How to treat a genital tract infection. Prevention of female genital infections. What antibiotics to take to prevent STDs

Nowadays, everyone knows more or less precisely what sexually transmitted infections are. But there are so many myths associated with “shameful diseases” that it is sometimes quite difficult to figure out what is the truth and what is the lie. The site, with the help of a dermatovenerologist, debunks the most common myths about STIs.

Sexually transmitted infections (STIs)/sexually transmitted diseases (STDs)/sexually transmitted diseases are a hot topic in health columns.

It is not so easy to understand the huge flow of information, and most importantly, to find reliable and easiest-to-understand information for a person who has not been trained in the art of healing.

When visiting a doctor, especially one dealing with issues "intimate" diseases, Every patient experiences stress in one way or another.

Waiting for test results is a period accompanied by anxiety, even if you are completely confident in yourself and your sexual partner.

And, finally, a doctor’s report with unfamiliar words in the “diagnosis” line - almost every person has experienced all this.

It’s great if the doctor tries to explain the patient’s condition and answers all the questions, but quite often doctors do not waste time on what they consider to be empty explanations.

In addition, relationships with loved ones can deteriorate due to a lack of information and myths that still exist today.

In this article, we have collected the most common misconceptions about STIs, which are often heard from patients or seen on the pages of the global Internet.

Can you get this from a swimming pool?

Myth 1.
STIs include: gonorrhea, syphilis, chlamydia, trichomoniasis, genital herpes, anogenital warts (human papillomavirus), chancroid, lymphogranuloma venereum, donovanosis, gardnerellosis (bacterial vaginosis), mycoplasmosis, ureaplasmosis, candidiasis, HIV, hepatitis B and C.

10 myths about sexually transmitted infections

This statement contains both reliable and unreliable information.

STIs do include: gonorrhea, syphilis, chlamydia, trichomoniasis, genital herpes, anogenital warts (human papillomavirus), chancroid, lymphogranuloma venereum, donovanosis.

As for “gardnerellosis,” such a diagnosis does not exist at all.

The condition (and not the disease) of a violation of the vaginal microflora (dysbacteriosis) is called bacterial vaginosis, and can be provoked by many reasons.

This condition is not an STI and can occur even in girls who are not sexually active.

The biocenosis of the vagina includes a huge number of microorganisms, and a violation of the microflora can be associated not only with a microorganism called Gardnerella vaginalis (Gardnerella vaginalis).

Mycoplasmosis and ureaplasmosis are not STIs and still remain a topic of discussion among doctors.

Both myco- and ureaplasmas are classified as opportunistic microorganisms and require treatment under certain conditions.

It is worth noting that both myco- and ureaplasmas can be transmitted through unprotected sexual contact, and then, entering the body of a healthy person, they can:

after some time, be forced out (that is, disappear) under the influence of normal microflora;

remain in the body in small quantities without causing disease;

remain in the body in small quantities, but at the same time cause clinical manifestations of inflammatory diseases - discharge from the urethra, genital tract, discomfort when urinating, etc.;

Detected in large quantities with or without clinical manifestations.

On practice, Treatment is most often prescribed in cases 3 and 4, as well as before a planned pregnancy.

Candidiasis (or thrush), in fact, is a type of disorder of the vaginal microflora, but is not called bacterial vaginosis. Candidiasis is not an STI.

HIV, viral hepatitis B and C are infectious diseases.

The risk of transmission through sexual contact is not so significant; the main route of transmission is hematogenous (through blood).

However, since there is a danger of transmitting these diseases through sexual contact, it is recommended to include them in a comprehensive examination for STIs.

Sexually transmitted infections do not always have clear symptoms!

You can get STIs in swimming pools, baths, baths

10 myths about sexually transmitted infections

This is also a very common misconception. All STI pathogens are unstable in the external environment and quickly die outside the human body.

In addition, infection requires that a certain number of pathogens enter the body, as well as conditions of close contact, which is achieved only during sexual intercourse.

STIs are only transmitted through vaginal intercourse

This is one of the most common misconceptions. Almost all STIs, with the exception of trichomoniasis, are transmitted through all types of unprotected sexual contact - vaginal, oral and anal.

The causative agents of STIs, in addition to affecting the genitourinary system, can cause proctitis, pharyngitis, conjunctivitis.

Urinating and washing the genitals immediately after sexual intercourse significantly reduces the risk of contracting an STI.

To what extent do these procedures reduce the risk? STI infection, It’s difficult to answer, but you shouldn’t rely on them, - They do not reduce the risk of infection.

Even when using local antiseptics, the possibility of infection exists, and clean running water does not have antiseptic properties.

Douching immediately after intercourse reduces the risk of contracting STIs

Douching should only be used as prescribed by a doctor. At first glance, this is a harmless procedure, but it can harm your health.

This method not only does not reduce the risk of infection, but in some cases facilitates the penetration of pathogens higher up the genitourinary system and may provoke a complicated course of infection.

The use of oral contraceptives and topical spermicides protects not only from pregnancy, but also from STIs

It has now been proven that The most effective means of protection against STIs is a condom.

Neither combined oral contraceptives nor topical spermicides can provide reliable protection against STIs.

You cannot get an STI if you have interrupted sexual intercourse

10 myths about sexually transmitted infections

Coitus interruptus occupies one of the leading places among methods of protection against pregnancy and STIs, according to a survey of patients who come to the appointment. This all happens due to the same lack of information.

Many women believe that pregnancy can only occur if, at the peak of arousal, ejaculation occurs (the release of sperm) into the vagina.

However, from the very beginning of sexual intercourse, along with the lubrication of the urethra, single sperm can enter the vagina, which can also fertilize the egg and, accordingly, pregnancy will occur.

Chlamydia, human papillomavirus (HPV), genital warts (genital warts), chancroid and syphilis (hard chancroid), urethritis and vaginitis of gonococcal (gonorrhea) and non-gonococcal (nonspecific) nature.

Chlamydia a bacterial infection spread through vaginal, oral and anal intercourse. In women, chlamydia can also cause other pelvic organs, which are in first place among the causes of ectopic pregnancies and female infertility. In men, chlamydial infection manifests itself as inflammation of the urethra and epididymis (the organ in which sperm accumulates).

Gonorrhea (gonorrhoea) a bacterial disease caused by Neisseria gonorrhoeae, transmitted through vaginal, oral and anal intercourse. It usually appears in people who have several sexual partners, especially in those who prefer unprotected sexual intercourse. Gonorrhea is relatively easy to treat, but in the absence of adequate and timely treatment it can cause dangerous complications. Immunity to gonococcus is not developed, and the person may get sick again. This disease in men is manifested by purulent discharge from the penis, pain and burning during urination, itching in the anal area and (rarely) severe pain in the intestines with streaks of blood in the stool. Women also experience pain during vaginal intercourse, pain and burning during urination, yellow and red vaginal discharge, acute pain, fever and vaginal bleeding. Newborn babies can become infected with gonorrhea when passing through the birth canal, and a few days after birth, yellow purulent discharge appears from the eyes.

Genital herpes a highly contagious viral disease, transmitted through sexual contact and enters the body through microcracks in the skin. The causative agent of the disease is herpes virus type 2. The main symptoms last three to four weeks and include tingling or mild soreness in the genital area, itching, small painful blisters and sores in the anus, buttocks or thighs, severe burning, especially when coming into contact with urine, and enlarged inguinal lymph nodes. Even after symptoms disappear, the virus remains in the body for life, periodically causing exacerbations. It is very important for pregnant women to treat herpes before childbirth, since the virus can be transmitted to the baby when passing through the birth canal. This can lead to blindness, brain damage, and sometimes death of the child.

Syphilis a highly contagious infection caused by spirochetes and transmitted through any type of sexual intercourse. The disease is most common among people who have multiple sexual partners, especially those who do not use barrier methods of contraception. The first stage of the disease begins approximately 10 days after infection and manifests itself in the form of a painless hard chancre (ulcer) on the external genitalia, anus, and less often on the fingers; the infection can be carried into the oral cavity by hands. As a result, the same ulcers appear in the mouth and pharynx. Another characteristic symptom is enlarged lymph nodes. If left untreated, the infection progresses and can progress to the next two stages. The third is the most severe. It is characterized by the appearance throughout the body (including the palms and soles), which may be constant or intermittent, of ulcers in the mouth and throat, swollen lymph nodes throughout the body, bone pain, fever, loss of appetite, and hair loss, meningitis (inflammation of the membranes of the brain). At this stage, serious complications arise, such as paralysis, deviations, and mental illness. The damage to the body may be severe enough to cause death.

Symptoms of STDs

Unusual discharge from the genitals,
- various outgrowths of the mucous membrane of the external genitalia,
- itching,
- wounds and ulcers,
- skin rash,
- pain and burning when urinating.

What can you do

If you suspect you have an STD, consult your doctor, as only a doctor can confirm the diagnosis and begin treatment. Don't try to heal yourself.
Even if the symptoms have disappeared, complete the course prescribed to you, because... the infection may still be present in the body.

Be sure to tell your sexual partner about the detected infection and make sure that he also carries out medication treatment, otherwise you may become infected again. Avoid sexual intercourse during treatment. Use condoms.

What can a doctor do?

The doctor will order an examination. To confirm the presence of infection, you and your partner must get tested. After the examination, the doctor must prescribe appropriate therapy. The choice of medication depends on the pathogen identified. After completing the course of treatment, you need to be tested again to make sure that you are truly cured.

They are quite widely known to everyone due to the way they are distributed. They plague humanity for many centuries, perhaps even millennia, leading to serious illness, infertility, deformities of newborns and untimely deaths. Doctors have learned to cope well with some infections, but some of them can still either be cured in the early stages of the disease or are still able to resist our efforts.

Before formulating a complete list of STIs, you need to find out what they are, how they threaten people and how they affect the body.

Sexually transmitted infections, or STIs, are transmitted from one sexual partner to another, uninfected one, through unprotected sexual intercourse in any form. Pathogens can be viruses, bacteria, fungi, etc.Quite often a mixed form of infection is observed, especially in people who are promiscuous without protection, prone to antisocial behavior, drug addiction, and alcoholism.

Not understanding the risk of contracting some types of STIs can be costly. They can lead to chronic inflammatory processes in the human genital area, cause miscarriage or impotence and prostatitis in men, damage to the immune system, which can cause severe diseases, even fatal.

Some infections only affect the reproductive system, but they can also “spread” throughout the body and cause irreparable harm to health, affecting even the spinal cord and humans.

The only reliable protection against STIs may be caution and attentiveness when choosing a sexual partner, high-quality protection and timely, comprehensive treatment if an infection is detected. Both partners need to be treated.

List of STIs: types, description and signs

Sexual infections include diseases that enter the human body from the outside, from an infected partner, and those whose pathogens normally constantly live on our skin and mucous membranes without causing any harm. These microorganisms are called opportunistic flora.

As long as the body is healthy, and the immune system resists the onslaught of infection and maintains the number of microorganisms at a low, harmless level, the disease does not occur. But during sexual contact with a carrier of the same type or when immunity decreases, the number of pathogens increases sharply and the person becomes ill. Such diseases include the well-known thrush, or candidiasis. Its pathogens are constantly present in the body of every person, but the disease occurs only when a number of conditions coincide.

A number of pathogens of sexually transmitted diseases respond quite well to treatment with modern drugs, but it is better to do this as early as possible, before the infection causes serious inflammatory processes.

As a result, adhesions may occur that threaten a woman with infertility, lesions, unpleasant external rashes and even cancerous tumors. There are some STIs that, when left untreated, can be fatal. This is , and . With timely and correct treatment, the life of such patients can be extended for quite a significant time.

Useful video - Signs of STDs.

The concept of STIs, or (sexually transmitted diseases) is somewhat broader than the concept of sexually transmitted diseases. “Diseases of Venus” are included in the list of sexually transmitted infections as its component.

Full list of STIs:

• Syphilis is caused by treponema pallidum, or spirochete, has three stages and can be congenital. Capable of affecting the skin, mucous membranes, soft and bone tissues, and the central nervous system. It is easily transmitted not only through sexual intercourse, but also through blood and household contact with the personal belongings of an infected patient - a carrier of treponema. It manifests itself as a rash, ulcers, and specific formations - chancre and gumma. Secondary and tertiary syphilis can occur in a latent form. If left untreated, it leads to numerous health and mental problems, and then death.
• Gonorrhea is caused by gonococci and affects the mucous membranes of the urethra and, and when the disease spreads, the bladder, conjunctival membranes, pharynx, and oral mucosa. It manifests itself as purulent discharge, burning sensation and pain with frequent visits to the bathroom. Can be acute or chronic.
• Trichomoniasis is very common in all countries of the world and can be transmitted through household means. In men, it manifests itself as painful urination and bloody discharge. Women experience severe redness of the vulva, burning, itching, copious discharge, and pain during sexual intercourse.
• is caused by chlamydia and has a very secretive “character”. Due to the absence of external manifestations, the level of infection spread is very high. In advanced forms, women may experience itching, pain and burning, as well as unpleasant-smelling discharge. Men mainly experience burning and itching when urinating.
• Mycoplasmosis is provoked by opportunistic microorganisms, mycoplasmas, and more often affects women, causing vaginosis and inflammatory diseases of the internal genital organs.
• can be transmitted not only sexually, but also during childbirth from mother to newborn. It almost always passes without pronounced symptoms, but with a large number of ureaplasmas in men, signs of prostatitis may appear and classic symptoms of infection may occur - itching, burning and pain.
• Gardnerellosis is a type of bacterial vaginosis associated with the “displacement” of lactobacilli and their replacement with gardnerella and some other microorganisms. It has several ways of appearance, not only sexually. A very common condition.
• Candidiasis, or thrush, is also extremely common and can occur without external influence, such as the use of antibiotics. It manifests itself as abundant cheesy discharge, severe itching, irritation and inflammation. It can affect not only the genitals, but also the oral cavity.
• The human papillomavirus () is transmitted sexually and domestically, has many varieties, some of which can cause cancer and, others provoke the formation of genital warts on the genital and anal mucous membranes. It manifests itself as the appearance of wart-like formations on the skin and mucous membranes, which can be single or turn into continuous affected areas.
• Cytomegalovirus spreads through sexual and household contacts and through various bodily fluids. It is asymptomatic, especially dangerous for pregnant women, as it affects.
• It spreads not only through sexual contact, but also through any contact with infected blood. It develops slowly and attacks the immune system, causing AIDS. Patients most often die from secondary infections, for example, from pneumonia, since the patient’s immune system, killed by the virus, does not resist.
• also have many ways of spread, including sexually. With these dangerous diseases, a change in structure and functioning occurs, which is manifested by a series of characteristic symptoms.
• Lymphogranuloma venereum affects the skin and lymph nodes of an infected person. It is rare in Europe and the Russian Federation, since the main region of its distribution is Africa and South America. Asia and India. Caused by a special type of chlamydia, it manifests itself as blisters, ulcers, inflammation of the lymph nodes, fever, headache and indigestion.

As can be seen from the list, some infections are of a viral nature (CMV, herpes, papillomatosis and condylomatosis, hepatitis, HIV and others), fungal (candidiasis), bacterial (gonorrhea), or provoked by protozoan microorganisms (ureaplasmosis, mycoplasmosis and others). Accordingly, treatment should be tailored to the specific pathogen. For mixed infections, combined treatment is used.

It's easy to say: sleep only with people you trust. But you won’t ask after a beautiful courtship at the end of the main romantic evening: “Are you really, really healthy?” Condoms save, of course, but not always. There are nuances that are not customary to talk about. An article about what to do if you sleep with someone you don’t completely trust.

Sex with a condom. Is it possible to get infected?

The condom does not allow sexual infections to pass through. An exception is skin diseases in the genital area: lice, scabies, molluscum contagiosum, herpes and anogenital warts. But the manifestations of these diseases are usually immediately noticeable to the naked eye.

Other bacteria and viruses will not penetrate the barrier protection, but may remain on the condom if a woman has been infected, and under the condom if a man has been infected. Therefore, after removing the condom, you must thoroughly wash your hands with soap and then your genitals. If possible, it will be useful to immediately after sex treat the genitals and the skin around them with an antiseptic - miramistine or chlorhexidine. This is often sufficient and emergency prophylaxis is not required.

Unfortunately, many people neglect to use a condom during alternative forms of sexual intercourse. The infection is transmitted through oral and anal sex in the same way as through classical sex. And even through intimate toys. If a condom was not used during these forms of sexual contact, emergency preventive measures are necessary.

Add a bottle of chlorhexidine or miramistin to the condom protection kit. Carry it with you just in case; after doubtful contacts, wipe the skin around it.

Sex without a condom. When should you start worrying?

At once. There is always a risk of infection during unprotected sexual contact. It is impossible to know with certainty whether a person has infections that can be sexually transmitted. You can get infected from anyone, even if he seems safe and reliable - often a person may not even suspect that he is sick. It is quite possible that a year ago he/she had sex with an equally ignorant, prosperous person, and then, due to cold antibiotics, the sexually transmitted infection immediately went into a chronic, subtle form.

Caught red-handed. Signs of infection

If during sex you notice strange manifestations in your partner, put aside awkwardness, correctness, and especially the desire for intimacy. The presence of a sexually transmitted disease may be indicated by:

Remember: sexually transmitted infections can be asymptomatic, and they are often not recognized. Situations often arise when in one partner the disease progresses brightly, with skin rashes, pain and fever, while in the other the same infection does not manifest itself at all. Therefore, never judge only by the external condition of the skin.

If the skin of the genital organs is clean, this does not guarantee the absence of sexually transmitted diseases. Prevention in case of unprotected contact should always be carried out.

What can you become infected with?

The main sexually transmitted infections include bacterial and viral diseases.

Bacterial infections after unprotected sex can be prevented if treatment is started on time. Viral - no.

Bacterial infections:

• common sexually transmitted diseases - syphilis, gonorrhea, chlamydia, trichomoniasis;
• opportunistic - mycoplasmosis, ureaplasmosis, gardnerellosis;
• very rare “tropical” - chancroid, donovanosis, lymphogranuloma venereum.

Viral infections: genital herpes, HIV, hepatitis and genital warts.

You can also become infected with non-venereal skin diseases. These are lice, scabies and molluscum contagiosum. Here, manifestations in a partner are easy to notice.

What should you do after unprotected sex?

It all depends on the time that has passed since sexual intercourse.

1. In the first two hours the likelihood of preventing infection is greatest. At this time apply emergency preventative measures. If two to four hours have passed, then it’s also worth trying, but the effectiveness will be much lower. After 4 hours, emergency prevention is already pointless.
2. In the next 72 hours The infection has either already happened or it hasn’t. The disease has not yet had time to manifest itself. At this time they spend drug prevention.
3. After 3 days drug prevention will no longer be only ineffective, but even harmful. It will blur the picture of the disease, may cause resistance to the antibiotic, or convert the infection into a latent form. Therefore, if time has passed, all that remains is to be patient and wait.

If there are no symptoms, you need to be tested: after two weeks - for major bacterial infections, after 1.5 months - for syphilis, and after another 1.5 months - for HIV, herpes, hepatitis.

These drugs include: interferon alpha (Viferon, Genferon, Vagiferon), interferon inducers (Neovir, Lavomax, Amiksin), antiviral spray (Epigen Intim).

• Viferon is used in the form of rectal suppositories (500,000 ME). The interferon included in its composition increases local immunity and reduces the likelihood of infection with herpes, hepatitis, etc. The cost of the drug is about 350 rubles.
• Genferon is sold in the form of vaginal and rectal suppositories. In addition to interferon, it contains taurine (strengthens the effect of interferon) and benzocaine (pain reliever). The average cost of the drug is 280 rubles (in a dose of 250,000 ME).
• Vagiferon is one of the best combinations of active ingredients. Sold as vaginal suppositories. It contains interferon, metronidazole (active against trichomonas, mycoplasmas and gardnerella) and fluconazole (an antifungal drug). The cost of the drug is about 350 rubles.
• Interferon inducers. Sold in tablet form. Stimulate the formation of internal interferon. The average price of Lavomax is 400 rubles, Amiksin is 500 rubles, Neovir is 1000 rubles.
• Epigen intimate - sold in the form of a spray. It has immunostimulating, antiviral, anti-inflammatory, antipruritic and regenerating effects. Convenient for topical use by both men and women. To minimize the risk of contracting viral infections, the drug is used before and immediately after sexual intercourse: sprayed on the genitals, vagina and urethra. The average cost of the drug is 900 rubles (15 ml) and 1700 rubles (60 ml).

Local preparations - suppositories, sprays - are most optimally used in the first hours. If more than 2 hours have passed since sex, then it is better to use antiviral pills.

It is very difficult to prevent viral infections. Antiviral drug prophylaxis only slightly reduces the likelihood of contracting genital herpes and hepatitis, and is only an addition to the main antibacterial prophylaxis.

In conclusion, a little more about the tests

It makes no sense to take them immediately after unprotected sex. Each infection has its own incubation period, when it cannot yet be recognized either clinically or by laboratory tests.

For chlamydia, mycoplasmosis, ureaplasmosis, gonorrhea and trichomoniasis, in the absence of symptoms, it is best to get tested after 2 weeks. They give one swab, which is checked using the PCR for the presence of each microbe. If an infection is present, a bacterial culture is performed to determine sensitivity to antibiotics.

To determine syphilis, when chancre appears, a smear is taken from it for microscopic examination. If it is absent, a blood test is taken. It is done no earlier than 6 weeks after sexual intercourse.

Tablets for genital infections, which can be used both internally and vaginally, are today one of the main and most effective ways to combat sexually transmitted diseases. The choice of drugs is very extensive and depends on the type of disease and the type of its causative agent.

What are sexually transmitted infections?

Many people confuse the concepts of sexually transmitted diseases and STDs, but this is a mistake. The fact is that sexually transmitted infections include a number of diseases transmitted through sexual contact. In general, sexually transmitted infections can be divided into four groups:

Infections of the genital tract develop under certain conditions, mainly against the background of general weakening of the body and reduced immunity.

All of the above types of diseases are united by the fact that they are sexually transmitted and are fraught with the development of many complications that affect the genitourinary system and negatively affect reproductive function. One of the most serious complications of sexually transmitted infections is infertility.

The symptoms of these diseases are very diverse and largely depend on the type of pathogen. The main and most common signs include the following:

1. Itching, burning and discomfort in the genital area.
2. Frequent urge to urinate, which may be false.
3. Vaginal discharge.
4. Menstrual irregularities.
5. Difficulty urinating.
6. Inability to conceive.

It is worth emphasizing that most sexually transmitted diseases are highly treatable, but only with timely consultation with a doctor, proper diagnosis and timely initiation of the therapeutic process.

Therefore, if you detect at least a few of the above symptoms, it is recommended to immediately consult a specialist and undergo the necessary examination.

Successful treatment of sexually transmitted infectious diseases begins with testing. After a diagnosis has been made and a characteristic pathogen has been identified, the doctor will determine which medications will be most effective and efficient in a particular clinical case.

Read also:

How to treat .

Causes .

Read about how to get tested for STDs for men.

Types of drug therapy

Medicines against genital tract infections are very diverse. Drug therapy is divided into several types. Let's look at them in more detail

Today, antibiotic therapy is considered the most effective way to combat sexually transmitted infections. The choice of medication is individual and is made by the attending physician based on the results of a preliminary culture of the infection, which allows one to determine its sensitivity to certain antibiotics. In most cases, patients are prescribed drugs belonging to the following groups:

1. Fluoroquinolone.
2. Cephalosporin.
3. Penicillin.
4. Tetracycline.
5. Macrolide.
6. Aminoglycosides.
7. Nitroimidazole derivatives.

The following factors are contraindications to taking antibiotics:

1. The patient's age is under 16 years.
2. Liver pathologies.
3. A pronounced tendency to allergic reactions.
4. Kidney pathologies.
5. Individual intolerance to some components of the drugs.
6. Pregnancy.
7. Lactation period.
8. The presence of a sexually transmitted infection of a fungal or viral nature.

Drugs are prescribed to improve blood circulation in the pelvic organs. These medications are classified as auxiliary medications and are prescribed to almost all patients. The most common representatives of this pharmaceutical group include:

• Aescusan;
• Trental;
• Chimes.

Antiviral agents are necessary for viral infections. Mostly for these purposes, patients are prescribed medications such as Penciclovir, Valaciclovir, Famacyclovir, Acyclovir, Arbidol, Peramivir, Orvirem, interferon preparations, Cycloferon, Amiksin.

The following factors are contraindications to antiviral therapy:

1. Pregnancy.
2. Breast-feeding.
3. Previously undergone liver transplantation.
4. The patient's age is under 18 years.
5. Renal dysfunction.
6. Individual intolerance.
7. Disturbances in the functioning of the digestive system.
8. Blood diseases.

Antifungal agents are used to treat sexually transmitted infectious diseases, the development of which is provoked by fungal pathogens. In this case, patients are prescribed Ketoconazole, Fluconazole, Irunin, Mikosist, Diflucan, Oronazole.

The following types of antifungal antibiotics are also used:

1. Nystatin.
2. Amphotericin B.
3. Pimafucin.
4. Levorin.
5. Natamycin.

The presented pharmacological group has the following contraindications:

1. Pregnancy.
2. Lactation period.
3. Allergic reactions to allylamines.
4. Diseases of the endocrine system.
5. Kidney failure.
6. Impaired liver function.

In addition, patients are required to be prescribed immunostimulants that help the body fight pathogens and increase its level of resistance. These medications are necessary for a successful treatment process, since in most cases, sexually transmitted infectious diseases develop precisely against the background of decreased immunity.

Possible side effects

With a long course of drug treatment, it is likely that unwanted side effects will occur. The most common of them are:

1. Nausea.
2. Attacks of vomiting.
3. Dizziness.
4. Painful sensations in the lower abdomen.
5. Headache.
6. Stomach upset.
7. Diarrhea.
8. The appearance of allergic rashes.
9. Dysbacteriosis.

If such painful signs appear, you should urgently seek advice from your doctor. The patient may need to adjust the dosage or change the medication.

Features of drug therapy

Both sexual partners must undergo treatment. During the treatment process it is necessary to use contraception. The duration of the therapeutic course and the choice of drugs should be prescribed only by a specialist based on the diagnosis and taking into account the health status and individual characteristics of the patient.

In order for treatment to produce favorable results, it must be regular and systematic. You cannot prescribe medications yourself, change the dosage or stop taking them, even if external painful symptoms disappear.

The medicine must be taken at the same time to constantly maintain a certain concentration of the active substance in the blood.

When taking medications for a long time, especially antibiotics, do not forget to take probiotics and special yoghurts to maintain normal intestinal microflora and prevent dysbiosis.

Treatment of sexually transmitted infections with medications is considered an effective and efficient way to solve this problem. However, to achieve favorable results and minimize the likelihood of developing undesirable side effects, the therapeutic course should be prescribed exclusively by a qualified specialist and take place under his full supervision.