Diseases of sex organs FAQ

Surgical treatment of the violations of erection.
Erectile disfunction (impotence) is characterized as the constant inability to achieve and/or to support erection sufficient for the realization of satisfactory sexual activity.
The violations of erection can be observed against any age, but it is most characteristic for the elderly men. The abundance of disease in men from 40 to 70 years achieves 52%.
The basic factors of the risk of the onset of erectile violations are age, smoking, arterial hypertension, diabetes mellitus, obesity, depressions. Among the smokers and the patients for the sake of hypertonic disease the impotence is encountered down 15-20% more frequently than among the men, who do not have these factors.
Contemporary medicines make it possible to reduce the sexual activity of the majority of men, who suffer erectile disfunction. With the ineffectiveness of drug therapy to, possibly, return potential with the help of the operation.
Internal prosthetics of sexual term is the basic method of the surgical treatment of erectile disfunction. Before the essence this operation is compared with prosthetics of the valves of heart, joints, crystalline lens of the eye: the restoration of the function of organ is provided with the invariable exterior form.
The principle of operation consists of the following. Erection is provided by hyperemia of the cavernous bodies of sexual term, which can be represented as two porous rods, that gain rigidity with the filling for the sake of the blood. When the structure of cavernous bodies is disturbed, their function of internal support, body of sexual term is lost.
In this case, inside the natural “rods” are placed artificial - , which completely correspond to them on the form. They provide to sexual term internal rigidity. Outwardly - sexual term retains natural form.
There are two basic types of : plastic and cylinder. With the help of the plastic prostheses, sexual term gains constant axial (longitudinal) rigidity. In this case, retaining the necessary flexibility for the comfortable position under the clothing.





Operation is conducted under general anesthesia. The duration of determination in the hospital is 2-3 days. Sexual activity is possible 2 months after operation.
Correction of the strains of sexual term.
Its bending during the erection is the most frequent strain of sexual term. A similar condition can be congenital, corollary of trauma, or disease Of .





The correct form of sexual term during the erection is provided by the uniform extension elastic tunica albuginea. Fibrous sector is deprived of elasticity, it is not capable besides the adequate extension. Therefore, with an increase in the sexual term occurs the insufficient elongation of the casualty side. Scar tissues shorten the appropriate side. Functional bending appears.
As a rule, small bending (to 15) does not interfere with sexual relations. In such cases operation is dictated by the exceptionally cosmetic wishes of patient.
If bending sexual term causes discomfort with the sexual Act, operation becomes necessary.
The essence of the operational correction of bending sexual term consists before the comparison of the dimensions of healthy and casualty its sides to the equal length. This is achieved either as far as the elongation of the casualty side or as far as the shortening of the healthy side of sexual term.
There are two fundamental methods of the operation:
Excision, or splitting up of fibrous sector with elongating plastic surgery by transplant (additional “insertion”). As this “patch” can be used the glory, sector of the skins, undertaken based on the cosmetically insignificant sectors of body, or synthetic material. This method is shown during bending of sexual term more 30.
Shortening of the side of the sexual member of the opposite down angle of curvature, via the forming of fold on tunica albuginea. In this case, healthy side is shortened the more, the greater the angle of curvature, as a rule - down 1-2 cm. Therefore, this operation is done during bending of sexual term to 30. This methodology is technically simpler, which reduces the time of operation, anesthesia and it does not depend on the subsequent adherence of the grafted graft.
Operations pass under general anesthesia. The duration of determination in the hospital is 2-3 days for the operation of 1 types and 1-2 days for 2 types operations. Sexual activity is possible 3-4 weeks after operation.
Elongation of sexual term.
The accumulated practical experience shows that before the majority of the cases the elongation of sexual member is the whim of patient, and it is much thinner - it is connected for the sake of the medical need.
Average anatomical sizes of sexual term before the condition of erection vary from 12,5 to 16,7 cm. medical indications to the elongation they appear with the dimensions of sexual term before the condition less than 10 cm.
Anatomical prerequisites for the possible elongation of the sexual term:
The substantial part of the sexual term (almost 40%) is submerged under pubic bones and subcutaneous fat cellular tissue. These are - the pedicles of the cavernous bodies of sexual term, which are fixed to the pubic bones by clusters. It is most safe to elongate “external” unit of the sexual term possibly due to the release of its concealed unit.
The essence of operation consists before splitting up of the fixing clusters and removal of the unit of subcutaneous fat cellular tissue (by method of ) on the pubes with additional cutaneous plastic surgery. In this case the unit “concealed” length of sexual term is freed, increasing the size of its external unit.
The final effect of operation depends on the individual anatomical characteristics of patient. As a result it is possible to achieve the visual elongation of sexual term to 3,5 cm.
There are technically more complex methodologies of elongation with the help of the “insertions”. However, they do not always guarantee the state of preservation of the function of organ, since they affect its internal structure, critical at the point of the erection.
Operation is conducted under general anesthesia. The duration of determination in the hospital is 2-3 days. Sexual activity is possible 3-4 weeks after operation.
Removal of the neoformations of sexual term.
The most common papillary neoformations are peaked of sexual member, caused by virus. It is diagnostically important to distinguish them with wide , caused by pale . Therefore, to the operation patient must be thoroughly inspected down the infections, transmitted through sex.
The removal of peaked by of the extreme flesh of sexual term is conducted by the method of cryo-destruction, electrocoagulation, laser , or by the chemical destruction. Such operations (manipulation) are done under the local anesthesia ambulatoryy, without requiring hospitalization beside the hospital.
The need for plastic operation appears with the formations of another type: paraffinomas, atheroma of sexual term.
The paraffinoma of sexual term is the corollary of the subcutaneous introduction of petroleum jello, different ointments, creams for the purpose of the artificial thickening of sexual term. Similar formations are inclined down the infection, to inflammation, to appearance of fistulas, ulcerations, which are not yielded to drug treatment, and/or constantly they recur.
The formed paraffinoma is the infiltratively being extended granulomatous fabric, the damaging skin and the unit of the shells of sexual term.
The essence of operation consists before the removal of the casualty fabrics (the skin and shells) with subsequent plastic surgery of the formed defect.
With the small defects is possible local plastic surgery by the skin of sexual term.
With the extensive injuries, the defect is replaced by the skin of scrotum or by the skin, grafted based on the distant sectors of body.
Operation is conducted under general anesthesia. The duration of determination in the hospital is 2-3 days. Sexual activity is possible 4-6 weeks after operation.
Micro-surgical treatment of premature ejaculation.
Premature (earlier) ejaculation is characterized as the ejaculation, which appears less than 2 minutes after the beginning of sexual Act.
In a number of cases this condition is treated drug, by physioprocedures, or with the help of reflexotherapy. Should be distinguished early ejaculation as the symptom of chronic (inflammation of seed tubercle) and chronic prostatitis. Before this situation the recovery is achieved as far as the therapy of basic inflammatory disease.
The cases of the early ejaculation, which are not yielded to conservative therapy, are indication to the operation.
Operation consists before the intersection of the subcutaneous nerve terminations, critical at the point of the ejaculation through the section on the sexual term, analogous down the same with (cutting extreme flesh).
Surgical intervention is conducted under local anesthetization, or general anesthesia. It is implemented ambulatoryy, without the additional stay before the hospital. Sexual activity is possible 10 days after operation.





Hitching posts before the sport






let us begin based on the aesthetics, dear girls and you do know that surgical when desired it is possible to change the form of sexual jaws? (IMG: style_emoticons/default/icon_)
there is still this as the fallout of low sexual jaws, be treated to also surgical…
Contraindications to plastic surgery of sex organs are general: problem testily, severe varicose illness so forth sexual life after such interference it is possible to renew only in 3 weeks, and the , it is more preferable with the permanent partner.
now about the clitoris:
in some this “pea” is concealed under too volumetric cutaneous a fold - as a result woman can not for years test enjoyment from the physical proximity. In that case the surgical elimination of this “obstacle” can present down lady long-awaited happiness of sex. The same concerns the removal of the scars, which arose against this tender place after traumata and burns. One additional spread desire of patients request is to move clitoris more closely to the entry before the vagina. To carry out this is possible, but it is not simple. Clitoris entire is pierced by nerve ends, and if we one of them catch, orgasm to woman to no longer see. Therefore, before being decided down this risky experiment, better everything as should be weighed.
THE EXTENSION OF THE PERINEUM can occur after types
This zone is located between the lower point of the convergence of great sexual jaws and the anus. As a result the extension of perineum the entry before the vagina is increased, and woman ceases to receive enjoyment based on the sexual Act. The sometimes elongated vagina is congenital. Reason for this - the absence of the definite muscles.
what to eliminate this defect is possible because of the uncomplicated operation - posterior . Small section is done for this on the posterior wall of vagina, and then fabrics take in such a way that the entry before the vagina would decrease. Outside it remains after interference of no scars, since all manipulations are conducted through the mucous membrane
there is the : NARROWING THE PERINEUM
it is caused either by the congenital pathology or trauma - most frequently, burn. Furthermore, this can occur after the unsuccessful types, in course of which occurs the explosion of perineum. The incorrectly superimposed welds or the keloid scars, which were being formed against this place, can substantially reduce female bosom and then cause pain with the relation. In order to eliminate this defect, the flap operation is done: skin fat graft from the fabrics, located on the neighborhood, is taken, and organ is created anew.
Furthermore, are done operations on strengthening of the walls of vagina, if the woman has herself the weakness of perineum as a result of the loose, atrophic fabrics. Special grid inward is inserted for this.
and now a little about THE RESTORATION OF VIRGINITY (IMG: style_emoticons/default/icon_) (WHO NOT FIRST, YES ??? (IMG: style_emoticons/default/icon_))
TO THIS OPERATION: :
of this method it is possible to consider the goddess of love and beauty to aphrodite. At the right time its passionate novel with the charming adonis it was regularly amused by the fact that after the joys of plunger beside the bath house, from where it left down the coast by chaste girl. In Pathos city, that in Cyprus, and to this day were maintained those miracle- bath houses. But to inspect on itself the method of loving goddess to nothing, since to today eliminate the trails of imprudent Amour adventures under the force of any mortal. This operation technique is sufficiently simple: under intravenous anesthesia the doctor moves the sectors of mucous membrane beside the threshold of vagina and sutures them, recreating the natural form of virgin membrane. Welds removed must not be - they are placed by the threads. However, new membrane must be sufficiently delicate, indeed if surgeon a little , repeated defloration will seem by superhuman torture. To again become “girl” - the pleasure not of their cheap, and stand about $1000. surgeons does not consider this operation of the vital, and therefore they count to right establish at the point of the satisfaction besides this whim the sufficiently high prices. But for the sake of fairness it is worthwhile to say that this service today barely enjoys demand: apparently, society began to much more dedicatedly approach the freedom of dispositions.

Before the spread of diseases important role belongs to social and economic changes before the society (urbanization, the increased mobility of population, an increase in the leisure, an increase in the tourism and others), demographic shifts (increase in the lifetime, before Vol. h. and sexual, the earlier beginning of sexual life), to factors of behavior (weakening traditional norms and inhibits, a change in relation to the floor, the emancipation of women), to medical factors (subjectively asymptomatic course of a number of diseases, the development of the stability of exciters to the medicines, self-treatment, the incomplete development of the sources of infection and sexual contacts and others), to sociocultural changes (weakening the effect of parents, a change in the views beyond the sexual norms), to an increase in the quantity of sets, to the dissemination of alcohol (see alcoholism) and narcotics, pornography, to an increase in prostitution and others
Important role before the spread of diseases belongs to birth cohort, to the groups of increased risk: to seamen, by military, to emigrants, to tourists, by seasonal worker, to personnel of airlines, to the workers of international transport (first risk group); to prostitutes, to the homosexuals (see homosexuality), to druggies, to tramps, who are repeatedly ill by venereal diseases (second risk group). The diseases, which are transmitted through sex, it is accepted to consider as the diseases of behavior. The absolute majority of people is infected as a result sexual disorderliness and the introduction beside accidental sexual communications.
For the provision of the highly skilled therapeutic and prophylactic aid by the patient for the sake of cutaneous and venereal diseases is created the special-purpose service, into task of which enter active development, compulsory and complete account of the patients for the sake of venereal diseases, carrying out of the analysis of the morbidity of the contingent of patients for the purpose of the manufacture of the measures, directed down to its reduction, complete and operational development of sources, attraction down to examination and treatment of patients, reception of operational measures with respect to those, who disturb regime or who avoid treatment, conducting qualitative clinico- serological check besides those, who finished treatment.
Before , obstetrical- gynaecological squads, before the female consultations is conducted the examination down the venereal diseases of women, directed down to the termination of the pregnancy (see abortion), men and women, who suffer the chronic inflammatory processes of the urino-genital sphere (see the inflammatory diseases of sex organs), by primary and secondary sterility. The periodic preventive medical examinations of the workers of the power-supply system, juvenile installations, hotel management, swimming pools and gymnasiums, transport, workers for the health and hygiene care of population are the important measures, which ensure the early development of diseases. The blood, undertaken in donors, is investigated down the venereal diseases. Mass propaganda is directed down to the observance by the population of measures for the personal and community prophylaxis of venereal diseases, to the earliest possible identification of disease for the purpose of the timely and complete treatment of patients.

SYPHILLIS (on the name of the hero of Fracastoro's poem J. the herdsman Of - Syphilus), the chronic venereal disease, caused by the pale spirochaeta (), which, possessing great mobility, sufficiently easily and rapidly penetrates different tissues and organs of the man through the least abrasions and the scratches on the skins and the mucous membranes. Complex changes in the immunological nature occur with the penetration of pale spirochaetae before the organism. During disease pale spirochaetae extend on all tissues and organs. Repeated (after recovery) infections are possible, since stable immunity it is not formed. Out of the organism of spirochaeta several hours live and retain virulence before the moist medium; rapidly they perish with drying, heating (at a temperature of 55 ° during 15 minutes), under the activity of the disinfecting means, acids, alkalies. To the cooling they are low-sensitivity: during the freezing retain viability during it is 2nd 3 days how are explained the cases of infection from the twig.
The infection by syphillis is possible with the direct drive of pale spirochaetae from the patient healthy, before the majority of the cases - with the sexual relations (killing zone see before Fig.), thinner - with the kisses. The alternate (indirect) path of infection - infection through any object (ladle, sleeve, toothbrush, lipstick, cigarette the like), on which there is discharge, which contains the pale spirochaetae (so-called household syphillis). Still one route - intrauterine infection from the sick mother through the placenta. The reaction of human organism down the introduction of pale spirochaeta is complex and diverse. In the majority of patients the infection is developed along “classical” route, when are distinguished 3 clinical, consistently relieving each other of period.
Incubation period lasts on the average of 3-4 weeks, sometimes it is shortened to 9 11 or to 92 days. The treatment of syphillis, initiated before the incubation period, can prevent the development of the clinical picture of disease and comparatively rapidly ensure complete recovery. It is this is why very important, after learning that the sexual partner is sick for the sake of syphillis, to immediately turn down the doctor.
The primary period of syphillis lasts on the average 6 of 7 weeks. It is characterized as far as the appearance on the spot of introduction of exciter beside the organism of man of red macula, then the sealing, beyond surface of which soon is formed surface (erosion) or deep (ulcer) defect. The formed erosion or ulcer has correct rounded or oval form, the color of fresh meat, its surface appear the lacquered because of a scanty quantity isolating serous fluid. Before this fluid in the laboratory pale spirochaetae easily are detected. Before the base of erosion or ulcer is probed the sealing, which sometimes resembles . The presence of sealing was used after base for the designation of the manifestation of primary syphillis by term “solid chancre”. Appearance of a solid chancre - beginning of primary period. The disposition of chancres can be most varied, but them they most frequently detect on the sex organs (more than in 90% of patients), in the area of mouth, in the area of pubes, beyond the internal surface of thighs, at the entry beside the rectum, on the mammary glands. Their size varies from the lentil to the 10- bog iron coin, it is sometimes larger, a quantity - from 1 to 3- 5, rarely more.
As a rule, solid chancre is developed painlessly, without the expressed signs of sharp inflammation around the defect, in consequence of which the patients frequently assume it at the point of “trifling scratch”, they are not turned down the doctor, but they are occupied by self-treatment, different powders and ointments are used. The second symptom of primary syphillis is an increase in the adjacent lymph nodes (regional it ), or specific bubo. If, for example, solid chancre is located beyond the sexual member of man, then are increased inguinal lymph nodes first based on one side, and then also with another. An increase in the units occurs through it is 5th 8 weeks after the appearance of a chancre. They are increased to the dimensions of bean, drains, sometimes it is more, they are painless, consistency, they are mobile, soldered neither with the surrounding fabrics nor between themselves. The skin above them is not changed. At present are encountered the patients for the sake of primary syphillis, in whom is not revealed an increase in the regional lymph nodes.
Depending on the results of the serological research of the blood primary syphillis they divide beside the primary seronegative (sulfur- negative) and primary (). The serological reactions of the blood become positive only through it is 2nd 4 weeks after the appearance of the first signs of syphillis. Primary syphillis already requires the greater capacity of treatment, than seronegative. Solid chancre even without the treatment heals 1 2 months after appearance, small hem can remain against its place. But this does not mean that syphillis took place by itself: down the short period it changed beside the concealed form, during which the violent reproduction of pale spirochaetae. This latent period is finished for the sake of an increase in all lymph nodes, frequently by the appearance of a malaise, weakness, main be ill, subfebrile temperature, be ill before the joints, the muscles.
The secondary period of syphillis begins based on the appearance of a rash and can last from 2 to 5 years. In the absence treatment it is characterized as far as the alternation of the phases of active rashes with the concealed asymptomatic phases. With the first wave of rashes on the skin of body, extremities and on the mucous membranes the abundant bright rash, which consists most frequently besides the maculae, appears, it is thinner of the knots (papules). At this time in patients remain solid chancre or its remainders, signs of regional (increase in the adjacent lymph nodes). Maculose rash is named , consists of individual round rose-colored or rosy-red maculae from 3 to 10 12 millimeters besides the diameter. Maculae are not increased above the level of the skin, they are not flaked, usually not they and therefore they frequently remain the unnoticed patients. With the pressure syphilitic roseola (restricted expansion of blood vessels) vanishes, it grows pale, being restored through several seconds. In the untreated patients rash exists from several days to it is 2nd 3 weeks, sometimes to it is 5th 6 weeks, and then it vanishes without the trail. Based on the moment of the disappearance of maculose and nodular rashes secondary syphillis enters beside the concealed phase, whose duration varies in different patients. In the absence treatment are observed one or several returns (relapses) of rashes on the skin and the mucous membranes. Usually with each subsequent relapse of the rashes of all less, and rash becomes larger and it is grouped in the form arcs, circles, garlands.
For secondary recurrent syphillis the papular rashes (they are encountered in 80- 90% of patients) are most typical. The papules, located in the places with the increased sweating and constantly subjected down friction (before the inguinal- femoral and folds, between the toes, under the mammary glands), gradually are changed and they become getting wet erosive, before discharge of which is contained the huge amount of pale spirochaetae. Sick with the rashes before the mouth, on the sex organs, perinea are very infectious with the sexual and close household contacts.
In women on 4 6th month after infection sometimes is developed maculose (fading) of the skin beyond the posterior and sides of neck (the so-called “necklace of Venus”). The decolorized maculae, by the sectors of the intensive pigmentation, with the size of 3- of 10 millimeters before the diameter can without the change exist several months (sometimes more than year) even against the background antisyphyllitic treatment. In such patients the changes before the cerebro-spinal fluid and the signs of the injury of central or vegetative nervous system usually are revealed.
The scattered or fine focal shedding of hair occurs in 15- 20% of patients for the sake of secondary syphillis. In this case the skin is not inflamed, not it , is not flaked, painless. This symptom appears usually through 3- of 6 months after infection and rapidly it progresses. Sometimes simultaneously separate out eyelashes, hair of eyebrows (external units of the eyebrows), whiskers, beard. Before the process of treatment the hair again grow, since the follicular apparatus of hair with syphillis does not perish. Frequently is destroyed the mucous membrane of the area of mouth (erythematous, or papular, syphilitic angina, the papule of language, cheeks, sky), especially in smokers and dipsomaniacs (see alcoholism). With the injury by syphillis of vocal chords the vote becomes hoarse, hoarse. Patients with the rashes before the mouth are infectious. To be infected it is possible with the kisses, through the general vessels, to cigarette and so forth syphillis at this point destroys all organs and systems of organism.
In the absence treatments or the insufficient treatment of primary, secondary and concealed syphillis it can after 3- of 5 years from the moment of infection change before the tertiary period, with which most frequently are destroyed the skin, the bones and mucous membranes. Simultaneously can be destroyed internal organs, large vessels, nervous system. Before the active stage of tertiary syphillis the tubercles and the large units (gummas), which, being decomposed, form the slowly healing ulcers with the formation of rough scars, appear. They frequently destroy mucous membrane and bones of the nose, the soft palate, tag, causing the destruction of these fabrics and their strain after cicatrization and frequently disfiguring face (attenuation of nose, the perforation of the hard palate, the absence of tag, the destruction of palatine curtain).
The syphilitic injury of back and brain can lead down the development of back tabes and progressive paralysis. rashes on the skin leave lifelong mosaic scar. The decomposition of gumma before the internal organs, in particular before the heart, the aorta, the brain, the cerebellum, the stomach, can be the reason for the severe consequences. The duration of the tertiary period of syphillis in the absence of treatment is unconfined. Patients are at this point less infectious than the patients for the sake of the early forms of syphillis.
Still with 15 v. was known syphillis. During the intrauterine infection before the period of the forming of the placenta the pregnancy in women is frequently finished by the premature types of dead child; the unit of the children with syphillis survives, but, as a rule, such children are not developed before physical and mental relations. They are weakened, badly they are developed, they lag before growth and mass of the bodies, agitated, subcutaneous cellular tissue in them is weakly expressed. 4/5 children with early syphillis have themselves changes before the bones, frequently are destroyed eye, the liver and spleen, cardiovascular system. Sometimes are developed dropsy of brain, syphilitic inflammation of meninges. In children against the age from 1 to 2 years syphillis is developed by papular rashes. Large papules are arranged around the posterior pass, in the area of sex organs, nates, it is thinner on the mucous of mouth, larynx, nose. Can be destroyed the bones, the liver, spleen.





Treatment and prophylaxis of syphillis. Syphillis is cured. The treatment of patients is conducted taking into account of period and form of disease. It lasts from several weeks with the early forms of disease to 1,5 - 2 years with the late. The treatment of syphillis is compulsory, is constructed about the individual principle, it is conducted under the constant medical control. During the drug treatment and the subsequent control observation, whose duration depends on the stage of disease, to patient it is forbidden to enter beside the waste and to conduct sexual life.
Most important with the presence of syphillis - not to be occupied by self-treatment: effect it not , but the clinical picture of disease “is lubricated”, which then impedes diagnosis and considerably elongates the course of treatment. The community and personal prophylaxis of syphillis is conducted concerning the general rules of struggle with the venereal diseases. They, first of all, include compulsory personal account of all sick for the sake of syphillis, hospitalization sick for the sake of infectious diseases, examination family members and persons, which was before the close contact with the patient, the subsequent observation besides them in the course of several months, constant control clinic observation besides the treatment of patients, the twofold serological examination of pregnant females for the purpose of prophylaxis of syphillis in child. Women, who endured syphillis and taken taking into account, during the pregnancy must receive additional preventive treatment.
The personal prophylaxis of syphillis is based on abstention from accidental sexual communications (see abstention sexual), utilization of . In the case of suspicion for the infection by syphillis it is necessary to turn down the point of aid or beside the near therapeutic installation not later than 2 hours after sexual communications. To the visit of the point of aid it is necessary to wash sex organs by warm water with the potassic (economic) soap. Before the medical installation to patient after washing of sex organs, thighs, perineum they rub in beside these places the mixture of corrosive sublimate 1:1000 or the mixture of of bigluconate 0,05%. Beside the urethra of man input 6 8 drops it is 2nd 3% of mixture of protargol, to visitor are not after which recommended to be wet during it is 2nd 3 hours. Protargol can be replaced for the sake of 0,05% mixture of of bigluconate. In woman mandatorily must be conducted washing vagina for the sake of the mixture of of bigluconate and the burial of this mixture beside the urethra with the help of the ocular pipette before a quantity of 8-10 drops. After the carrying out of working sex organs to visitor they give sterile gauze napkin for the defense of sex organs from the linen, which is recommended to replace.

GONORRHEA (Greek. gonos - seed + of rheo - I flow; synonym - gonorrhea, ), the venereal disease, caused by gonococcus. Are destroyed predominantly the mucous membranes of urino-genital organs. Are possible also the injuries of conjunctiva, nasopharynx, tonsils, thinner - rectum. Are encountered the heavy systemic injuries of joints, nervous, cardiovascular and respiratory systems, gonococcal sepsis can be developed. Gonorrhea relates down the most bacterial infections: according to the data of WHO (World Health Organization) yearly in the world it falls ill not less than 150 - 180 million people. Exciters of gonorrhea - gonococci. Out of the human organism gonococci rapidly perish in proportion to drying, under the activity of heating it is more than 56 °, antiseptic preparations, straight solar rays. By the source of infection it is sick gonorrhea. Adult (IMG: style_emoticons/default/ppl_) are infected practically always through sex. Children - exclusively girl - through the infected washcloths, the sponges, the chamber pots, the towels, the diapers. In recent years among the sources of the infection by gonorrhea the specific weight of those, who deal for the sake of self-treatment, was raised. The appearance of forms of gonococci is possible after the badly treated gonorrhea, resistant down penicillin and other antibiotics.
They distinguish I flay - acute, subacute and torpid (with the antiquity to 2 months), chronic (more than 2 months and the unestablished antiquity) and concealed (latent) gonorrhea. With that concealed are encysted seats of inflammation with weakly-pathogenic gonococci, with opening of which gonococci leave down the surface of the mucous membranes of sex organs and is caused their inflammation. From the moment of infection to the appearance of clinical signs of disease it passes from 3 to 4 days. Sometimes incubation period is elongated to it is 2nd 3 weeks and more. Down the elongation of the periods of incubation period contributes the reception of antibiotics or other sulfanilamide preparations of the apropos associated diseases or during self-treatment.
The appearance of suppurative liberations from the urethra and the sharp pains during the urination is the first signs of gonorrhea in men. At first the inflammatory process captures only the mucous membrane of forward section of urethra (anterior urethritis); therefore it is very important to turn down the doctor precisely at this point of disease, which will ensure recovery in short periods. If treatment is not initiated, then gonococci achieve posterior urethra, causing the total inflammation of mucous membrane of urethra. Frequent urges to the urination appear, sharp pains are reinforced, at the end urination is isolated the droplet of the blood. In many men gonorrheal infection from the very beginning produces only insignificant inflammatory changes before the urethra (torpid gonorrhea). Discharge is very scanty, is noticeable only after the night in the form of small turbid drop.
In the patients for the sake of the acute gonorrhea in the absence of treatment the intensity of the inflammatory processes before the canal is gradually decreased and the process becomes chronic. Both fresh and chronic urethritis in men can be complicated by the inflammation of the internal layer of extreme flesh and head of sexual member, by the inflammation of the glands (see glands To ) and the courses of urethra. But the most serious complications they are the inflammation of prostate gland (prostatitis), attachment of egg (epididymitis), seed bubbles (it ) and the development of narrowings of the lumen of urethra. Down these complications contribute sexual excitations, use of alcoholic beverages, beer, supercooling, heavy physical loads. Gonorrheal epididymitis is usually developed sharply, with the high temperature, as far as swelling and reddening of scrotum, by severe pains in the area of the egg. Patient with difficulty is moved. The bilateral process frequently leads down the sterility. Gonorrheal prostatitis - most frequent complication of gonorrhea in men. Distinguish prostatitis sharp and chronic. Latter it is bad to treatment and it is frequently the reason for sexual weakness and sterility before the waste.
In contrast to the men gonorrhea in women beside the first it is 2nd 3 weeks it flows limply, little-noticedly, almost asymptomatically. Only in each sixth - the seventh woman after 3- of 7 days after infection is developed the sharp inflammatory process before the lower department of urino-genital tract with the pains before the loin, the burden of below stomach, the sharp pains and the burning during the urination. In women the gonorrheal process is multi-focus: simultaneously are destroyed urethra, glands of the threshold of vagina, neck of carrier, and also frequently and rectum. Is distinguished the gonorrhea of the lower department of urino-genital apparatus, i.e., the inflammation of urethra, neck of carrier, glands and mucous membrane of the entry before the vagina, and the ascending gonorrhea, when the inflammatory process applies to carrier, uterine tubes and attachments, pelvic peritoneum. Down the appearance of the ascending process contribute abortions, types, menses. The prolongedly existing chronic gonorrhea can be the reason for sexual disorders, forming of in women, sterility. Gonorrhea adversely has effect on current and outcome of pregnancy. In women, sick for the sake of gonorrhea, are more frequently recorded the threatening and complete miscarriages, premature types, postnatal complications, infection during the types of child by the gonorrhea of eyes (blennorrhea) or by the gonorrhea of the lower urino-genital routes (exclusively girls).
Gonorrhea in girls most frequently is noted before the age it is 2nd 8 years. Children are infected, as a rule, through the objects of dress and domestic custom, moreover beside 3/4 cases mother is the source of infection, thinner - nearest relatives and service personnel of juvenile installations. As a result of the age anatomical-physiological characteristics in the girls of the most junior age gonococci cause the inflammation of the vulva, vagina, urethra. Internal sex organs are destroyed extremely rarely. In the fallen ill girls are noted reddening and edema of great sexual jaws, threshold of vagina and perineum, abundant suppurative liberations from the vagina, them they harass burning and itch beside the area of external sex organs, the pain during the urination. The against the childhood gonorrhea can have effect subsequently on the health of girl, woman, her menstrual and genital functions, be the reason for sterility. Parents must constantly remember and inoculate to the children of the rule of personal hygiene, especially, the hygiene of sex organs. In order to eliminate the possibility of the infection of girls from the workers of juvenile installations, the latter thoroughly are examined with the reception down the work and subsequently regularly 1 times before 3 months.
Treatment is carried out under the conditions of hospital mainly by the antibiotics of the group of penicillin, thinner - by sulfanilamides.
The gonorrhea does not form nonsusceptibility to the new infection. The repeated infection by gonorrhea flows more heavily, with the large number of complications. Acute gonorrhea at the timely and correct treatment is cured beside several days. During the violation of the periods of treatment or its insufficient efficiency the disease changes to the chronic form, the periods of the treatment by which considerably are elongated. During the treatment the patient must avoid the use of beer, alcoholic beverages, sharp and saline dishes. One should not roll beyond the bicycle, skis, hobbyhorses, lifts, are forbidden sexual relations (). After the termination of treatment the patients are observed before during it is 2nd 3 months. With the favorable results of patient it is removed taking into account after the termination of the period of control observation.
Prophylaxis of gonorrhea is based beyond the timely development and the treatment of all patients. This purpose serve the periodic compulsory preventive physical examinations of the workers of the number of professions. Examination down the gonorrhea undergo also all women, who turned themselves for the terminations of pregnancy, become pregnant before the first and second-half of pregnancy, and also sick for the sake of (). Children, who fell ill for the sake of gonorrhea, can again attend juvenile installations only after their removal taking into account.
The personal prophylaxis of gonorrhea is based on abstention from accidental sexual communications (see abstention sexual), application of . To men for purposes of personal prophylaxis it should be after accidental relation immediately been soaked, washed by soap sexual member and immediately turn down the point of personal prophylaxis, existing with each dispensary and which works 24-hour. To women are recommended before the sexual Act the introducing of before the vagina the gauze tampon, saturated for the sake of the mixture of corrosive sublimate (1: 3000) or protargol (1: 100), the threshold of vagina and urethra to lubricate by petroleum jello. After relation to immediately retract tampon, to be soaked, to wash sex organs by soap, to by the solution of potassium permanganate (1: 5000), and to then turn beside the point of the personal prophylaxis

SOFT CHANCRE (French of chancre - ulcer; synonyms - venereal ulcer, , the 3rd venereal disease), the venereal disease, caused by Streptobacillus (bacillus of soft chancre). Disease is encountered only in man. Infection occurs in essence through sex. BEFORE the USSR and the Russian Federation barely it was encountered, except “brought” cases. Incubation period in men is 2nd 3 days, it is thinner - to it is 2nd 3 weeks, in women more prolonged - is 2nd 8 weeks.
The first manifestations of disease are localized, as a rule, on the sex organs. Initially appears the clear red edematic macula, in center of which in days appears the small knot, which is converted beside the pustule. On 3- the 4th day of on the spot revealed pustule is formed the ulcer of rounded or irregular shape by diameter 1 of 1,5 centimeter(s), with the undermined, pitted territories and suppurative flying time on the bottom, bright inflammatory bead on the periphery. The base of ulcer is soft by feel the touch, hence and the name of disease in contrast to the solid chancre with syphillis. Ulcers, especially in men, morbid, bleed. Abundant suppurative discharge, falling on the healthy sectors of the skin, causes the appearance of small sifted daughter small pits. The spontaneous healing of such ulcers occurs in 1 2 months with the formation of scar.
Before the medical practice are described about 10 varieties of soft chancre. Among them is isolated the serpiginous soft chancre, with which the ulcer based on one territory heals with the formation of scar, and based on another is increased, and gangrenous, that is characterized by considerable decomposition and rejection of the casualty fabrics. It occurs, that besides the skin with the soft chancre are destroyed the lymphatic vessels and units. The unit rapidly is increased before the sizes, it is soldered with the skin and other units. The skin above them becomes clear red, entire infiltrate is very morbid. Simultaneously in patients temperature sharply is increased, appear weakness, malaise. Gradually sharp phenomena become less expressed, and bubo either is resolved or before its center softening appears and it is revealed with the liberation of the very large number of dense pus with the admixture of the blood. Subsequently it heals by cicatrization or occurs further decomposition of the surrounding fabrics and is formed extensive ulcer.
In a number of cases with accidental sexual communications occurs the simultaneous infection by soft chancre and by syphillis. Soft chancre in such cases initially is developed, and then in 3-4 weeks it is converted beside the solid chancre and before its discharge they detect pale .
The disease is good of to treatment, it is conducted in the hospital

LYMPHOGRANULOMATOSIS IS INGUINAL (Lat. lympha - pure water + of granulum - granule +… ohms +… Lake; synonyms - lymphogranuloma venereal, venereal, 4th venereal disease, disease Nicolas - Favre, tropical bubo and other), the chronic infectious venereal disease, which is transmitted through sex and is very rare - by household. It is encountered predominantly in the countries for the sake of the tropical climate. BEFORE the USSR and the Russian Federation were recorded only the “brought” cases of disease. Exciter - , serotype L. incubation period last from several days to it is 2nd 3 months, it is more frequent than 10 12 days. It flows before the sharp or chronic form. In women sometimes long time current asymptomatic, but with the sexual contacts the media can be the source of infection. Three periods of disease are distinguished.
Before the primary period the disease is developed in the form erosion or the surface small pit of rounded form in the area of sex organs. Rashes after several days independently heal, frequently remaining those not noticed by patient. In a number of cases primary passion not at all is developed. Before the secondary period (after it is 2nd 4 weeks after the primary manifestation of disease) they are destroyed the inguinal, and subsequently femoral, iliac lymph nodes of low pelvis (during the extra-sexual infection are destroyed other groups of the lymph nodes: submaxillary, cervical and other), which is escorted by fever, increase in the spleen, by leukocytosis. Lymph nodes are increased before the sizes, they become dense and, being soldered between themselves, are formed large uneven tumorous infiltrates. The skin above them gradually is changed in the color to the auger- the red, the sickliness of units appears, individual of them rot and are revealed.
On the spot decomposed and revealed lymph nodes are visible the fistula apertures and the fistula courses with the suppurative squad, which heal through several months or years by scar. Before the third development period of the disease as a result of the appearance of scars can be developed the disorders of lymph circulation in the area of low pelvis, up to the development of elephantiasis of sex organs, growths and chronic ulcers on the skin, and also the ring-shaped narrowings of rectum with the phenomena of impassability (anorectal syndrome). Forecast for the life is favorable. Treatment: antibiotics, sulfanilamides, with the anorectal form - surgical intervention. Prophylaxis includes early development and sanitation of the sources of infection. The repeated cases of the infection by this illness it is not recorded.

GRANULOMA IS VENEREAL (Lat. granulum - granule +… of ohms; synonym - , granuloma inguinal tropical, granuloma ulcerous sex organs, granuloma inguinal, 5th venereal disease), the chronic infectious disease, which is transmitted through sex and is very rare - by household. It is encountered predominantly in the countries for the sake of the tropical climate. IN the USSR were recorded only the “brought” cases of disease. Are ill exceptionally adult. Exciter are the corpuscles of Donovan - polymorphic encapsulated bacteria. Incubation period lasts from several days to 3 months. It is characterized as far as appearance on the skin of the sex organs of acute inflammatory papules with diameter to 4 centimeter(s), which subsequently are converted beside the ulcers. They painless, soft, clear red. The bottom of ulcers granulated, territory are slightly elevated, uneven. Are destroyed sex organs, area of pubes, inguinal folds, perineum, internal surfaces of thighs. The healing of ulcers can be escorted by the formation of keloid scars.
The general condition of patients barely suffers. Only with the necrotic (with the deadening of fabrics) forms appear headaches, a chill, fever, weakness. The course of disease prolonged (to it is 2nd 4 years), the existing methods of treatment do not always provide complete recovery, relapses are possible in 6 8 months, but sometimes through are 2nd 4 years. The most terrible complications of are the destruction of external and internal sex organs, the development of elephantiasis of sex organs, the malignant regeneration of ulcers (planocellular crab). Treatment is conducted as far as sulfanilamide preparations and antibiotics of the wide spectrum of activity according to special schemes. Prophylaxis of consists before the timely development and the treatment, the struggle with prostitution, the carrying out of public health education work among the population, the improvement of medical aid, an improvement in social living conditions

, infectious disease of urino-genital tract, caused by sheathed . through sex, is rare - household. They are ill in essence of woman. In the form monoinfection disease is recorded in 70% sick, also, before of 29% cases of in the form mixed infection (with the sheathed , the yeastlike fungi, , by gonococcus and other). With the disease by most frequently are destroyed the mucous membranes of urethra (urethra), vagina and cervical canal. Patients they harass burning and itch in the area of the external sex organs of woman, the appearance dense less frequently thinner than liquid greyish or greenish liberations with the unpleasant odor from the vagina.
The casualty mucous membranes of urino-genital tract gain rose-colored- red paint and they become moderately edematic. The walls of vagina are often glued at the point of entire elongation. Before the arches of vagina the liberations are accumulated. Liberations from the canal of the neck of carrier are scarce, from the urethra - scanty. There is the penetration of the exciter of beside the area of carrier, which negatively is reflected before conception and current of pregnancy, exciter is capable to also cause the suppurative injury of fetus and the development of postnatal sepsis. Treatment is conducted in the hospital and it is ambulatory under the observation of doctor by preparations from the group of nitroimidazol in combination with the active local therapy of the casualty departments of urino-genital tract. The duration of treatment it is 2nd 3 weeks. Patient is considered cured after that, when in it subjective sensations will vanish, will be discontinued liberations from genitalia and exciter will not be detected in the course of 1 2 months.

HERPES OF URINO-GENITAL ORGANS (Greek. herpes - the creeping, being extended cutaneous disease from herpo - to creep), the infectious disease, caused by the virus of herpes, which is characterized by the variety of clinical forms. They connect the injury of external sex organs for the sake of 2nd type virus, which dwells mainly before the external sex organs, the mucous membrane of vagina, neck of carrier. is through sex or gained by child during the birth from the sick mother. Is distinguished primary and secondary infection.
Primary herpes of urino-genital organs destroys (IMG: style_emoticons/default/big_) and low sexual jaws, the mucous membrane of vagina and neck of carrier in women, the mucous membrane of the head of sexual member and urethra in men. After latent period, lasting 1 2 or 4 5 days, appear pain, itch against the places of injury, liberation, whose intensity increases during 7 10 days of disease. In each third patient are noted the fever, main and muscular pains, inguinal and femoral lymph nodes are increased in 75% of patients. In the casualty sectors appear small (1 oersted(s) millimeters before the diameter) filled for the sake of the serous content bubbles. With the heavy course of disease the contents of bubbles gains blood-containing nature.
Subsequently bubbles are broken and are formed the clear red erosions, which are drawn off and encrust themselves. Rashes heal without the formation of scars, temporarily remain only erythematous- pigment maculae. Average duration of the local symptoms of primary herpes of sex organs 10 of 12 days. The injury of urethra begins suddenly based on the secretion of slime, are more frequent in the form “morning drops”, that is escorted by light tingling or burning. Usually symptoms vanish in 1 2 weeks, but relapses with the range from several weeks to several years appear in the majority of patients.
The recurrent herpetic infection (secondary herpes) flows more easily and is more rapid than primary: eruptive elements it is small. The general symptoms of disease appear rarely.
Forecast for the life is favorable. Treatment consists before the designation of (for the internal administration), of , or ointment; with the injury of urethra - introduction by the drops of the solution of interferon; the washes of interferon, deoxyribonuclease are recommended during the erosions; with recurrent herpes - vaccine. The important measures of prophylaxis of herpetic infection are early diagnosis and active treatment, which decreases the frequency of complications and the probability of its dissemination. It should be abstain from the sexual relations (see abstention sexual) based on the moment of the onset of the prodromal signs of disease to the total epithelization of erosion.

ITCH, the infectious parasitic disease of the skin, caused by scabby mite, or . The infection by itch occurs with the contact, including sexual, with the patients or through the objects of their custom, first of all through bed and next to the skin , and also before the bath, the souls, the sport halls and other dissemination of itch is usually connected for the sake of the adverse living conditions. Latent period with the itch composes several hours, but before the majority of the cases - 7 of 14 days, it can achieve to 45 days. The first and basic subjective sign - itch, which is intensified before the night time, which is connected for the sake of an increase of the activity of tongs before night hours. Scabby rashes usually are arranged on the skin of hands, bending surface of extremities, area of stomach, around the nipples of mammary glands in women, on the sexual member; in children any sector of the skin is destroyed.
The pustular diseases of the skin can be the complication of itch, dermatitis and other treatment it is directed down to the annihilation of exciter by the acaricidic preparations: are used 20- 33%- I sulfuric ointment, the ointment Of , sulfuric soap, benzyl benzoate other prophylaxis consists before the observance of the rules of personal hygiene, including the hygiene of sex organs, timely development and the treatment of the source of infection, attraction at the point of the examination of those, who contacted with the patients. Patients must appear down the repeated examinations during 3- of 7 days after the termination of treatment. The disinfection of clothing, bed and next to the skin linen is compulsory.

CANDIDIASIS OF URINO-GENITAL ORGANS, fungal infectious disease of the mucous membranes of sex organs, caused by the unicellular yeastlike fungi of type Candida. through sex. Incubation period from 10 to 30 days. Were increased in frequency erased and atypical forms, . Specifically, such patients serve after the source of the infection of sexual partners and during the types. They predispose to candidiasis the prolonged utilization of antibiotics, corticosteroids or cytostatics; the trauma of mucous membrane of the urinary tracts; abuse besides the food, rich before carbohydrates, the presence of the diabetes and other endocrine illnesses. The appearance of candidiasis of urino-genital organs can be caused by the treatment of mycoplasmosis, and venereal infections.
In men the head of sexual member (balanitis) and internal layer of the extreme flesh (it fasts) most frequently is destroyed. Before the area of injury are noted bright hyperemia, swelling, beyond the surface of the sectors is grayish-white flying time. Patients harasses itch, burning, and then sickliness in the area of the head of sexual member. With the injury of urethra the liberations from the urethra of pale yellow color appear, are more frequent scanty. Candidose urethritis can be complicated by candidose prostatitis, epididymitis, cystitis.
In women candidose (inflammation of external sex organs) and (inflammation of the mucous membrane of vagina) they are developed by an increase in the quantity of discharge of white color, by itch, burning, sharp sickliness with the sexual Act (). The mucous of vagina is hyperemized, with dense creamy discharge, morbid during touching.
Treatment is assigned only after doctor and it is conducted under the control of the bacteriological research of discharge. Prophylaxis consists mainly before the timely development of the reasons for disease and their elimination, careful observance of personal hygiene, especially, the hygiene of sex organs and hygiene of the sexual life

PEDICULOSIS IS PUBIC (Lat. pediculus - louse +… Lake; synonyms - pubic lousiness, ), parasitism on the skin of man of pubic louse - ; it relates down the parasitic diseases, which are transmitted through sex. It is encountered especially frequently in those, who lead the random sexual life (in 1/3 of them they are revealed venereal diseases - gonorrhea, and other). Infection occurs more frequently with the sexual contact, but possibly before the bath, and also through the bedclothes. parasitize on the skin of pubes, in the launched cases - on the skin of perineum, with abundant - on the skin of breast, stomach, thighs, extremities, of armpits, eyebrows, the eyelashes. Pubic louse lays eggs (nit) in the base of hair, and itself is fastened for the sake of proboscis down the discharge openings of hair follicles. Before the places of bites appear the rapidly disappearing pale blue maculae by diameter to 1 centimeter(s), which are been the corollary of hemorrhages with the suction or stitch the deposits of the listening post of salivary glands. Bites cause the strong itch, which leads down the scratching and irritating the skin.
30 days pass from the moment of infection to the appearance of a itch. Diagnosis is based beyond the detection of living and their nits for the sake of the eye or through the magnifier. Treatment consists before working of the casualty places and adjacent sectors of the skin by the disinfecting means (, it is 5th 10%- y by sulfuric ointment and other), it is better to shave off the casualty hair. Prophylaxis is based beyond the early development and the treatment of patients, the examination and the preventive treatment of their sexual partners with the compulsory examination down the presence of venereal diseases. For warning the relapses of pediculosis the careful disinfection of next to the skin and bed linen, expendable inventory is required.

(synonym - ), disease of urino-genital organs, caused by sheathed , simplest unicellular organisms from the class of flagellate. They parasitize only in people. They are unstable out of the human body, rapidly they perish at a temperature more than 40 °, desiccation, before the salt solutions, and also under the influence of the disinfecting means. through sex, are thinner - household. In the men of they parasitize before the urethra (urethra), but they can destroy additive sexual glands. In women destroy urethra, the glands and the thresholds of vagina, the canal of the neck of carrier. Frequently is combined with the gonorrhea, and other bacterial urethritis. Incubation period lasts 7 14 days and more. Clinical manifestation depends beyond the virulence of exciter and on the reactivity of the human body. Are distinguished fresh disease with the sharp, subacute and low-symptom current, chronic (if last more than 2 months) and asymptomatic ().
In men the clinical picture of greatly calls to mind gonorrheal urethritis, only all symptoms are expressed more weakly. Only in 10 12% of patients it flows sharply with the abundant suppurative liberations and the sharp pains during the urination. In the majority of sick men the signs of inflammation erased, the patient can long time not know about her illness and be the source of infection. With chronic trichomona urethritis in the number of men periodically appear the itch and tingling before the canal. The use of alcohol beverages, large number of beer, hard physical work, sexual excitation contribute down the appearance of the complications, most terrible of which are prostatitis and trichomona epididymitis. Specifically, the development of these complications is frequently the reason for sterility in men. In the absence treatment trichomona urethritis in men can last by years, periodically aggravating.
In the women of it flows more sharply. Most frequently is destroyed the vagina (trichomona it ), appear the yellow foam liquid liberations, frequently with the unpleasant odor, which irritate the skin of external female sex organs, perineum, internal surface of thighs, causing burning and itch. With the injury of urethra in patients the sharp pain and burning during the urination is noted. Patients become irritable, conflicting, they suffer insomnia. Sexual relations () are frequently morbid. Gradually and without the treatment the intensity of inflammation is decreased, the process assumes chronic course, it can flow asymptomatically. If the inflammatory process passes down the neck of the bladder, then add portionwise themselves urges down the urination and sickliness at the end of it. Chronic trichomona urethritis usually flows asymptomatically. With the injury by of the glands of the threshold of vagina they swell, the lumen of excretory duct is covered, which leads to the formation of false abscess; with the injury of the neck of carrier the mucous reddens, it swells, from cervical canal the liberations, which frequently provoke the erosion of the neck of carrier, especially on the posterior jaw, escape.
Are encountered the trichomona injuries of carrier and its attachments for the sake of the symptomatology, identical down the analogous injuries of another etiology. As a result of the ascending inflammatory process menstrual cycle can be disturbed, uterine hemorrhages are possible. negatively has effect on the current of pregnancy, causing the spontaneous miscarriages (see abortion) and severe postnatal complications. In women it can be also the reason for sterility with the injury of neck and area of carrier, uterine tubes. in girls is characterized as far as the same symptoms as in women, with exception of the subjective sensations, which most frequently are not expressed.
Treatment is conducted concerning the designation and under the control of doctor (venerologist, the gynecologist (see gynecology) or of urologist (see urology)) and it lasts from several days to 1 months. The general necessary condition for successful treatment is the simultaneity of treatment for both of husbands, even when in one of them they are not discovered. Sexual life is forbidden before the period of treatment and subsequent control. As a rule, are used the means of the general activity: Metronidazole, and other during the intolerance of the means of general activity or the contraindications to their application, and sometimes also with the sharp current for accelerating the resolution of the inflammatory process conduct the local treatment by the preparations of , ,

, disease of urino-genital organs, caused by - intracellular bacteria. Out of the organism of man of perish during 1 minutes with 17150°C, after 5 minutes with 70 ° (with 18 ° and lower on the cotton fabric they retain infectiousness to 2 days), and also under the influence of the disinfecting substances. It is transmitted through sex, it is thinner household (through the objects of dress, , the hands). It is diagnosed in 30- 60% of women and to 50% of men, who suffer the inflammatory diseases of urino-genital tract. In the recent decades is noted an increase in the infection: before a number of the countries down one patient for the sake of gonorrhea are fallen 2nd 5 patients for the sake of . The sources of infection are usually men and women with the and clinically asymptomatic forms of infection. Frequently is combined with , gonorrhea and other bacterial infections.
The exciters of of urino-genital system are - gram-negative bacteria, that are been obligatory intracellular parasites with the unique cycle of development, which includes 2 different before the morphology and the biological properties of the form of the existence of microorganisms, designated as elementary and initial (reticular) corpuscles. If the stage of elementary corpuscle or infectious stage is adapted to the extracellular existence, then initial corpuscle is the form of the intracellular existence of parasite - precisely this stage provides the reproduction of microorganisms.
By of urino-genital organs is ill exclusively man. Known laboratory animals (mouse, guinea pigs, hamsters, rabbits) are not susceptible to this infection during the infection by their different methods. In some monkeys (baboons, macaques, green African marmosets) of to only cause short-term urethritis with the introduction beside the urethra of , isolated from the sick people. Incubation period lasts from it is 5th 7 to 20- 30 days. In men is primarily destroyed the urethra (see Fig.), and in the absence treatment and other organs of urino-genital sphere (prostate, , glands, seed bubbles, the attachments of eggs, eggs). In the infected women the canal of the neck of carrier more frequently is destroyed, is thinner - primarily urethra, in many patients the ascending infection is developed, in this case it is destroyed carrier, uterine tubes, ovaries, can be inflamed peritoneum. From the urethra of they can penetrate also the bladder, causing it . In women and in the homosexuals (see homosexuality) sometimes is diagnosed proctitis, which frequently takes place low- or it is asymptomatic.
The clinical manifestations of urino-genital are characterized by the wide variety. Its sharp, subacute, chronic and concealed current is distinguished. With the sharp form in patients are revealed hyperemia of the mucous membranes of urethra, necks of carrier, sometimes quickening of urges to the urination, mucopurulent separated from the urethra, the vagina. With the subacute and chronic course of disease these symptoms in men and women are expressed more weakly, pyo- mucous liberations are observed only in the morning. With the concealed form the patients do not usually present complaints, but before the discharge from the urino-genital organs are detected .
In men urethritis can be complicated (in 56% of patients), by prostatitis (in 46%), (in 17%), it is thinner or . The clinical picture of these complications calls to mind gonorrheal infection. In women the injury of urethra, glands, vagina flows low-symptom as the inflammation of carrier. The unit of the patients is only had complaints besides the burden of below stomach and the pain in the area of loin, especially before the period of menses. The defeat of the upper departments of the sexual system of women clinically flows just as the analogous injuries of another etiology.
In individual sick it flows before the heavy form, in this case together with the injury of urino-genital routes are observed specific changes in joints, conjunctiva of eyes, sometimes the skin and the mucous membranes of the area of mouth. Are encountered the heavy injuries by of the internal organs: myocardites, focus glomerulonephritis, pyelonephrites, neuritis of peripheral nerves and other frequently it is the reason for sterility both in the men and in women. In women the disease negatively has effect on the current of pregnancy and can be transmitted .
Treatment is conducted concerning the designation and under the control of doctor and last 3 weeks and more. The general necessary condition for successful treatment is the simultaneity of treatment for both of husbands or sexual partners, even when in one of them they are not discovered. Sexual life is forbidden before the period of treatment and subsequent control. For the treatment the antibiotics in combination with the nonspecific means and the physical therapy procedures are used. Treatment is always individually taking into account the stage of the inflammatory process and topical diagnosis, i.e., depending on what organ and down what degree is casualty. The patient for the sake of is considered cured, if after the termination of treatment in the course of 1 2 months with the laboratory investigations in it are not detected . Forecast at the contemporary and adequate treatment is favorable. Prophylaxis consists mainly before the exclusion of accidental sexual communications, the observance of the rules of personal hygiene, including the hygiene of sex organs, timely development and the treatment of patients by and by .

, the inflammation of the vulva. It is caused as far as different microbes, viruses, simplest, yeastlike fungi, and also as far as exciters of venereal diseases (by , by gonococci, by and other). Primary more frequently it is encountered against the childhood and in elderly women, which is connected for the sake of the anatomical-physiological characteristics of organism before these life cycles. Secondary it is developed against the background the inflammatory diseases of the sex organs of the woman (it , it and other). Down the development of disease contribute diabetes mellitus, dermatosis, hypovitaminoses, obesity, the hypofunction of ovaries, the inflammatory diseases of urinary tracts, mechanical (scratching, abrasion, crack and other), thermal and chemical effects, nonobservance of the hygiene of sex organs and sexual life. In girls the reason for can be the pinworms.
It it is developed by itch, burning, pain in the area of the vulva, that are intensified with walking and urination, sexual Act (), by the presence of serous- suppurative liberations. Are noted the reddening of skin and of mucous membrane of the vulva, the swelling of clitoris and low sexual jaws. Sometimes with you they are formed extensive erosions and the ulcers, which with the healing can strain the external sex organs of woman and impede sexual Act. In the children of early age after can be formed the unions of low jaws. With the appearance of the first signs of disease one should turn down the doctor. At the belated treatment the disease can change beside the chronic form, which takes place with the frequent relapses. Before the period of treatment one should refrain from the sexual life (see abstention sexual). Prophylaxis of consists before the timely treatment of the diseases, which facilitate its development, the observance of personal hygiene.

(the vulva + of Lat. vagina - vagina +… ), the inflammation of the vulva (it ) and the mucous membrane of the vagina (it ). It is encountered predominantly in girls, the women of elderly age it is very rare in the women of childbearing age. It in girls it more frequently has bacterial origin, it is sometimes the manifestation of the allergic reaction of organism, down its development contribute pinworms, mechanical irritations (for example, during the masturbation), entry of foreign bodies in the vagina, the acute infectious or viral diseases, the intoxication of organism, the violation of the hygiene of sex organs.
With you they harass itch, burning, pains in the area of the external sex organs of women, who are intensified during walking and urination. Frequently the disease flows before the chronic form and is escorted by scanty mucopurulent liberations from the sexual routes. With the presence of foreign bodies before the vagina appear abundant liberations, sometimes with the admixture of the blood and the unpleasant odor. The prolonged chronic current of in girls can lead to the formation of the dense unions of the low sexual jaws, which impede subsequently sexual life. With the appearance of liberations from the vagina one should turn down the doctor- gynecologist. At the timely treatment the forecast is favorable. For warning against the childhood are recommended taking measures, treatment of the seats of chronic infection, observance of personal hygiene. In the women of elderly age it it appears against the background physiological changes in the mucous of the vagina

(Greek. kolpos - deepening, sinus, vagina +… ; synonym - ), the inflammation of the mucous membrane of vagina. Exciters can be staphylococci (thinner streptococci), coliform bacterium, Proteus, fungi, mycoplasmas, , gonococci, . The microbes, which penetrate before the vagina, before the majority of the cases perish before the process of the self-purification of vagina, inherent before the organism of the healthy woman (see vagina). Down the onset of disease contribute the general somatic, gynaecological diseases, the traumata of vagina (mechanical, thermal, chemical), connected for the sake of the incorrect syringing, the irrational application of contraceptive means and others, the violation of the rules of personal hygiene, especially, the hygiene of sex organs and hygiene of sexual life. The exciters of venereal diseases are transmitted, as a rule, through sex.
During the acute period are noted abundant mucopurulent and suppurative liberations from the sexual routes, sensation of burden of below stomach, burning and itch before the vagina, that are intensified after urination. The inflammatory process can apply to the sheathed unit of the neck of carrier and the vulva. The intensity of manifestations depends on exciter and age. The belated treatment of sharp can lead down the transition of disease beside the chronic form with the slack current of the inflammatory process and the periodic peakings. , that appears in girls and women of elderly age, it has its characteristics and it is, as a rule, escorted by the inflammation of the vulva. In the women of elderly age it it appears against the background the changes in the mucous membrane of vagina, connected for the sake of the physiological extinction of the function of ovaries. Mucous membrane becomes thinner, its folds are smoothed out, it easily will be traumatized and with the entry of microbes is inflamed.
In all cases with the presence of liberations from the sexual routes it is necessary to turn down the gynecologist. Treatment is assigned after the appropriate examination, the development of reasons and exciters of disease. Examination and simultaneous treatment of sexual partner is necessary. Sexual life before the sharp stage is contrasted. Self-treatment is inadmissible. For preventing the disease the careful observance of personal hygiene and hygiene of the sexual life is required

More frequently is encountered the one-way injury of gland. Inflammatory edema can plug the duct of gland, preventing the liberation of the suppurative listening post, which, being held up before the duct, extends it, forming cyst (false abscess). With the occlusion of duct and the delay before it of pus gland is morbid, increased, it sometimes achieves the dimensions of chicken egg. In the rare cases the inflammatory process can capture directly the tissue of gland, in this case true abscess with the suppurative melting of gland and surrounding fabrics appears. Suppurative formation can spontaneously be revealed with the outflow of dense yellowish-green contents, after which condition is improved. The inflammatory process can extinguish independently without the festering. In this case the sealing and an insignificant increase in the gland is observed. However, fairly often the inflammatory process is renewed and is complicated after a certain time. Initially disease can not cause the strong uneasiness: small sealing at the entry before the vagina slightly painfully, sometimes is felt light tingling beside the area of perineum, the burning. With the deterioration the conditions appear the sharp pain before the area of the external sex organs of woman, which is intensified with the movement and the sexual relations (), an increase in the temperature to 38- 39 ° is above, a chill.
Doctor prescribes treatment. Timely access to the doctor- gynecologist (see gynecology) with the appearance even of the small and sealing at the entry before the vagina will stave off the development of disease and the possible complications, which require surgical intervention. Before the initial stages is recommended bed rest, it is conducted the analgesic and antibacterial therapy; with a deterioration in the condition the hospitalization is necessary. Sexual life is contrasted because of the possible infection of partner or festering of gland. Prophylaxis consists before the observance of the rules of personal hygiene, the exclusion of accidental sexual communications, the treatment of , , urethritis.

[ZlAdovloskA]

Thus, sexual interrelations during the pregnancy… This intimal unit of human existence endures regular variations, during the waiting of addition before the family. Some pairs, however, can say that for them these changes consisted only before the so-called “technical” inconveniences at the late periods of pregnancy. And glory to god, if then! However, the majority of husbands assigns to itself many questions relative to the physical and psychological moments of sexual life during this period. Give let us examine, what physiological changes during the pregnancy can have an effect on sexual relations.
Before the first term of pregnancy the nature of sexual life practically completely depends on the health of future mom. The expressed toxicosis contributes greater than usually, physical enervation during the day. In some women is noted the weight increase of mammary glands and the increased irritability of nipples, which bevels the ends of breast for the sake of very unpleasant. After frequent phenomenon should be recognized the definite changes before the psychoemotional sphere of pregnant women (irritability, anxiety, overanxiousness, tearfulness, indifference so forth)
All this together often contributes down reduction in the female (i.e. sexual bend). The sharpness of situation is complicated by the fact that masculine in this case most frequently remains against the previous level and this “divergence of interests” disturbs mutual understanding before the family. In these cases the following advice can prove to be useful:
First of all inquire in doctor, are there no any “medical” circumstances, which require limitation or total stopping of sexual contacts (such, for example, as customary of pregnancy or the active threat of its interruption). Before the number of other, pose and the question about the desirability or the undesirability of orgasms in woman during the sex (before the majority of the cases of problem with this no). In the cases of the forced constraints of common vaginal sex use alternative methods, preliminarily Beza any constraint after consulting about their harmlessness before your situation. If any essential physical contacts are contrasted, unsuperfluous is sometimes access to and psychotherapist (before the ideal - before one person). Rational psycho-correction and delicately subject practical advice to many pairs helped to more easily endure the forced difficulties, connected for the sake of the limitations before the sexual sphere. Furthermore, before the ideal, both husbands must be inspected down the carriage of undesirable microbes before the sexual routes. This substantially decreases the risk of infectious complications in woman during the pregnancy.
But if will be daN “green light”, then you remember:





Even in the heaviest cases toxicosis leaves “light spaces” before the health. Use them for the physical love, giving in this case proper to spiritual underlying situation and then you you will feel, as the quality of your relations will grow. However punning this appeared, but the accurate aphorism of the chief of the world proletariat “is better less, yes better” ideally let us apply for this situation. Down the note to the men: do not wait from the woman of the previous level of readiness. “Approach” must be begun from similar “it is distant”, which before the popular juvenile song is named “excellent”. Purely platonical exercise, such for example, as the joint examination of familial photo album, video cassettes with the recordings of wedding, picnics and journeys or crosstalk of musical Heath the times of your acquaintance, escorted by the massage of shoulders or feet (it is possible to still tenderly hair of your half by massage brush) inevitably it will lead down appropriate attitude of woman. And then, you can feel something, about which for long it is possible to remember. The main thing - not to develop the impatience (your strivings they must appear completely innocent), or - not to overdo it (lady can simply fall asleep, and which is still more complex - to demand a similar “ritual” of lulling to sleep on each day). Well this, it goes without saying, joke. Although, before each joke…
Not always the maintenance of previous traditions is necessary during the pregnancy. For example, instead of the temporary peak of relations before the evening and night time to more reasonably use for this the day hours, when degree the fatigue of woman is not yet so high. For those, who test no difficulties with the sex before the first term of the pregnancy (but these not less than 25 - 30%) and their partners some of the advice pointed out above can prove useful at the later periods.
Before the second term, which they very often name “the Golden Age of pregnancy”, in the majority of women is observed certain of an increase in the interest before the physical love. Is connected this for the sake of weakening of the manifestations of toxicosis, improvement in the health and some changes before the organism. Thus, for instance, an increase in the capacity of the circulating blood leads down an improvement in hyperemia of the vessels of vagina and vulva during the sexual excitation. Is improved (humidification of female sex organs). Everything together contributes down the higher intensity of pleasant sensations during the sexual Act. Many women for the first time test orgasm precisely at this time. But some detect even , about existence of which earlier they did not suspect or, at best - only vaguely they were conjectured. The realization of the fact of its own pregnancy is fallen also down this period, and it means - cleanly sweeps aside the pressure of the threat of undesirable conception. This sensation of freedom is highly improbable before other situations. But it is very important for the completeness of sexual experiences during the sexual Act.
Now about “the ladle of pitch”. Observation during the second term can bring new data, pregnant for the sake of the imposition of complete or partial veto beyond the physical interrelation of floors. Thus, for instance, the threat of the termination of pregnancy or the discovered unsuccessful position of the placenta. Therefore, mandatorily inquire in your obstetrician- gynecologist relative to further nature of your sexual relations.





Careful hygiene of body before the second term of pregnancy - in many respects the guarantee of good sexual relations. Liberations from the sex organs of woman at this time can gain very specific odor, which frequently complicates so dear by many oral- genital relations. Therefore careful dress of external sex organs and utilization of rubbing in of aromatic vegetable oils beside this area it is extremely urgent. It is not worthwhile to actively use syringings, it is sufficient regular moist dress.





First, with the normally elapsing pregnancy fetus is reliably shielded by its shells, pericarpic waters; therefore to injure to it by common sexual Act is practically impossible. This relates also down the orgasm in woman. Although this sensation is escorted by the contractions of carrier (moreover - by sometimes continuing still for a while after the termination of sexual Act), with the normal current of the pregnancy of there is no threat for the fetus. To explain, normally flows your pregnancy, it goes without saying, most simply in the gynecologist observing you.
In the second place, in the absence the sharp or chronic infection of urino-genital routes in man, the risk of the infection of the fetus of zero. Furthermore, as has already been spoken above, mucous plug before the neck of carrier and fetal vesicle reliably protect fetus. So that in the absence love at the point of the frequent “outside” adventures in man, risk of the infection of fetus it is negligible.
Thirdly, although to guarantee at the point of the sensations of fetus during the amorous Act of its parents down all one hundred is impossible, the probability of realization by them this phenomenon is small. Moreover, if little-one absorbs this, then he absorbs where more correctly and naturally, than adult. Indeed before the essence, this is greatest before its harmony Act of nature, which gives life. Be shamed to so that here something.
And finally the third term. The wavelike curve, which conditionally reflects the intensity of sexual life goes down the decrease for the majority of conjugal pairs. Reasons to that set, unit of them objective, unit - exceptionally subjective nature.
An increase in the dimensions of the stomach of future mom is one of the objective reasons. This implies essential inconveniences during the sexual relation. For example, if woman lies beyond the spin, then is possible the development of the syndrome of the compression of lower hollow glory (since beyond this glory itself lies the carrier with the fetus and husband). Knee- cubital position also is not entirely comfortable because of the load beyond the loin. Position “woman” is on top sometimes escorted by the excessively deep intro-mission (introduction of penis before the vagina) and furthermore it requires besides the woman of considerable physical efforts, which is not always possible at this period of pregnancy. Remains very small selection - position on the side (by face or by back to the partner). But this no longer so as with the complete freedom of choice of positions. Although with the high level of the interest of husbands the flight of fancy can create miracles.





One additional problem - increased vulnerability of the neck of carrier. To be frightened term “vulnerability” one ought not, since the discussion deals only for the sake of the very high sensitivity of this formation to the mechanical effects. The loosened mucous easily is chafed during the frictions (movements of sexual term), and the rich blood supply of carrier contributes “down ” after sexual Act. It is in that case necessary to soon seem doctor, and if the reason for consists before the light traumatization of the surface of uterine neck, then nothing terrible it occurred.
This characteristic of latter term, as liberation from the thoracic glands of the woman of colostrum causes different resonance in men. However, this problem is solved most simply - to partners, by which this not on the taste (before the literal and figurative sense), it is necessary simply to forego of breast.
Finally, psychoemotional component of sexual desires in women and men during this period often also somewhat regresses. In future mom down reduction contribute not only the changes before the health, but also the thought about the forthcoming types (especially - if they the first). Men are also concerned by this, plus many of them need a certain “cerebral” work for realizing the fact that now in its dear woman will appear the additional object for the love, except it. But the revision of its own positions before the family always requires efforts. - one of the important stages before the life of man and meditation above it sometimes they can extinguish fire grass. Well certainly, both husbands are concerned by the preliminary evaluation of changes in their lives, which inevitably will arrive together with the birth of child - repair, budget, the organization of aid based on the side of grandmothers and grand-dads, “acquisition” besides inventory and, yes will forgive me doctors at the point of the apparent analogy, “their own” pediatrician and so forth above all these experiences and matters sexual requirements often will withdraw down the background. And this is natural.
Substantial limitations sexual of relations (sexual Acts) before the third term is required in the following cases: the threat of the termination of pregnancy (including the presence of customary of pregnancy before anamnesis), of the placenta, with the prolific pregnancy, with the signs of . Sometimes, with the inflammatory nature of smears from the female sexual routes or with the not very good results of the research of microbial flora before the sexual routes of man, is recommended utilization in the recent 1-1,5 months of pregnancy. This is done for reduction in the risk of the infection of fetus. At any period of pregnancy sexual life requires professional consultation, if tests after sexual Act pains or notes in itself hemorrhage from the sexual routes.





Successes to you!
Sergey

PROSTATITIS (Greek. prostates - confronting, located ahead +… ), the inflammation of prostate gland. It is caused by bacteria, viruses, mycoplasmas, , , fungi. Frequently it is combined with urethritis, , against the elderly age with the adenoma of prostate gland. Down the development of disease contribute dysrhythmia of sexual life, supercooling, traumata, reduction in the immune defense of organism, violation of roof and lymph circulations before the organs of low pelvis, hormonal violations. With the prolonged course of prostatitis are disturbed the and reproductive functions of organism. The appearance of sexual violations contributes down the development of the neuroses, which impede and which increase the periods of its treatment (see neuroses sexual). Sharp prostatitis depending on the degree of involvement before the process of the tissue of gland has different forms. With the catarrhal form is destroyed the unit of its excretory ducts, which is escorted by the sensation of burden before the perineum, by insignificant dysuria, changes in the listening post of prostate. In 10 12 days attacks the recovery or the transition of prostatitis beside the follicular form, with which inflammatory changes undergo the individual lobules of gland.
Clinical manifestations are reinforced, appears pain before the perineum, the temperature of body is increased, dysuria is expressed. Is feasible the transition of disease beside the parenchymatous, or diffuse form, when all lobules and intermediate fabric are involved before the process. The general condition sharply deteriorates, are noted high temperature, sharp pains before the perineum, partial or complete retention of urine. Sharp prostatitis can be complicated by the formation of the abscess of prostate gland with the subsequent dissemination of suppuration down other organs of low pelvis. The treatment of sharp prostatites is conducted before the specialized therapeutic agency. Forecast most frequently is favorable.
The development of chronic prostatitis is in certain cases possible. Chronic prostatitis can be infectious and noninfectious (see ). The clinical picture of chronic prostatitis is mosaic: from the asymptomatic current to the liberation of the individual syndromes (painful, sexual, dysuric), which can be developed simultaneously, but down the different degree. The rare forms include granulomatous, calculous (see the calculi of prostate gland) prostatites and sclerosis of prostate gland. Granulomatous prostatitis appears with tuberculosis, syphillis, fungal and parasitic diseases; eosinophilic infiltrates before the prostate gland sometimes are detected in the patients for the sake of bronchial asthma. Sexual function is changed down the different degree, the fertility of spermatozoids is usually disturbed, ejaculation more frequent it is accelerated. With the sclerosis of prostate normal fabric is replaced by fibrous, that to decrease and sealing of organ, violation of its function; chronic retention of urine, which requires surgical treatment, appears, is reduced , potential gradually fades. Against the basis of the treatment of prostatites lie the determination