Chronic chlamydia is a phrase indicating that the disease has passed into an advanced stage. Perhaps this happened due to improper therapy, interrupted or not started treatment at all. In any case, in order to get rid of chronic chlamydia, you need to make an effort and be patient, because you need to carry out a certain diagnosis, and the selected course of treatment can be long.
In this article we will talk about the symptoms of chronic chlamydia in men and women, find out what drugs are prescribed for this disease, and also consider the possible complications of chlamydia.
Chlamydia is an infectious disease caused by Chlamydia trachomatis. According to the WHO, about 1 billion people worldwide suffer from chlamydia. The main route of transmission is sexual (with vaginal or anal intercourse), less often - contact-household.
The transition of chlamydia from an acute to a chronic form occurs due to late diagnosis of the disease, or incorrect treatment. Usually the transition period lasts 2-3 months.
Chronic chlamydia is characterized by the formation of elementary bodies that stop at any stage of development, without turning into reticular ones. With further diagnostic studies, chlamydia-like structures are found that do not complete the development cycle, as a result of which they do not have sensitivity to antibiotics.
Signs of chronic chlamydia in men do not have characteristic manifestations and are hidden behind nonspecific urethritis, accompanied by:
Important! In many cases, chlamydia in men is asymptomatic, which significantly worsens the diagnosis and contributes to negative consequences.
In women, exacerbation of chronic chlamydia is accompanied by the following symptoms:
In cases of advanced chronic chlamydia, Reiter's disease develops, which is a serious complication leading to disability. The syndrome is accompanied by asymmetric arthritis, urethritis, and conjunctivitis.
To date, the treatment of chronic chlamydia has advanced significantly, thanks to modern diagnostic methods and drugs. The treatment of this disease is carried out in a complex manner, using different groups of medicines.
For example, the treatment regimen for chronic chlamydia in women allows the use of:
Regardless of the gender of the patient, the physician should conduct an antibiotic susceptibility test before prescribing treatment. In addition, in the treatment of a chronic disease, the simultaneous use of two antibacterial drugs is recommended.
As for what is prescribed for chronic chlamydia for men - the treatment is almost identical, but has slight differences. The following types of drugs are used:
For the treatment of chronic chlamydia, antibiotics from the group of macrolides or fluoroquinolones are usually used. The instructions for these drugs, as well as the recommendations of a specialist, state that the course of treatment should last at least 14 days.
Quite often, the antibiotic azithromycin, a macrolide, is prescribed. This remedy has many features that are not characteristic of conventional macrolides, which makes it very effective in the fight against chlamydia.
The treatment regimen with azithromycin for chronic chlamydia is selected individually, depending on the severity of symptoms and neglect of the disease.
According to the standard, they are prescribed:
Chlamydia, like many other diseases affecting the reproductive system, can lead to certain undesirable health consequences. Neglect of the symptoms that have arisen, delay or refusal of treatment - the cost of such actions is sometimes too high, but not many people think about it at the initial stage.
Complications of chronic chlamydia:
From the photos and videos in this article, we managed to learn that untreated chlamydia is quite dangerous, and we also got acquainted with the treatment options for this disease.
Good afternoon. At the moment I am receiving antibiotic therapy for chronic chlamydia, but my doctor insists on prescribing metronidazole for chlamydia. Is this drug really necessary?
Greetings. Metronidazole belongs to antimicrobial and antiprotozoal drugs. Its appointment for chlamydia is justified in cases where there are concomitant infectious diseases, for example, trichomoniasis.
Content
The disease is an infection that is difficult to treat, even with the use of potent drugs and antibiotics. The complexity of the disease lies in its difficult detection, because it proceeds imperceptibly, practically without symptoms, but with frequent relapses. It becomes chronic, causing inconvenience to both men and women. The course of treatment can range from one day to several years.
Chlamydia is a group of sexually transmitted infections through the vagina and rectum, less commonly through oral sex. It is caused by chlamydia, a pathogenic microorganism. There are two types of these bacteria:
Statistics show that 100 million people fall ill every year in the world. Up to 15% of people who are sexually active are infected with chlamydia. Chlamydia is the most common genital infection. This is due to the fact that the disease is an asymptomatic type, therefore, venereologists pay special attention to combating it. Chlamydia causes a wide range of diseases, spreading throughout the body.
Patients do not realize that they are developing a chlamydial infection. They believe that the symptoms speak of cystitis or urethritis, because separate signs appear: discharge from the vagina and urethra with a white or yellow tint, burning sensation when urinating, redness around the genitals. Symptoms are observed only after the transition of the disease to a chronic form with developing complications. The main symptoms include:
The disease in men proceeds practically without symptoms, 50% of them can learn about the disease only after being examined in a hospital. In the acute form, men are worried about:
These factors do not cause much discomfort and pass quickly, so many do not go to the doctor. The state of health is deteriorating, but imperceptibly. It becomes chronic. Chlamydia infection can trigger autoimmune processes, cause infertility, chronic prostatitis, arthritis. The above symptoms are similar to signs of other infections, therefore, it is possible to identify the pathogen only in a hospital after being examined.
Symptoms appear only in 33% of women, the rest can learn about the disease after visiting a doctor and passing secondary tests. The latent course of the disease causes a number of complications and increases the chance of partner infection. Even a vaginal swab may be normal. With an exacerbation, women meet with the following symptoms:
Chlamydia will bring many problems to pregnant women. Inflammatory diseases of the pelvic organs can occur: salpingitis, endometritis and others. Adhesions appear, cicatricial changes in the urethral mucosa occur. Chlamydia leads to serious consequences: premature discharge of water and childbirth, diseases of the newborn: conjunctivitis, otitis media, atypical pneumonia and other diseases of internal organs. The infection can cause miscarriage or fetal death.
The causes of infection depend on contact with the microorganism. Each strain has its own effect on the body. The main cause of chronic chlamydia is ignoring the symptoms of the acute form of the disease. Chlamydia pathogens penetrate the cells of soft tissues. There are several ways of infection. The main one is unprotected vaginal, anal, oral sexual intercourse. The risk of infection is 60%.
The newborn becomes infected with chlamydia from the mother, passing through the birth canal. This provokes future complications. The disease can be obtained by wearing general underwear, using some hygiene products. This type of infection is called household contact. There is a risk of infection from a patient with pneumonia by airborne droplets.
Only doctors can determine the method of treating chlamydia in a chronic form, based on the results of blood tests, urine and immune enzymes, immunogram, liver function test, bacterial culture, polymerase chain reaction. To cure the disease, both partners need to see a doctor. The main drugs are antimicrobials, because they eliminate chlamydial invasion. During the period of therapy in the active use of 2 types of antibiotics.
In the treatment, mixtures based on animal and plant enzymes are used. This method is called enzyme therapy, it increases the concentration of drugs at the site of infection. The liver and kidneys are stimulated, recovery is enhanced, and intoxication is reduced. The use of small doses of antioxidants, vitamins takes an important place in the treatment of chlamydia due to the effective strengthening of immunity.
Hepatoprotective agents are prescribed using antibiotics to maintain a healthy liver in the event of toxic effects. They reduce inflammation, correct immunity. Probiotics increase the protective function of the intestines during the period of treatment for diarrhea, dysbiosis. Immune drugs prevent germs from growing. It will not work to do with taking antibiotics alone to achieve a result in the treatment of the disease.
There are no ready-made methods with algorithms for the treatment of chlamydia in women, because everything depends on the form and state of the disease, the diseases present. The main therapy is a combination of antibiotics with immunomodulators. Stop having sex or use a condom during treatment. Avoid alcohol and stimulants that lower the immune system.
There are different treatment regimens for chlamydia in women, which depend on many factors. The duration of the course, the frequency and type of drug intake are prescribed. In chronic chlamydia, basic treatment and recovery are prescribed. If an inflammatory process has begun in the genitals, use the following scheme: you need to start with antibiotics, immune agents, vitamins, antioxidants, after a week, connect antifungal and enzyme drugs. With this and other complications during the illness, contact your doctor for an individual scheme.
Modern medicine has developed many drugs, but Azithromycin has shown itself to be an order of magnitude better than the rest. It quickly acts on chlamydia, eliminating possible complications due to deep penetration into infected cells. It accumulates, effectively destroying the pathogen, and microorganisms do not develop immunity to the drug.
For the treatment of chlamydia in men to be effective, you need to see a doctor. Single and short courses of treatment will not help with therapy. Even with the right choice of the drug, it will not be possible to independently draw up a treatment regimen. The technique is determined depending on the tests received, which are carried out only in medical institutions.
It is possible to choose a treatment regimen for the chronic form of chlamydia in men based on the symptoms and clinical picture. Any regimen includes the use of antibacterial drugs, drugs that stimulate the immune system, probiotics and hepatoprotectors for recovery. In parallel, men attend physiotherapy, use folk remedies: infusions with decoctions.
The question of whether it is possible to cure chlamydia forever appears for everyone who has been diagnosed with the disease. There is an opinion that chlamydia cannot be cured, so many do not begin to fight the infection. There is no risk of death, but discomfort and complications will not keep you waiting. With the rapid detection of the disease and the choice of the correct treatment regimen, you will feel better in a month.
The most common sexually transmitted disease is chlamydia. Treatment in women is complicated by the absence of severe symptoms in many cases. In the meantime, the disease progresses, complications develop. Statistics have data that more than 140 million people are infected annually. What is the cause of the disease, its symptoms, possible complications and what is the effective treatment for chlamydia in women - we will consider in this article.
Chlamydia is a range of diseases caused by different types of Chlamydia bacteria. These microorganisms cause skin diseases, pneumonia and other respiratory diseases. One of the types of chlamydia, namely Chlamydia trahomatis, contributes to the occurrence of urogenital chlamydia.
But usually at this stage, treatment of chlamydia in women is not carried out, drugs are not taken, since often an infected person does not know about the disease due to the absence of symptoms. Meanwhile, the bacterium multiplies and new lesions appear. The incubation period of chlamydia is up to a month, depending on the person's immunity.
Genital chlamydia is sexually transmitted. Oral contraceptives and interrupted intercourse cannot protect against infection. Infection occurs in 70% of cases with an unprotected intimate relationship with a partner who is a carrier of the bacterium.
Chlamydia is transmitted from an infected mother to a newborn baby both in utero and during labor. In medical science, controversy arises over the possibility of transmitting bacteria in the household through common personal hygiene products and underwear. It is known that chlamydia can exist in the external environment for up to 2 days. They die only when treated with high temperature. But what is the likelihood of human infection in this case - there is no consensus.
In medicine, two forms of chlamydia are distinguished, depending on the degree of damage and the duration of the disease. Each of them has its own symptoms and an individual treatment regimen. The classification is as follows:
Medical statistics claim that in 67% of chlamydia infections, the disease is completely asymptomatic. In this case, the disease manifests itself only in the stage of chronic course and the development of complications with corresponding symptoms. Most often, pronounced symptoms appear only when the chronic stage of chlamydia development is advanced and manifest as follows:
The reasons for the large-scale spread of chlamydia is the lack of public awareness of the problem, especially among adolescents. Few people know how chlamydia is treated in women. The drugs necessary to fight the disease, meanwhile, cause additional harm to the health of a young body, acting quite aggressively on it and having a number of side effects.
Contribute to bacterial infection: early onset of sexual activity, promiscuous change of partners, unprotected intercourse with a condom.
This begs the question of what is so terrible about chlamydia, if in most cases the disease does not manifest itself with any pain symptoms? The answer is unambiguous - the disease is dangerous by the development of serious complications. In the absence of the necessary treatment, chlamydia can affect the reproductive organs and contribute to the occurrence of such pathological processes:
Chlamydia is extremely dangerous in pregnant women. Treatment is complicated by the inability of the patient to take a number of necessary medications, since most of them can have an extremely negative effect on the development of the fetus. The asymptomatic course of the disease, and, accordingly, its late detection and untimely prescription of treatment can lead to a complication or termination of pregnancy: fever, polyhydramnios, non-developing pregnancy, rupture of the fetal bladder, miscarriage or premature birth. The likelihood of developing an ectopic pregnancy increases if conception occurred in the presence of an infection in a woman's body. In 30% of cases, the fetus is infected in utero, and in 40% the child becomes infected during the passage through the birth canal.
A gynecologist can suspect the presence of an infection during a general examination using mirrors. He will be able to detect the symptoms characteristic of most diseases of the reproductive system: inflammatory processes, areas of erosion, a large number of secretions, their corresponding consistency, color and smell.
To confirm the diagnosis and identify the causes of pathological processes, the specialist will take a smear from the vagina for bacteriological analysis. A common smear cannot detect the presence of chlamydia, but it will identify other sexually transmitted infections that often develop in parallel with chlamydia.
A blood test to determine antibodies to chlamydia also cannot confirm the diagnosis with certainty. Since the presence or absence of antibodies cannot reliably indicate the presence of a living bacterium in the body.
PCR - diagnostics is carried out to determine the DNA of chlamydia. The material for analysis is vaginal discharge. A positive test result will reliably confirm the presence of infection. But if negative, more research is needed.
Bacterial culture is the most reliable way to detect chlamydia. The material for analysis (vaginal discharge) is placed in an environment favorable for chlamydia. Then, after the time required for the growth and reproduction of bacteria, the presence or absence of such is determined under a microscope.
Treat the disease with general and local methods. The main treatment for chlamydia in women is with antibiotics. The treatment regimen is developed by the doctor on an individual basis. When choosing an antibacterial agent, the following factors must be considered:
In addition to antibacterial agents, immunomodulating drugs, probiotics, and enzymes are prescribed.
When confirming the diagnosis, it is necessary to prescribe the correct treatment for chlamydia in women. The scheme is as follows:
1. Macrolides for the treatment of chlamydia have the highest efficiency:
2. Fluoroquinolones are used less often, since many types of bacteria are resistant to this type of antibiotics:
3. Antibiotic of a broad spectrum of action "Clindamycin" is taken 2 tablets 4 times a day for a course of 7 days. With the help of this drug, there is an effective treatment for chlamydia in women. Reviews indicate most cases of complete cure and a minimum number of adverse reactions to the drug.
Immunomodulating therapy helps the body to strengthen its strength to fight infection when chlamydia is being treated in women. The drugs are prescribed as follows: "Cycloferon" in a course of 5 injections according to the prescribed scheme in parallel with taking antibiotics. And the drug "Neovir" of 7 injections of 250 ml every 48 hours after the course of antibiotics.
Antibiotics have an extremely negative effect on the microflora of the gastrointestinal tract. To prevent the development of stomach diseases, enzyme preparations and probiotics are prescribed: "Bifidumbacterin", "Lactobacterin", "Chlorella", "Hilak-forte" and others.
In addition to general therapy, the gynecologist also prescribes local treatment for chlamydia in women. Suppositories have anti-inflammatory and antibacterial properties. Dimexide solution is also used in the form of tampons, antibacterial gels and creams, douching. To restore the body's strength, the doctor will prescribe a multivitamin complex, for example, "Supradin". During the treatment of the infection, you must refrain from intercourse or use a condom.
In the treatment of chlamydia, especially in the chronic form, physiotherapy methods are effective additional methods of treatment:
If the doctor diagnosed "chronic chlamydia", in women, treatment involves the following scheme:
Since chlamydia rarely manifests itself with pronounced symptoms and by their absence it is impossible to judge the effective treatment of the disease, after undergoing a medication course to combat the infection, it is imperative to carry out control tests in several stages and by different methods:
Chlamydia is fraught with serious complications. Treatment in women is carried out with antibacterial drugs that have an adverse effect on various internal organs. Preventive methods will help to avoid many health problems, namely: a responsible attitude to one's own health, which manifests itself in the exclusion of promiscuous sex life and passage, the use of barrier methods of contraception and regular medical examinations. To prevent complications during pregnancy and during its planning, it is necessary to be tested for chlamydia and other sexually transmitted infections.
Chlamydia is insidious because of its asymptomatic and rapid spread. Therefore, the lack of treatment or independent attempts to fight the infection can lead to unforeseen consequences and serious damage to the health of the infected person and his partner. Seeing a doctor will help prevent the development of complications and overcome the disease.
Ch ronic chlamydia is dangerous because it is mostly asymptomatic and many women do not even know that they are carriers. In practice, such chlamydia is detected by chance: during prophylactic examinations, with an easy passing of tests for infections or with a complication of the disease. Late detection, an irresponsible attitude to one's health, improper treatment or self-medication lead to chronic infection. At this stage, drugs are no longer sensitive to antibiotics, which greatly complicates treatment. The disease affects the surface layers of the mucous membranes of various organs: the genitals of the eyes, liver, lungs, etc.
Women become infected with chlamydia mainly through sexual contact from a previously infected man. Also, the cause of this pathological process can be the presence of other infections, a decrease in immunity (poor immunity can lead to the development of all kinds of complications of the disease). Contact-household and airborne droplets of chlamydia transmission among the adult population are not so common. But it is believed that a person can become infected through a shared towel or patient's linen if general hygiene is not followed.
Statistics identify a specific group of people who are at risk of infection:
In men, the chronic form of chlamydia occurs in two stages. At the beginning, the symptoms of infection do not appear in any way. In the future, the clinical picture becomes either blurred, or the disease is completely asymptomatic, which complicates the identification of infection. If you find the slightest signs, you should immediately seek medical help.
Symptoms in men:
Among women: pain and inflammation of the ovaries. Fibroma, fibroids, fibrocystic mastopathy, inflammation of the adrenal glands, bladder and kidneys develop. As well as heart and cancer.
In women, chronic chlamydia leads to extensive lesions of the genitals, genitourinary and other systems.
In women, the disease manifests itself as follows:
Chlamydia during pregnancy is dangerous for both the pregnant woman and the fetus. Complications can be irreparable and quite dire. Symptoms of the disease are almost the same as in non-pregnant women.
As we know, sometimes there is no limit to women's worries and doubts. Considering the blurred symptoms, and sometimes the asymptomatic course of the disease, the difficulty of detecting infection, extensive lesions of various organs, the following questions deservedly arise:
Below we will answer all these questions. But let's start with how to identify the disease. After all, timely detection of the infection will help to undergo therapy on time.
Diagnostic methods that most accurately detect chlamydia:
There is a myth that chronic chlamydia may not be curable. We hasten to dispel your fear. Chlamydia can be cured even at this stage.
Treatment of chronic chlamydia is based on test results and the complexity of symptoms. Antibiotics, dosages and time of treatment are selected exclusively by your doctor. The duration of treatment is usually 14 to 21 days.
The treatment regimen for chronic chlamydia includes:
Hygiene products - the most effective - epigen spray and epigen gel.
In the treatment of chronic chlamydia in men, the same regimen is prescribed. The same number of drugs as in the treatment of women.
At this stage, we will discuss what harm this pathological condition brings and what complications it can lead to.
First of all, the infection affects the genitals and becomes the cause of reproductive system disorders. In women, the clinical manifestations of the chronic form of chlamydia are as follows:
From whom:
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All this began to accumulate and I realized that I was moving in some wrong direction. I began to lead a healthy lifestyle, eat right, but this did not affect my well-being. The doctors, too, could not really say anything. It seems like everything is normal, but I feel that my body is not healthy.
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In case of infection in representatives of a strong half of humanity, the most significant complication can be impaired fertility, causing male infertility. It all starts with inflammation due to infection in the urethra, then it spreads along the ascending path and affects the rest of the nearby tissues and organs.
In men with chronic chlamydia, the following complications are possible:
After a long and difficult path, there remains a very small step towards recovery. Antibiotics destroy the body, disrupt the immune system. The recovery stage is the last stage in the treatment and has its own principles:
During treatment, you need to adhere to sexual rest, do not drink alcohol. Follow a diet that excludes spicy, fatty and sugary foods. By sticking to a rigorous treatment regimen as much as possible, you increase your chances of full recovery and future pregnancies and a healthy birth. 
Both partners must undergo therapy to avoid re-infection.
Of course, timely detection of chlamydial infection is much better than going through a long and difficult path of therapy. But no matter how much you are frightened with mythical stories about a terrible insidious disease, it can still be destroyed. Of course, first of all it is worth finding out how clean your partner is, but if you are still in doubt, then it is better to play it safe and protect yourself with a condom during sexual intercourse. Be sure to periodically visit a doctor and take the necessary tests for infections. Also, monitor general hygiene, try to use only your personal belongings.
Many patients begin to doubt whether a complete cure for this disease can be achieved at all. It should be noted that such a cure is possible, but there are still prerequisites for such delusions. The fact is that chlamydial infection, getting into the body, often does not manifest itself in any way. A person may not even have a reason to go for a preventive examination to a doctor. At the same time, chlamydia is actively multiplying and can even spread throughout the body, leading to various complications.
A successful cure of chronic chlamydia can be achieved with a course of antibiotic therapy. In this case, the treatment will have a number of features that must be paid attention to by both the doctor and the patient.
The main principles for the treatment of chronic chlamydia are:
1.
detection of concomitant infections;
2.
selection of an effective drug;
3.
antibiotic regimen;
4.
search for atypical foci of the disease.
Most often, the course of chlamydia is accompanied by the development of the following genitourinary infections:
Detection of these infections is extremely important for the selection of the most effective antibiotic. A competent doctor will try to combine the treatment of two infections and prescribe a drug to which both microorganisms are sensitive. If you start treatment for chlamydia, regardless of other concomitant diseases, then the second pathogen may be insensitive to the selected antibiotic. Then the treatment of chlamydial infection will lead to a severe exacerbation of another disease.
The most effective groups of drugs in the treatment of chlamydia are:
If the course of antibiotics has not brought the desired result, it is advisable to conduct a special laboratory analysis - drawing up an antibioticogram. In this case, the pathogen will be isolated from the patient's body, from which a whole colony will be grown in laboratory conditions. After that, the sensitivity of this particular strain in relation to a number of drugs will be checked. This will ultimately determine the most effective antibiotic so that the repeated course of treatment is successful.
Therefore, in the treatment of chronic chlamydia, the following rules are followed:
Given the complexity of the treatment of chronic chlamydia, it is understandable why in medical practice there are often situations when the course of treatment does not lead to recovery, but only to temporary remission. Most often, insufficiently detailed diagnostics or a frivolous attitude of patients to treatment are to blame for this. However, medical errors are not excluded. Taken together, this leads to the fact that for the treatment of chronic chlamydia, an average of 3-4 courses of treatment are required during periods of exacerbations. That is, the total treatment time can extend over several months.
