Rabu, 27 April 2016

Trichomoniasis

Definition Trichomoniasis

Trichomoniasis is a sexually transmitted disease (STD) that cause discomfort such as itching or burning and fluid smells of intimate parts. This disease can affect men or women, but women are more vulnerable to contracting. Men can contract the disease and spread it to your partner through sexual intercourse.

Trichomoniasis is caused by a parasite called Trichomonas vaginalis (TV). Not all sufferers will experience symptoms. About half of those infected with this parasite does not experience any symptoms.

Trichomoniasis symptoms that need Caution

Symptoms of trichomoniasis may develop within a month after infection. In women, trichomoniasis affects the vagina and urinary tract or urethral discharge. In men, trichomoniasis invade the urethra, penis area such as the foreskin and the prostate gland.

Symptoms that can be experienced by women, among others:

  • Lower abdomen ached.
  • Appears pain or discomfort during urination or intercourse.
  • Vaginal fluids produced in greater amounts can be lumpy, watery, or frothy. Whitish to yellowish or greenish and smelled fishy.
  • Arising pain, swelling and itching at the area of ​​femininity. Sometimes itchy also appear on the inner thigh.


While symptoms can be experienced by men include:

  • Frequency urinate more often than usual, and accompanied by pain.
  • Appears white discharge from the penis.
  • Appears pain, swelling, and redness in the area of ​​the tip of the penis. The pain may also appear during ejaculation.


Causes Trichomoniasi

Trichomoniasis is caused by a small parasite called Trichomonas vaginalis. This parasite is usually transmitted through unprotected sex or mutual various tools / sex toys. This disease can not be transmitted through:

  • Oral sex.
  • Anal sex.
  • Kiss.
  • Sharing the use of cutlery, toilet seat and towel.


Step Through Diagnosis Laboratory Tests

A bit difficult to diagnose this disease because the majority of patients have no symptoms and because the symptoms are almost the same as other sexually transmitted diseases. However, to detect it, the doctor will carry out checks on the genital area, then the next step is a test laboratory. In laboratory tests, the doctor or nurse will take a sample of fluid from the vagina or penis area. These samples will then be sent to the laboratory. In addition to the liquid in the sex organs, specifically for male patients, urine samples can also be checked for the presence of trichomoniasis.

It took several days to get the test results. If a doctor or nurse suspect trichomoniasis, you will be advised to undergo a series of treatments while waiting for test results. The reason is to reduce the risk of more severe infections as early as possible and to prevent the spread of infection.

Another important thing to note is the health of your partner. Encourage him to see her to immediately undergo examination and treatment if tested positive as well.

Handling Trichomoniasis

Trichomoniasis can be treated effectively with antibiotics. Metronidazole is a type of antibiotics commonly used to overcome this infection. This antibiotic is prescribed in certain doses to be consumed for 5-7 days. In addition to metronidazole, tinidazole can also be used for treatment. Take this medicine after eating and avoid consuming alcohol for 24 hours after taking metronidazole or tinidazole 72 hours after drinking because it can cause severe nausea and vomiting.

If antibiotics have been consumed until exhausted and still visible symptoms, or laboratory results expressed negative for trichomoniasis, then you need more tests to find out whether these symptoms are caused by sexually transmitted infections other.

You also should do a retest if you vomit after taking antibiotics because of possible antibiotic is not absorbed, and you will need more antibiotics or other treatment methods.

It is important to spend all antibiotics are prescribed so that the infection does not return. Avoid intercourse until the infection is resolved completely

Preventive Measures Trichomoniasis

To reduce the risk of infection trichomoniasis, you are advised to perform the following steps:

  • Faithful to your partner, do not keep changing.
  • Use a condom during sex to avoid sexually transmitted diseases.
  • Make sure the appliance / use sex toys clean and wrapped in a condom. Avoid sharing tool / toy sex with someone else.
  • If you suspect of being infected, stop having sex and immediately contact your doctor for a checkup.

Blighted Ovum ( miscarriage )

Definition Blighted Ovum


Blighted ovum (anembryonic gestation) or anembryonic pregnancy is a pregnancy that does not contain an embryo. This condition is a common cause of pregnancy ends in themselves, which is a condition that is better known as a miscarriage.

In general, a miscarriage can occur at any time until the pregnancy reaches 23 weeks. Conditions blighted ovum is a common cause of miscarriage in the first trimester of pregnancy.

Blighted ovum usually occurs due to chromosomal abnormalities in the developing fetus. The mother's body will terminate the pregnancy when aware of the abnormality. Besides chromosomal abnormalities, cell division imperfect can also lead blighted ovum. The quality of the egg and sperm can cause chromosomal abnormalities which may further lead to blighted ovum.

Symptoms Blighted Ovum

It's possible for someone who has blighted ovum in the early stages of pregnancy to feel that he was having a normal pregnancy. This is because blighted ovum have the same symptoms of pregnancy, such as menstruation is late with a positive pregnancy test result. Patients can continue to feel in a state of pregnancy until the bleeding from the vagina.

Be aware of symptoms other than bleeding can be a sign of miscarriage, menstrual volume is more than usual, cramping in the abdominal area as well as the appearance of spots. Immediately call your doctor if you experience these symptoms, to diagnosis and appropriate treatment.

Diagnosis Blighted Ovum

Doctors will usually find out the level of the hormone HCG (human chorionic gonadotropin) separately to make sure their pregnancy. This hormone is produced by the placenta and their levels can continue to grow for some time. The doctor will also perform ultrasound tests to make sure the pregnancy pouch that has formed, containing the embryo or not. Usually the doctor will perform an ultrasound back in ten days after the first ultrasound tests to monitor the development of the embryo and the condition of pregnancy.

To confirm the diagnosis of blighted ovum, pregnancy and embryonic bags must meet certain size criteria, ie the diameter of 25 mm or more for a bag of pregnancy and does not have a yolk sac sac (ovum) or embryos. Other picture is when the embryo has a length of more than 15 mm but does not have a heart healthy activity.

Treatment Blighted Ovum

One-handling procedures were carried out after a person is diagnosed blighted ovum is to open and then lift the embryo and placenta tissue develop from the womb. This procedure is called dilatase and curettage. In addition, the drugs can be used as an option in addition to the surgical procedure. Both methods have side effects abdominal cramps.

Patients who have blighted ovum need to learn and to know that he is not the cause of the miscarriage she experienced. Himself must realize that abortion is a natural process that can not be prevented when the body detecting abnormalities in pregnancy. By understanding this, physical health and mental patients can recover quickly.

Prevention Blighted Ovum

Blighted ovum usually occurs one time in most women. Unfortunately, in most cases, this condition can not be prevented. For some women who have had a blighted ovum can still have a healthy uterus in subsequent pregnancies. You and your partner can do a genetic test to detect any abnormalities are at risk of recurrence of miscarriage.


Mutual maintain the health of you and your partner is also one form of primary prevention that can be done together. Plan and through the pregnancy together will provide significant support for one another. Also avoid the risk factors of smoking and was advised to stop the consumption of alcoholic beverages during pregnancy.

Genital Herpes (Herpes Simplex)

 Genital Herpes (Herpes Simplex)

Understanding Genital Herpes (Herpes Simplex)

Genital herpes is an infection of the genitals that can infect men and women. The disease is one of the sexually transmitted infections or STIs because generally transmitted through sexual intercourse (vaginal, anal, and oral).

Infections that occur are caused by herpes simplex virus, or commonly referred to as HSV. When active, the virus will evolve and move between nerve cells. HSV can be contagious and enter the body through mucous membranes. Mucous membranes are the moist soft tissue that lines the exposed parts of the body. Mucous membranes are in some parts of the body and is directly in contact with the skin, on the walls of the mouth, the inside of the eyelid, in the ear, in the urinary tract, in the walls of the vagina and anus.
Symptoms of genital herpes, which first appeared is the blister redness and pain around the genital area. These sores may break and become open sores.

Causes of Genital Herpes

The cause of genital herpes is herpes simplex virus. This virus is divided into two types, Type 1 (HSV-1) and type 2 (HSV-2). Both types of the virus is highly contagious and transmission occurs from direct contact of the infected person. Herpes sometimes cause certain symptoms, but an infected person can still pass the virus. Because the symptoms are quite mild, around 80 percent of infected people do not realize that they have suffered from herpes.

Genital Herpes Treatment

There is no drug that can be used to treat HSV infections. Antiviral drugs are used only to control symptoms due to viral infection ini.Obat anti-herpes drugs most commonly used are:

·         Acyclovir
·         Famciclovir
·         Valaciclovir

Diagnosis Genital Herpes (Herpes Simplex)

When an infection is going on, the diagnosis of genital herpes can be done easily and precisely. To diagnose genital herpes, takes samples of fluid from the blister that appears. To find out if we suffer from herpes simplex, this sample will be taken and examined in the laboratory.

In addition to tests using herpes wound fluid samples, the presence of antibodies to the herpes virus can also be checked through a blood test.

PCR or polymerase chain reaction test can also be done to diagnose the presence of herpes simplex virus. This test can check for the presence and type of HSV that has plagued the body through blood or body fluid samples.

If you are experiencing certain health conditions other than genital herpes, you may need to see a specialist to receive special treatment. Infections that occur can affect other parts of the body.

For pregnant women infected with herpes, you should immediately see an obstetrician. Infections that occur in pregnant women can infect unborn baby.

Genital herpes patients who have problems with the immune system also needs to see a specialist. Similarly, people with HIV / AIDS and cancer patients.

The health condition of people with genital herpes affects the long absence of infection lasts and its severity.


Prevention of Genital Herpes (Herpes Simplex)

Herpes simplex viruses can be transmitted from patients without any symptoms. But the rate of transmission of this virus will be higher if the infection was a relapse. People with herpes simplex advised not to have sexual intercourse while being open wound.

If there are open sores or blisters in the mouth, do not kiss your partner. Sharing sex toys can also transmit the virus. If you want to share, be sure to wash it first.

Although not completely eliminate the risk of genital herpes, condoms can help prevent the infection. The use of condoms can protect yourself and your partner. But keep in mind that condoms only cover the penis alone. HSV can be transmitted through contact with the other body parts such as the mouth when oral or anal sex when anal sex.

If you or your partner feel at risk of HSV, immediately do a test to confirm the diagnosis. Keep in mind that the symptoms are mild, so many people are not aware of being infected with this virus.

Herpes simplex virus can not survive long in the object outside the human body. This virus requires human body to survive. But it never hurts to avoid the risk of transmission by not sharing towels or clothing.

In Pregnant Women


For women who are planning a pregnancy or are pregnant and suspected of having herpes, it is advisable to conduct tests TORCH infections. TORCH is a group of viruses consisting of a virus, toxoplasmosis, rubella, cytomegalovirus, herpes simplex virus, and other viruses (eg, syphilis, measles, mumps, parvovirus, and HIV). TORCH infection tests performed to ascertain the status of herpes in the mother so that if diagnosed positive, treatment can be carried out so that the fetus was not infected with the virus.

Symptoms of Genital Herpes (Herpes Simplex)

Sometimes the herpes simplex virus (HSV) causes no symptoms because the virus is able to 'hide' in the body or latent. Viruses hide from the immune system inside nerve cells. When relapse, the virus will be active again and move towards the skin through nerves and cause new sores. For the first time infected with herpes, may not show any symptoms, and as a result they do not know that he had been infected with this virus. Symptoms of genital herpes may include:

  • Open wounds and look red without the sensation of pain, itching, or tingling.
  • The sensation of pain, itching, or tingling around the genital or anal area.
  • Blister which then rupture and open around the genitals, rectum, thighs, and buttocks.
  • Feel pain when urinating.
  • Lower back pain.
  • Experiencing flu-like symptoms such as fever, loss of appetite, and fatigue.
  • Open sores or blisters on the cervix.
  • Their discharge from the vagina.

This virus can be latent or inactive in the body for some time. But the virus can be active again and cause symptoms of herpes back. In other words, after the first symptoms of infection disappear, it does not mean the virus had disappeared from our bodies.

Actually, when infection first occurs, your body will produce antibodies to fight infection. The body becomes able to recognize the virus and strength needed to fight HSV more effectively. So in effect, infections that occur will not be as severe as the first infection. Frequency will also be reduced and the symptoms will disappear faster.


Treatment of Genital Herpes (Herpes Simplex)

To reduce the symptoms of genital herpes infection, antiviral drugs such as acyclovir, famciclovir and valacyclovir will be given. These drugs only serves to prevent herpes simplex virus to replicate, but can not eliminate the virus from the body completely.

If the symptoms are not too severe infection, consumption of antiviral drugs may not be necessary. Here are some things you can do at home to help relieve the symptoms:

  • To speed up the healing process and relieve pain, cover the wound with ice cubes wrapped in a cloth. Do not put ice directly on the surface were injured.
  • Clean the infected area regularly.
  • Use painkillers cramps in blister or ulcer. In addition many are drinking mineral water. Secondly it aims to facilitate and ease the pain during urination.
  • Use loose clothing to reduce pain in the blister in the skin is infect


Genital Herpes Treatment in People with HIV

The emergence of the genital herpes that too often can be caused by a weakened immune system. This means the amount of antibodies produced by the body to fight infection will be reduced. As a result, more common herpes symptoms and severity become more serious. For those who suffered herpes infections quite often, it is advisable to have an HIV test. People with HIV have the immunity that is much weaker than a healthy person. The specialist will deal with genital herpes that occurs in people with HIV.

Causes of Genital Herpes (Herpes Simplex)

Genital herpes is caused by herpes simplex virus or HSV is generally transmitted through vaginal intercourse, oral, and anal. Two types of the virus that causes genital herpes is HSV-1 and HSV-2.

The spread of this virus through direct contact with an infected partner by HSV. This can happen even if an infected person does not experience any symptoms. The virus is spread through the damp part of the wall of the genital skin, mouth, and anus. In addition, the virus can also spread through the herpes sores and can occur around the mouth, eyes and other body parts.

Genital herpes can not be spread through the intermediary object. The virus will not be able to survive long if detached from the skin. Equipment such as towels, utensils, and toothbrushes typically can not be an intermediary for the spread of this virus.
Genital herpes is very contagious. Once infected, the body of the sufferer will forever have this virus. HSV can be latent for some time before it becomes active again. This is what causes genital herpes may recur.

HSV will turn back on when the body's defense system decreases. This can occur when the patient is experiencing an infection, is going through a period of stress, are undergoing chemotherapy as a cancer treatment step, or due to exposure to the HIV virus. In addition, excessive consumption of alcohol can also trigger the HSV virus to become active.

Complications of Genital Herpes (Herpes Simplex)

Complications that might occur simultaneously with genital herpes are described below:

Other Sexually Transmitted Infections
With open wounds caused by genital herpes, you have a higher risk for spreading or contracting other sexually transmitted diseases, especially if unprotected sexual intercourse. The most severe is the occurrence of complications with HIV / AIDS. The disease lowers the immune system of the human body. If this happens, the tendency towards recurrence of herpes will be more frequent and more severe symptoms.

Inflammation or inflammation
In some cases, genital herpes can cause inflammation in the urinary tract. Swelling that occurs can close the urethra lines for several days. In this case, a catheter must be inserted to siphon the contents of the bladder. In addition to the urethra, inflammation can also occur in the rectal passage. Inflammation of the wall of the rectum is more common in men who have sex with other men. In very rare cases, herpes simplex virus can also cause meningitis or inflammation of the lining of the brain.

In Pregnancy

Herpes simplex virus or HSV can cause problems in pregnancy and can be transmitted to the baby during delivery. If HSV infection occurs before pregnancy, the chances of transmission to the baby is very small. The last few months of pregnancy, the mother will release a lot of protective antibodies to their babies. These antibodies will protect the baby from various microorganisms including HSV. These antibodies can persist at the time of delivery until several months later. If there is a re-emergence of symptoms of herpes drug acyclovir may need to be consumed. Ask your gynecologist about treatment that you can get, including dosage and rules of use of the drug. If you have an infection at the beginning of the first 3-6 months of pregnancy, the risk of contagious infections in infants and even miscarriage increases. Therefore, the drug might need to be consumed. The virus can be transmitted during childbirth. HSV infections over the first 6 months of pregnancy makes the risk of transmitting infection in infants is very high. This is because the mother's body needs time to produce antibodies before the baby is born. To avoid this, it is necessary to do a cesarean section. Normal birth would increase the risk of transmission of infection in babies born as much as 40 percent higher.

Infection in Infants in the Process of Childbirth

For infants infected with HSV at the time of childbirth, infections that occur can be very dangerous and sometimes deadly. This is known as neonatal herpes. Herpes occurring during delivery can adversely affect the body organs such as the eyes, mouth, and skin. In addition, the brain and other nervous system can also be affected by this infection. In cases of severe neonatal herpes, a variety of other organs such as the lungs and liver can also be attacked until it can cause death.