How to treat men infected with trichomoniasis

How to detect male trichomoniasis? Male trichomoniasis is more serious and will cause physiological problems in men, so it should be taken seriously. Go to the hospital for a physical examination as soon as possible and carry out reliable and systematic treatment under the specific guidance of the doctor. So how to detect male trichomoniasis? What medicine is used to treat it?

1. How to detect male trichomoniasis?

Hanging drop method

For male patients, the urethral secretions before the first urination in the morning or the residue of the first urine in the morning are selected for hanging drop microscopy. The secretions are mixed with saline on a slide and placed under a high-power microscope (100 magnification or 400 magnification) for examination. If oval, flagellar, and mobile sparganum are seen, the diagnosis can be confirmed. Another key finding of hanging drop microscopy is the presence of a large number of neutrophil counts in female secretions.

Trichomonas shaping

This method is more sensitive than immediate microscopic examination. Incubate the culture in an anaerobic fermentation environment for at least 48 hours. If negative, continue to culture for 7 days and maintain regularly.

Because men's trichomoniasis is almost always caused by female infection, and vaginal yeast testing for women is both convenient and accurate, they should be encouraged to undergo this test.

2. Symptoms of male trichomoniasis

Male patients with urethral trichomonas often have a history of sexual intercourse with women infected with trichomonas. Symptoms are generally mild, or even asymptomatic. Clinically, the symptoms are different levels of itching and discomfort at the urethral opening. Symptoms usually worsen during urination. In severe cases, posterior urethritis, cystitis, prostatitis, and epididymitis may occur, with purulent secretions and difficulty urinating. Most men's candidal urethritis is self-limiting, which may be caused by the anti-trichomoniasis components in men's semen. In addition, glansitis may also occur, mainly manifested by papules, erythema, blisters, and erosions on the glans.

3. Pathogen of male trichomoniasis

Women are infected with Toxoplasma gondii through swimming, bathing, sexual intercourse, etc., and then parasitize in the female vagina. Then it causes urethral infection, and then through sexual intercourse, it infects men. In addition to Candida urethritis, it can also cause cystitis and prostatitis. The pathogen is a Trichomonas patient and carrier, which is mainly directly infected through sexual intercourse, and can also be indirectly spread through public bathrooms, swimming pools, toilets, etc. It causes Candida vaginitis in women, which causes urethral suppuration. The cause of Candida urethritis is that through sexual intercourse, Trichomonas enters the male urethra, causing Candida urethritis and prostatitis in men. Some experts and scholars are skeptical about whether pure trichomonas can cause urethritis. Many experts and scholars have heard that trichomonas can be found in urethral secretions, and they have also heard that other pathogens are stored, such as common sediment bacteria, mycoplasma positive, chlamydia, etc. Therefore, when there are other pathogens stored, trichomonas can cause disease.

What medicine is used for male trichomoniasis

Rinse the vagina with 0.5% lactic acid bacteria solution, and then sprinkle glucose powder into the female vagina. Because there are some non-pathogenic bacteria in the normal human vagina, they can dissolve glucose to produce acid, which increases the acidity of the female vagina and is not suitable for the breeding of trichomonas. Do this once a day for 7-10 days. How to detect male trichomonas?

Acetylsuccinimide (Acetarsol): It has the effect of killing trichomonas. Put 1-2 tablets of Acetarsol into the female vagina every night for 10 days as one course of treatment. Check for trichomonas 5-7 days after stopping the medication. If you cannot stop the medication, use another course of treatment.

Metronidazole: Also known as metronidazole. It has a strong anti-trichomoniasis effect and is the best medicine for treating vaginal mycoses. Metronidazole suppositories (each suppository contains 0.2g) are placed into the female vagina every night for 7-10 days as a treatment course. This drug can also be taken orally.

Nystatin suppository: It has an inhibitory effect on trichomonas and trichomonas. It is common in mixed infections. One suppository is placed in the female vagina every night for 10-15 days. Although simple topical application can kill trichomonas immediately, it is ineffective against trichomonas parasitic in the urethra or hidden in the glandular duct. In order to eradicate trichomonas, oral administration of trichomonicide is often required.