Timely treatment of chlamydia is a relevant measure, since its delayed start or the absence of treatment at all can threaten significant complications, such as infertility, in both women and men. After assessing the degree of the disease, the doctor will prescribe an adequate treatment for chlamydia , which, with strict observance of all the rules, becomes completely effective, stops the disease completely and helps to avoid various complications. 

The main goals of drug therapy

Comprehensive treatment should be aimed directly at eliminating inflammatory processes in the area of ​​localization of chlamydia, as well as at general strengthening of the patient’s health through exposure to systemic drugs. Therefore, for each patient, an individual complex of medicines is selected – candles and instillations for local therapy, tablets and injections for systemic therapy.

First of all, drugs that will act on chlamydia itself should be selected. Since chlamydia, when it enters the “favorite” organs, penetrates into the cell, the drug that “kills” it must also have this property. In addition, the biological characteristics of chlamydia are the same as in bacteria, therefore, standard antibiotics become an effective “weapon” against it.

To treat the disease, antibiotics are prescribed from groups with medium and high permeability to cells. The most suitable are tetracyclines and fluoroquinols (medium permeability), macrolides (high accumulation inside the cells). 7 days is the standard duration of antibiotic therapy, but in the presence of complications of chlamydia, the duration of the course is doubled or tripled. Dosages of antibiotic drugs should be selected in accordance with the period in the cycle of development of chlamydia and the form of the disease (chronic or acute), so that the treatment of chlamydia becomes optimal and effective.  

In parallel, it is necessary to compensate for the side effects of taking antibiotics, that is, the occurrence of mycosis – a fungal disease. For this, the patient is prescribed antifungal medications. Very well restrain the growth of fungal microflora Fluconazole, Nystatin or Natamycin.

Intestinal dysbiosis is a painful side effect of antibiotic therapy. Eubiotics or probiotics, drugs that restore the “native” intestinal microflora, will help to cope with it. Such drugs include Linex, Bactisubtil, Bifidumbacterin, etc. It is necessary to take probiotics in parallel with antibiotics, and then for about 10 days, since it takes time for the intestinal microflora to fully recover.

If other infections (ureaplasma, mycoplasma, etc.) are found along with the causative agent of chlamydia, then protistocidal drugs are added to the treatment complex. An example is metronidazole.

Maintenance and stimulation of weakened immunity is mandatory in cases of relapse of the chronic form of the disease or with a decrease in normal immunity. Unlike probiotics, administration of immunomodulatory agents should be started before the main therapy. Examples of drugs in this group are Wobenzym, Neovir, Interferon α2.

Prognosis and indicators of cured chlamydia

If treatment therapy was inadequate or chlamydia is resistant to standard treatment, various complications of the disease may develop. It is also important to understand that the treatment of chlamydia depends on whether a person will be able to have children in the future.  

Chlamydia is considered completely cured if: a) all the symptoms that occur before treatment are gone; b) all laboratory tests for the presence of chlamydia show negative results; c) there are no pathological changes at the site of infection; d) the level of white blood cells in the blood is normal.

It is strongly discouraged to take any medical measures on their own – chlamydia can become antibiotic resistant. Then the infection will be completely incurable and will go into the chronic stage. In any case, one cannot do without the help of a venereologist.

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