Gonorrhea, Trichomoniasis, Chlamydia: Symptoms And Drugs For Treatment

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Gonorrhea, Trichomoniasis, Chlamydia: Symptoms And Drugs For Treatment
Gonorrhea, Trichomoniasis, Chlamydia: Symptoms And Drugs For Treatment

Video: Gonorrhea, Trichomoniasis, Chlamydia: Symptoms And Drugs For Treatment

Отличия серверных жестких дисков от десктопных
Video: STI overview - Chlamydia, Gonorrhoea, Syphillis, Trichomonas, Herpes 2023, February

The combined "bouquet" of sexually transmitted diseases causes several reasons: people's unwillingness to use barrier contraception, unfounded trust in a partner, irresponsible attitude to their own health, etc. As a result, some patients go to the doctor with several diseases at the same time, including gonorrhea, trichomoniasis, chlamydia.


  • 1 Bacteria of the intimate area

    • 1.1 Gonorrhea
    • 1.2 Trichomoniasis
    • 1.3 Chlamydia
  • 2 Combination in the "bouquet"
  • 3 Prevention

Intimate bacteria

Sexually transmitted infections are quite common, as is their combination. As a rule, men discover STDs and seek medical help earlier than women. Diseases can become chronic and further affect reproductive function.


The disease is caused by the development in the urethra of a parasitic microorganism - gonococcus. The infection affects the mucous membrane of the canal, causing a number of symptoms:

  • violation of urination;
  • the appearance of pain when trying to urinate;
  • frequent urge to use the toilet;
  • the appearance of thick discharge that has a yellowish brown color and an unpleasant odor;
  • the formation of edema around the external opening of the urinary canal.

In the last century, gonorrhea was called gonorrhea, under this name it is sometimes found in special literature today. A particular danger is that the disease can be asymptomatic for a long time, while contributing to the development of infertility.

The doctor develops a treatment method that includes two areas:

  • strengthening immunity: taking vitamins, immunomodulators, special drugs;
  • the actual elimination of the infection with the help of potent antibiotics, which are selected individually for each patient.

Another problem associated with this disease is that there are different types of pathogens, including those that are not affected by antibiotics. Then the doctor selects a separate, combination therapy that includes several drugs. After the end of the course, a second diagnosis is required, which should confirm the effectiveness of the methods used.


Trichomoniasis is formed due to the protozoa - the vaginal Trichomonas, which affects the vagina in women and the urethra together with the prostate gland in men. The most common method of infection is sexual, it is also possible household, but its probability is very small and pathology is recorded extremely rarely.


The incubation period of trichomoniasis is a little more than a week, then clear signs of the disease appear:

  • pain during urination and during intercourse;
  • in men, the head of the penis itches when urinating;
  • discharge from the vagina and urethra appears, with a characteristic unpleasant odor;
  • the appearance of streaks of blood in the semen is possible.

Without therapy, the disease turns into a chronicle after a month, which threatens the development of infertility, chronic vesiculitis and prostatitis.

Trichomoniasis is treated in a complex or individually. Anti-trichomonas drugs are initially prescribed. In acute trichomoniasis, this is metronidazole, which is taken 2 grams once or 500 mg twice a day. The course is about a week.

The tool can be produced under other commercial names:

  • "Aquametro";
  • Trihazol;
  • "Medazol";
  • Metronidazole Nycomed;
  • "Klion";
  • "Trichopolus".

Local treatment in this case is ineffective.


This disease is caused by a group of organisms that occupy an intermediate position between the bacterial and viral forms - chlamydia. The causative agent affects the human genitourinary system and, developing within 1 to 3 weeks, manifests itself in the form of symptoms:

  • the appearance in the morning of unusual discharge from the urethra;
  • weakness;
  • a slight increase in body temperature;
  • itching and pain during urination;
  • lower abdominal pain in women;
  • bleeding between periods.

Like previous diseases, chlamydia can develop without severe symptoms, which makes it difficult to diagnose it in a timely manner and start treatment. With prolonged development, chlamydia can spread further and lead to the occurrence of:

  • chronic inflammation of the urethra;
  • in women - inflammatory processes in the uterus and appendages and, as a result, infertility;
  • Reiter's syndrome, in which other systems of the body are damaged, including joints, skin, eyes and internal organs, leading to the development of their pathologies.

Drugs for the treatment of chlamydia depend on the severity of the disease. In an acute uncomplicated course, azithromycin is administered orally, 1 gram once, or doxycycline, 100 mg twice a day for a week.

Azithromycin in pharmacies can be sold under the brand name:

  • "Azitrox";
  • "Zitrolide";
  • Azivok;
  • Azitral;
  • "Sumizid";
  • Sumamed;
  • "Hemomycin".

In addition to doxycycline, chlamydia can be treated with analog drugs:

  • Apo-Doxy,
  • Vibramycin;
  • Doxal;
  • Medomycin;
  • Unidox Solutab.

With the chronic development of the disease, antibiotic therapy is supplemented with immunotherapy, physiotherapy and other methods.

Combination in the "bouquet"

This group of diseases rarely affects a person alone, most often STIs are found in combination: gonorrhea with trichomoniasis or gonorrhea with chlamydia. In this case, the symptoms can differ significantly, respectively, the treatment method is also different.


Gonorrhea and trichomoniasis represent an interesting form of existence in which Trichomonas can absorb gonococci, but do not digest them. The latter retain the ability to reproduce and develop further, as a result of which a low-symptom, but rather dangerous disease is formed.

Medicines for the simultaneous treatment of both diseases are:

  1. Ceftriaxone 250 mg administered intramuscularly in combination with 1000 mg Metronidazole taken in two divided doses throughout the day for a week.
  2. Instead of Metronidazole, Tinidazole 2 grams by mouth or Ornidazole in the same dose, divided by 4 parts during the day, can act.
  3. In the case of chronic development of both diseases, an intramuscular injection of Solkotrichovak is initially used, half a milliliter every two weeks, and then Metronidazole with anti-gonorrheal drugs.
  4. As a topical agent, Metronidazole is used in the form of vaginal balls or Ornidazole vaginal tablets.

Simultaneous transmission of two diseases, gonorrhea and chlamydia, usually contributes to a longer incubation period and an increase in the effects caused by each of the parasites. In its course, the infection is similar to acute urethritis or endocervicitis; in parallel, men develop prostatitis and epididymitis, and women develop chronic inflammatory diseases in the pelvic organs, which ultimately leads to infertility.

It is difficult to detect a combination of both infections, since some of them are parasites inside the cells, while others are outside, so sometimes the doctor, suspecting a combination of these infections, prescribes their simultaneous treatment.

Therapy of gonorrheal-chlamydial infection includes the use of one of the combinations:

  1. Ceftriaxone 250 mg intramuscularly once in combination with Doxycycline 100 mg tablets twice a day for a week.
  2. Ceftriaxone 250 mg intramuscularly once, together with Azithromycin, 1 gram orally once.
  3. Ceftriaxone 250 mg intramuscularly once together with Erythromycin 0.5 grams four times a day for 10 days.
  4. Ciprofloxacin inside 0.5 grams per day for 10 days.
  5. Ofloxacin inside at 0.8 grams per day for 1 - 2 weeks.

If pain appears at the end of urination, it means that the infection has gradually spread through the urinary canals higher, causing complications. This situation requires separate treatment.


Preventive measures for all three diseases, gonorrhea, trichomoniasis and chlamydia, are the same. This is a series of procedures:

  1. Using condoms during intercourse.
  2. Maintaining a relationship with one sexual partner.
  3. In case of infection, undergo a course of treatment together with both partners.
  4. Visit your gynecologist and urologist regularly.
  5. Monitor the condition of the genitals, paying attention to unusual discharge.

By following these rules, the risk of infection is reduced to a minimum.

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