Treatment of trichomoniasis in men, symptoms and photos

Trichomoniasis in men is a sexually transmitted sexually transmitted disease. The causative agent of this disease is Trichomonas, which belongs to the simplest unicellular microorganisms.

There are about 50-60 species of these pathogens, but in the human body there are genital, intestinal and oral Trichomonas. Most often, a person is infected with urogenital (sex) trichomonas.

Trichomoniasis in men is divided into 2 types: fresh, existing in the body for no more than two months, and chronic. The fresh form, in turn, consists of an acute, subacute and torpid stage. Chronic trichomoniasis is an inflammatory process with exacerbations and remissions, which is sluggish and lasts for more than two months and has few symptoms.

Causes and ways of infection

What it is? The main cause of trichomoniasis is the bacterium Trichomonas vaginalis. The mucous membrane lining the urogenital tract is the main habitat of Trichomonas vaginal, but the parasite is able to penetrate into organs and into the blood.

The causes that affect the likelihood of infection include:

  • unprotected sex;
  • a large number of sexual partners;
  • not healed or previously transferred venereal diseases;
  • promiscuity;

Like most sexually transmitted diseases, trichomoniasis is transmitted sexually from an infected partner. In the first place on infection occupy the genital relations of partners. But we can not exclude the possibility of infection through oral and anal sex in homosexual and heterosexual relationships.

Symptoms of trichomoniasis in men

The main objectives of the microorganism in the male body are the testicles, prostate, urethra and seminal vesicles. It is these organs that are affected by the infection, but despite the danger of trichomoniasis, the symptoms in men are extremely weak, and the incubation period can last from 1 to 4 weeks.

As mentioned above, trichomoniasis in men often proceeds without any special symptoms, however, some initial signs may appear as:

  • pain, tooth and burning sensation in the head of the penis, as well as when urinating;
  • mucous or purulent discharge;
  • swelling and reddening of the foreskin and penis.

Often there is absolutely asymptomatic for trichomoniasis, especially dangerous in terms of the further spread of the infection. Such unpleasant complications, such as non-gonococcal urethritis, chronic prostatitis, chronic inflammation of the epididymis and infertility, result in a long-term persistent pathogen in the body of the infection.

Given that the listed signs of trichomoniasis in men can be the result of other sexually transmitted diseases, timely diagnosis and effective treatment - the key to getting rid of the disease.


Diagnosis of trichomoniasis in representatives of the stronger sex is based on objective and instrumental methods of diagnosis, allowing to detect the infectious agent. Complaints and visual examination of the patient only suggest the diagnosis.

Confirmation of the diagnosis of trichomoniasis occurs only on the basis of laboratory data. To do this, use a variety of techniques:

  • microbiological examination reveals the pathogen through growing it in a special container in a nutrient medium;
  • polymerase chain reaction method;
  • microscopic examination, for which a smear is taken from the male urethra and is being studied;
  • method of immunological research.

The diagnosis of trichomoniasis by the PCR method is effective, especially when the disease has become chronic. In addition, with this method, any liquid biological material (blood, tears, saliva, scraping mucous membranes) can be taken from a patient for examination.

When carrying out PCR, the DNA of Trichomonas is easily detected in the material, and with an accuracy of up to 100%, even if there have never been obvious signs of trichomoniasis.

Treatment of trichomoniasis in men

In the case of trichomoniasis in men, treatment should be carried out for any form of the disease, regardless of the presence or absence of symptoms. Also in the case of Trichomonas in a man, treatment will be required and sexual partner woman. This is the only way to avoid re-infection and prevent the development of dangerous consequences of this disease.

The treatment regimen is to take certain drugs, the drugs that are prescribed for trichomoniasis are as follows:

  1. For the treatment of an acute non-complicated form of the disease, the drug is used - metronidazole (Trichopol), either once 2 g orally, or a course of 5-8 days, 400 mg x 2 per day. Accepted during or after a meal, the tablets do not chew.
  2. Women additionally prescribed candles or vaginal tablets with trichopol. The treatment is repeated after 3-4 weeks, if the control analysis of PCR was positive for Trichomonas.

In chronic recurrent trichomoniasis, metronidazole 500 mg x 2 is used for 7 days, combined with the administration of the drug Solkotrihovak (vaccine against trichomoniasis) in 0.5 ml / m. Only 3 injections, the interval between them is 3 weeks; after a year, another 0.5 ml is administered intramuscularly once.

It should be noted that treatment of trichomoniasis should be entrusted only to a specialist - venereologist, because self-treatment can be not only ineffective, but also cause the consequences and further spread of the disease, as well as lead to chronic diseases of the genitourinary system.

Observe the regimen and treatment regimen.

Usually, patients who are prescribed a course of therapy are recommended to refrain from the following:

  1. Strictly observe the time and period of medication.
  2. Alcohol. The effect of drugs aimed at the destruction of Trichomonas is reduced to a minimum under the influence of any amount of alcohol.
  3. Abstain from sexual intercourse. Relapses in the disease are most often due to the fact that this infection is asymptomatic in the sexual partner and is transmitted to an already cured person during intimacy. The most successful option would be the passage of simultaneous treatment for both partners.

Trichomoniasis in men can significantly reduce the protective functions of the immune system, because the treatment regimen may include the use of immunomodulators.

Watch the video: Straight Talk about Sexually Transmitted Diseases - Leena Nathan, MD. #UCLAMDChat Webinar (December 2019).


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