Trichomoniasis of the oral cavity treatment. What is oral (intestinal) Trichomonas and how is it treated

- a common disease, but most people only know about its genital variety, which is sexually transmitted and affects the genitourinary system. However, other types of Trichomonas are quite common, in particular, intestinal, and the least common, oral.

They are not infected sexually, but through everyday contact. Oral Trichomonas is the least common, least studied and least dangerous of all of the above, but it must be treated in a timely manner in order to avoid serious complications and consequences.

Peculiarities

Trichomonas

In the presence of favorable conditions, it settles on the mucous membrane and begins to actively multiply on it, causing unpleasant symptoms and disrupting the microflora.

In addition to its own harm, oral Trichomonas is dangerous because it strongly disrupts the microflora of the oral mucosa. As a result, the likelihood of joining and developing concomitant infections, both bacterial and fungal, increases.

In addition, such infections often occur "under the guise" of trichomoniasis, since due to its presence, their symptoms become nonspecific or completely disappear.

Trichomoniasis in any of its varieties affects more women than men. This is due to the specific microflora of their mucous membranes. Their bacteria take root more easily and develops faster.

Causes

  • The use of lip cosmetics or accessories for applying it, which were used by an infected person;
  • Use of hygiene products, toothbrushes of an infected person;
  • In children's groups, transmission can occur when the same toy is placed in the mouth;
  • The use of poorly washed spoons, forks, to some extent - a sample of food from a plate of an infected person;
  • It is believed that Trichomonas in the oral cavity is transmitted by kissing.

In addition, the body's own immunity protects against invasion, therefore, if it is weakened, then the likelihood of infection is higher. Also, the likelihood of infection increases the presence in the oral cavity of erosions, injuries and wounds, loose mucosa.

Symptoms

As with any trichomoniasis, oral administration can be completely asymptomatic. In this case, the bacterium may be present in the body, but not how not to manifest itself. Such a patient may not be treated for a long time and infect others with Trichomonas. If the clinical picture is nevertheless formed, it, most often, involves the following symptoms:


As can be seen from the description of the symptoms, also presented in the photo, the differential diagnosis of this disease with a fungal infection is quite difficult. Usually, a swab from the oral cavity can be used to make an accurate diagnosis.

If you ignore the symptoms of the disease for a long time, then it can spread to the area of ​​the nasopharynx, throat and even the esophagus.

Therapy

Most often, drugs are prescribed for treatment (, Flagil). For adults, it is usually prescribed according to the following scheme:

  1. 0.25 g three times a day for 2 days;
  2. 0.25 g twice a day for 3-7 days at the discretion of the doctor;
  3. Throughout the treatment, it is necessary to rinse the throat and oral cavity 2-3 times a day with a solution of potassium permanganate;
  4. You can also rinse with hydrogen peroxide solution (1 tablespoon per glass of warm water).

In addition to the actual drug treatment, you must thoroughly brush your teeth 2-3 times a day and massage the gums. The presence of trichomoniasis significantly increases the likelihood of developing caries.

Treatment should be carried out even with passive carriage of Trichomonas, that is, when the sick person himself has no symptoms, but he can spread the disease. In some cases, doctors recommend treating all family members.

Geographic distribution ubiquitous.

Localization- the oral cavity, lives in the gum pockets, between the neck of the tooth and the gum.

Morphological characteristics.

It exists only in vegetative form. Sizes 6-13 microns, there is an axostyle, one nucleus, 4 flagella, one of which forms an undulating membrane that reaches the middle of the body.

Development cycle.

The vegetative form is ingested through the mouth, through the alimentary route.

Pathogenic action.

It is considered conditionally pathogenic. Although there is evidence of a much more frequent occurrence in individuals with various diseases of the oral cavity and teeth (gingivitis, periodontal disease, dental caries) and the unfavorable role of these protozoa in maintaining the pathological process in the oral cavity.

Source of infection carrier of Trichomonas.

Diagnostics. Detection of Trichomonas in native or stained smears from scrapings of the oral cavity.

Prophylaxis.

a) public identification and treatment of people who have oral Trichomonas,

b) compliance with the rules of personal hygiene.

Leishmania - causative agents of cutaneous and visceral leishmaniasis. Systematics, morphology, life cycle, pathogenic effect of leishmania. Diagnostics and prevention.

Leishmania tropica - leishmania tropica- the causative agent of cutaneous leishmaniasis, Borovsky's disease, known in the CIS under the name "pendinskaya ulcer" - anthropozoonosis.

The countries of South Asia, North Africa and some regions of southern Europe, in the CIS, the disease is most common in Turkmenistan and Uzbekistan.

Localization- skin cells.

There are several types and subspecies of Leishmania.

1. Leishmania tropica minor - the causative agent of urban, chronic, dry forms of skin leishmaniasis.

2. L. t. major is the causative agent of rural, acute, wet forms of cutaneous leishmaniasis.

3. L brasiliensis - the causative agent of cutaneous leishmaniasis in the western hemisphere, etc. Their structure is similar. In humans and reservoir animals, Leishmanias develop intracellularly, forming a leishmanial, tissue (amastigous, flagellate-free) form. These are oval or round immobile cells, from 2.8 - 6 µm in length and 1.2 - 4 µm in width. Inside, the centrally located nucleus and nearby kinetoplasts are clearly visible. In the body of the vectors - mosquitoes, as well as in cultures on a nutrient medium, mobile, flagellated leptomonas (promastigous) forms are formed. The cells are spindle-shaped 10–20 µm long, 5–6 µm thick, the nucleus is located in the center, the kinetoplast and the free flagellum directed forward are located at the anterior end of the body.

Development cycle

Invasive form- promastigous. Leishmanias enter human skin cells with the bite of mosquitoes of the genus Phlebotomus. In skin cells, they turn into an amastigous form.

Pathogenic action. Itchy sores form on the skin. The urban form has a long, up to six months incubation period. The slowly growing bump on the skin begins to ulcerate after 6 months. The ulcer is dry, usually affects the face. Scarring occurs on average after a year. The rural form has an incubation period of 2 weeks to 3 months. The disease begins acutely. The bump on the skin quickly ulcerates, weeping ulcers are most often on the limbs. After 1-2 months, they are healed.

Source of infection- a sick person and reservoir animals (small rodents, gophers, hamsters, sometimes rats and dogs).

Prevention:

a) public - sanitary and educational work; identification and treatment of patients; measures aimed at combating mosquitoes and destroying natural reservoirs - rodents around settlements within a radius of 1-2 km; preventive vaccinations are used;

b) personal - individual protection against mosquito bites (tightening windows with nets, sleeping canopies).

Leishmania donovani- the causative agent of visceral leishmaniasis, which exists in several forms: Indian kala-azar, Mediterranean children's leishmaniasis, East African, etc. All geographical variants of the disease are anthropozoonoses.

Geographic spread- Indian kala-azar - India, Pakistan, Nepal, China; Mediterranean childhood leishmaniasis - northwest China, the Middle East, Latin America, the countries of Central Asia, Transcaucasia; East African - Sudan, Kenya, Ethiopia, Somalia and Uganda.

Localization- Leishmanias affect cells of the reticuloendothelial system (spleen, liver, bone marrow, lymph nodes and gastrointestinal tract).

Morphological characteristics. The structure is similar to L. tropica.

Development cycle.

Pathogenic action. The incubation period is from 20 days to 10 months. The disease can be acute or chronic (1-3 years). The liver and spleen increase sharply, a disorder of hematopoiesis occurs, anemia develops, and an irregular fever is noted. Dystrophic and necrotic processes develop in the affected tissues. Without treatment, there is a high percentage of deaths.

Source of infection- a sick person and reservoir animals (dogs, jackals, foxes and rodents).

Prevention:

a) public - measures developed in relation to cutaneous leishmaniasis; treatment of dogs and foxes on farms;

b) personal - protection against mosquito bites.

Leishmania brasilenzis - l. brasiliensis- the causative agent of mucocutaneous leishmaniasis - anthropozoonosis.

Geographic spread- the countries of South and Central America.

Localization- cells of the skin and mucous membranes (nose, ears, nasopharynx, respiratory tract and genitals).

Morphological characteristics. Similar in structure to L tropica. Development cycle.

Invasive form- the promastigous form of Leishmania enters the cells of the skin and mucous membranes of a person with the bite of mosquitoes of the genus Phlebotomus. In the cells of the skin and mucous membranes, it turns into a tissue, leishmanial form - amastigote.

Pathogenic action. At the site of the bite, a leishmanioma is formed - an extensive ulceration. The incubation period is from 2 to 3 weeks to 1 to 3 months. The pathological process develops slowly. Characterized by a severe course of the disease with the formation of painful disfiguring ulceration (espundia). Fever, anemia, and weight loss are common. The disease lasts from 2 - 3 years to many decades. With an extensive pathological process, deformities occur, disability or death of the patient is possible as a result of bacterial infection and exhaustion.

Source of infection- a sick person and reservoir animals (dogs, monkeys, wild rodents and some marsupial mammals).

Diagnostics. Microscopic examination of the discharge of ulcers (biopsies, biopunctures). The method of infection of laboratory animals (cultivation) and the study of biopsy material are used.

Prevention: the measures developed for cutaneous leishmaniasis are applied.

Oral Trichomonas (trichomonas tenax) is an infectious disease caused by the simplest microorganisms Trichomonas. Infection occurs through household contact. The presence of microbes is found in the oral cavity, in the conjunctiva of the eyes, in the lungs, and in the blood. Often, the oral Trichomonas does not show signs of presence, which makes it difficult to diagnose. It is less common than vaginal, but you should be aware of the symptoms in order to timely identify and treat the disease.

All about insidious bacteria

The causative agent of the infection is Trichomonas - the simplest flagellar microorganisms.

The bacterium thrives in warm, humid conditions. A dry, hot environment is destructive for her. Dies at temperatures above 55 degrees. It is difficult to diagnose because it can disguise itself as human cells. The immune system does not recognize it, Trichomonas spreads throughout the body, causing inflammatory diseases.

Reproducing, the microorganism enters the stomach, intestines, causing cholecystitis, colitis.

The defeat of the oral cavity is manifested in caries, periodontal disease, tonsillitis, gingivitis. The appearance of white plaque in the almond sinuses, in the gingival pockets indicates Trichomonas infection.

Once in the body, Trichomonas veils under human cells. By starting to absorb red blood cells, it causes anemia.

What does it say about the presence of infection?

Trichomoniasis in the mouth usually does not have a clear clinical picture of infection. The presence of plaque and purulent discharge from the gingival pockets suggests the presence of oral Trichomonas. Such symptoms are typical for other diseases: periodontal disease, lichen planus. Only laboratory analysis can confirm the presence of trichomoniasis. Under favorable conditions, bacteria multiply rapidly. They affect the mucous membrane, causing inflammation, the appearance of ulcers.

The reason for suspicion of oral trichomoniasis is the presence of the following symptoms:

  • White coating on the tongue.
  • Purulent discharge from the gums.
  • Oral ulcers.
  • Bad breath.

For diagnostics, the following studies are carried out:

  • Blood and urine tests.
  • Saliva smear.

Trichomonas infection occurs in a household way when:

  • Eating unwashed food.
  • Using dirty dishes.
  • A kiss.
  • Using dirty toothbrushes.
  • Putting dirty toys in the mouth by children.

It provokes the development of the disease, weakening of the immune system after taking antibiotics, colds.

Do not delay going to the doctor! This can cause serious complications!

If suspicious symptoms appear, you should immediately consult a doctor, as the development of an infection can lead to damage to other organs. The disease can be protracted. Timely diagnosis with the right treatment will help get rid of bacteria completely.

be careful

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

Want to know what to do? First, we advise

Important aspects of therapy

Treatment of oral trichomoniasis is based on the use of antibacterial anti-trichomonas drugs of the nitromidazole group. Taking medications should be carried out even in the absence of obvious signs of the disease. Most often, metronidazole is prescribed.

There are several types of drug treatment:

  • Taking the medicine for 14 days twice a day at 0.25 mg.
  • Five-day course: taking the medication, one tablet every 6 hours.
  • Six-day course: the first day, two tablets twice a day, the second day, one tablet three times a day. Then take one tablet twice: in the morning and in the evening.

In a chronic form of the disease, such treatment may not work. The doctor prescribes another drug: Tinidazole, Fazizhin, Ternidazole, Secnidazole.

Apply mouth and throat rinses three times a day with a weak solution of potassium permanganate. After the procedure, it is not recommended to eat and drink for one hour. To disinfect the oral cavity after meals and before going to bed, rinse with a solution of hydrogen peroxide.

During treatment, baked goods, confectionery, raw vegetables and fruits should be excluded from food. When cooking meat and fish, subject to good heat treatment.

Taking Metronidazole can cause side reactions:

  • Metal taste in the mouth.
  • Nausea.
  • Headache.
  • Skin rashes.

Taking medication is incompatible with alcohol. After completing the course for two days, the intake of alcoholic beverages is prohibited. There are folk methods of dealing with oral Trichomonas. But in each case, you should consult your doctor. A method such as treatment with alcohol tincture of walnut partitions is incompatible with taking antibiotics.

A glass of crushed walnut partitions is poured with one glass of vodka. Withstand during the day. It is taken on an empty stomach. The dose is started with 5 drops, gradually increasing it every day.

The next method is very simple: keep a tablespoon of sunflower oil in your mouth, as if sucking, until it becomes water-like in consistency. After that, rinse your mouth and throat with boiled water or wormwood broth.

During treatment, it is worth following a diet and eating right, for a speedy recovery!

Cranberry is considered a good antimicrobial agent - you just need to chew it in your mouth.

How to avoid getting infected?

Proper oral hygiene is the main rule in the prevention of Trichomonas infection.

  • Rinse fruits and vegetables thoroughly.
  • After coming home from the street, wash your hands with soap and water.
  • Dry with a personal towel only.

Periodically inspect the oral cavity, if any suspicious signs are found, immediately consult a doctor. Watch your teeth, carious teeth are a source of bacteria spread, as well as Trichomonas can be the cause of caries.

A genus of protozoa of the order Trichomonadida, of the Trichomonadidae family, whose representatives are characterized by the presence of four free flagella and a short undulating membrane.

The pathogenicity of intestinal Trichomonas for humans has not been absolutely reliably confirmed. However, according to some researchers, intestinal Trichomonas creates a lot of problems associated with intestinal activity, including colitis, enterocolitis, cholecystitis. In addition, the result of the activity of the intestinal Trichomonas can be edema, erosion, polyps, ulcers, pallor of the skin, anemia, muscle weakness.

Trichomonas oral (Trichomonas elongata)

Oral Trichomonas is still relatively little studied, despite the fact that it is very common. Its habitats are the oral cavity, respiratory tract, tonsils, gums. The pathogenicity of oral Trichomonas is also questionable. However, there is an opinion that excessive reproduction of the oral Trichomonas can lead to ENT diseases, as well as damage to the liver and other organs. The consequences of the vital activity of the oral Trichomonas sometimes also include the well-known caries and periodontal disease.

Trichomonas genitourinary or vaginal (Trichomonas vaginalis)

For the first time vaginal (vaginal) Trichomonas was discovered by the French scientist Donne in 1836. And for quite a long time it was not considered dangerous. It was generally accepted that in the human body, Trichomonas plays the role of a kind of "orderly", eating bacteria and debris of destroyed cells. The pathogenic properties of Trichomonas were proved only in 1916.

Vaginal (vaginal) Trichomonas lives in the urogenital tract of men and women, and in women it is found much more often. Although it cannot be said that a man with trichomoniasis is an exception to the rule. The fact is that in men, Trichomonas does not cause such obvious symptoms of inflammation as in women. However, it is believed that from 5 to 10% of all cases of urethritis (inflammation of the urethra) in men are of Trichomonas origin.

Trichomonas - features

The features of the causative agent of trichomoniasis include the following points:

The main transmission mechanism of Trichomonas is the genital tract. The source of infection is a sick person, or a Trichomonas carrier. Women are more susceptible to this disease. The incubation period (the period from infection to the development of the first symptoms) is, on average, 10 days (from 2 days to 2 months). Theoretically, infection by contact-household means (towels, underwear) is possible, but unlikely due to the low survival rate of Trichomonas outside the body (in a dry environment).

Is a parasitic disease, known since ancient times, sexually transmitted and causing inflammation of the mucous membrane of the urogenital organs of women and men.
The disease is based on a special type of microorganisms called protozoa. In nature, there are many types of protozoan microorganisms. Some of them live in water, soil, others parasitize in the organisms of animals and humans.

Who are Trichomonas, types of Trichomonas

The simplest- unicellular organisms, unlike other unicellular organisms, are capable of movement, due to the presence of flagella and independent existence outside the infected organism. By their structure, protozoa resemble ordinary cells, the totality of which makes up an integral organism. The difference lies in the fact that the protozoa, despite the simplicity of their structure, exist as a separate integral organism.
The name Trichomoniasis comes from the simplest organisms called Trichomonas, which cause specific local pathological phenomena.
Trichomonas, which parasitize the human body, are of three types:
Trcihomonas elongata - lives in the mouth.
Trichomonas hominis - lives in the human intestine, feeds on various bacteria, erythrocytes (blood cells).
Trichomonas vaginalis - located in the lower urinary tract:
  • Urethra
  • Vagina
  • Prostate
The first two species (Trichomonas hominis, Trichomonas elongata) do not cause any harm to humans. The third type, which is also the most pathogenic, is most active and causes local discomfort, as well as inflammatory processes.

Ways of Trichomonas infection

Trichomoniasis is a very common disease. There is no place on earth where this microorganism would not exist. According to some reports, trichomoniasis occurs in both men and women, young and mature, who are sexually active. The disease is transmitted mainly sexually, that is, through unprotected sexual intercourse. Detailed and understandable about trichomoniasis

Trichomonas colpitis (vaginitis)
Colpitis- inflammation of the superficial layers of the vaginal mucosa. The term colpitis is borrowed from the Greek language. There is also a second name characterizing the inflammation of the vaginal mucosa, of Latin origin - vaginitis.
Acute Trichomonas colpitis is characterized by:

  • Intolerable itching, burning in the vagina, around the labia. Itching is due to the irritating effect of Trichomonas on the walls of the vagina and foamy secretions (secretions).
  • Redness and scratching of the skin in the perineal region, labia (large and small). Appear due to itching in the indicated areas.
  • Foamy discharge with a characteristic unpleasant odor. The volume of discharge depends on the phase of the course of the disease. From profuse leucorrhoea (discharge) of yellow color, with an acute progressive course, to scanty discharge of gray color, with a chronic sluggish process. Foaminess and an abundance of secretions appear as a result of vital activity in parallel with Trichomonas, a special type of bacteria that emit gas.
With good high immunity, the disease can proceed in a latent chronic form. In this case, one or another symptom may be absent, or all symptoms are mild or absent. Inflammatory changes are also minor. The chronic process can periodically worsen. Most often this occurs in the period before the start of a new menstrual cycle, a few days before the onset of menstruation. The exacerbation is associated with a decrease in the amount of estrogens, which are actively involved in the renewal of the surface cells of the vaginal mucosa, among other things, contribute to the acidification of the internal vaginal environment, and Trichomonas feed on glycogen with the help of which, during the life of lactobacilli, the internal environment of the vagina becomes acidic.

Trichomoniasis in the menopausal period.
In women in menopause, the incidence of trichomoniasis varies widely. Lack of estrogen causes atrophy (decreased function, thinning of the walls) of the vaginal mucosa. Accordingly, the microflora of the inner surface of the vagina is disrupted, local immunity decreases, and favorable conditions are created for the growth and development of not only Trichomonas, but also many pathogenic microorganisms. The main clinical symptoms are expressed as:

  • Mucopurulent discharge, sometimes streaked with blood
  • Itching in the vestibule
  • Rarely minor bleeding after intercourse

Pregnancy and trichomoniasis

Typically, trichomoniasis causes inflammatory changes at the local level, that is, at the level of the genitals. Thus, negatively affecting the course and course of pregnancy. It can cause complications such as spontaneous abortion and premature birth. The essence of abortion is that Trichomonas cause inflammatory changes, in which special substances called prostaglandins are released into the blood. Prostaglandins cause increased contractions of the uterine muscles, thereby helping to push the fetus out of the uterine cavity.

Central nervous system (CNS) disorders
Inflammatory damage to the mucous membrane, the addition of a secondary purulent infection and abundant foul-smelling vaginal discharge affect the quality of intercourse. Sexual intercourse becomes painful and impossible. A long chronic course of the disease can ultimately cause frigidity not only due to pain, but also emotional discomfort, causing in some cases a violation of the psychoemotional state of a woman.

Microscopic method
For diagnostics, confirming the presence of Trichomonas in the genital tract, it is necessary to take smears from the vaginal mucosa. Swabs are preferably taken from three different locations:
Among women

  • Posterior vaginal fornix
  • Cervical canal
  • Urethra
In men, the following is examined:
  • Scraping from the urethra
  • Prostate fluid
  • Sperm

To collect the prostate fluid, a gentle massage of the prostate is usually done.
Laboratory studies should be carried out no later than 30 minutes after taking smears, since Trichomonas are very unstable in the external environment and quickly die.
The taken material is placed on a glass slide, a 0.9% sodium chloride solution is dripped, covered with a cover glass and placed under a microscope. In some cases, for better detection of Trichomonas, smears are pre-stained. Microscopic examination is the most prompt method for diagnosing trichomoniasis and allows a diagnosis to be made only 15-20 after taking the initial material.

Cultivation of Trichomonas
As one of the three modern methods for determining the pathological pathogen, it has a number of advantages, such as:

  • Allows you to determine the initial amount of Trichomonas in the test material. Indirectly reflects the degree of the inflammatory process.
  • Identifies which drugs Trichomonas are sensitive to, which is very important when prescribing the correct and optimal treatment. It also allows you to correct already started treatment.
Cultivation is carried out by sowing the contents of smears from the vagina, urethra on special artificial, nutrient media. In this case, Trichomonas enter a favorable environment and begin to multiply intensively. Then the grown colonies are subjected to microscopic examination.

PCR method in the diagnosis of trichomoniasis
A very valuable method for detecting Trichomonas. The advantage of this method is that in the chronic course of the disease, the pathogen is very difficult to detect by conventional microscopic methods. In addition, any biological fluid of the body is suitable for research, be it blood, saliva, scraping of the mucous membrane of the urethra or vagina.
The method is based on the fact that Trichomonas DNA, that is, genetic material, can be easily detected in the material under study. The accuracy of the analysis is 100%. The results appear the very next day, which allows you to start effective treatment in a timely manner.

Trichomoniasis treatment

To completely recover from trichomoniasis, the following conditions must be met:
  1. It is necessary to be treated for both sexual partners at the same time.
  2. During the course of treatment, any sexual intercourse is excluded
  3. Special anti-trichomonas drugs are used (metronidazole, tinidazole)
  4. In parallel with the treatment, hygiene rules for the care of the genitourinary organs are observed:
  • Daily washing of the genitals using antiseptics (a weak solution of potassium permanganate, a solution of furacilin) ​​or detergents, that is, ordinary toilet soap.
  • All movements during washing are carried out from front to back, that is, from the side of the vagina to the anus. This is to avoid introducing infection into the urethra.
  • Individual use of toiletries (soap, washcloths, towels).
  • Daily change of underwear
  1. Compulsory treatment of other, simultaneously occurring diseases of the genitourinary organs of an infectious and inflammatory origin.
Below are several schemes for the treatment of trichomoniasis using anti-trichomonas drugs.


Scheme using metronidazole (trichopolum)

The first day, take 1 tablet 4 times orally with water.
From the second to the seventh day, inclusive, take 1 tablet 3 times a day, also by mouth with water.

Metronidazole- antiprotozoal, antimicrobial drug.

Mechanism of action consists in a depressing effect on the genetic apparatus of bacteria. At the same time, all biological processes of the cell gradually stop and the microorganism dies.

Contraindication serves as pregnancy and hypersensitivity to the drug.

Tinidazole regimen
Take 4 tablets at once, 500 mg each. Or
For 7 days, 1/3 tablet 2 times a day

Tinidazole
The drug is from the same group as metronidazole with a similar mechanism of action and side effects.
Contraindications

  • hematopoietic disorders
  • pregnancy and lactation
  • hypersensitivity to the drug
Scheme using Klion - D
Klion - D- a combined preparation, which contains equal parts of metronidazole and miconazole (antifungal drug). The drug is very effective for mixed infections of the genitourinary apparatus of bacterial and fungal origin.
Assign in the form of vaginal suppositories, 1 piece at night for 10 days.

Monitoring the effectiveness of treatment anti-trichomonas drugs are carried out as follows:

  • Within 2-3 months after treatment, smears of the contents of the vagina and urethra are taken for microscopic examination for the presence of vaginal Trichomonas
  • Swabs should be taken 1-3 days after menstruation.

Prevention of trichomoniasis


Preventive measures imply an integrated approach aimed at protecting against possible infection not only with trichomoniasis, but also all sexually transmitted diseases, be it gonorrhea, chlamydia, syphilis and many others.

  • Prophylaxis should begin with educational activities about a healthy lifestyle, the importance of contraceptive methods, and ways of transmission of infections that cause inflammatory diseases of the genital tract. These measures are primarily aimed at preventing the occurrence of infectious inflammatory diseases of the genitourinary organs in adolescents. Medical workers, teachers in schools, professors in lyceums and universities without fail conduct educational activities in this direction among high school students, students of universities, vocational schools.
  • Categories of young and middle-aged people who are sexually active should be careful in choosing a sexual partner. Indiscriminate sex is not encouraged. An intimate relationship with one sexual partner is considered ideal. Not the least role is played by the use of condoms, as a means of preventing unwanted pregnancy and transmission of Trichomonas infection during sexual intercourse.
  • Preventive control by a gynecologist at least once a year, with taking smears from the urethra, posterior vaginal fornix, cervical canal. The contents of these places are subjected to microscopy, thereby determining the presence of a possible infection and at the same time determining the degree of purity of the vagina.
  • Treatment of concomitant diseases of the genitourinary organs caused by other types of pathogenic microorganisms that reduce local immunity and increase the risk of perceiving Trichomonas infection.
  • An incomparably significant role in the spread of Trichomonas vaginalis is played by the simultaneous use of toiletries (washcloth, towel) by two or more persons, one of whom is sick with trichomoniasis. Therefore, it is necessary for each person to have their own body care products and use them individually.
  • In preparation for pregnancy, tests should be done for the possible presence of a hidden urinary tract infection, both for a woman and a man. And also consult your doctor about this. When planning a pregnancy, it is necessary to cure all possible foci of infection in a woman's body.

What are the possible consequences of trichomoniasis?

Most often, trichomoniasis gives complications during pregnancy:
  • premature birth;
  • low birth weight;
  • passing the infection to the baby when it passes through the birth canal.
In addition, there is evidence that trichomoniasis increases the risk of contracting certain dangerous infections, in particular the human immunodeficiency virus (HIV), which causes AIDS.

How to eat properly with trichomoniasis?

Nutritional features are no longer associated with the disease itself, but with the intake of anti-trichomoniasis drugs that have antibacterial activity. As with any antibiotic, nutrition should be complete, otherwise nausea, indigestion and other side effects may occur. You need to have a hearty breakfast, preferably porridge.

It is useful during the course of treatment to take preparations of pancreatic enzymes, for example, Mezim-Forte. You can also take drugs containing bifidobacteria, since antibiotics can cause dysbiosis. Ask your healthcare professional for more detailed advice.

Do not drink alcohol within 24 hours after ingestion metronidazole and within 72 hours after ingestion tinidazole... These drugs can cause a reaction to ethyl alcohol, like "coding" for alcoholism. Nausea, vomiting and other unpleasant symptoms occur.

Is it possible to have sex with trichomoniasis?

During the treatment of trichomoniasis, having sex is completely contraindicated for two reasons.:
  • Trichomoniasis is a sexually transmitted infection. So there is a risk of infecting a partner / partner.
  • Sexual intercourse reduces the effectiveness of treatment.

Does a condom protect against trichomoniasis?

Condoms are one of the simplest, most affordable and effective means of protecting against unwanted pregnancies and sexually transmitted infections. But they do not completely protect against either one or the other.

Condoms prevent trichomoniasis infection by only 90%. With constant contact with one sick partner, the likelihood of transmission of the infection increases even more.

Do not forget that during sexual intercourse, the condom can break, slide off the penis.

Is trichomoniasis transmitted during oral sex?

Theoretically, such a possibility exists, it may even develop trichomoniasis angina... In practice, this happens very rarely. But the risk is still not worth it.

How is trichomoniasis coded in the ICD?

Trichomoniasis has several codes in the International Classification of Diseases of the 10th revision:
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