Chlamydia (and more correctly still say “chlamydial infection”) – a disease that is classified as a venereal disease, as well as, for example, syphilis and gonorrhea. Chlamydia is an intracellular sexually transmitted parasite. However, in addition to the lesion of the reproductive system, this pathogen penetrates almost all organs and tissues: now even some cases of infarction and atherosclerosis are associated with the persistence of Chlamydia infection1.

Particular insidiousness of the disease lies in the fact that its clinical manifestations are hardly noticeable: usually chlamydia affects the cervix of the uterus – chlamydial cervicitis arises; while the woman notes only a small selection. However, this is the “tip of the iceberg”. It is much more important that chlamydia is able to penetrate into the upper sections of the genital tract, causing acute, and more often chronic inflammation of the pelvic organs: chronic endometritis, salpingitis (inflammatory process in the fallopian tubes), adnexitis (inflammation of the ovaries or more often – appendages). At the same time, the very possibility of conception and gestation of a healthy child gets under attack. It is known that about a third of the causes of infertility, about half of ectopic (ectopic) pregnancies and at least a quarter of cases of chronic pelvic pain are associated with inflammatory diseases of the pelvic organs.

Diagnosis of chlamydia

In practice, it is not easy to detect chlamydia, since modern and, by the way, the only reliable method of diagnosis – PCR (polymerase chain reaction) – is not yet available everywhere. Hopes for an ordinary microscope in this case, it is not necessary – in the 90 years of the last century it became known that not all specialists can see the chlamydia inside the cell. That is why if you suspect a chlamydial infection, it is necessary to have a checkup in a well-equipped laboratory3.

Treatment of Chlamydia

Self-medication is dangerous. In the case of Chlamydia infection – this postulate is also relevant. However, wondering what kind of doctor should be contacted, be prepared to hear a somewhat unexpected answer: to the dermatovenerologist and to the gynecologist. Why? According to the current orders of the Ministry of Health, dermatovenereologists should treat patients with chlamydial infection. In addition, it is these specialists that will be able to identify the source of infection, treat the sexual partner, which will stop the further spread of the disease and re-infection with chlamydia.

The gynecologist should also be visited, since only this specialist will be able to confirm or deny the patient’s pelvic inflammatory disease and prescribe full-fledged therapy. Without antibiotics, this disease can not be cured. Moreover, it is extremely important that the drugs included in the therapy scheme, to which this pathogen is sensitive, the dosages and the duration of antibiotic intake are “met” – the chlamydiosis of the organism must be “cast out” decisively and forever. Also, we should not forget about the need to restore the balance of lactobacilli in the vaginal microflora, this is facilitated by the use of drugs that create conditions for the restoration of their population (for example, vaginal tablets containing ascorbic acid, not only create an acidic environment in the vagina, facilitating the colonization of lactobacilli, but also restore local immunity mucous membrane, preventing repetition of the disease).

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