Chlamydia in men: symptoms, treatment regimens, effective drugs. Chronic chlamydia in men: symptoms, causes, treatment and consequences Chlamydia in men chronic form of the treatment system
Chronic chlamydia in women is an advanced stage of the disease resulting from the lack of adequate treatment in acute course.
If the acute form of the disease has a number of characteristic symptoms, then in the chronic one they are practically absent. This makes diagnosis difficult and leads to complications.
Infection methods
What is chronic chlamydia in women? It is a common sexually transmitted disease. Affects women and men.
In half of all cases, chlamydial infection is transmitted through unprotected intercourse with an infected sexual partner.
Risk factors
When the causative agent of the disease, chlamydia, enters the woman's body, the symptoms do not appear immediately.
With a strong immune defense, the infection remains latent for a long time. However, under the following favorable conditions, it is activated and causes characteristic manifestations:
- suffered colds, acute respiratory viral infections;
- accession of other sexually transmitted infections;
- stressful conditions;
- weakening of the immune system;
- promiscuous sex life with different partners.
With one of these factors, the progression of chlamydia begins, provided that it was infected earlier. If untreated, it becomes chronic.
Reasons for the transition to another stage
The main reason for the transition of the disease to a chronic form is the lack of treatment for the acute stage due to the fact that there are no symptoms. Often, infection with an infection passes completely unnoticed by a woman and does not manifest itself.
The second most common cause is misdiagnosis of the disease and inappropriate therapy. If during the examination the doctor did not detect chlamydia or mistook it for another disease, then the treatment will have no effect. In the meantime, the disease will acquire a chronic stage.
Further - the resistance of chlamydia to the effects of drugs. The lack of comprehensive treatment or improperly selected funds contribute to the development of immunity in pathological microorganisms.
Another reason is the woman's non-compliance with the doctor's recommendations for taking medications. Skipping a pill, stopping the use of antibiotics and other medications on your own leads to complications. It may seem that the disease has receded, but it is not.
Chronic chlamydia in women: what are the symptoms?
The chronic course of the disease, in contrast to the acute one, is even more difficult to replace. However, with a serious decrease in immune defense, the following symptoms are possible:
- Abundant with an unpleasant odor.
- Blood elements in the discharge.
- Pain in the lower abdomen.
- Pain, burning and cramps when using the toilet.
In the absence of treatment at this stage, the development of concomitant diseases of the organs of the reproductive system is possible:
- adhesion process in pipes;
- cervical erosion;
- colpitis;
- cervicitis;
- cystitis.
Often, the detection of chlamydia occurs during a planned visit to a gynecologist, when the doctor diagnoses an inflammatory process in the organs of the reproductive system.
In pregnant women
Chlamydia in pregnant women often has a latent course. The disease does not manifest itself with any signs and only with an exacerbation there are pulling pains in the abdomen, mucous discharge from the vagina containing pus.
Effects
Early detection of chlamydia can be quickly treated with proper therapy. If more than two months have passed since infection, the disease becomes chronic.
Chronic chlamydia affects the functioning of the respiratory system, intestines, musculoskeletal system, genitourinary, cardiovascular systems.
The development of the following diseases can become a complication:
- bronchitis;
- pneumonia;
- conjunctivitis;
- arthritis;
- proctitis;
- pericarditis;
- endocarditis, etc.
One of the most severe consequences of pathology is Reiter's syndrome. It is characterized by large-scale damage to the body, which affects the genitourinary system, joints and eyes.
On the video about chlamydia
Treatment
When using antibiotics. The choice of the drug and treatment regimen takes into account individual indicators, the state of the body, the duration and symptoms of the disease. Therapy has its own characteristics in pregnant women. In the position, antibacterial drugs are mostly prohibited from taking.
For chlamydia, antibiotics are prescribed:
The duration of the treatment course depends on the selected type of antibacterial drug and its combination with other drugs as part of complex therapy.
The doctor must take into account the possible complications of chronic chlamydia, examine the woman for concomitant infections and inflammatory diseases, and supplement the treatment if necessary.
With chlamydia, vaginal candidiasis or thrush often occurs, which contributes to the violation of microflora. In this case, probiotics or suppositories with lactobacilli are prescribed.
In the treatment of chronic chlamydia, the sexual partner must be treated.
Chronic chlamydia in women is a disease that is often asymptomatic. With a weakened immunity, discharge begins, an inflammatory process in the organs of the reproductive system. Treatment is long-term. For a complete recovery, you need to complete the entire course and follow the doctor's recommendations.
What is chronic chlamydia and how is it treated?
The disease is difficult to detect because in most cases, it proceeds imperceptibly.
80% of women have no symptoms, unlike men. Their symptoms of the development of chronic chlamydia are visible at 2 weeks of development. It is a burning sensation when urinating, a white discharge from the penis. However, the presence of these signals occurs during the acute phase.
According to official data, more than 1 billion infected are officially registered in the world. The disease is a lesion by the body of the gram-negative microbe chlamydia trachomatis, which lives inside human cells.
The result of the disease is diseases of the genitourinary tract, joints, eyes, rectum, or lungs. The latter case occurs in newborns. Without treatment, the infection progresses to the second stage of chronic chlamydia, which is difficult to identify. In this case, the consequences will be sad.
For years in the body, bacteria cause a number of complications. It is possible to identify a microbe when passing tests at a regular professional examination or by passing it on for venereal diseases.
The consequences of running chlamydia will be as follows:
- pneumonia;
- bronchitis;
- conjunctivitis;
- arthritis;
- pericarditis, endocarditis.
In pregnant women, it leads to miscarriage, premature birth or undeveloped fetus. Rader's disease, when complications appear on the joints, eyes and respiratory tract, men suffer. This sometimes leads to disability.
Chlamydia is often protracted chronic appears as a result of ineffective drug treatment. Microorganisms adapt to the effects of medicinal components. A favorable environment works well for them, they begin to multiply, provoking inflammation.
Due to the fact that the pathogen is determined too late, it is detected after the onset of complications. For example, a woman becomes infertile, the cause will be salpingitis or suppuration in the fallopian tubes. The obstruction of the latter and the formation of adhesions complicate the fertilization process.
From the day of infection, the incubation stage lasts from 6 days to a month. In its early form, chronic chlamydia, namely in a fresh state, is due to the presence of discharge with impurities of pus and an unpleasant odor at the same time.
In addition, it is noted:
- burning sensation when going to the toilet;
- pain during intercourse, sometimes with bloody leucorrhoea;
- painful sensations in the lower abdomen;
- bleeding between periods;
To a lesser degree, chronic chlamydia is accompanied in all women by intoxication, low-grade fever, general malaise and weakness.
Not going to a doctor leads to ailments directly related, for example, cystitis, erosive ulceration of the cervix, colpitis, adhesions in the fallopian tubes. In this case, chronic chlamydia, its symptoms, will not manifest in any way.
Manifestations during pregnancy
Pregnant girls may notice leucorrhoea mixed with pus in an increased volume, but not always.
The latent form hides inflammation for a long time, only exacerbations reveal themselves in this way. You should not ignore this, because the sore is transmitted to the baby. Picking up her children get sick with pneumonia, otitis media and inflammation of the eye.
The constant course of the disease worsens the general condition of a woman in a position. Having given birth to a child, there is a high probability of organ infection or postpartum fever.
Causes
A process arises against the background of unprotected sexual intercourse with an infected person, relapse and transmission to a newborn baby by passing it through the birth canal.
When it enters the body, the pathogen does not always behave actively, for years the virus sleeps in the human body, and only a few factors bring it out of its dormant form.
The circumstances are:
- stressful situations;
- weakened immunity;
- change of sexual partners;
- colds and other sexually transmitted diseases.
Chlamydia can also be pushed through by frequent douching, the installation of intrauterine devices. It is not transmitted by household means, therefore it is impossible to pick up bacterial cells by swimming in the pool or using other people's towels and linen.
It is important not to start the condition, but to carry out therapy on time. Timely treatment of chronic chlamydia will avoid serious consequences.
Diagnostics
In order to establish bacteria, it is required to undergo a diagnosis using the following methods. Examination of the smear under a microscope will show if there are leukocytes in the material.
Sowing on a nutrient medium will not only reveal the bacillus, but also help to choose the most effective antibiotics. A biopsy is taken from the tubes when the chlamydia stage in women has resulted in organ adhesions. The desired piece is carefully examined by a specialist.
Difficulties occur when the patient becomes just a carrier of the disease. That is, chlamydia does not develop, the period is delayed and even modern laboratory methods do not always show inflammation.
Treatment
After the diagnosis is made, the doctor will select the necessary treatment. It is based on the use of antibiotics, antifungal pills, and immune agents.
With a protracted course, enzyme therapy will be the way to eliminate the symptoms.
What it is?
Complex fight aimed at eliminating pathogens. The combination of the right mixtures of enzymes containing plant and animal components has a beneficial effect on the body. Enzymes are most concentrated in the focus of infection.
The scheme is individual in each case. Usually 2 anti-inflammatory drugs are prescribed at once. It is necessary to take into account the factor that some medicines are contraindicated for women in position.
Doxycycline, Clindamycin, Azithromycin, Rovamycin are widely used in the treatment of chlamydia in women. The first one should not be consumed by pregnant women. At the time of therapy, it lasts 2 weeks, sexual intercourse is not allowed, and the partner must also be treated.
Otherwise, the risk of re-infection is high. After the antibacterial stage, chronic chlamydia, further treatment includes pro biotics, remedies for intestinal and vaginal dysbiosis.
It is important to strengthen the immune system at least a week before the start of healing. Since its weakening will not be able to give a decent rebuff to bacterial cells and no medicine will cope with its task, therefore, vitamin complexes and stimulants of the immune system will serve as an addition.
To minimize re-infection, you need to refrain from sexual intercourse without a condom if you are not confident in your partner. Always have two people in therapy. Remember protecting your health is the key to a long and fulfilling life.
Chlamydia is a dangerous infectious disease, which must be treated immediately after the first signs of infection appear, because it is fraught with serious consequences and complications.
Much can be said about this disease, as well as about everything that concerns it. But now we will focus on chronic chlamydia in men.
About the disease
The ailment in question can affect the musculoskeletal, cardiovascular, visual and respiratory systems, but most often the urinary system. Urogenital chlamydia is manifested by symptoms of inflammatory diseases, and it turns into a chronic form rather quickly. This cannot be allowed, since the consequences are quite serious. Among them are infertility, ascending urinary tract infections, neurochlamydia, impotence, cardiovascular diseases, joint damage, etc.
The infection is transmitted sexually. The causative agent is Chlamydia trachomatis. Unfortunately, in recent years, the number of cases of infection is increasing. Most often, the sick are men between the ages of 20 and 40, as well as sexually active adolescents. According to statistics, 90 million people worldwide are infected with chlamydia every year. At risk are people with weakened immunity.
Very often, chronic chlamydia in men is combined with other infections. As a rule, these are gardnerellosis, thrush, ureaplasmosis, syphilis, mycoplasmosis, gonorrhea and trichomoniasis. The combination of several infections only aggravates the course of the disease, and this negatively affects the duration of treatment.
Before talking about how to cure chronic chlamydia in men, it should be noted that the pathogen can live inside the cells of an infected person for a long time. The bacteria simply do not manifest themselves in any way during this period, which can last for years. But if the body's defenses weaken, then they will begin to actively multiply and progress, which will lead to clinical manifestations of chlamydia.
However, as a rule, from the moment of infection to the onset of symptoms, it takes from 7 to 15 days (slightly less often - up to one month).
Symptoms
They also need to be listed, since we are talking about chronic chlamydia in men. The fact is that in about 46% of patients, the disease proceeds without any manifestations. This significantly complicates diagnosis and treatment, and also increases the risk of complications. But a disease with an asymptomatic course is still dangerous. The carrier of the infection is potentially dangerous, as it can infect his partner.
But in most cases, the symptoms of chronic chlamydia in men appear. The following can be distinguished:
- Discharge from the urethra of a watery or mucopurulent character. They usually appear in the morning.
- Burning and itching that occurs when urinating. The urine itself becomes somewhat cloudy.
- Redness and swelling of the urethra.
- Body temperature increased to 37-37.6 ° C.
- Loss of strength and general weakness.
- Pain in the lumbar and groin area.
All these symptoms are characteristic of an acute disease. In the absence of treatment, they subside, but this does not mean that the ailment has receded. On the contrary, he passed into the stage of chronic chlamydia. In men, the symptoms disappear, and they are replaced by a lesion of the urethra, which is amenable to treatment much more difficult than an acute ailment.
Diagnostics
How to determine the presence of a disease? This question also needs to be answered, since we are talking about chronic chlamydia in men.
Diagnosis is carried out by urologists. However, it is also necessary to make an appointment with a venereologist in order, according to the results of the examination, to exclude the likelihood of contracting other sexually transmitted infections.
What about diagnostic measures? A general cytological smear does not give a complete picture of the presence of chlamydia. Therefore, now they carry out PCR diagnostics. This method allows you to detect the pathogen in the test material, even in very small quantities. Its accuracy reaches 95%.
Another informative method is the enzyme-linked immunosorbent assay. It helps to identify the presence of antibodies to the pathogen. Sometimes they resort to direct immunofluorescence, which involves microscopy of smears stained with a special substance.
In addition to the above, for the diagnosis of chronic chlamydia in men, a photo of which shows an unpleasant picture, bacteriological culture is often used. Another doctor may prescribe an antibiotic sensitivity test.
As a rule, the material for carrying out all the above-mentioned procedures is blood, semen, urine, scraping of cells, as well as secretions from the genitals.
Preparing for diagnosis
A man, deciding to make an appointment with a urologist for an examination, must prepare. Here are the rules to follow:
- 1-2 days before the appointment, you need to give up intimate relationships.
- You will need to abandon the use of any special hygiene products.
- You will have to stop using sprays, ointments and other medications as soon as possible.
- On the eve of the examination, in the evening, it is necessary to cleanse the external genital organs. For this, it is allowed to use warm water and soap. You don't need to do anything in the morning.
- 2-3 hours before the examination, it is advisable not to relieve yourself.
Complications
The consequences of chronic chlamydia in men should be discussed separately. If this disease is not treated, then the likelihood of such complications is high:
- Prostatitis. It begins to develop as a result of the involvement of the prostate gland in the infectious process. Chlamydial prostatitis is accompanied by many unpleasant symptoms: pain in the rectum, perineum and lower back, minor discharge from the urethra, problems with potency, difficulty urinating.
- Urethritis. It is accompanied by a lesion of the urethra. Pronounced symptoms are frequent painful urge to urinate, as well as mucopurulent discharge. You cannot run this disease. This is fraught with narrowing of the urethra.
- Epididymitis. It develops as a result of inflammation of the epididymis. This complication is accompanied by a very high fever, redness and swelling of the scrotum, as well as an enlargement of the epididymis.
All of these urogenital diseases are fraught with infertility and impaired spermatogenesis. In addition, there is a possibility of inflammation of the rectum, lungs, joints, kidneys, bronchi.
However, one of the most serious consequences is Reiter's disease. It manifests itself in the simultaneous damage to the articular tissues, eyes, mucous membranes and, of course, the urogenital tract. Urethritis, conjunctivitis, arthritis, dysuric disorders, edema, deformed fingers are only a small part of the symptoms of this disease.
It is difficult to cope with it, the treatment lasts at least six months. Stable remission can be achieved, but this does not exclude the likelihood of an exacerbation.
Chlamydia and reproductive function
Scientifically speaking, there is overproduction of the active form of the oxygen radical by polymorphonuclear leukocytes of sperm. This leads to damage to the sperm membrane. And this phenomenon, in turn, has a depressing effect on the ability to fertilize.
It is also important to take into account that such a pathology often leads to abnormal development of the fetus.
Features of therapy
Now we can talk about the treatment of chronic chlamydia in men. Immediately it is necessary to make a reservation that therapy for this disease, in whatever form it proceeds, involves taking antibiotics. It is strictly forbidden to choose them yourself.
The doctor prescribes drugs of the tetracycline group - macrolides and fluoroquinolones. But, as a rule, the course of rational treatment of chronic chlamydia in men is not limited to medication alone. Often a patient has to take two drugs from different groups. The doctor may prescribe bacteriophages, antifungal agents, enzymes, enzymes.
If necessary, the patient is prescribed physiotherapy. The most popular are magnetotherapy, ultrasound and electrophoresis.
Tetracycline drugs
The most famous medication is the drug "Tetracycline" in tablets. It is prescribed if the patient does not have liver and kidney pathologies. The course of treatment is 1-2 weeks. It must be taken four times a day for 0.4 g. Ointment is usually prescribed for chlamydial conjunctivitis.
Effective and "Metacyclin". It has versatile antimicrobial activity. The capsules must be taken within one week. The daily dose is 600 mg.
Also appoint "Minocycline". This is a medication of semi-synthetic origin, which is available in the form of a suspension, capsules and tablets. It should be taken 40 minutes every day, 200 mg before meals, also for one week.
But the most effective drug from this group is Doxycycline. It is available in the form of a powder (a solution is prepared from it, which is administered parenterally) and capsules. The active substance destroys most strains of the pathogen. In the pharmacy, the drug can be found under the name "Dorix", "Vibramycin", "Unidox Solutab". Take one of these funds twice a day, 0.1 g for 1-2 weeks.
Talking about the drugs taken in the treatment of chronic chlamydia in men, it should be noted that side effects may occur. Most often it is headache, nausea, hypertension, vomiting, problems with the gastrointestinal tract, as well as increased sensitivity of the skin to ultraviolet rays.
Macrolides
This is another group of drugs that are used in the treatment of chronic chlamydia in men and women. Antibiotics of this series are distinguished by a powerful bacteriostatic effect. They are semi-synthetic and natural.
Most often, patients are prescribed "Erythromycin". It is an effective macrolide, but not everyone tolerates it well. You need to consume it four times a day, 0.25 g one and a half hours before meals. The course lasts one week. It is allowed to supplement the treatment with a local effect on the organ - for this, an ointment with erythromycin is used in the composition.
Best of all, patients tolerate "Spiramycin" ("Rovamycin"). This drug has less toxicity, and it also accumulates in the focus of inflammation. It needs to be taken three times a day, 3 million units for 10 days.
Also, the doctor can prescribe "Sumamed" - the best azalide from the existing ones. A single use is enough for the drug to remain in the focus of inflammation in maximum concentration for the next five days.
This remedy is capable of destroying even treponema pale and gonococci. Plus, the likelihood of side effects is minimal. Take this remedy like this: once two tablets of 0.5 g on the first day, and in the next 5-7 - one at a time.
Another option is Roxithromycin. Low toxic, but highly active, it is excreted from the body slowly. You need to drink it 2 times a day, 0.15 g, be sure to 20 minutes before meals. The course of treatment lasts 10-14 days.
Often prescribed "Klacid" and "Wilprafen" (twice a day, 0.5 g, course 1.5-2 weeks) and "Macropen" (three times a day for two weeks, 0.4 g).
Fluoroquinolones
As shown by clinical trials, the drugs of this group are somewhat inferior in effectiveness to the notorious tetracyclines and macrolides. These are Norfloxacin, Lomefloxacin, Ciprofloxacin, Sparfloxacin, and Levofloxacin. They are rarely used in the treatment of acute or chronic chlamydia.
However, there is a drug that has excellent reviews - this is "Ofloxacin" ("Tarivid"). It represents the second generation of fluoroquinolones. It must be taken for 7-10 days, once a day. The dosage is 0.4 g.
Possible side effects include renal failure, sleep problems, epigastric pain, and cardiovascular disorders. The medicine is serious, but effective. It is even used in the fight against a resistant form of the disease.
Other drugs
The above medications are not all drugs that help eliminate the symptoms of chronic chlamydia in men. Treatment of this ailment often involves the use of "Amoxiclav". It is a combined antibacterial drug with a broad spectrum of action.
The doctor may prescribe "Amoxiclav" additionally - in the event that a streptococcal infection has joined the underlying disease. However, it is forbidden to take it together with aminoglycosides.
"Augmentin" can also be prescribed. It is a complete analogue of the notorious "Amoxiclav". The active ingredients are the same, only the manufacturer and the price are different.
Also, in order to strengthen the immune system, the patient may be prescribed drugs such as Levamisole and Timogen. They significantly increase the body's defenses. The use of interferon inducers ("Cycloferon") and proteolytic enzymes ("Chymotrypsin") is also often appropriate.
Forecast
Earlier, much has been said about the treatment of chronic chlamydia in men and the consequences of ignoring this ailment. What about forecasts?
It is very important to start therapy immediately. And if chlamydia is detected in a man, it is necessary to examine both partners, even in the absence of symptoms. Why? Because if one of the partners infected with the disease does not start therapy, then the second, cured, may become infected again.
It is also very important to undergo diagnostics one and a half to two months after the completion of the course (ELISA and PCR methods are used). If the test results for chlamydia are negative, then the person is healthy.
Once again, it is necessary to make a reservation that it is necessary to treat this disease in the acute stage. It is very difficult to get rid of chronic chlamydia. In addition, it is fraught with a host of consequences - from infertility to impotence.
Many patients begin to doubt whether a complete cure for this disease can be achieved at all. It should be noted that such a cure is possible, but there are still prerequisites for such delusions. The fact is that chlamydial infection, getting into the body, often does not manifest itself in any way. A person may not even have a reason to go for a preventive examination to a doctor. At the same time, chlamydia is actively multiplying and can even spread throughout the body, leading to various complications.
A successful cure of chronic chlamydia can be achieved with a course of antibiotic therapy. In this case, the treatment will have a number of features that must be paid attention to by both the doctor and the patient.
The main principles for the treatment of chronic chlamydia are:
1.
detection of concomitant infections;
2.
selection of an effective drug;
3.
antibiotic regimen;
4.
search for atypical foci of the disease.
Detection of concomitant infections.
To achieve the maximum effect from the course of treatment, it is recommended to carry out the necessary tests to detect secondary infections before starting antibiotic therapy. The fact is that chronic chlamydia greatly weakens local immunity, and the mucous membrane of the urethra becomes especially susceptible to various microorganisms. In almost 70% of patients with chronic chlamydia, secondary infections can be found.Most often, the course of chlamydia is accompanied by the development of the following genitourinary infections:
Detection of these infections is extremely important for the selection of the most effective antibiotic. A competent doctor will try to combine the treatment of two infections and prescribe a drug to which both microorganisms are sensitive. If you start treatment for chlamydia, regardless of other concomitant diseases, then the second pathogen may be insensitive to the selected antibiotic. Then the treatment of chlamydial infection will lead to a severe exacerbation of another disease.
Selection of an effective drug.
The effectiveness of the drug must be evaluated primarily in relation to chlamydia. Sometimes it can be difficult to find an antibiotic even in the absence of concomitant genital infections. Despite the fact that chlamydiae are considered relatively sensitive to many antibiotics, sometimes you can stumble upon resistant ( sustainable) strains of microorganisms. This is due to the fact that a person with chronic chlamydia is often unaware of this for a long time. During this period, he may take antibiotics for other diseases. At the same time, there is a development of resistance of chlamydia to drugs that they have already encountered. It is especially difficult to find an antibiotic for those patients who have already tried to treat chlamydia in the past, but have not finished it. Their strains of chlamydia will be resistant to most of the standard drugs used to treat the disease. However, in cases where the patient denies taking antibiotics or incomplete courses of treatment in the recent past, doctors are guided by statistical data on the sensitivity of chlamydia to various antibiotics.The most effective groups of drugs in the treatment of chlamydia are:
- tetracyclines ( tetracycline, doxycycline);
- macrolides ( azithromycin, clarithromycin, roxithromycin, josamycin, etc.);
- fluoroquinolones ( ofloxacin, ciprofloxacin).
If the course of antibiotics has not brought the desired result, it is advisable to conduct a special laboratory analysis - drawing up an antibioticogram. In this case, the pathogen will be isolated from the patient's body, from which a whole colony will be grown in laboratory conditions. After that, the sensitivity of this particular strain in relation to a number of drugs will be checked. This will ultimately determine the most effective antibiotic so that the repeated course of treatment is successful.
Antibiotic regimen.
The antibiotic regimen plays no less important role than the selection of an effective drug. The fact is that even if chlamydiae are sensitive to the chosen medication, too low a dose can lead to treatment failure. The problem is the special ability of chlamydia to transform into the protective L-form in adverse conditions. If the antibiotic does not kill the pathogen within 10-14 days, then the microorganisms are covered with a specific protective membrane and stop responding to treatment. That is, in the course of antibiotic therapy, not a cure of the disease will occur, but remission ( abatement of acute symptoms). Moreover, when chlamydia after this worsens again, the strain will no longer be sensitive to the drug that failed to cure it.Therefore, in the treatment of chronic chlamydia, the following rules are followed:
- Prescribing high enough doses of the drug. This is necessary in order for all chlamydia to die before the formation of resistant L-forms.
- The course of antibiotic therapy only during exacerbations of the disease. During the period of remission, chlamydiae are much less sensitive to antibiotics, so taking them will not lead to the treatment of the infection, but only to the development of resistance of the bacterial strain.
- Change of drugs. To achieve the best effect, it is advisable to change the drugs from course to course. This is because different groups of antibiotics have different mechanisms of action on bacteria. Thus, the combination and change of drugs exclude the phenomenon of strain resistance.
Search for atypical foci of the disease.
For the correct selection of the drug and the regimen of its administration, the doctor must clearly determine which clinical form of chlamydia he is dealing with. Otherwise, the most common urogenital chlamydia can be cured, while viable bacteria remain in atypical foci. The treatment of some forms of this disease requires a special approach. For example, with the development of chlamydial conjunctivitis ( inflammation of the mucous membrane of the eyes) the antibiotic will be prescribed not only internally, but also in the form of drops or special ointments. Thus, success can only be guaranteed if all foci of infection in the body are detected.Given the complexity of the treatment of chronic chlamydia, it is understandable why in medical practice there are often situations when the course of treatment does not lead to recovery, but only to temporary remission. Most often, insufficiently detailed diagnostics or a frivolous attitude of patients to treatment are to blame for this. However, medical errors are not excluded. Taken together, this leads to the fact that the treatment of chronic chlamydia requires an average of 3-4 courses of treatment during periods of exacerbations. That is, the total treatment time can extend over several months.
Chronic chlamydia is dangerous because it goes away, mostly asymptomatic, and many women do not even know that they are carriers. In practice, such chlamydia is detected by chance: during prophylactic examinations, with an easy passing of tests for infections or with a complication of the disease. Late detection, an irresponsible attitude to one's health, improper treatment or self-medication lead to chronic infection. At this stage, drugs are no longer sensitive to antibiotics, which greatly complicates treatment. The disease affects the surface layers of the mucous membranes of various organs: the genitals of the eyes, liver, lungs, etc.
Women become infected with chlamydia mainly through sexual contact from a previously infected man. Also, the cause of this pathological process can be the presence of other infections, a decrease in immunity (poor immunity can lead to the development of all kinds of complications of the disease). Contact-household and airborne droplets of chlamydia transmission among the adult population are not so common. But it is believed that a person can become infected through a shared towel or patient's linen if general hygiene is not followed.
Statistics identify a specific group of people who are at risk of infection:
- People who have previously had this infection (a complication of reduced immunity).
- Men and women who are sexually active, aged 15 to 24.
- People who have promiscuous sex with frequent partner changes.
- People who ignore condom protection.
In men, the chronic form of chlamydia occurs in two stages. At the beginning, the symptoms of infection do not appear in any way. In the future, the clinical picture becomes either blurred, or the disease is completely asymptomatic, which complicates the identification of infection. If you find the slightest signs, you should immediately seek medical help.
Symptoms in men:
Among women: pain and inflammation of the ovaries. Fibroma, fibroids, fibrocystic mastopathy, inflammation of the adrenal glands, bladder and kidneys develop. As well as heart and cancer.
In women, chronic chlamydia leads to extensive lesions of the genitals, genitourinary and other systems.
In women, the disease manifests itself as follows:
- there are mucous, yellowish or purulent discharge from the vagina with an unpleasant odor;
- burning and itching;
- pain and discomfort while urinating;
- lower abdominal pain;
- general intoxication.
Chlamydia during pregnancy is dangerous for both the pregnant woman and the fetus. Complications can be irreparable and quite dire. Symptoms of the disease are almost the same as in non-pregnant women.
Diagnostic methods and treatment of chronic chlamydia
As we know, sometimes there is no limit to women's worries and doubts. Considering the blurred symptoms, and sometimes the asymptomatic course of the disease, the difficulty of detecting infection, extensive lesions of various organs, the following questions deservedly arise:
- How is chlamydia treated?
- Is chronic chlamydia treated?
- Is it possible to cure chronic chlamydia at all?
- How long does it take for treatment?
Below we will answer all these questions. But let's start with how to identify the disease. After all, timely detection of the infection will help to undergo therapy on time.
Diagnostic methods that most accurately detect chlamydia:
- RIF - three-point scraping (cervix, vagina and urethra) - the probability is not higher than 50%.
- ELISA - a blood test to detect antibodies to chlamydia. More than 50% chance.
- PCR is an analysis of scrapings that allows you to accurately determine the infection. Almost 100% guarantee.
- Bacterial culture of a vaginal smear with subsequent determination of antibiotic sensitivity. The probability is over 90%.
- Antibacterial drugs - azithromycin, erythromycin, doxycycline, macrofan.
- Immunomodulatory agents - from a number of interferons (genferon, viferon), polyoxide (anti-inflammatory and immunomodulatory), cycloferon.
- Antifungal drugs - nystatin, flucostat, diflucan, clotrimazole.
- Local therapy - suppositories or ointments are prescribed for medicinal purposes (erythromycin ointment, betadine, dalacin), as well as suppositories with lactobacilli (vagilak, lactagel)
- Preparations for the restoration of the intestines - hilak-forte, bifiform, linex.
- Enzymes - Wobenzym (cleanses the body, removes toxins).
- Physiotherapy - ILBI, MLT.
- Urethritis is an inflammatory process in the urethra.
- Prostatitis is an inflammatory lesion of the prostate.
- Balanoposthitis is an inflammation of the head of the penis and its foreskin.
- Orchitis and epididymitis - inflammation of the testicle and its epididymis.
- Prostate cysts.
- Change in size, sclerosis and decreased function of the prostate.
- Vesiculitis is an inflammatory process that affects the seminal vesicles, which leads to a decrease in spermatogenesis.
- Conjunctivitis.
- Pharyngitis is an inflammatory lesion of the pharynx.
- Joint lesions.
- Narrowing of the lumen of the urethra
- Peritonitis
- Chlamydial lesion of almost all organs and systems.
- Impotence.
- Pyelonephritis.
- Skin lesions in the form of rashes.
There is a myth that chronic chlamydia may not be curable. We hasten to dispel your fear. Chlamydia can be cured even at this stage.
Treatment of chronic chlamydia is based on test results and the complexity of symptoms. Antibiotics, dosages and time of treatment are selected exclusively by your doctor. The duration of treatment is usually 14 to 21 days.
The treatment regimen for chronic chlamydia includes:
Hygiene products - the most effective - epigen spray and epigen gel.
In the treatment of chronic chlamydia in men, the same regimen is prescribed. The same number of drugs as in the treatment of women.
The clinical picture of chronic chlamydia
At this stage, we will discuss what harm this pathological condition brings and what complications it can lead to.
First of all, the infection affects the genitals and becomes the cause of reproductive system disorders. In women, the clinical manifestations of the chronic form of chlamydia are as follows:
From whom:
For the past few years I have been feeling very bad. Constant fatigue, insomnia, some kind of apathy, laziness, frequent headaches. There were also problems with digestion, bad breath in the morning.
And here is my story
All this began to accumulate and I realized that I was moving in some wrong direction. I began to lead a healthy lifestyle, eat right, but this did not affect my well-being. The doctors, too, could not really say anything. It seems like everything is normal, but I feel that my body is not healthy.
A couple of weeks later, I came across an article on the Internet. literally changed my life. I did everything as it was written there and after a few days, I felt significant improvements in my body. I began to get enough sleep much faster, the energy that was in my youth appeared. The head no longer hurts, there is clarity in consciousness, the brain began to work much better. Digestion has improved, in spite of the fact that I now eat at random. I passed the tests and made sure that no one else lives in me!
In the case of infection in representatives of a strong half of humanity, the most significant complication can be impaired fertility, causing male infertility. It all starts with inflammation due to infection in the urethra, then it spreads along the ascending path and affects the rest of the nearby tissues and organs.
In men with chronic chlamydia, the following complications are possible:
Recovery stage
After a long and difficult path, there remains a very small step towards recovery. Antibiotics destroy the body, disrupt the immune system. The recovery stage is the last stage in the treatment and has its own principles:
- restoration of intestinal microflora (probiotics, prebiotics);
- restoration of liver function (hepatoprotectors);
- restoration of processes in tissues (antioxidants);
- restoration of the reproductive system (antioxidants play a very important role in the formation of germ cells in men);
- restoration of immunity (interferons, multivitamins).
During treatment, you need to adhere to sexual rest, do not drink alcohol. Follow a diet that excludes spicy, fatty and sugary foods. By sticking to a rigorous treatment regimen as much as possible, you increase your chances of full recovery and future pregnancies and a healthy birth. 
Both partners must undergo therapy to avoid re-infection.
Prophylaxis
Of course, timely detection of chlamydial infection is much better than going through a long and difficult path of therapy. But no matter how much you are frightened with mythical stories about a terrible insidious disease, it can still be destroyed. Of course, first of all it is worth finding out how clean your partner is, but if you are still in doubt, it is better to play it safe and protect yourself with a condom during sexual intercourse. Be sure to periodically visit a doctor and take the necessary tests for infections. Also, monitor general hygiene, try to use only your personal belongings.
