Prostate juice on chlamydia

Chlamydia prostatitis

Chlamydial prostatitis is the most common infectious disease among men, which is transmitted during sexual intercourse and affects the genitourinary system. Every year the number of victims increases, mainly after the age of 20, when young people tend to change their sexual partners frequently. As a result of unprotected sexual contact, bacteria enter the urethra and further into the prostate gland. Treatment of Chlamydial prostatitis is of great importance for the timely prevention of various dangerous complications, including the development of a chronic course of the disease.

How does the pathological process develop?

Chlamydial prostatitis develops as a result of the pathogen entering the body of a man - the gram-negative bacterium chlamydia, which penetrates the urogenital tract through sexual contact.

Chlamydia bacterium - the causative agent of the disease

The asymptomatic course after the introduction of bacteria lasts from 5 to 30 days. A long incubation period can cause infection of new healthy sexual partners, since a man does not expect the presence of chlamydia in the genitourinary system. The latent period of the course of the disease is considered the most dangerous due to the impossibility of timely treatment, which entails negative consequences, one of which is chronic chlamydial prostatitis.

The causative agent of chlamydial prostatitis is transmitted only during sexual contact, and at the beginning of the penetration of the bacterium, the man does not feel any discomfort or pain. In some cases, there may be an increased urge to urinate.

But most men do not pay attention to such a change in the body, especially since it does not bring tangible inconvenience to everyday life, so a visit to a specialist - a urologist is postponed.

Over time, chlamydia spreads significantly, thoroughly affecting the prostate gland, as a result, a symptomatic picture develops.

Development of chlamydia in the human body

How does the disease progress?

Disease of the prostate has several forms of development:

• Catarrhal chlamydial prostatitis: chlamydia penetrates the prostate gland, resulting in the formation of an inflammatory process, while the size of the organ remains the same; the only sign at this stage is a feeling of pain during a rectal digital examination, which is carried out during a preventive examination, or during the examination of other pathologies.
• Follicular form: the next stage in the development of the disease after catarrhal, characterized by the formation of nodes from cells damaged by chlamydia in the prostate; the symptom is frequent and painful urination.
• Chlamydial parenchymal prostatitis: this stage is characterized by the development of a chronic course of prostatitis; the affected organ increases in size, and the consistency of the secretion produced also changes.

Signs of chlamydial prostatitis

In most patients, chlamydial prostatitis does not have a pronounced symptomatic picture, so the presence of an inflammatory process is detected by chance, during the examination and treatment of other diseases.

Chlamydial prostatitis symptoms

During the active spread of bacteria in the prostate, signs of the disease begin to appear:

• There is a painful, aching sensation in the pelvic area;
• Discharge from the urethra appears during urination and defecation;
• Frequent urge to urinate;
• Difficulty and painful emptying of the bladder;
• After urinating, the bladder feels full;
• There is an itching sensation in the anus and urethra;
• Erectile dysfunction occurs (weak erection, or its complete absence);
• Urine becomes cloudy, white purulent flakes and mucus appear in its composition;
• It is possible to increase the temperature indicators up to 37.2 degrees;
• Stress develops;
• Night sleep is disturbed;
• Migraine appears;
• Constant fatigue occurs;
• There is an increase in heart rate.

One of the above signs may indicate the presence of a disease. For successful and timely treatment, you should seek the advice of a specialist if one or more symptoms appear. Treatment of chlamydial prostatitis is a long and laborious process that requires the appointment of complex measures.

Diagnostic measures

As you know, a timely diagnosis guarantees the selection of the most effective therapeutic measures in the fight against the disease.To identify the pathological process, the following diagnostic methods are used:

Smear of excreted contents from the urethra; Study of seminal fluid; Examination of the secret secreted by the prostate; General laboratory analysis of urine; Ultrasound diagnostics of the prostate gland and nearby organs. Chlamydia smear test

Symptoms can manifest as impaired semen production, which is the result of chlamydia being attached to sperm. Often, chlamydial prostatitis provokes the development of infertility in men.

Experts are inclined to believe that not only chlamydia, but also Trichomonas and gonococci can provoke the disease. This greatly affects therapeutic measures, the choice of antibacterial drugs, and also significantly slows down the healing process.

What is the complex treatment of the disease?

The main treatment regimen for chlamydial prostatitis is the use of antibiotics that affect the pathogen, as well as other anti-inflammatory drugs. The greatest effectiveness of the use of antibacterial agents is observed at an early stage of the development of the disease. With the progression of prostatitis, it is quite difficult to achieve good and quick results from therapeutic measures.

The treatment regimen will depend on factors such as the form of the disease, the presence of other pathological processes, and the individual characteristics of the male body.

Treatment of chlamydial prostatitis with medicines

For the treatment of chlamydial prostatitis, antibiotics of a wide range of effects are used, especially in the presence of not only chlamydia, but also other pathogens in the body. But in addition to fighting bacteria, antibacterial drugs negatively affect all organs, in particular, they are the culprit for the development of intestinal dysbiosis, which in this disease can significantly undermine the body's immune properties. Therefore, together with antibiotics, drugs are prescribed that restore the intestinal microflora, for example, lactovit, lineks and others.

In some cases, there is an ineffectiveness of the treatment, this is due to the development of chlamydia resistance to antibacterial agents. Therefore, the next step in the treatment will be the appointment of lymphotropic antibiotics that have a direct detrimental effect on chlamydia.

Chlamydial prostatitis and the symptoms that occur during the disease significantly worsen the condition of a man and bring significant discomfort to his usual life. Treatment of prostatitis is carried out for a long period of time, and physiotherapy is prescribed for greater effectiveness of drug therapy.

Physiotherapy treatment, first of all, consists of prostate massage, which is performed by a specialist - a urologist. There are also many different devices that perform the function of a massager. The impact on the prostate is made through the rectum, which improves blood circulation in the affected organ and eliminates congestion.

Prostate massage is one of the physiotherapeutic procedures for prostatitis

A good effect is observed with laser therapy, electrical stimulation and other methods of physiotherapy.

It is also recommended for a man to perform a set of simple gymnastic exercises, to bring more activity into his habitual image. This will help improve metabolic processes in the pelvic organs.

You should stop smoking and drinking alcoholic beverages, which adversely affect the prostate gland, contributing to its swelling, and also lower immunity, which is highly undesirable for prostatitis. It is important to monitor the diet and quality of food, do not use cheap products of dubious production, in addition, it is necessary to abandon fried, smoked and fatty foods, reduce the amount of salt. It is also recommended to consume the required amount of water, at least 1.5-2 liters per day.

What complications of the disease can occur?

Due to the asymptomatic onset and the long period of development of the disease before the first signs appear, most men seek qualified help too late, which makes treatment difficult and often leads to various complications:

Complications of prostatitis

• Due to a decrease in the patient's immune system, the body becomes more vulnerable to HIV infection;
• Impotence development is possible;
• Infertility develops, which is not treatable;
• Pathologies of the genitourinary canal;
• The amount of the male hormone - testosterone decreases.

Destruction of the tissue of the affected organ also occurs, which negatively affects the secretion produced. This affects sperm motility and is the cause of their poor viability (death).Therefore, at the first uncomfortable sensations in the pelvic area, or with manifestations of other signs of the disease, you should immediately contact a specialist - urologist for examination.

Chlamydial prostatitis and its features

Prostatitis is an inflammatory disease of the prostate that can occur during congestion in the small pelvis, as well as when the prostate gland is infected with pathogens. Often the causative agent of infectious prostatitis is chlamydia - gram-negative intracellular microorganisms.

Chlamydia usually provokes chlamydia, it is a urogenital sexually transmitted infection. But in the presence of certain factors, microorganisms can penetrate the prostate and provoke chlamydial prostatitis. This disease is very serious and requires competent therapy under the supervision of urologists, andrologists and venereologists.

Causes of chlamydial prostatitis

Chlamydial prostatitis develops as a result of chlamydia entering the urethra of a man, which occurs during unprotected intercourse with an infected partner. The incubation period of the infection leaves from 5 to 30 days, during this period chlamydia may not manifest itself in any way.

All the insidiousness of chlamydia lies precisely in this sleeping period, when a man does not know that he is sick, but at the same time can infect a new partner. In addition, microorganisms are already actively multiplying in the prostate, which the patient does not even suspect, so the treatment does not go through. A long-term secretive inflammatory process usually leads to chronicity of the disease. Therefore, chlamydia often provokes chronic chlamydial prostatitis.

It should be noted that chlamydia is transmitted exclusively through sexual contact. Through household items, infection is impossible, since microorganisms quickly die in the environment.

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Symptoms of chronic chlamydial prostatitis

After infection, chlamydia does not manifest itself in any way, so the only sign of the disease will be the presence of chlamydia in the smear. If a man often changes sexual partners, he needs to visit a urologist as often as possible and take tests. This will help to identify the presence of an infection in time and cure it.

If chlamydia was not detected in time, the disease will gradually progress and microorganisms will enter the prostate, causing its inflammation. Chronic chlamydial prostatitis is accompanied by the following symptoms:

• pain in the groin that radiates to the sacrum, anus, to the scrotum;
• frequent urge to urinate;
• constant feeling of a full bladder;
• difficulty urinating, passing urine drop by drop;
• itching and burning in the urethra;
• discharge from the urethra;
• change in the composition of urine, it becomes cloudy and with impurities;
• Erectile dysfunction phenomena;
• signs of intoxication, usually mild, in particular, temperature 37, general weakness, headache, insomnia.

It is important to note that each man's symptoms may manifest differently. Some people experience all the symptoms at once, while others may experience only a slight burning sensation and difficulty urinating. The presence of even one of these symptoms is a reason to consult a doctor.

If chronic chlamydial prostatitis is not treated, then in the end it leads to the following complications:

• impotence;
• infertility;
• constriction of the urethra and urinary retention;
• Decreased testosterone

Chlamydial prostatitis causes changes in the prostate gland, it atrophies. If nothing is done, eventually the organ will cease to function, the production of prostatic fluid will stop and the man will become impotent.

Drug treatment

Before starting treatment for chronic chlamydial prostatitis, it is necessary to undergo an examination to confirm the disease. To do this, the man is examined by an andrologist, the doctor palpates the prostate gland. With chlamydial prostatitis, it is enlarged, seals may appear in the prostate.

To identify the pathogen, the patient takes a smear from the urethra, analysis of semen, prostatic fluid. You may also need to undergo an ultrasound of the prostate to make sure there are no tumors.

Treatment of chronic chlamydial prostatitis is complex, it is based on broad-spectrum antibacterial drugs. It is better to entrust the selection of the drug to a competent venereologist, because not all antibiotics are able to overcome chlamydial infection, and even in the form of chronic prostatitis.

Chlamydial prostatitis usually requires the appointment of two drugs at once, for example, Ciprofloxacin with Azithromycin. Antifungal drugs are also prescribed, since antibiotics violate the intestinal microflora and can provoke the multiplication of Candida fungi.

It is important to note that there is no single treatment regimen for chlamydial prostatitis. During the period of therapy, the doctor monitors the dynamics of improvements, and if they do not occur, drugs can be replaced with others.

In the complex treatment of chronic chlamydial prostatitis, drugs are prescribed that eliminate the symptoms of the disease. These include painkillers and anti-inflammatory drugs, for example:

Also, with prostatitis, alpha-blockers are indicated, which help restore normal urination by relaxing the smooth muscles of the prostate, urethra, and bladder neck. Examples of such prepats:

Preparations of plant and animal origin may be prescribed, which are aimed at restoring blood circulation and function of the prostate gland:

To strengthen the immune system, immunomodulators and vitamins are prescribed. To restore the intestinal microflora after taking antibiotics, eubiotics are prescribed.

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During the treatment of chronic chlamydial prostatitis, the patient should lead a calm and measured lifestyle, observe sexual rest, and eat a balanced diet. It is necessary to avoid stress and get plenty of rest, so recovery will be faster.

After stopping the infectious process, physiotherapy is prescribed, for example, laser treatment, magnet treatment, Prostate massage. Such methods help to restore microcirculation in the prostate gland, speed up its recovery, and also return the patient to normal potency.

Prevention

Chlamydial prostatitis is a serious condition that can cause complications such as erectile dysfunction and urinary incontinence. That is why a man needs to take his health seriously and follow preventive measures.

In the first place, unprotected sexual intercourse should not be allowed unless there is evidence that the woman is completely healthy. If a man has a regular partner, the couple should be tested before having sex without a condom. Such a preventive measure will help protect both partners from serious diseases, including the deadly HIV.

To avoid chronic chlamydial prostatitis, a man should be regularly examined by an andrologist, at least once a year. If there was unprotected intercourse, it is necessary to be examined urgently.

It is also recommended to lead a healthy and active lifestyle, eat right. Strong immunity is an obstacle to infection, in which case it will be difficult for chlamydia to penetrate from the urethra into the prostate and cause a complication in the form of its inflammation.

Conclusion

Chronic chlamydial prostatitis is a very serious disease that requires competent and timely treatment. If there are signs of STD infection, a man should immediately contact a venereologist and be tested. The sooner therapy begins, the greater the chance of avoiding severe complications.

Treatment of chlamydial prostatitis: drugs, regimens, course duration

In about 20% of cases of prostatitis in men, urologists are faced with an infectious or bacterial type of inflammation of the prostate gland. The disease develops due to the penetration of pathogenic agents into the prostate. Chlamydial prostatitis is one of the most common forms of the disease that is difficult to treat and often becomes chronic.

Causes of disease development

Chlamydia is the most common sexually transmitted disease. It is provoked by chlamydia. These microorganisms can stay in the body for a long time without causing any disorders and symptoms, so the disease is difficult to diagnose. According to statistics, about 15% of people aged 20-40 years are infected with these microorganisms.

Chlamydial prostatitis can be both a consequence of chlamydia and an independent disease, the development of which is due to the penetration of pathogens into the tissues of the prostate gland.

Previously, it was believed that it is possible to become infected with these microorganisms only through sexual contact, but recent studies have confirmed the high probability of the contact-household route of transmission of the disease. This is due to the fact that microorganisms remain viable in air for two days.

Chlamydia can survive in open environments and can be transmitted even through dirty hands

Most common routes of infection:

• unprotected sex;
• using someone else's personal hygiene items;
• from mother to child when passing through the birth canal;
• when visiting public places with high humidity.

Infection can also occur when saliva or secretions from the genital organs of another person get on the mucous membranes. Since microorganisms live for several days, there is a risk of infection through dirty hands, after contact with an infected one.

A man can become infected with chlamydia mainly against the background of severely reduced immunity. Pathogenic microorganisms get into the urethra, and then through the lymphogenous route - into the prostate gland. Factors predisposing to the development of chlamydial prostatitis:

• decreased immunity;
• weakening of the body after infectious diseases;
• long-term antibiotic therapy or treatment with glucocorticoids;
• chronic stress;
• vitamin deficiency;
• physical inactivity.

Unlike other forms of infectious prostatitis, the chlamydial type of the disease can be asymptomatic for a long time. This makes timely diagnosis difficult, and the lack of treatment of inflammation leads to the fact that the disease turns into chronic chlamydial prostatitis.

Symptoms of inflammation

The general symptoms of chlamydial prostatitis completely repeat the signs of other forms of infectious inflammation of the prostate gland. The peculiarity of this form of the disease is that, unlike staphylococcal prostatitis and other types of bacterial inflammation, the chlamydial form is asymptomatic for a long time. At this time, the body tries to fight the disease-causing agent, which is accompanied by a decrease in immunity, loss of strength and drowsiness. This stage of the disease can last up to several months from the moment of infection of the prostate gland.

The initial symptoms of chlamydial prostatitis are non-specific and difficult to relate to prostate problems

Then the disease acquires symptoms of acute bacterial inflammation of the prostate:

• frequent urge to urinate;
• Pain and burning in the urethra after passing urine or seminal fluid;
• spasms in the bladder, perineum and anus;
• potency reduction;
• increase in body temperature;
• general malaise.

Specific signs of chlamydia infection include the appearance of a rash around the glans penis and on the scrotum. However, this symptom is not always present.

With chlamydial prostatitis, the symptoms worsen against the background of a decrease in immunity. In this case, there is often pain after defecation and the release of mucus from the anus after the discharge of feces. After urination, you can find white blotches in urine, urine can smell strongly and change color.

The general symptoms of the disease are characterized by a breakdown, sleep disturbance due to nightly urge to go to the toilet, and stress. Lack of timely treatment leads to neurosis and erectile dysfunction.

Disease forms

There are two forms of the disease - acute and chronic chlamydial prostatitis.

The acute form is characterized by pronounced symptoms. There is a strong intoxication - general weakness, nausea, loss of strength. There is a pronounced pain syndrome. The prostate enlarges and swells, compressing the urethra and irritating the bladder. This can lead to the development of serious problems with urination due to an increase in the tone of the muscles of the bladder. Particularly severe forms of prostatitis lead to acute urinary retention, when the outflow of urine is impossible due to spasm of the bladder. In the acute form of inflammation, an increase in body temperature is observed.

Chronic chlamydial prostatitis is a sluggish disease with periodic exacerbations. A man is tormented by spastic pain in the bladder and perineum, there is an increase in pain during defecation. The frequency of the urge to urinate increases mainly at night. There are problems with potency and premature ejaculation.

Symptoms may intensify against the background of a decrease in immunity, which indicates an exacerbation of the disease. The chronic form of the disease is a direct consequence of inadequate drug therapy for acute chlamydial prostatitis, or a complete lack of treatment.

In the acute form of the disease, the temperature rises

Why is chlamydial prostatitis dangerous?

In the absence of timely therapy, inflammation becomes chronic. It is chronic chlamydial prostatitis that is the most common complication of the disease.Chronic inflammation with a long course leads to a decrease in potency, infertility due to changes in the composition of the prostatic secretion and erectile dysfunction.

Chlamydia itself is dangerous for the functioning of internal organs. Among the complications of chlamydia and chlamydial prostatitis in men:

• pelvic inflammatory disease;
• urethral stricture;
• Chlamydial lesions of the lungs, heart and liver.

Under the stricture of the urethra is meant its pathological narrowing. This leads to the impossibility of emptying the bladder and the need for surgical intervention.

The presence of chlamydia in the body can lead to inflammation of the testicles and vesiculitis. In addition, a man with chlamydial prostatitis is a potential danger to his partner. Infection with chlamydia in women is often asymptomatic and can lead to the development of inflammatory processes in the organs of the genitourinary system and infertility.

Making a diagnosis

A set of diagnostic measures for suspected prostatitis:

• rectal examination of the prostate (massage);
• TRUS of the prostate;
• Ultrasound of the kidneys and bladder;
• urinalysis;
• prostate secretion analysis.

Prostate massage and TRUS reveal the very fact of the presence of an inflammatory process, but to determine the causative agent of the disease, it is necessary to pass tests. Accurate diagnosis is carried out by examining bacteriological changes in the composition of the prostate secretion. If for any reason a man cannot pass an analysis of prostate secretion, a urine test and a bacterial culture of a smear from the urethra are performed to identify the pathogen.

To determine the causative agent of inflammation, a urine test is performed

Principle of treatment

Chlamydial prostatitis is treated with antibiotics that target these bacteria.

The most effective antibiotics for this type of inflammation are macrolides and fluoroquinolones.

The first group includes the following drugs:

• Azithromycin (synonyms: Sumamed, Zitromax);
• Rovamycin;
• Erythromycin;
• Clarithromycin.

The treatment regimen for chlamydial prostatitis with macrolides depends on the patient's age and body weight. On average, treatment is carried out for 7-10 days with high doses of drugs. The selected drug at a dosage of 500 mg is taken up to 4 times a day.

Preparations of the fluoroquinolone group are today considered one of the most effective agents for the treatment of bacterial prostatitis. This is due to a wide range of actions. Fluoroquinolones are active against most pathogenic bacteria, including chlamydia. Medicines in this group:

• Levofloxacin (synonyms: Tavanic, Flexid);
• Ofloxacin (synonyms: Floksin, Tarivid);
• Ciprofloxacin (Cifran, Tsiprinol);
• Norfloxacin (Nolicin).

Fluoroquinolones are taken 1 tablet per day for at least two weeks. According to the doctor's prescription, the course of treatment can be extended up to 28 days.

In especially severe cases, it is practiced to take drugs in an increased dosage in the first 2-3 days to quickly relieve symptoms.

To normalize the functioning of the prostate gland in chlamydial prostatitis, the doctor may prescribe drugs to improve local immunity and protect the prostate. Such medicines are prescribed after a course of antibiotic therapy. Popular drugs for prostatitis are Prostatilen and Vitaprost suppositories, Prostamol Uno, Gentos drops, Propolis DN suppositories.

In severe cases of prostate inflammation, immunostimulants may be prescribed to prevent the progression of the disease and re-exacerbation. One of the most affordable means of this group is an alcohol tincture of echinacea or echinacea extract in tablets.

Precautions during treatment and prevention

During the period of antibiotic therapy, a man should avoid unprotected sex. The restriction is associated with the risk of infection of the partner. With prostatitis, the male body is very weakened, so it may not respond adequately to the healthy microflora of the female vagina, which can lead to an exacerbation of prostatitis and a deterioration in well-being.

Prevention of the development of chlamydial prostatitis is the absence of promiscuity and the use of barrier contraception with a new partner. Since you can get chlamydia in everyday life, it is important to prevent a decrease in immunity and treat any infectious diseases in a timely manner.

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