How long and how is trichomoniasis treated. Effective drugs for the treatment of trichomoniasis in women and men

Trichomoniasis, or trichomoniasis, is inflammatory disease of the urinary tract which affects both men and women. It belongs to the class of sexually transmitted diseases.

Trichomoniasis is highly contagious, but with timely diagnosis, it is not difficult to cure it.

This disease is most dangerous for men. Trichomoniasis they have poor symptoms, so the visit to the doctor usually happens when the first serious complications appear.

Pathogen

Types of vaginal Trichomonas:

• amoeba;
• round;
• pear-shaped.

In men, the latter variety is most common, which is easy to detect during the study of biomaterial from the urethra.

However, sometimes it happens that men are infected with Trichomonas amoeba. This complicates the diagnosis, since this variety is able to "mask" as healthy blood or lymph cells.

Important! Once having been ill with trichomoniasis and completely cured, a person does not receive immunity. Therefore, upon contact with an infected sexual partner, he can get sick again.

Course of the disease

Primary symptoms do not appear immediately after infection: the disease goes through an incubation period of 2-4 weeks.

After that, signs of inflammation appear: clear or whitish discharge from the genitals, pain.

Symptoms may or may not be present at all. In this case, a man can carry an infection for many years and not feel any discomfort. However, this does not mean that the disease does not develop: the patient is still dangerous for his sexual partner.

That is why trichomoniasis is usually accompanied by the occurrence of gonorrhea, mycoplasmosis, chlamydia, candidiasis and other sexually transmitted diseases.

Important! If sexually transmitted diseases are complicated by trichomoniasis, treatment is difficult - Trichomonas protects them from the destructive effects of antibiotics and antifungal drugs.

Forms of the disease

Trichomoniasis has two forms:

Acute trichomoniasis

It manifests itself 2-4 weeks after infection and is characterized by symptoms typical of inflammatory processes.

Signs of inflammation are especially evident against the background of a general decrease in immunity.

Chronic trichomoniasis

If within 2 months from the moment of infection a high-quality treatment was not carried out or the patient did not follow the doctor's recommendations, the disease goes into chronic form.

It is chronic trichomoniasis that provokes the development of complications. It affects Everyday life patient, leading to impaired sexual function and causing inflammation of the urethra and Bladder.

Chronic disease is characterized by a sluggish course with periodic exacerbations.

Factors leading to exacerbation:

• weakening of the immune system;
• hypothermia;
• improper intimate hygiene;
• hormonal disruptions;
• metabolic disease.

Such a patient is dangerous for his sexual partner.

Transmission routes

There are several ways of transmission of Trichomonas:

Trichomonas vaginalis is the only cause of trichomoniasis.

High probability Trichomonas infection is in people who are in one of the risk groups.

At-risk groups:

• people who have other sexually transmitted diseases or suffer from diseases of the genital organs;
• fans of smoking, alcohol, who, because of their bad habit permanently reduced immunity;
• sexually active people who have multiple sexual partners and neglect barrier contraception;
• sexual partners of people with trichomoniasis.

A person suffering from this disease is obliged to warn his sexual partner about the danger.

Despite the fact that this disease is not deadly, the partner must know what he is getting into and take care of his safety in advance.

Symptoms

The disease affects all organs of the male reproductive system: urethra, testicles, seminal vesicles, prostate.

After the end of the incubation period, the disease makes itself felt. But in men, the signs of trichomoniasis are usually mild or absent.

Signs of trichomoniasis:

• burning, itching and sharp pain during urination;
• frequent urination and false urges;
• a feeling of fullness in the bladder after emptying it;
• yellowish, gray or white discharge from the urethra;
• admixture of blood in urine or semen;
• discomfort and dullness aching pain in the perineum, anus or in the lower back;
• feeling of heaviness in the lower abdomen;
• ulcerative lesions of the urethra(occurs extremely rarely).

All these signs are characteristic of an acute disease. After 2-3 weeks, they completely disappear. Usually during this period, patients are absolutely sure that the disease has receded. This is not so: the disease only turned into a chronic form with sluggish symptoms.

Diagnostics

It is impossible to detect trichomoniasis in men by external signs: it usually does not have specific symptoms.

Therefore, to diagnose the disease, laboratory methods are used to study secretions from the genital organs and secretions. prostate:

• light microscopic examination of a smear;
• direct immunofluorescence;
• PCR diagnostics;
• microbacterial culture.

Sometimes even laboratory tests turn out to be uninformative. Trichomonas changes its shape and appearance, "masquerading" as lymphatic and blood cells.

Important! If during the study a man was diagnosed with trichomoniasis, he needs to be tested for other sexually transmitted diseases.

Treatment

Now trichomoniasis is successfully cured with special antitrichomoniasis drugs. In this case, the course of treatment should be carried out not only infected patients but also their sexual partners.

This will prevent re-infection.

Important! Trichomonas cannot be destroyed by conventional antimicrobial or antibacterial drugs. They are resistant to such drugs.

Urologists and venereologists are engaged in the treatment of this disease in men.

Treatment at home

At home, treatment can be carried out only after consultation with a venereologist.

Antitrichomonas therapy in all cases is selected individually and depends on the sex, age of the patient, the presence of concomitant diseases, as well as the concentration of Trichomonas in biological fluids.

There are no effective folk remedies for this disease. A successful cure is possible only as a result of the use of rather aggressive drug therapy.

Medical therapy

1. Medications based on metronidazole("Flagil", "Metrogil", "Trichopol"). Antibacterial therapy continues for 10 days; during this time, the patient drinks 20 tablets of the prescribed drug. There is another method - a single dose of the loading dose of the drug (for example, 8 tablets in 1 day). In chronic disease, these drugs are prescribed in the form of injections or droppers.
2. Preparations based on ornidazole("Meratin", "Orgil") and tinidazole ("Ametin", "Tridazol", "Fazizhin"). It is less effective than metronidazole, therefore, it is prescribed only for individual intolerance to the latter.
3. Alternative drugs based on nitazole("Aminitrozol"), osarsola ("Spirocid", "Acetarsol"), furazolidone. They are recommended for use in case of intolerance to the above drugs.
4. Complex antimicrobial agents, having in its composition several antibacterial drugs ("Klion-D", "Ginalgin", "Makmiror").
5. Drugs that promote the production of antibodies and increased exposure to antitrichomonas agents (Solkotrikhovak, Pyrogenal). The same remedy allows you to acquire temporary immunity (up to a year) to trichomoniasis.
6. Immunomodulating agents("Kagocel", infusions of ginseng, leuzea, magnolia vine). They are prescribed in the treatment of chronic trichomoniasis to prevent exacerbations.
7. Sanitation of the urethra with a solution of silver nitrate, mercury oxycyanide, ethacridine lactate.
8. Local treatment with ointments"Rozeks", "Rozamet".
9. Taking macrolides("Clarithromycin").
10. Symptomatic therapy with the intake of antispasmodic and painkillers is prescribed if the symptoms of the disease interfere with the patient's normal life.

Aggressive drug treatment should be accompanied by taking drugs with bifidobacteria and hepatoprotectors ("Legalon").

At the time of treatment, the patient should give up alcohol and smoking.

Physiotherapy

• washing the urethra with antibacterial drugs;
• electrophoresis;
• prostate massage.

For the duration of the procedures, the patient must refuse sexual intercourse. He should be more attentive to the hygiene of the genital organs, change clothes daily and take a shower.

Complications

If there is no treatment for trichomoniasis, the disease spreads higher and affects all organs of the male genitourinary system.

Effects:

One of the most severe consequences of this disease is infertility. Trichomonas multiply rapidly in the seminal fluid, while releasing specific waste products.

These wastes inhibit the growth of spermatozoa, making them inactive and inactive. If the disease is not treated, the person will not be able to have children.

Prevention

Prevention of trichomoniasis is almost the same as the prevention of other sexually transmitted diseases and includes the following measures:

• use of barrier contraceptives;
• the use of antiseptics to disinfect the penis when a condom breaks (especially if there are damage or wounds on the surface);
• refusal of promiscuity;
• compliance with the rules of intimate and household hygiene.

Annually, you should undergo a preventive examination by a urologist and inform him of all deviations. At the first suspicion of a sexually transmitted disease, a man should not only visit a doctor himself, but also send his partner for examination.

Trichomoniasis is a sexually transmitted disease that is now successfully cured in any venereal clinic. The earlier treatment is started, the more likely it is to get rid of the disease without consequences.

However, it is best to try to prevent infection: the use of barrier contraception and the presence of a constant sexual partner will help in this.

AT Russian Federation over the past 5 years, the incidence of STIs in the population as a whole has significantly decreased, but trichomoniasis still has the largest weight in their structure (24.7%).

Trichomoniasis refers to diseases with sexual transmission, which is the main and practically the only one for men and women. The danger of trichomonas infection lies in the negative impact on reproductive function, there is evidence of the relationship between trichomoniasis and prostate cancer in men.

Other routes of transmission are possible, such as:

1. 1 Intranatal - infection of the fetus during childbirth through contact with an infected mother's mucosa.
2. 2 Contact-household way. Rarely occurs when using infected personal hygiene items - towels, sponges, wearing someone else's underwear, in contact with contaminated surfaces (oilcloths, boats, toilet seats).

Almost one third of the symptoms of infectious vulvovaginitis, finds they have a Trichomonas infection. The prevalence of the disease among the sexually active population of both sexes reaches 30-50%. The incubation period ranges from 3 days to several months, the first symptoms are forced to attract attention from about 10 days of infection.

• Show all

  1. Factors affecting the severity of symptoms

  Whether a vivid clinical picture of an infectious disease develops is determined by the interaction of two factors:

  1. The aggressiveness of the pathogen, which increases with an increase in the infectious dose,
     pathogenicity of the strain, the presence of a combined or mixed infection.
  2. 2 The immune status of the organism of an infected person (features of the immune response, the presence of background somatic diseases).

  With the full functioning of the protective-barrier mechanisms of all systems of the human body, the introduction of the pathogen - Trichomonas vaginalis and its associated microflora, will not lead to the development of infection, and the disease proceeds in the form of Trichomonas carriers or with minor symptoms of inflammation.

  With a decrease in the immune status, the body cannot restrain the attack of the infecting agent and an inflammatory reaction of varying severity is formed. Local and general immunity may decrease due to physiological and pathological causes(see table 1).

  

  Table 1 - Causes of reduced immunity in trichomoniasis

  The disease can manifest itself as a monoinfection, mixed (caused simultaneously by several different pathogens) or combined infection (successive development of two or more infections). From what will be the clinical manifestations, the degree of the body's response to the action of the pathogen and the duration of infection, there are several forms of trichomoniasis (see table 2).

  

  Table 2 - Classification of trichomoniasis

  In most cases, the disease proceeds in a chronic form in the form of monoinfection with minor complaints or their complete absence, in the form of Trichomonas carriers. But sometimes an acute form of infection develops (see table 3).

  

  Table 3 - Forms of Trichomonas infection. To view the table, click on it.

  2. What if I have trichomoniasis?

  The first thing to do when identifying any signs of vaginosis is to consult an obstetrician-gynecologist. At the reception, be sure to tell about the timing of the onset of symptoms, the etiological relationship of the disease with sexual intercourse or another source of infection.

  Then the doctor, having assessed the situation, will conduct an external examination and examination in the mirrors to detect specific symptoms of trichomoniasis: liquid foamy discharge, a symptom of a "strawberry" cervix; take a smear for microscopy, bacterial culture and material for analysis for STIs.

  The fact of the presence of Trichomonas will help to establish additional methods diagnostics: microscopic, cultural, PCR method. With a positive test result for Trichomonas vaginalis, which can be both with and without symptoms, it is necessary to immediately begin complex treatment:

  1. 1 General antiprotozoal therapy;
  2. 2 Local sanitation and correction of the vaginal biocenosis;
  3. 3 Correction of the body's immune status.

  General therapy eliminates the pathogen throughout the body, local therapy will quickly relieve the symptoms of irritation and restore the normal balance of microflora, and immunocorrective therapy will restore the protective barriers of the body. Additionally, especially when the process is chronic, physiotherapy is prescribed.

  For complete cure it is necessary to conduct a full course of therapy, which on average lasts 10-12 days, however, in the case of a combined, mixed or chronic infection, several courses of treatment may be required.

  As a rule, from the moment the treatment is started, the symptoms of the disease noticeably subside, but it is not recommended to rejoice early and stop taking the drugs, since as a result of incorrect therapy there is a risk of incomplete elimination of the pathogen and the formation of resistance to the drug.

  As a result, an effective drug will not act on Trichomonas, and you will have to switch to a stronger group of drugs, loading the already infected organism.

  During the treatment of trichomoniasis, you must adhere to a few more rules:

  1. 1 Treatment should be started even if there are no complaints, but the test results revealed the presence of Trichomonas vaginalis.
  2. 2 It is necessary to treat urogenital trichomoniasis together with a partner, as in other diseases with sexual transmission. Even if the partner does not have clinical symptoms and there are negative results of laboratory diagnostics.
  3. 3 After effective treatment, re-infection is possible, as an unstable immunity to the pathogen is formed. With ineffective treatment or an incompletely completed course, reactivation of the infection is possible.
  4. 4 Cure acute trichomoniasis is much easier than chronic and complicated.
  5. 5 At the time of treatment, try to exclude sexual intercourse, even with the use of barrier methods. More carefully than usual, observe personal hygiene, daily water procedures, change of underwear.
  6. 6 Refuse self-treatment at home! Do not use to treat infection folk remedies and recipes! Visit an OB/GYN doctor, get (or don't get) laboratory confirmation, and strictly follow the prescriptions.
  7. 7 At the time of taking antiprotozoal drugs, it is necessary to refuse alcoholic beverages, even in small doses. This group of drugs (with the exception of ornidazole) can interfere with the excretion of alcohol from the human body, acting like drugs for the treatment of alcoholism. Therefore, alcoholic beverages during therapy can lead to a lot of discomfort, a decrease in the effectiveness of treatment and a danger to the life of the patient.
  8. 8 Boost Your Immunity: proper nutrition, compliance with labor standards, healthy sleep, moderate physical activity, walks in the fresh air - all this can be supplemented by taking immunomodulatory drugs (prescribed by a doctor) and herbal tinctures - leuzea, eleutherococcus, ginseng and magnolia vine.
  9. 9 Most drugs have negative influence per embryo, therefore it is contraindicated for use before 20 weeks of pregnancy.

  After the full course of treatment and the patient's compliance with all the rules, control tests are carried out: 14-20 days after the completion of treatment, then twice more with an interval of 1 month. The disease is considered completely cured in the absence of clinical manifestations and the pathogen in a laboratory study after 1-2 months in men and 2-3 months in women.

  3. Why is treatment necessary? What are the consequences?

  Firstly, under the cover of Trichomonas, other pathogenic microorganisms, most often gonococci, may be present in the body. As a result, both infections are transmitted through sexual contact.

  The treatment of gonococcal infection is complicated by the fact that the drug effect is only on free pathogens, and those phagocytized by Trichomonas are resistant to ongoing therapy and retain the ability to reproduce and infect.

  This reason is due to the most frequent combination of trichomoniasis and gonococcal infection. In some cases, gonococci are detected in control smears after successful completion of treatment for trichomoniasis - an example of a co-infection.

  Secondly, the constant, even asymptomatic, persistence of an infectious agent in the human body leads to depression, first of all, of local immunity and creates excellent conditions for the introduction of other STI pathogens and the reproduction of opportunistic flora, up to an increase in the risk of contracting HIV infection.

  Thirdly, in the absence of treatment, even with Trichomonas carriers, ascending infection with damage to the proximal genitourinary tract is possible. Trichomoniasis in women can be complicated by the development of colpitis, bartholinitis (inflammation of the Bartholin gland, dangerous for the formation of an abscess), chronic endometritis - inflammation of the uterine mucosa.

  Endometritis is also sometimes asymptomatic for a long time, but leads to complications - atrophy of the uterine mucosa, violation of its receptor apparatus, which ultimately can cause infertility and miscarriage.

  In men, the most formidable complication of an ascending infection is the occurrence of prostatitis (inflammatory disease of the prostate gland), vesiculitis (inflammation of the seminal vesicles), epididymitis - the main causes of male infertility.

  So, trichomoniasis should be treated immediately when it is detected. It is better at the stage of trichomonas carriers or minor clinical manifestations, preventing ascending infection and the development of complications, the treatment of which is much more expensive or no longer possible.

  4. Features of the management of pregnant women

  Pregnancy is accompanied by many changes in the body, including changes in the biocenosis of the woman's vagina, local immunity decreases, which can provoke the development of pathogenic and opportunistic microbes. A pregnant woman may become infected with Trichomonas for the first time or be a carrier.

  Trichomonas vaginalis themselves do not have a rough effect on the fetus and do not cause specific symptoms of the disease in him, but any infection in the genital tract increases the risk of threatened abortion, premature birth, and intrauterine infection.

  The waste products of Trichomonas and other microorganisms associated with them form an aggressive environment in the vagina, which can lead to "melting" of the presenting membranes, ascending infection and the occurrence of intrauterine pneumonia and / or the most formidable complication - chorionamnionitis, which can even end in antenatal fetal death.

  Infection in a woman's genital tract increases the risk of premature rupture of the membranes and the onset of preterm labor. Most often, Trichomonas act as a "reservoir" in which other microorganisms are delivered to the intrauterine world and develop their vigorous activity there.

  It can occur during childbirth through natural infected birth canals. Despite the fact that trichomoniasis in a newborn is less dangerous than in a fetus, antiprotozoal therapy is still required in the first weeks of life.

  Any medications interfere with the development of the baby's immune system, therefore, in parallel, activities are carried out that support the microflora of the body and strengthen its immune status.

  Similar situations of infection of the fetus and newborn are rare and are more common in cases of advanced trichomoniasis. If a woman registers at the antenatal clinic on time, regularly visits a doctor and passes all the tests, then it is much easier to correct the situation. In any case, a pregnant woman needs treatment.

  The use of general antiprotozoal drugs for the treatment of trichomoniasis in the first trimester is not allowed, so drugs are used topically in the form of suppositories (with the exception of metronidazole drugs).

  With the ineffectiveness of therapy from 20 weeks, it is possible to use complex local and general treatment, as well as correction of the immune status of the woman's body.

  5. Drug therapy

  5.1. Antiprotozoal drugs

  The first line of therapy for urogenital trichomoniasis includes drugs of the nitroimidazole group with proven efficacy and high sensitivity to the pathogen. The most commonly used are their representatives such as: metronidazole, ornidazole, tinidazole.

  Their mechanism of action is due to the destruction of nucleic acids DNA of microbial cells by toxic metabolites of the active substance, formed under the influence of Trichomonas enzymes.

  Nitroimidazoles are well absorbed orally and vaginal application and have high bioavailability. To a small extent, they form bonds with blood plasma proteins and are able to penetrate into biological fluids and tissues: they are excreted with mother's milk, pass through the hematoplacental barrier.

  There is no evidence base confirming the negative impact of nitroimidazoles on the fetus at this stage, but given their ability to overcome the placental barrier and be determined in the amniotic fluid, their teratogenic properties, their administration in the first trimester of gestation is categorically not recommended.

  In the second and third trimesters, treatment with them is acceptable if the need outweighs the risk and safer methods are not effective. At the time of taking the drug, breast-feeding better to limit. The resumption of feeding is possible after 12-24 hours when using metronidazole and after 3 days when taking tinidazole.

  Nitroimidazoles are metabolized in the liver by binding to glucuronic acid, therefore they have hepatotoxicity. They should be used with caution in the presence of chronic liver diseases and under the control of a biochemical blood test.

  Excreted from the body for a long time for 10-20 hours, mainly by the kidneys, with urine 60-80% and with bile up to 30%.

  5.2. What are the possible side effects?

  Often there is a dyspeptic syndrome - nausea, vomiting, bitterness in the mouth. In second place in terms of frequency are cerebral phenomena - headache, dizziness, drowsiness.

  In some cases, especially in the presence of chronic blood diseases, they can provoke inhibition of hematopoiesis. With vaginal application, itching, burning, and increased discharge are sometimes disturbing.

  A characteristic feature of this group of drugs is their incompatibility with alcohol, the intake of which will have to be stopped for the duration of treatment. Nitroimidazoles inactivate alcohol dehydrogenase (a liver enzyme that breaks down alcohol into less toxic components), as a result, alcohol deactivation is impaired and toxic acetaldehyde accumulates in the body.

  This leads to the occurrence of teturam-like reactions, which are clinically manifested by a feeling of heat, chest tightness, pain in the epigastric region, chills, palpitations, dizziness and other symptoms.

  The only representative of the nitroimidazole group that does not have such an effect is ornidazole. Self-administration of medications for the treatment of trichomoniasis is contraindicated! It is necessary to consult a specialist and strictly follow his recommendations.

  In acute trichomoniasis, the following treatment regimens are used (see table 4).

  

  Table 4 - Treatment regimens for acute trichomoniasis. To view the table, click on it.

  One of the reasons for the ineffectiveness of the treatment of trichomoniasis may be other microorganisms found in the vaginal discharge. For example, B-hemolytic streptococcus is able to interact with metronidazole and reduce its effectiveness.

  In this case, before starting a second course of antiprotozoal therapy, it is necessary to conduct empirical antibiotic therapy with amoxiclav 625 mg 3 times a day or erythromycin in order to eliminate the coccal flora.

  In most cases, one full course of antiprotozoal therapy with metronidazole is enough to completely destroy Trichomonas. With treatment failure, an increase in the dose of metronidazole or the use of tinidazole is indicated.

  It is better to take metronidazole after meals with plenty of water at the dosage prescribed by your doctor. Trichomonas resistance to metronidazole is rare, but it can be substituted for tinidazole. If standard schemes are ineffective, the following combinations are used:

  Table 5 - Alternative regimens for the treatment of trichomoniasis
  

  And laboratory confirmation of treatment is carried out at any time, and if nothing bothers, it can be delayed until 37 weeks of gestation (preparation for childbirth through the natural birth canal).

  As a rule, the following schemes are used for treatment: metronidazole tablets at a dose of 2.0 orally once and / or local sanitation. With intolerance to all drugs of the nitroimidazole group, there are alternative schemes:

  1. 1 Nitazol - in tablet form 100 mg 3 times a day up to 14 days or in the form of vaginal suppositories 2 times a day.
  2. 2 Preparations of the nitrofuran group (Furazolidone) - according to the scheme 100 mg 4 times a day for 3-5 days.

  5.3. Local treatment

  If trichomoniasis proceeded as standard without complications, then general antiprotozoal therapy within one course is sufficient for a complete cure. With rapidly occurring acute infections or prolonged chronic course a combination of general treatment with local sanitation is shown. The following preparations are used (table 5 below).

  

  Table 6 - Preparations for the local treatment of trichomoniasis. Click on the table to view.

  Sometimes complex antimicrobial and antiprotozoal drugs are used: Macmiror, Klion-D, Neo-Penotran, Terzhinan, Ginalgin and others.

  5.4. Immunocorrection

  In particularly difficult cases that are not amenable to standard therapy regimens, it is recommended to supplement the treatment with the use of the SolkoTrichovac vaccine. This is a concentrate of lyophilized inactivated atypical strains of lactobacilli.

  Its introduction into the human body provokes the production of specific antibodies against atypical lactobacilli, pathogenic microorganisms and Trichomonas including (cross-reaction is provided by a similar antigenic composition due to the long cohabitation of members of the biocenosis in the same environment).

  As a result, the growth of unwanted microorganisms is inhibited against the background of favorable conditions for the growth of representatives of the normal flora. The antibody titer begins to increase gradually within 14 days after the injection, so the first positive effects are observed no earlier than 14-20 days later. The vaccine is administered by deep intramuscular injection three times with an interval of 2 weeks.

  Re-vaccination is possible after 1 year with a single dose, if indicated, after 2 years. To supplement the complex of treatment of uncomplicated trichomoniasis, you can take immunocorrective drugs (see table 6).

  

  Table 7 - Immunomodulators used for trichomoniasis

  Currently, in medical practice there is a fairly wide arsenal of immunocorrection drugs, so you should follow the doctor's recommendations and not self-medicate. Of herbal preparations, it is worth mentioning Eleutherococcus tinctures, Leuzea extract, Echinacea and Chinese Limonica.

  6. Prevention of infection

  With regard to any disease, it can be said that it is much easier to prevent their occurrence than to treat the consequences. Prevention activities
  trichomoniasis due to its belonging to the group of infections with sexual transmission.

  There are basic rules to follow:

  1. 1 Avoid casual sex. Relationships with various representatives of risk groups are especially dangerous: people suffering from drug addiction, women and men of easy virtue, as well as people of non-traditional sexual orientation. The high risk of STIs in these groups is explained by the high number of not always protected sexual contacts with representatives of the same groups, and non-observance of personal hygiene rules. Loyalty to your permanent partner is the guarantee of a healthy sexual relationship.
  2. 2 Sometimes, unfortunately, representatives of the medical field (nurses, doctors) can also be considered a risk group for the possibility of infection with sexually transmitted infections, given the close contact of the doctor with the blood and other biological fluids of patients due to their professional activities. But under aseptic conditions, the risk of infection is reduced to zero.
  3. 3 When having sexual intercourse with a new unknown or random partner, be sure to use a barrier method of contraception - a condom. The cell size of Tr.vaginalis exceeds the size of the pores in the condom material, so its use provides the maximum guarantee of protection.
  4. 4 Observe personal hygiene and do not use sponge towels, underwear of other people, and also be careful in public toilets, showers, pools. The contact-household transmission route is, of course, rare, but not completely excluded. Don't start the disease. If you identify any symptoms bacterial vaginosis, contact your doctor immediately. If the diagnosis of trichomoniasis is confirmed, notify your sexual partner and only start treatment together, as one-sided treatment may subsequently lead to re-infection.
  5. 5 Lead healthy lifestyle life: eat right, play sports, keep a sleep schedule and, if necessary, support yourself with immunomodulatory drugs and seasonal multivitamin complexes. Be true to your partner!

Most sexually transmitted infections enter the body through unprotected sex. Among the most common is trichomoniasis. Right choice medicines for trichomoniasis not only determines the success of treatment, but also reduces the risk of complications.

In the article we will tell you which drugs for the treatment of Trichomonas infection are most effective and which treatment regimen should be followed in order to cure the disease completely.

Ways to eliminate the infection

Trichomoniasis is an infectious disease that occurs when the mucous membrane of the genital organs is damaged by the simplest microorganism Trichomonas and is transmitted sexually. In the vast majority of cases, infection occurs due to direct contact with the pathogen during unprotected intercourse.

The development of the disease occurs against the background of a decrease in the body's immunity and other infectious diseases of the urogenital area.

As a result of infection, destruction of epithelial tissues occurs, multiple erosions, ulcers and inflammatory processes occur in the genitourinary organs.

Therefore, the treatment of trichomoniasis in both men and women involves taking drugs according to an individual scheme, taking into account the specifics of complications. The main objectives of therapeutic measures are unchanged:

• The use of antitrichomonas drugs for the complete elimination of infectious agents.
• Restoration of natural vaginal microflora.
• Normalization of the functions of the urinary organs.
• Appointment of funds to strengthen the immune system.
• Elimination of signs of the disease.
• Treatment of complications.

Do not self-medicate. Trichomonas are able to adapt to certain medications and provoke the development of a latent form of the disease, in which symptoms do not appear. It is better to let an experienced doctor determine how to treat trichomoniasis in each case.

The success of treatment depends not only on complex therapy, but measures aimed at preventing reinvasion are considered an important component of therapeutic measures. The best way prevent re-infection or spread of infection - ensure that all sexual partners of an infected person are treated.

Fulfillment of this condition is mandatory even if the symptoms of the disease do not appear. Trichomonas carriage is often observed in men and does not exclude the possibility of infecting other people.

be careful

Among women: pain and inflammation of the ovaries. Fibroma, myoma, fibrocystic mastopathy, inflammation of the adrenal glands, bladder and kidneys develop.

Want to know what to do? For starters, we recommend

Features of therapy

To determine how to treat a person infected with trichomoniasis, the doctor must take into account all the factors in the development of the disease - the symptoms, the duration of the pathology, the presence of additional infections in the body, the complications that have arisen.

The choice of medicines to eliminate trichomonas in women involves preliminary pregnancy testing, since the infection can be transmitted to the child or lead to miscarriage. In addition, it matters whether a woman has been treated for infectious inflammation of the genitourinary system before.

Do not self-medicate! At the first symptoms of the disease, immediately consult a doctor for medical help!

The consequences of infection with Trichomonas are eliminated not only with drugs, the optimal course of treatment involves various methods of influencing the infection:

• Droppers, injections, tablets.
• The use of local therapy - ointments, gels, suppositories.
• Washing the urogenital organs with special solutions in order to cleanse them.
• Irrigation of the urethra.
• The use of membrane stabilizers for the regeneration of cells of the affected epithelium.
• Physiotherapy.
• Taking drugs that increase vascular permeability.
• The appointment of vitamins and other means for greater effectiveness of therapy.

The development of a scheme for the complex treatment of trichomoniasis is provided by the attending physician. During the entire period of therapeutic and preventive measures, sexual intercourse and alcohol consumption are prohibited.

Pills and shots to fight infection in women and men

The first and main stage in the treatment of infection is etiotropic therapy - the process of eliminating the cause of the development of pathology. Prescribed drugs for causative agents of trichomoniasis.

When choosing a medicine for oral administration, doctors prefer imidazole-based tablets. Metronidazole is considered an effective means of this group.

The pharmacological action of Metronidazole is to act on pathogens protozoal infections. The active substance of the drug penetrates into the pathogenic cell and stops the division process.

Eliminating trichomoniasis in both men and women, including pregnant women, the drug has the ability to accumulate in the blood in a volume that is detrimental to Trichomonas.

The use of the drug in trichomoniasis is especially effective in the treatment of a fresh form of infection, but can be prescribed to eliminate acute and chronic forms.

Due to the physiological characteristics of the body, the treatment regimen for trichomoniasis in women involves the use of other types of drugs than in men.

For the treatment of trichomoniasis in women, metronidazole vaginal suppositories are additionally used. Combined treatment regimens involve the simultaneous use of Metronidazole with other types of antibiotics.

Metronidazole is drunk according to the following schemes:

• Day 1 - 2 tablets of 250 mg every 12 hours. 2nd day - one tablet every 8 hours. In the next 4 days, the daily dose is 500 mg, which corresponds to taking one tablet every 12 hours.
• A single dose of 8 tablets (2 g) of the drug.
• 4 tablets every 12 hours for a week.

Which of the schemes is preferable is determined by the attending physician - in each case, the methods and means of treatment may differ depending on the individual characteristics of the patient and the course of the disease.

Drugs for the treatment of trichomoniasis in men and women are different from each other!

Tiberal is characterized by increased absorption and is able to reduce the symptoms of the disease already three hours after ingestion.

Tiberal is indicated both for the treatment of trichomoniasis and for its prevention. During etiotropic therapy, Tiberal is taken twice a day, one tablet. To effectively treat trichomoniasis in women, Tiberal is combined with local treatment - vaginal suppositories.

Tinidazole - antibacterial tablets for trichomoniasis in women and men. They provide antiprotozoal action by destroying the structure of Trichomonas DNA and inhibiting its synthesis.

Tinidazole tablets are taken only as prescribed by a doctor in accordance with one of the schemes:

• Single dose of 4 tablets of 0.5 g.
• Take one tablet of 0.5 g every 15 minutes for an hour.
• 0.15 g every 12 hours for a week.

Tinidazole is given to children, calculating the dose - 50 mg per kg of the child's weight.

Along with this, trichomoniasis is treated with injections - their use significantly increases the effectiveness of therapy.

Ceftriaxone is the most commonly used broad-spectrum intramuscular antibiotic.

Ceftriaxone belongs to the cephalosporin series and has antimicrobial activity against anaerobic, aerobic, gram-positive and gram-negative microorganisms. With trichomoniasis, Ceftriaxone can be administered both intramuscularly and intravenously - by stream or drip.

Ceftriaxone - effective remedy from trichomoniasis for men, as it quickly eliminates inflammatory processes in the prostate gland, providing tangible relief almost instantly. The dose for one injection is calculated by the attending physician, depending on the specifics of the pathology.

With a particularly difficult course of the disease, Solkotrikhovac is prescribed. The daily dose of intramuscular injection of the drug is 0.5 ml.

The specifics of local therapy

The use of local therapy provides an additional effect of treatment, removing the symptoms of pathology and preventing tissue destruction.

Add to list effective drugs for trichomoniasis infection in women include:

• Vaginal suppositories Ornidazole. Scheme of application - daily single injection during the week.
• Vaginal cream Clindamycin. Apply to remove the manifestation of inflammatory processes in the vagina, for 4 days.
• Intravaginal tablets Ginalgin.
• Vaginal tablets Klion-D.

Additional remedies for trichomoniasis for women are sitz baths with herbs, douching, laying tampons soaked in a combination of urogyronin and levomycetin.

Given that male physiology is different from female physiology, some local therapies that are relevant for women are not available to men. Therefore, the relevant manifestations of pathology in men are eliminated by introducing therapeutic agents with antibacterial action into the urethra.

You can also use the methods of traditional medicine, but only as an additional treatment, coupled with the main one!

In addition, in the treatment of inflammation of the male genitourinary system, the use of creams, ointments and gels is indicated - Clotrimazole, Hexicon, Metrogyl-gel.

Traditional medicine and homeopathy are not able to provide a lasting effect in eliminating the infection, but they make it possible to achieve a temporary improvement in the condition during the period of acute development of the disease.

Trichomoniasis (or trichomoniasis) urogenital is a disease exclusively of the human genitourinary system. The causative agent of trichomoniasis is vaginal (vaginal) Trichomonas, sexually transmitted.

Next, we will consider what kind of disease it is, what causes it, transmission routes and symptoms in adults, and why it is important to make the correct diagnosis and start treatment at an early stage so that there are no serious consequences.

What is trichomoniasis?

Trichomoniasis is a sexually transmitted disease caused by human infection with Trichomonas vaginalis.

Trichomoniasis affects the organs of the human genitourinary system and is caused by a specific pathogen - Trichomonas vaginalis. It belongs to the group of protozoal infections and is characterized by the ability to persist for a long time inside the genitourinary organs even under adverse conditions and the action of various drugs.

Trichomonas infection is present in 30–70% of the total female population, and in almost half of the cases characteristic symptoms diseases are absent or little expressed.

The main way of transmission of trichomoniasis is sexual, the contact-household way is somehow not considered, although there is a point of view that infection is possible through freshly used bath accessories, on which fresh secretions of a patient with trichomoniasis could remain.

• In men, pathogens are found in the urethra, prostate and seminal vesicles, from secretions - in semen and prostate secretions.
• In infected women - in the vagina and Bartholin's glands, cervical canal, urethra. Neisseria and chlamydia are often found inside Trichomonas, in these cases gonorrhea is accompanied by trichomoniasis, complicating the diagnosis and treatment of the disease.

Features of the pathogen

Incubation period, that is, the time from the moment of infection to the appearance of the first symptoms of the disease, ranges from 1 day to 1 month, on average - from 5 to 15 days.

Trichomonas:

• quickly lose viability outside human body. A prerequisite for life is the presence of moisture, when dried, they quickly die.
• not resistant to high temperature(more than 40°C), direct sunlight, exposure to antiseptic agents.

Forms of trichomoniasis:

1. Fresh - up to two months.
2. Chronic. It is characterized, as a rule, by a torpid course lasting more than two months.
3. Carriage of Trichomonas infection. In the laboratory detection of Trichomonas, there are no clinical symptoms of the disease.

Causes of trichomoniasis

In fact, 90% of the population are carriers of Trichomonas, but in most people it does not manifest itself in any way.

How can you get trichomoniasis?

• unprotected sexual contact;
• a large number of sexual partners;
• early transferred or not fully cured sexually transmitted diseases.

The development of trichomonas in the body is facilitated by hormonal disruptions, metabolic disorders, and a decrease in the body's immune response. Immunity to trichomoniasis is not produced, so you can get infected again.

Factors contributing to the development of urogenital trichomoniasis:

• disorders of the endocrine system;
• metabolic disorders;
• hypovitaminosis;
• bacterial contamination of the vagina, accompanied by a change in its acidity;
• menstruation and post-menstrual period.

First signs

Trichomoniasis, like gonorrhea, is almost impossible to recognize on its own, except for frequent discharge from the genitals. transparent, large sizes a drop is the only symptom inherent in everyone with trichomoniasis.

Not direct signs of trichomoniasis:

• pain when passing urine (as in gonorrhea);
• severe periodic burning;
• pain in the lower back of the body.

In the acute phase of trichomoniasis, the symptoms begin to appear quite pronounced in the form of:

• temperature rise;
• increase in ESR;
• development of leukocytosis.

Symptoms of trichomoniasis in adults

Usually the incubation period of trichomoniasis lasts from 2 days to 2 months. If trichomoniasis occurs in an erased form, then the first symptoms may appear a few months after infection with a decrease in immunity or exacerbation of other chronic infections.

Trichomoniasis (depending on the severity of symptoms and duration) can occur in acute, subacute, chronic forms and as trichomonas carriers.

The onset of an acute inflammatory process is predominantly characterized by the appearance vaginal discharge, as well as discharge from the urethra. It is the discharge arising from the genital tract that is the main and most common symptom, and such discharge is observed in about 75% of cases.

The main symptoms of trichomoniasis are discharge from the urethra or vagina, the entry gate of the infection. Among women, this symptom is observed in about 8 out of 10, in men - in half of cases of trichomoniasis.

Among women

With the development of trichomoniasis in women, characteristic complaints appear:

• discharge from the genitals (abundant, often serous-purulent, frothy - characteristic of trichomoniasis);
• itching, burning, pain when urinating;
• swelling and hyperemia (redness);
• occurrence in the folds of the vaginal mucosa;
• pain on examination, with pressure on the urethra - the appearance of discharge;
• macerated skin;

Often along the way there are genital warts.

If the disease affects the cervix (endocervicitis), then swelling of the cervix occurs, accompanied by copious discharge. Erosion often occurs.

In men

After the urogenital Trichomonas has entered the male body, its vital activity provokes the development of the so-called Trichomonas. This infectious and inflammatory disease is accompanied by a number of such clinical symptoms:

• Burning sensation during urination or after intimacy;
• Mucopurulent discharge from the urethral canal, accompanied by discomfort and an unpleasant odor;
• Formation of a seal (stricture) in the urethra;
• Signs of inflammatory lesions of the testicles and their appendages, as well as the prostate gland.

The infected may not suspect that he is a source of infection, and pass Trichomonas to sexual partners or family members.

Therefore, if a man has even the slightest signs of a urogenital infection, you need to contact a urologist and get tested not only for trichomoniasis, but also for other STIs.

As a rule, the symptoms of the acute form of trichomoniasis appear for about 1-2 weeks, after which the clinic of manifestations is either subject to reduction, or disappearance, or transition to the chronic form of the disease.

Complications

Complications of the course of trichomoniasis:

• Acute or chronic inflammatory lesions of the genital area in women and men: endometritis, salpingo-oophoritis, urethritis, etc.
• During pregnancy, the risk of miscarriage, premature birth, infection of the fetus, and the development of purulent-septic complications of the postpartum period increase.
• Male and female infertility.
• Increased risk of contracting other sexually transmitted infections. It has been proven that the presence of trichomoniasis in women doubles the risk of infection with type 2 herpes viruses and human papillomavirus infection, as well.

Diagnostics

From laboratory methods diagnostics are used:

• microscopic examination of native smears from the vagina, urethra and cervix (reliable only with rapid microscopy of freshly taken smears);
• microscopic examination of Gram-stained smears;
• cultural method (sowing mucus and contents of the urethra on nutrient media, but requires 4 to 7 days);
• PCR (polymerase chain reaction) - isolation of Trichomonas DNA from the discharge of the urethra or vagina (very expensive analysis).

In most cases, trichomoniasis is accompanied by the following infections:

• gonorrhea;
• chlamydia;
• mycoplasmosis;
• fungal infections (thrush in women).

This information should be taken into account when prescribing the appropriate course of therapy.

Treatment of trichomoniasis

How to treat trichomoniasis? Treatment involves the need to comply with several basic principles, these include the following:

• treatment of the disease in a simultaneous manner, that is, it implies the treatment of both sexual partners;
• a ban on sexual activity during the treatment of the disease;
• elimination of factors that provoke a decrease in the body's resistance, which implies the need to cure concomitant diseases, hypovitaminosis and other similar varieties;
• the use of antitrichomonas drugs in combination with local and general hygiene procedures.

Medicines for trichomoniasis

Before using any drug, be sure to consult your doctor, because. there are contraindications.

There is an approved treatment regimen for chronic trichomoniasis, as well as recurrent and various localizations:

• a single dose of 2.0 g of Metronidazole during the day for 7-10 days or 500 mg 3 times a day for the same number of days,
• Tinidazole - 2.0 g once daily for 3 days.
• Highly effective with good tolerance and a small number of possible side effects is Ornidazole, or Ornisol, at a dose of 0.5 g - 2 times a day for 10 days.

Immunomodulating agents are also used, which also suppress the development of a concomitant infection, for example, fungal - 3 irrigations of the vagina and cervical zone with a 0.04% solution of Gepon at a dose of 5 ml - 1 irrigation each with a 2-3-day interval.

In addition, to reduce the harmful effects of antimicrobial drugs on the intestinal microflora, it is recommended to take medications containing bifidobacteria.

After taking Metronidazole, categorically forbidden to use alcohol within 24 hours.

If the patient is taking Tinidazole, then the duration of abstinence from alcohol is at least 72 hours. If these restrictions are not observed, a person runs the risk of experiencing adverse reactions such as dizziness, nausea and vomiting.

Trichomoniasis is considered cured when the pathogen is not detected during diagnosis and no clinical symptoms are observed. Sexual life during treatment is excluded. It is necessary to inform your sexual partner about the presence of trichomoniasis and other STDs, about the need for examination and treatment.

The result of treatment of trichomoniasis depends on the normalization of the microflora of the genitourinary system and the body as a whole. In women, for this purpose, a vaccine against inactivated lactobacilli acidophilus is used. Perhaps the appointment of immunomodulatory drugs.

Prevention

Prevention of trichomoniasis is reduced to compliance with the rules that prevent infection with sexually transmitted diseases. Key recommendations:

• use condoms;
• pay close attention to the choice of partners;
• avoid casual sexual relationships;
• do not use shared towels, washcloths and other hygiene items.

Also note that trichomoniasis is easily transmitted during intercourse, so if you suspect an infection, both partners should be examined at once.

This is all about trichomoniasis in women and men: what kind of disease is it, its causes, what are the first symptoms and signs, and treatment features. Do not be ill!

Content

The most common and very dangerous disease of the genitourinary system is trichomoniasis. It can cause complications such as infertility, AIDS, various pathologies during pregnancy. To get rid of this disease without unpleasant consequences, the patient needs to pass the necessary tests and determine how to treat trichomoniasis. About what methods of treatment exist and what means complex therapy includes - read on.

What is trichomoniasis

Dangerous trichomoniasis is a venereal infectious disease, the causative agent of which is a unicellular flagellated microorganism - Trichomonas vaginalis. Such an organism is transmitted sexually, in women it affects the vagina, in men it affects the urethra, the prostate gland. According to statistics, about 10% of the world's population suffers from trichomoniasis, which is a huge percentage compared to other sexual diseases. Trichomonas treatment is often successful: with timely intervention, the infection does not pose a threat to life.

Urogenital trichomoniasis

Infection with urogenital trichomoniasis in 95% of cases occurs sexually. Rarely there are household methods of transmission - through personal hygiene items (washcloth, towel, underwear). A distinction is made between a newly acquired infection and a chronic infection: since it is often asymptomatic, the infection can become permanent. What changes in the body are observed during infection:

• hypersensitivity, vulnerability of the genital organs to other viral diseases;
• mucosal damage: ulcers, inflammation;
• weakening of the immune system;
• in pregnant women - an increased likelihood of premature birth, infection of the child, rupture of the fetal membrane.

Oral trichomoniasis

Women are more likely to become infected from sick men than men from women: this is due to the fact that the vagina is a natural, comfortable environment for the pathogen. Oral trichomoniasis is a rare form of the disease that occurs after oral contact with an infected genital organ. Symptoms of infection, pathogenesis are no different from standard trichomoniasis: bacteria are localized in the genitals, semen, and vaginal secretions.

Chronic form

The disease can become chronic if it proceeded secretly, without clear symptoms, and was not diagnosed as trichomoniasis (this is more common in men). Chronic trichomoniasis is more difficult to cure than fresh, sometimes it develops due to poor-quality, incomplete treatment of the acute form. Persistent infection:

• weakens immune system;
• increases the risk of developing other diseases;
• creates difficulties in conceiving, bearing a child.

Treatment of trichomoniasis

To start a course of treatment for trichomoniasis, it is necessary to conduct a complete examination by a doctor and diagnosis using laboratory tests. The treatment regimen for trichomoniasis is determined individually, after identifying the characteristics of the infection, its reaction to various drugs and drugs. The main method is the use of special anti-trichomonas antibiotics, local treatment not as efficient.

Trichomoniasis in men

Trichomonas is localized in men in the genitourinary system, directly in the urethra, the disease is asymptomatic, while it can be actively transmitted to sexual partners and weaken the protective functions of the body, affect the hormonal background, mood, so its treatment is very important. The risk of infection is especially high during unprotected intercourse. Trichomoniasis symptoms may include:

• pain during ejaculation and urination;
• redness, inflammation of the glans penis;
• signs similar to those of prostatitis.

Trichomoniasis in women

Often in women, trichomoniasis manifests itself more aggressively, significantly affects the microflora of the vagina, hormonal balance, and the menstrual cycle. Trichomonas in women affects important organs (uterus, cervix, ovaries, labia) and can interfere with conception, normal childbearing. Symptoms resemble vaginitis, or severe thrush:

• copious discharge, having a yellow-green tint, an unpleasant odor;
• itching, burning, redness;
• sometimes - bleeding after intercourse;
• discomfort during urination, sexual contact.

How to treat trichomoniasis

Such a sexually transmitted disease as trichomoniasis can easily become chronic, so it is important to approach treatment responsibly and comprehensively: find out at what stage the disease is, how resistant specific Trichomonas are to different types drugs, in which organ the infection has settled and how strong its manifestations are. Often, after the disappearance of the first symptoms, people stop treatment, but this can only be done after a second examination: “recovery” may turn out to be a protracted remission.

What treatment regimen for trichomoniasis is effective: taking hormonal, antiviral, immunomodulating agents, vitamins to support the body in the fight against infection, topical ointments and agents that relieve symptoms. In some cases, physiotherapy, prostate massage and other additional procedures may be prescribed. Read more about the different methods of how to treat trichomoniasis, read on.

Treatment with drugs

How to cure trichomoniasis with pharmaceuticals? The advantage is that they are tested, effective, the minus is the high price of some drugs and the possible side effects of treatment. An effective form of exposure is tablets, oral suspensions and injection solutions. Known drugs for trichomoniasis:

• Metronidazole. Active substances- Trichopolum, flagil. It is absorbed into the blood and destroys bacteria; it is available in tablets of various sizes.
• Tinidazole (triconidazole). Contraindicated during pregnancy and lactation, similar in properties to metronidazole.
• Clotrimazole. An antifungal remedy for genital infections for women, available in the form of vaginal suspensions for oral administration. Possible side effects: irritation, itching.
• Secnidox. It acts at the cellular level, disrupts the chemical processes of anaerobic bacteria, is indicated for venereal infections, some helminth infections. It is taken orally in the form of a sachet, the contents of which must be dissolved with clean water.
• Ornidazole. The maximum dose is 1.5 mg per day, effective for chronic trichomoniasis, giardiasis, dysentery.
• Other means: Hexicon, Nitazol, Candibene, Azithromycin, Miconazole, Nystatin, Interferon.

Immunotherapy

Since immunity is weakened in trichomoniasis, it is important to include in the treatment vitamin complex to maintain protective forces, the balance of minerals. Important immunocorrectors in the chronic course of the disease and the resistance of Trichomonas to antibiotics. Such drugs strengthen the immune system, increase the effectiveness of antitrichomonas drugs, increase the production of useful antibodies. A popular remedy for treatment is Solkotrikhovak vaccines. They provide protection for the body for a year, after which it is necessary to undergo an examination and re-injection.

Local treatment

If the treatment of trichomoniasis with antibiotics is not possible (intolerance, allergy, conscious refusal), or strong side effects drugs - you can use local funds. They are also sold in pharmacies or prepared by a gynecologist personally (for example, iodine baths and washing solutions). Some procedures can be done at home: decoctions from natural herbs, candles, lotions; others must be carried out with the help of a specialist.

Local treatment of trichomoniasis - douching, antibacterial ointments, vaginal and rectal suppositories, tampons, baths, for men - physiotherapy, prostate massage, ultra-thin suppositories for the urethra, washing. All these funds effectively fight chronic trichomoniasis, help with complications such as pregnancy or lactation, when antibiotics are prohibited. Popular means:

• vaginal suppositories and tablets Ornidazole, Klion D, Ginalgin;
• ointments and balms: Betadine, Miramistin;
• means that restore microflora: Ginolact, Vaginal, Gynoflor.

ethnoscience

For the treatment of progressive trichomoniasis ethnoscience can offer natural remedies local exposure from herbal preparations, plant juice, oils. To prevent acute relapses, regular washings, taking antibacterial agents, controlling sexual activity, and choosing the right methods of contraception are used. Treatment of trichomoniasis with folk remedies is best combined with medicinal suppositories and douching.

What folk remedies can be used to treat trichomoniasis at home:

1. Aloe juice. For treatment, drink it in its pure form one hour before meals up to 2 tbsp. 3 times a day, from the frayed leaves of the plant - make an antipruritic agent, compress or ointment.
2. Medicinal collection: eucalyptus, birch, tansy, sophora, yarrow. One tbsp. dry mixture pour a glass of boiling water, leave for an hour, strain. Drink the remedy a day before meals. The course of treatment is 2 weeks.
3. Means for antimicrobial douching: bird cherry, calendula, celandine, lilac. Pour a tablespoon of a mixture of plants with a glass of water, bring to a boil, cook for 5 minutes, insist under the lid for an hour. Enter small doses of tincture with enemas (about 3 tablespoons).
4. Sea buckthorn oil - good remedy from irritation and itching. It is useful to wash the genitals with a solution of oil and water, or lubricate with pure oil.
5. Infusion of horseradish: grate half a kilogram of the root or pass through a meat grinder, pour a liter of boiling water, place in a closed container, insist for a day. Then strain, use for washing.