Gardnerellosis is considered a female disease only conditionally, since the main causative agent, gardnerella vaginalis, is a component of the vaginal flora. The pathogen belongs to the conditionally pathogenic flora.
Men rarely become infected, since the immune system is able to inhibit the development of an infectious lesion. With weakened immunity, the disease manifests itself with some clinical symptoms.
Even healthy women, in the vast majority, are carriers of this microorganism. However, with sufficient immunity, the pathogen is in a latent state. As soon as the protective system fails, characteristic symptoms arise: discharge with the smell of rotten fish, itching, burning, pain, etc.
The main transmission route is unprotected sexual contact with a woman. Many men are also carriers of gardnerella, without suspecting it, while the pathogen is localized in the area of the urethral mucosa.
In men, gardnerella rarely exists in an active form. More often, this bacterium simply lives on the mucous membrane of the urethra, not letting itself be felt. Only when the amount of gardnerella becomes critical does the infection develop symptoms:
- Abundant greenish discharge from the urethra with a sharp, unpleasant odor.
- Pain during urination (cramps). They can be given to the lower back, testicles and groin, to the perineum.
- Changing the color of the glans penis. Due to secondary balanoposthitis, it can become slightly darker.
- Fever. It is relatively rare.
But, in most cases, the immune system copes, because a man with gardnerellosis in the active phase is a rather rare phenomenon.
An anamnesis is being collected, a patient is examined.
- bacteriological culture of a smear from the urethra;
- PCR (polymerase chain reaction).
For research purposes, seminal fluid, urine and exudate from the urethral canal are taken.
Gardnerella treatment involves topical preparations as well as oral tablets. Unlike women, treatment of urogenital gardnerellosis in men does not provide for such widespread use of local drugs.
In the treatment of women, candles are used, for example, “Klion-d”, Metrogil, vaginal gels, cream with clindamycin. Men have a different device of the genitals, so apply cream and gel to the glans penis, the inner sheet of the foreskin, twice a day, but you can’t do without tablets or capsules.
The most commonly used are metronidazole and clindamycin. A man takes Metronidazole 500 mg in tablets or capsules for 7 days twice a day. These are drugs such as:
- Flagil .
Of the clindamycin preparations, men are shown climicin . The usual single dose is 300 mg, twice a day also for 1 week. It should be borne in mind that side effects are most pronounced just when using the funds inside, and with local use of the drug in the form of ointments and gels, side effects are minimal. But, given that men are often asymptomatic carriers of the infection, they definitely need to be treated with tableted drugs, with control delivery of smears.
Be sure to remember that during the treatment of any infection with metronidazole preparations, any alcohol intake is strictly prohibited, since the liver loses the ability to process ethanol, and it accumulates in the form of acetic aldehyde. And this causes a teturam-like syndrome, and with significant alcohol consumption it can even lead to death.
During the treatment of gardnerellosis, men need to refrain from any form of sexual intercourse, and especially from unprotected sexual intercourse, from visiting saunas in baths and swimming pools, and also to reduce physical activity.
Gardnerellosis can give a temporary decrease in libido, weakening potency, relative infertility with damage to the prostate gland.
Treatment of gardnerellosis should be carried out under the guidance of a doctor. So the prognosis for maintaining reproductive health and overall health will be favorable.