of the infection for symptoms of prostatitis.

Symptoms of Trichomonas urethritis:

  • Mucopurulent discharge;
  • Itching and burning after intercourse and after urination;
  • Infiltrates and stricture of the urethra;
  • Difficulty intermittent urination due to narrowing of the urethra;
  • Kidney and bladder damage;
  • Ulcerative lesions of the mucous membrane of the urethra and median suture (occurs with reduced immunity).

Prostate symptoms associated with trichomoniasis:

  • False urge to urinate;
  • Frequent urination with pain;
  • Feeling of incomplete bladder emptying;
  • Drawing pain in the prostate.

The acute stage of trichomoniasis in men without treatment becomes chronic, or the patient becomes a carrier of Trichomonas. In the chronic course of the disease, symptoms practically do not appear. Sexual function may be slightly affected, dysuria with mild pain may appear. The carrier of the disease is asymptomatic.

Complications of trichomoniasis

Complications of trichomoniasis
Complications of trichomoniasis

Prolonged course of the disease leads to the development of complications:

  • Prostatitis,
  • Pyelonephritis,
  • Inflammation of seminal vesicles and seminal tubercle,
  • Cystitis,
  • Inflammation of the excretory ducts of the prostate;
  • Infertility.

There is evidence from medical research on the effect of trichomoniasis on the development of malignant lesions of the prostate

American researchers from the ED Saitman Cancer Center have established a direct link between prostate cancer and the long course of trichomoniasis in men. They suggest that infection increases the risk of oncological degeneration of prostate tissue by 40%. Studies have established a connection between the ongoing disease and the proto-oncogene PIM 1. Over time, this gene is capable of transforming into a prostate cancer oncogene.

To analyze the intensity of the defeat of the male body with trichomoniasis, you can use the ELISA method, which determines the presence of antibodies to Trichomonas in the blood.

Treatment of trichomoniasis in men

Drugs against trichomoniasis in men are prescribed by a doctor, taking into account the individual characteristics of the organism. Self-medication leads to the transition of the disease to a latent form or to the addition of complications, an atypical course of infection.

For trichomoniasis in men, treatment should be done for any symptoms of the disease, regardless of whether signs of infection are expressed or not.

Principles for the treatment of trichomoniasis in men:

  • Drug therapy is carried out in both sexual partners, even with negative diagnostic results. This approach is explained by the instability of local immunity and the high risk of re-infection.
  • Any form of trichomoniasis can be treated regardless of symptoms.
  • Duration of drug therapy averages 8 to 12 days. These periods are extended in the presence of complications and a protracted course of infection.

The main active ingredient in preparations for trichomoniasis is 5-nitroimidazole. For topical application, creams with nitroimidazole are used; they do not replace, but complement drug therapy. All these drugs are incompatible with alcoholic beverages. They cannot be combined during treatment and for a month after it.

Control of the effectiveness of the treatment is carried out 6-7 days after its completion. Diagnostic methods: cultivation in a nutrient medium (sowing), smear examination under a microscope, PCR analysis.

Chief physician, dermatovenereologist Volokhov E. A. - How to treat trichomoniasis?

Prevention

Preventive measures against contracting trichomoniasis are similar to the prevention of any STD:

  • Regular visits to the doctor for a detailed examination;
  • Using condoms during sexual intercourse;
  • Decontamination of the penis in case of accidental damage to the condom during intimacy;
  • Failure to self-medicate when signs of infection appear.

Following these measures and following the recommendations of a doctor when infected with trichomoniasis will prevent the spread of infection.

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