Treatment of STD

Gonorrhea (Gonorrhea)
Gonorrhea is a classic sexual disease. A century ago, the disease was common but is now rare. Among the known sexually transmitted diseases, it is the oldest.

The causes of Gonorrhea:
The cause of the disease is gonococcus or Neisseria gonorrhoeae. It affects the genitals, urethra, rectum, cervix, and sometimes other internal organs. The disease is transmitted through sexual contact and through oral and anal sex. When the mother is ill with Gonorrhea, there is a risk that the disease will pass to the fetus during labor. One of the effects of this disease is the development of gonorrhea conjunctivitis in neonates. Gonococcus does not last long outside the human body so non-sexual infection is usually not reasonable.

Symptoms of Gonorrhea:
The incubation time of the disease ranges from a few days in men to ten days in women. The symptoms of Gonorrhea are:
• Feeling pain during urination
• Yellowish discharge from the urethra
• Pain in the lower abdomen (in women)
• Non-menstrual vaginal bleeding (in women)

Many times, women who have been infected with Gonorrhea do not have the symptoms mentioned, and when they do, they tend to be attributed to fungal or cystitis symptoms. Therefore, it is very important not to deal with self-diagnosis and treatment, because improperly treated Gonorrhea can cause serious complications such as epididemitis (inflammation of the epididymis) in men, and in women to inflammatory processes in the uterus or in the treatment. Without medical treatment, gonococcus can spread to the joints, the skin and even spread to the brain, heart, and liver.

Diagnosis, treatment and prevention:
The diagnosis of gonorrhea was done in the laboratory:
• Bacteriological method: culture of vaginal secretions
• Polymerase chain reaction (PCR)
• Immunofluorescence method

Gonorrhea has been combined with gonococcus drugs with chlamydia drugs, because in 30% of cases Gonorrhea is accompanied by chlamydia.

To prevent infection, be sure to have sex protected by:
• Using a condom
• Avoidance of casual sex
If there are genital secretions (from the penis or vagina), contact your doctor immediately for an accurate diagnosis of the cause.
Must be treated in case of infection of both partners.

The woman is entrusted with the greatest miracle in the world - the birth of a man. Therefore, it is very important to treat all the diseases and the disruptive factors that can spoil this delicate process. Chlamydia is one of the diseases that can damage the normal course of pregnancy.
The cause of chlamydia is Chlamydia trachomatis. The bacteria damage the genitals, the urethra, the rectum, the cervix, and the eyes.

Infection and symptoms:
The disease is transmitted during sexual intercourse, even in an anal sex. There is no evidence of infection by oral sex. There is a risk that the baby will become infected at birth and the disease may develop in the newborn into pneumonia and cononitivitis. Chlamydia does not exist at all outside the human body so it is almost impossible to get infected with bacteria in everyday life. The incubation time of the disease varies from one to three weeks.

Chlamydia symptoms are:
For women:
• Non-menstrual vaginal bleeding
Pain in the lower abdomen
• Feeling pain during urination
• Vaginal discharge

In men:
• Few discharges from the urethra
• A slight pain during urination
Diagnosis, treatment and prevention:

In most cases, chlamydia develops without symptoms, both in men and in women. Many times, non-appearance of symptoms causes a later diagnosis of chlamydia resulting in increased risk of complications.
When chlamydia becomes complicated it can cause the following:
Chlamydia conjunctivitis
• Testicular and testicular inflammation
• Infections in the womb and treatment resulting in impotence
Reactive arthritis - inflammation of the urethra, cervical canal, eyes and joints
• Abortions
• Pneumonia against the background of chlamydia in the fetus

In case of recurrence in chlamydia the risk of complications increases even further.
An initial diagnosis of chlamydia is done by examining a surface but for the purpose of verifying the results, more precise diagnostic methods are used, such as:
Polymerase chain reaction (PCR)
• Immunofluorescence
• ELISA test

Treatment is for anti-chlamydia drugs and anti-bacterial preparations. Drug therapy is usually combined with immunotherapy.
To prevent infection, be sure to have sex protected by:
• Using a condom
• Avoidance of casual sex
If there are unusual excretions, itching, or burning in the genital area, you need to see a doctor for diagnosis.
Must be treated in case of infection of both partners.

Trichomoniasis is a very dangerous disease for a woman of childbearing age because of the possible complications leading to disorders during pregnancy and even infertility.

This infection is caused by a parasite called Trichomonas Vaginalis that affects the vagina in women, and in the prostate gland and spills in men. Tricomonazis infection is usually caused by unprotected sex. Cases of infection by oral sex were rarely observed. Because this parasite can exist for several hours outside the human body, there is a risk of contracting it even if not by having sex. The fetus can also be infected by its mother.

The incubation time of the disease varies from week to month. Symptoms of trichomoniasis are then shown:
For women:
• Vaginal discharge, usually yellowish with a bad smell
• The redness and itching of the genitals
• Feeling pain during urination and having sex

In men:
• Symptoms of prostatitis in case of prostate injury
• Pain and burning sensation during urination
• Occurrence of discharge from the urethra

Diagnosis, treatment and prevention:
Trichomoniasis is dangerous in its complications, such as:
• Early amniotic fluid loss
• Premature birth
• Prostate inflammation in men

Diagnosis of trichomoniasis is done by examining a laboratory surface, polymerase chain reaction method (PCR) or by culture.

Treatment is pharmacological.
To prevent trichomoniasis, as well as to prevent any other sexually transmitted disease, avoid unprotected sex. If there is a risk of contracting trichomoniasis, contact your doctor immediately. It is important to note that the spouse of the patient must undergo treatment.

Cyphilis is very dangerous to a woman's health and may harm the woman's body, interfere with the normal course of pregnancy, and cause harm to the fetus.

Infection and symptoms:
The disease is caused by the bacterium trifonamas and is transmitted through sexual contact. The disease develops slowly and damages the internal organs and nervous system. In most cases, a sick person is infected with the initial stage of the disease, which is manifested in ulcers on the genitals, rectum or mouth. The ulcers are not painful. The disease may be transmitted to the fetus during pregnancy. Outside the human body, trifonamas can not exist, so non-sexual contact is rare.
The incubation time of the syphilis is about one month.

The disease erupts in three stages:
the first stage:
After infection, non-painful ulcers are called "Shenkar". After a few weeks, the area of ​​the appearance of the "Shenkar" grows in the lymph nodes and after about a month the chicken has disappeared.

The second stage:
There is a pale rash all over the body, including the hands and feet. Sometimes the rash is accompanied by heat, bad feeling and headache, swelling of the lymph nodes throughout the body, hair loss in the head area and genital area, and in the anus region, there are condylomas.

The third stage:
Appears after several years of infection and damages the central nervous system and brain as well as the internal organs.

Diagnosis, treatment and prevention:
Syphilis can not be diagnosed solely by symptoms and therefore special blood tests must be performed.
The treatment of syphilis is based mainly on the administration of antibiotics.

The prevention of syphilis infection is by having protected sex. In case of infection, both partners should undergo treatment to prevent re-infection. A person who has been diagnosed with syphilis must inform all those with whom he has sex with them so that they too will be diagnosed, even though the initial symptoms do not appear in them.

Condyloma is a common disease among women and can be diagnosed and treated effectively.

Infection and symptoms:
The cause of the disease is human papillomavirus (HPV) and is very contagious. It is transmitted through vaginal, oral and anal sex. A condom does not always prevent infection because, in order to be infected, it is sufficient to come into contact with the mucous tissue of the affected person.
Condyloma appears in the form of pinkish warts on large areas of the skin as well as on the mucous, genitalia and rectum.
The condyloma is caused by the human papillomavirus, which exists in more than 100 species, of which only 10 are genital. The virus can be found in saliva and urine and can be infected by a kiss or some other form.

Symptoms of the disease do not appear immediately after infection (incubation time is several weeks) and sometimes they can occur only after several years. A person whose immune system is strong can recover without taking medication.
Diagnosis, treatment and prevention:

Condyloma appears in the form of a wart of several millimeters to several centimeters. In men, condylomas appear on the penis and in women in the vagina, clitoris, lips, cervix and at the opening of the urethra.

Condylomas can cause great discomfort such as bleeding, and interfere with normal delivery.
The diagnosis of condyloma is by external symptoms. Treatment includes removal of warts and strengthening of the immune system. Conduction is performed by cryotherapy, laser treatments, electrolysis, ozonotherapy and electro-coagulation. No method promises to get rid of the disease because when the immune system is weak, human papillomavirus can arise again.

| Dr. Elena Katanov, a gynecologist | FAX: 077-3181995