How to treat chlamydia in men: antibiotics, the mechanism of development and symptoms of the disease. Which doctor treats chlamydial infection? Treatment of chlamydia with what drugs

What is chlamydia in men?

A common infectious disease that is transmitted mainly through sexual contact.

The causative agent of chlamydia is the bacterium Chlamydia trachomatis, also known as the bacterium chlamydia. It is often referred to as viruses and microbes, as it is an intracellular inhabitant in the human body.

Consider the causes of chlamydia in men and the process of infection itself:

unprotected intercourse. This applies to both standard and anal sex;
domestic. Through common items of use, dishes, personal use, in the presence of open wounds and damage to the integrity of the mucosa;
non-compliance with the rules of personal hygiene. It is very important to take care of the genitals, hands, eyes.

The incubation period is usually up to 28-30 days from the moment of infection, so the diagnosis is carried out late and it becomes more difficult to find effective drugs for the treatment of chlamydia in men. The healing process takes a long time and consequences are possible.

It may take at least a week before the first symptoms of the infection appear. In most cases, the microorganism needs time to penetrate the cell and begin the process of its reproduction, development and distribution.

Already after 3 weeks from the moment of infection, you can observe how chlamydia manifests itself in men:

inflammation of the urethra. It is characterized by slight pain when visiting the restroom and discharge of a transparent color;
discomfort in the testicles and scrotum;
pulling pains in the lower back, coccyx;
an increase in body temperature up to 37 ° C.

All this indicates an acute form of the disease, which lasts about 10 days. There is a temporary relief in the patient and there is a feeling of recovery.

Untimely treatment of chlamydia in men leads to the spread of infection, which turns into chronic urogenital chlamydia and has more severe symptoms:

turbidity of urine and the appearance of impurities in it. Mostly purulent;
inflammation of the urethra;
spotting, itching, burning during ejaculation and urination;
weakness;
body temperature reaches 37 ° C and does not decrease.

A progressive disease provokes serious consequences for men's health, up to damage to the testicles, seminal canals, inflammation of the prostate and the onset of infertility.

Chlamydia in men: drug treatment

How and how to treat acute chlamydia?

Choosing a reliable quick remedy for bacteria like chlamydia will not work. The process is lengthy and will take about a month.

Before you start treating chlamydia in men, you need to start preparing:

exclude sexual contact;
the consumption of alcoholic beverages is strictly prohibited.

The treatment regimen for acute chlamydia involves the passage of several stages.

Therapy needed:

preparation. The appointment of immunostimulants, vitamins to strengthen the body;
treatment. A course of antibiotics and antifungals. The duration of admission is at least 7 days;
recovery. Probiotics, hepatoprotectors, antioxidants. Sometimes physiotherapy methods are used.

Often a scheme is used that includes a systematic course of antibiotics - 7 days, a break - 7 days. Repeat the reception should be at least 3 times. Only at the discretion of the doctor.

To cure acute chlamydia in men and its treatment was effective, the following drugs will be required:

« Azithromycin". Daily intake - 500 mg 1 time;
« Doxycycline". Dosage per day - 200 mg. Continue taking at least a week at the discretion of the attending physician. With a sluggish long-term illness, the daily intake is 100 mg 2 times;
« Ciprofloxacin". Reception every 12 hours for 0.75 gr. The course of treatment lasts from 7 to 28 days.

Together with antibacterial agents, it is recommended to additionally take antifungal drugs:

« Fluconazole". In order to prevent the occurrence of candidiasis, a daily intake of 50 to 400 mg is prescribed;
« Pimafucin". Dosage of 100 mg per day for the treatment and prevention of fungal infections.

The appointment of drugs is strictly individual. Only a specialist venereologist has the appropriate qualifications to determine the required amount of medicines and the duration of treatment.

Treatment regimen for chronic chlamydia in men

Complications caused by prolonged presence of chlamydia in the body require intensive and complex treatment.

Do not forget that the microorganism is located inside the cell, and therefore the doctor should choose the most effective antibiotics:

tetracycline. It is a bacteriostatic antibiotic that prevents protein synthesis, is active in the fight against viruses, bacteria, most strains of fungi;
macrolides. Less toxic drug among other antibiotics, safe for the body. Actively affects intracellular microorganisms. Developed with erythromycin;
fluoroquinolones. Broad-spectrum antimicrobials. They prevent the spread of microorganisms and destroy the DNA of bacteria, leading to their destruction.

Also, when prescribing drugs, the state of the patient's immune system, organs of the biliary, genitourinary system and gastrointestinal tract are taken into account.

Comprehensive treatment of chronic chlamydia and its consequences includes:

antibiotics. Spiramycin, Azithromycin, Ciprofloxacin, Doxycycline, Rifampicin;
antioxidants. To remove toxins from the body. Usually used vitamins A and E, sodium thiosulfate;
hepatoprotectors. Used to protect and restore the liver. "Essenseale Forte";
means to increase immunity. Medicines: "Interferon", "Amiksin";
antifungal medicines. "Nystatin", "Fluconazole";
probiotics. Restore normal intestinal microflora. "Linex", "Probifor", "Lactobacterin", "Bifiform".

The dosage of drugs and the choice of drugs depends on the stage of chlamydia, its duration, the number of concomitant complications.

Each patient is treated according to an individual scheme and only after passing a laboratory examination. All recommendations are issued by the attending venereologist.

The consequences of chlamydia in men

If it is too late to detect the disease, at the stage of chronic chlamydia, serious complications in men are possible:

prostatitis. Inflammatory process of damage to the prostate gland. May lead to urinary tract infection, pyelonephritis, blood poisoning;
urethritis. Bacterial infection of the urethra;
epididymitis. Swelling and inflammation of the scrotum, testis. It becomes the cause of testicular tissue necrosis, scarring, deterioration of sperm quality;
Reiter's disease. The occurrence of concomitant diseases after recovery, such as conjunctivitis, urethritis;
orchitis. Inflammation of the testicle;
vesiculitis. Chlamydia infection of the seminal vesicles. Provoke sexual dysfunction, lack of erection;
chlamydial arthritis. Autoimmune damage to the joints, cartilage, tissues.

Naturally, such complications in the work of the genitourinary system affect the function of a man. Chlamydia leads to infertility and the inability to produce healthy, full-fledged sperm.

Chlamydia is a group of infectious diseases caused by chlamydia. This is a type of microorganism that is neither bacteria nor viruses, chlamydia is a parasitic agent that reproduces intracellularly, so the diagnosis of cure and treatment of chlamydia in men is much more difficult. The insidiousness of this pathogen is that in almost half of the cases, the course of chlamydia in men does not show symptoms.

In constant stressful situations, irrational nutrition, lack of proper rest, when a person experiences disturbances in the immune system, an adequate immune response to infection weakens - chlamydia can affect the cardiovascular system, the respiratory system - chlamydial pneumonia, the musculoskeletal system - chlamydial arthritis, organs vision - conjunctivitis, but the most common localization of these infectious agents is the male genitourinary system.

Urogenital chlamydia is manifested by symptoms of cystitis, prostatitis and urethritis. This disease can be determined only with the help of specific tests, enzyme immunoassay (ELISA), serological and molecular biological methods. Chlamydial infections pose a health hazard because they have multiple complications - impaired potency from ascending infections of the genital tract, joint damage, male infertility, vascular and heart diseases.

Therefore, if there is the slightest suspicion of a violation in the urogenital area, the diagnosis of chlamydia should be excluded or confirmed. In men, the treatment of this disease is carried out by venereologists, infectious disease specialists, and urologists.

Ways of transmission of chlamydia in men

Chlamydial infection among all sexually transmitted diseases occupies a leading position. Every year in our country, 1.5 million people fall ill with urogenital chlamydia, most often chlamydia is registered at the age of sexual activity of 20-40 years, today there is an increase in the incidence among 13-17 year olds. The source of infection can be people with both asymptomatic and active disease.

Ways of transmission of chlamydia in men and women.

Contact. The most common is the sexual transmission of chlamydia, regardless of the method of contact. It is possible, but unlikely, through household contact or family contact, through common personal hygiene items, clothing, bedding, dirty hands.
Vertical: Antenatal - during a woman's pregnancy and intranatal - during the birth of a child, it is transmitted from mother to baby.

Signs of chlamydia in men

In 46% of men, the disease passes in an asymptomatic form, but even in this case, a person is a carrier of the infection and is potentially dangerous for a sexual partner. The incubation period of chlamydia is 14-28 days, and often the first symptoms of the disease are observed already two weeks after questionable contact. How does chlamydia present? Symptoms and signs of the disease may be as follows:

In acute chlamydia in men, the symptom is subfebrile body temperature of 37.2-37.5C, general weakness, and increased fatigue.
The urethra may be glassy, watery, or especially noticeable after sleep.
When urinating, itching, burning is possible, the first drops of urine may be cloudy.
An acute inflammatory process in men may be accompanied by bloody discharge during ejaculation, or at the end of urination.
The external opening of the urethra may be swollen, reddened.
Sometimes men feel unpleasant or painful sensations in the groin, lower back.
After infection, the symptoms of chlamydia often subside, the discharge can only be occasionally in the morning and the person forgets about it, does not go to the doctor. Therefore, the acute phase of the disease often becomes chronic, leading to prostatitis, cystitis, and other diseases.

Urogenital chlamydia in men - treatment

How to treat chlamydia? In men, the problem of treating this disease lies in the late treatment of the patient to the services of specialists, and often doctors have to deal with advanced chronic urogenital chlamydia.

In the treatment of chlamydia, the drugs of choice are based on the characteristics of chlamydia, namely that the vital activity of these microorganisms occurs inside the cells. Therefore, only tetracycline antibiotics, macrolides and fluoroquinolones are the most suitable for therapy. The use of cephalosporins, sulfonamides and penicillins is not advisable, due to their low natural activity against chlamydia.

Before treatment, the attending physician determines the duration of infection, the onset of the first symptoms, intolerance to any drugs, possible allergic reactions and other chronic diseases. Also, based on laboratory tests, the following is clarified:

State of immunity
The state of the hepatobiliary system - liver, gallbladder, pancreas
Intestinal microbiocenosis
Condition of the urogenital tract

In the treatment of chlamydia in men, drugs are also selected by a specialist taking into account concomitant STDs - sexually transmitted diseases, since chlamydia is often accompanied by other infections:

Antibiotics. The following drugs are prescribed:
- Tetracyclines: Doxycycline - Unidox Solutab, Dorix, Vibramycin, Vibra-Tabs.
- Macrolides: Azithromycin (Sumamed, Zitromax, Hemomycin), Josamycin (Vilprafen) and Clarithromycin (Clarbact, Fromilid Uno)
- Fluoroquinolones: Ofloxacin (Floxin, Zanocin, Tarivid, Ofloxin), Levofloxacin (Tavanic, Glevo, Levostar, Flexid), Ciprofloxacin (Cifran, cyprobay, cyprinol, Cipro-bid), Spiramycin (Rovamycin), Norfloxacin (, norbactin), Lomefloxacin ( Lomflox), Sparfloxacin (Sparflo).
Sometimes in the treatment of chlamydia in men with a complicated process, 2 antibiotics are used at once, as well as antifungal agents (Pimafucin, Fluconazole):
- azithromycin with ciprofloxacin
- rifampicin with ciprofloxacin
- doxycycline with ciprofloxacin .

There is no one for all men, since in each specific clinical case a qualified doctor determines an individual scheme of complex treatment, taking into account all concomitant diseases, the patient's age, his individual sensitivity and other factors.

Chlamydia in men - the consequences of infection

With advanced forms of chronic chlamydia in a man whose treatment was not carried out, or turned out to be ineffective, the patient is at risk of developing such serious diseases as prostatitis, epididymitis, urethritis.

Symptoms of prostatitis- with inflammation of the prostate gland in men, pain occurs in the rectum, in the lower back, in the groin, difficulties appear at the beginning of urination, discharge from the urethra is mucous or watery, potency is disturbed.
Symptoms of urethritis- itching in the urethra, frequent urge to urinate, purulent or mucopurulent discharge, chronic chlamydial urethritis may develop urethral stricture.
Symptoms of epididymitis- this is an inflammation of the epididymis, which is usually characterized by a high body temperature, an increase in the epididymis, which ultimately leads to infertility and impaired spermatogenesis.
Reiter's disease- chlamydial conjunctivitis, arthritis.

A common, unfortunately, infectious disease, transmitted in most cases sexually. The causative agent is Chlamydia trachomatis, which, once in the cell, feeds on its substance and multiplies there. When a cell is destroyed, many more intracellular parasites are released, and they attack other cells. Chlamydia can damage the genitals, organs of vision, the mucous membrane of the respiratory tract, the synovial lining of the joints, the heart, blood vessels, and teeth.

Chlamydia trachomatis can be transmitted by airborne droplets through sneezing

In addition, 15% of all cases of pneumonia are atypical chlamydial pneumonia, which can be transmitted by sneezing or by sharing objects. The treatment of this disease is particularly long and complex and can drag on for several months. In addition to pneumonia, chlamydia can provoke bronchitis, sinusitis, pharyngitis.

Expert opinion

In 45% of men, the disease occurs without symptoms, in the rest, the first sign of the disease is a slight inflammation of the urethra, accompanied by itching and burning. Unfortunately, it is quite difficult to detect chlamydia by conventional methods. PCR is required to be thoroughly sure of the cause of the discomfort.

Treatment regimen

Chlamydia quickly passes into the stage of a chronic course, so the standard course of antibiotics in the treatment will help only if there is an uncomplicated stage (only the lower part of the urogenital tract is affected). If the form of chlamydial infection is complicated (the upper part is already affected), the drugs are prescribed in combination and for a long time. The exclusion of at least one position from the course leads to a decrease in the effectiveness of therapy. When choosing a treatment regimen, the symptoms of the disease are taken into account, which organs are already involved in the process, the immune status of the patient, the duration of the disease, and previous treatments. If a married man is being treated, both spouses should be treated at the same time. So, which chlamydia medications for men do doctors usually prescribe?

If chlamydia is detected at an early stage, the treatment process will be easier and faster. In all other cases, a whole range of drugs is prescribed, among which must be:

antibiotics;
immunomodulators;

enzymes;
vitamins;

hepatoprotectors;
probiotics.

Chlamydia pills for men

How is chlamydia treated in men? Let's look at what drugs are taken to effectively treat the infection. Necessarily the treatment regimen includes several antibiotics. The choice depends on the symptoms present: the form of the course, the presence of inflammation of the urethra, whether the prostate and kidneys are affected.

tetracyclines;

macrolides;

fluoroquinolones.

For antibiotic therapy, courses of treatment from 7 to 14 days are used. If the infection is uncomplicated, treatment begins directly with an antibiotic. In chronic forms, therapy should be complex. In the hospital, immunotherapy is performed before antibiotics are prescribed. In home treatment, an antibiotic is prescribed along with immunotherapy.

Tetracycline antibiotics

Medications of the tetracycline series are the main medications that are prescribed for the treatment of chlamydia. When using them, you must follow a diet (except for Doxycycline) due to the binding of tetracyclines in the body with calcium ions. Common side effects are nausea, vomiting, and allergies. During the treatment period, patients should avoid insolation due to the high likelihood of photosensitivity.

Doxycycline is the drug of first choice. It is prescribed at a dosage of 100 mg twice a day for a course of at least a week. The first dose is 200 mg. According to the medical literature, the effectiveness of doxycycline is 95-100%. The drug has high bioavailability and is easily tolerated.
Tetracycline often prescribed as an alternative honey. the drug 500 mg 4 r per day from 7 to 10 days.
Metacycline- in uncomplicated forms after meals, the first dose is 600 mg, then 300 mg every 8 hours for a week. In other forms, treatment continues for 10 days.

To choose drugs for the treatment of chlamydia in men, you need to study the indications and contraindications well. In this article, you can explore.

macrolides

Macrolides are highly active. When taking macrolides, painful manifestations from the gastrointestinal tract and liver can often be observed.

These include:

Azithromycin (Sumamed)- penetrates into the cell and accumulates in slow-release leukocytes. The uniqueness of honey drug is based on its exceptional pharmacokinetics. High concentration levels of the active substance at the site of infection after taking one tablet persist for a long time - up to 10 days. A single dose of 1 g is recommended, regardless of food intake, with an uncomplicated form. In chronic course, the instruction is simple: the first day is 1 g, the second or third days are 0.5 g each, from the fourth to the seventh day, 0.25 g each.
Josamycin (Vilprafen)- with an uncomplicated form, 7 days, 500 mg every 12 hours.
Clarithromycin (Klacid)- in uncomplicated forms, 250 mg twice a day for 7 days, in chronic forms, 400 mg 1 r per day for 14-15 days.
Roxithromycin- 150 mg (1 tab.) twice a day or 300 mg (2 tab.) 1 r per day for 2 weeks.
Midecamycin (Macropen)- 400 mg three times a day for 10 days.
Erythromycin- 500 mg twice a day for 10 days or 250 mg 4 times a day for 7 days. The drug is rather difficult to tolerate compared to the more modern antibiotics listed above.

Fluoroquinolones

Some fluoroquinolones also have antichlamydial activity, but they are more alternative antibiotics. Such limitations are due to the fact that, compared with the above groups, the percentage of relapses after therapy is quite high. An indication for their use may be a combination of the pathogen with other microorganisms sensitive to these antibiotics, or a gonorrheal-chlamydial infection.

Side effects may include dyspepsia, vomiting, nausea, dizziness

Ofloxacin appoint 400 mg twice a day for 10 days. To date, it is the only fluoroquinolone antibiotic recommended for the treatment of chlamydia. Its advantage over other fluoroquinolones is considered to be almost 100% bioavailability.
Pefloxacin- in uncomplicated course, 600 mg is taken once a day for 7 days. In the case of a chronic course - up to 12 days.
Levofloxacin- 250-500 mg once a day.

What do you think is the best drug for treatment?

OfloxacinPefloxacin

Probiotics

Prolonged use of antibiotics adversely affects the functioning of almost all body systems: the gastrointestinal tract (violating the intestinal microecology), urinary, nervous, immune (depressing immunity) systems. Therefore, after the treatment of chlamydia, restorative therapy with probiotics and hepatoprotectors, if necessary, is required. Probiotics are drunk regardless of the identified form of chlamydia.

The most commonly prescribed probiotics are:

Bifidumbacterin shown with a decrease in the content of bifidobacteria.
Bifikol they drink with violations of both aerobic (E. coli) and anaerobic (bifidobacteria) elements of the intestinal microflora.
Acylact drink with a decrease in the level of lactobacilli.

Expert opinion

Madmuzev Armen Davidovich, specialized in male sexually transmitted diseases

All drugs are drunk 5 doses 3 r per day, 20 minutes before meals.

Rectal suppositories

Some drugs are available in the form of rectal suppositories intended for administration into the rectum. Most often, immunomodulators are produced in this way.

Of the immunomodulators, polyoxidonium and a-interferon are considered the most effective:

Polyoxidonium raise the body's immunity, stimulating the appearance of new antibodies. Accordingly, with their use, the effectiveness of antibiotics increases. When taking Polyoxidonium, its active substances help to fight leukocytes and phagocytes with chlamydia, so you can reduce the course of antibiotics.
Viferon also act as an immunostimulant. The active substance destroys bonds in the cells of microorganisms. The course of the drug can be quite long.
Interferon alfa 2b also administered rectally in two five-day cycles with an interval of 2 weeks between them. The total dose per course should be 10 million IU.
Genferon- an antibacterial agent that can also be administered rectally. Genferon fights well against chlamydia, mycoplasmosis, candida, Trichomonas, etc.

Immunomodulators are necessarily prescribed as part of complex therapy in the chronic course of the disease or in its complicated forms. Moreover, in these cases, immunotherapy precedes antibiotic therapy. This approach allows you to achieve 90% effectiveness of the drug.

vitamins

To increase immunity and maintain sexual functions, men in the treatment of chlamydia must be prescribed vitamins - immediately, when an infection is detected. Vitamins can be prescribed for long courses. The most commonly taken vitamin E, thiosulfate, ascorbic acid, glutamic acid.

Chlamydia is an infectious disease caused by chlamydia. This is a special microorganism that cannot be attributed to either bacteria or viruses. Chlamydia are more complex than bacteria, but simpler than viruses. They can penetrate into the cells of the body and multiply there. Therefore, the treatment of chlamydia in men is not an easy task.

Basic principles of modern therapy for chlamydia

Previously, the treatment of chlamydia lasted several months. Antibiotics of various groups and remedies for fungal infection were used. As a result of such long-term treatment with many antibacterial drugs, the patient's immunity weakened even more. In addition, a large number of various drugs had a side effect on the body.
Nowadays, the treatment regimen for chlamydia in men has changed. The drug is selected individually, taking into account the patient's condition and the presence in the body of other types of genital infections. The course of treatment lasts an average of about 3 weeks.
When treating patients with chlamydia, the following rules are observed:

Used drugs that affect the causative agent of the disease - chlamydia.
Use funds to prevent fungal genitourinary diseases.
Medicines are prescribed to increase immunity so that the body successfully copes with the infection.
Together with a man, his sexual partner should also undergo treatment. Even if a woman does not have severe symptoms of chlamydia, she needs to be examined. During the entire course of treatment, partners should refrain from sexual intercourse.
During the course of treatment, the patient should refrain from drinking alcohol and spicy foods.

In no case should you self-medicate and take drugs on your own. Only a urologist can know for sure: what and how to treat chlamydia in men. In each case, therapy is selected individually, taking into account many factors. Self-medication can only lead to the fact that the acute form of the disease becomes chronic.

Treatment methods for chlamydia

Antibiotics

In the treatment of chlamydial infection, antibiotics are the first-line drugs. Tetracyclines, macrolides and fluoroquinolones are used.
Doxycycline belongs to the tetracycline group of antibiotics. This drug is considered the most effective remedy for chlamydia. The disadvantages of Doxycycline include side effects: nausea and vomiting. There are other forms of the drug called Vibromycin and Unidox Solutab, they are more easily tolerated by patients.

Antibiotics of the macrolide group are the safest and well tolerated by patients. They act not only against chlamydia, but also against other sexually transmitted diseases: ureaplasmosis, mycoplasmosis, gonorrhea. Therefore, they are used in the case of a mixed urinary tract infection. Macrolides include Erythromycin, Vilprafen, Rovamycin, Clarithromycin (Klacid), Summamed.
Erythromycin helps in 80-90% of cases, but can sometimes cause dyspepsia. With regard to the drug Summamed, the resistance of chlamydia to this antibiotic has recently been noticed. Therefore, it is better to replace it with Hemomycin, which contains a similar medicinal substance - Azithromycin. Or use Vilprofen, chlamydia less often develop resistance to this antibiotic.
Antibiotics of the fluoroquinolone group are less effective, but, in addition to chlamydia, they can affect mycoplasma, gonococcus, and gardnerella. They are used when chlamydia is accompanied by other sexually transmitted infections. Fluoroquinolone antibiotics include: Ciprolet, Ofloxacin, Pefloxacin.
Antibiotics of the penicillin group are used in the treatment of chlamydia less frequently than other types of antibacterial drugs. Chlamydia have developed resistance to penicillins. Sometimes Amoxiclav (Amoxicillin with Clavulanic acid) is used in combination with other drugs. Amoxiclav is usually prescribed in cases where other types of infections are attached to chlamydia.
The course of antibiotic treatment is sometimes carried out in the form of pulse therapy, when the patient takes the drug for a week, then a week break follows and the therapy is repeated. How long antibiotic therapy lasts depends on the form of the disease, on the severity of the condition and on the treatment regimen.

Drugs of other drug groups

Taking antibiotics can disrupt the natural microflora of the intestinal tract. Therefore, together with antibacterial drugs, probiotics are prescribed: Enterol, Bifidumbacterin, Linex, Bifiform, Lactobacterin, Bifikol.
Other genitourinary infections, especially fungal (candida), often join chlamydia. To prevent candidiasis, along with antibiotics, antifungal drugs are prescribed: Metronidazole, Natamycin, Intraconazole, Fluconazole, Trichopolum.
Taking antibiotics and antifungal medications puts a strain on the liver. Therefore, in the treatment of chlamydia, agents are used to protect the liver (hepatoprotectors): Phosphogliv, Karsil, Essentiale Forte.
Additionally, immunomodulators are prescribed. They are administered through intramuscular injections. To increase immunity, drugs are prescribed: Polyoxidonium, Amiksin, Timalin.

Interferon group preparations are also used as immunomodulators: Viferon, Laferon, Interlok, Reaferon, Cycloferon.
In the treatment of chlamydia, enzymes (enzymes) are used. They strengthen the immune system, relieve intoxication of the body and help antibiotics concentrate in places where the infection accumulates. In the treatment of chlamydia, enzyme preparations are used: Phlogenzym, Wobenzym.

Local and physiotherapeutic methods of treatment

In the treatment regimen for chlamydia, treatment with local agents is used. These are baths with the antiseptic Chlorhexidine and Perftoran and microclysters with disinfectants.
Physiotherapy is also used: ultrasound, electrophoresis, laser phoresis, intravenous ultraviolet blood irradiation.

Treatment of uncomplicated chlamydia

If chlamydia is not complicated by other infections and diseases, then the following treatment regimen is used:

Therapy begins with preparation for the main (basic) treatment. Assign immunomodulators, enzymes and mineral-vitamin complexes. Local remedies with antiseptics (enemas, baths) are also used. This stage of treatment takes about a week.
Then proceed to the main stage of therapy. Antibiotics and antifungals are added to the treatment. To prevent dysbacteriosis, enzymes are prescribed. If there is a need for physiotherapy, then ultrasound and magnetic therapy, as well as electrophoresis, are carried out. Antibiotic treatment lasts about two weeks.
After the expressed symptoms of the disease have subsided, rehabilitation treatment is carried out. At this stage, the intestinal microflora is restored. The patient takes probiotics, physiotherapy is carried out according to indications. The duration of the recovery period is about 2 weeks.

Treatment of sluggish chlamydia

If the disease is asymptomatic, then this form of chlamydia is called sluggish. In this case, the following treatment regimen is used:

The period of preparation for the main therapy lasts 2 weeks. At this stage, immunomodulators, enzyme agents and local treatment are prescribed.
A week later, antibiotics, antifungal drugs and vitamins are added to immunomodulators and enzymes.
During the recovery period, probiotic preparations, physiotherapy and local procedures are used.

Features of the treatment of chronic chlamydia

Chronic chlamydia is more difficult to treat than the acute form of the disease. This is due to the age of the disease, as well as the fact that chlamydia has already developed resistance to antibiotics. Most often, when the disease was still in an acute form, antibiotic treatment was carried out, which turned out to be insufficient. Sometimes patients self-medicate and take drugs on their own. During this time, chlamydia develops low sensitivity to various antibacterial drugs. As a result, the selection of the necessary drug is a difficult task.
It is difficult to choose a drug for those patients who have previously been treated with antibiotics for other infectious diseases. Under the influence of antibacterial drugs, the obvious manifestations of chlamydia could decrease. But the infection still remained in the body and continues to affect healthy cells.

Before treating the chronic form of chlamydia, an analysis is made for the sensitivity of chlamydia to antibiotics. This helps to accurately select the antibacterial drug. Usually, antibiotics are chosen that act on a wide range of microorganisms, sometimes it is necessary to use several drugs. Regardless of how chlamydia is treated in men, the duration of taking one antibacterial drug should not exceed 14 days. If treatment is continued for a longer period, then microorganisms begin to develop protection against this type of antibiotic. Antibacterial agents are combined or different drugs are used for each course of treatment. This is necessary so that the chlamydia do not have time to develop protection against the medication used. Regardless of the type of antibiotic, fairly high doses are used.
Antibiotic treatment of chronic chlamydia is carried out only during the period of exacerbation of the disease. In the remission stage, antibiotic therapy is ineffective, as chlamydia becomes insensitive to the effects of drugs. After the end of treatment, it is necessary to conduct an analysis for chlamydia.

Treatment regimen for chronic chlamydia

If chlamydia has already managed to turn into a chronic form, then they proceed to the main stage of therapy immediately, without preparation. Prescribed antibiotics, means to strengthen the immune system and vitamins. A week later, antifungal agents and enzyme preparations are added to the treatment. During the recovery period, physiotherapy and local treatment with baths and microclysters with an antiseptic are used.

There are no specific schemes, since the course of infection in each patient has its own characteristics. The use of antibacterial drugs as the main therapeutic factor is possible only in young people in the acute phase of the chlamydial process without concomitant chronic and acute diseases. In other cases, before the appointment of etiotropic treatment of infection, the state of the immune system, urogenital sphere and microflora should be preliminarily assessed. In the treatment of chlamydia, three main groups of antibiotics are used: macrolides (Azithromycin, Clarithromycin, Macropen, Rulid), tetracyclines and fluoroquinolones.

Together with the use of antibacterial drugs, a course of immunocorrectors (cycloferon injections) is prescribed to maintain the immunity of a patient with chlamydia. Patients with an imbalance in the immune status and disorders in the intestinal microbiocenosis are shown immunomodulators (Decaris, Takvitin, Methyluracil, Lysozyme). You can also use Eleutherococcus extract, Pantocrine, Aralia tincture, etc.

In the treatment regimen for chlamydial infection, various polyenzymatic ones are also used (Mezim, Festal, Panzinorm); additionally, antispasmodic and choleretic drugs, vitamins, mainly of group B are prescribed. When opportunistic microbes are detected, bacteriophages are prescribed orally, the daily dose is 100 ml for 3 doses per day, with a course of up to 10 days. Local bacteriophage in the form of instillations into the bladder (50 ml) and urethra in the amount of 2-3 ml, course 10 days.

In the treatment of chlamydia, oral phytotherapy is also used orally, and it is also used in the form of rectal microclysters (infusions and decoctions of herbs). During the first two weeks of therapy, enterosorption is necessarily carried out using Polyphepan, Polysorb, Smecta and other enterosorbents. The daily dose of the sorbent is taken once at night.

It should be remembered that the treatment of chlamydia should be carried out by both partners. At the end of treatment, control tests are taken for the presence of chlamydial infection. Safe sexual relations are the basis in the prevention of this disease!