The venereologist – the specialist in the field of infections and diseases of reproductive system, diseases of skin and mucous membrane which concern mainly generative organs and urinary tract. The venereologist can work in the medical centers, in hospitals. He shall have the higher medical education on this specialty, know symptoms and effective ways of treatment of all venereal diseases, and also have skills of work with the medical and diagnostic equipment. The doctor of this specialty has to be attentive, responsible and emotionally steady.
Uniqueness of the venereologist is that he can compare symptoms from gynecology, urology and the urinogenital sphere and timely to react to venereal diseases of a wide range of emergence. Its task – to carry out diagnosis and to appoint treatment for the revealed diseases. The venereologist treats the following types of diseases: a bacterial vaginosis, a gonorrheal urethritis at men, an adnexitis, a disease of Reuters, pathogenic bacteriums in sperm, herpes of urinogenital bodies, a simple colpitis, trichomoniasis, syphilis, a cystalgia, clamidiosis, mycoplasmosis, ureaplasmosis, an endometritis. If to speak about internals and to designate accurately that the venereologist, then this vagina, a penis, testicles, big and small vulvar lips, a neck of uterus treats.
Consultation at the venereologist should be undergone if there was an unprotected contact with the new partner (the disease is possible), and also if there was an unprotected contact with the infected contact person.
As the reason for consultation at the venereologist complaints to urinogenital and reproductive system and emergence of symptoms of a disease, sexually transmitted can serve. Symptoms of diseases, sexually transmitted, are usually shown within three-seven days after sexual contact. Any unreasonable rashes, a smell from generative organs, burning, pain, an itch, reddening and increase in lymph nodes, the premature or tightened ejaculation can be symptoms. However if the disease proceeds in a chronic form, then most often it has no the expressed characteristic signs.
On reception at the venereologist it is not necessary to hesitate of the questions of the doctor concerning sex life. Many patients are afraid of possible publicity. But it is necessary to remember that reception at the doctor has confidential, anonymous character. The earlier the patient to address the venereologist, the it will be easier to cure a disease.
The venereologist can appoint analyses at suspicion of developing of venereal diseases. Among all known analyses the venereologist most often appoints blood test, the analysis of a smear to urinogenital infections, the analysis of a smear on flora at women and men, RW, AIDS (HIV), hepatitis C or B.
Smear – a cotton ball of the small size on the end of a thin stick similar on wadded. Carry out by him in various places for receiving samples of slime, cells or allocations. These samples can be taken by the venereologist from a penis, a vagina, an anus and/or a throat. The sample goes to the analysis to laboratory. On a sample of a smear it is also possible to reveal diseases, not sexually transmitted – a bacterial vaginosis, the milkwoman and other microorganisms. The standard analysis on hepatitis C and B, HIV and syphilis is blood test.
Different clinics differently carry out analyses on sexually transmitted infections. After external survey the venereologist enters a dilator – the metal or plastic device for capture of a smear from a neck of uterus. He allows the doctor to consider in details a neck of uterus, and also to take samples for the analysis on existence of sexually transmitted infections. At men the smear undertakes from an urethra after external survey of genitalias. For sampling of cells of an urethra the doctor can use a plastic shovel. Sometimes smears from a throat and an anus are required. For detailed inspection of walls of an anus the venereologist most often uses a small plastic tube (ректоскоп).
For obtaining final result the provided sample is located in Petri's cup with special substance, growth-promoting bacteria. Usually growth of microorganisms requires two-three weeks. Results of analyses on trichomoniasis, syphilis, clamidiosis, hepatitis C and B are most often available in day of their delivery.
After obtaining results of analyses the venereologist has to explain them to the patient and tell about the revealed infection, to appoint the scheme of treatment to both partners and to inform that during treatment it is necessary to refrain from sexual contacts.
Quite often in parallel with therapy of venereal diseases the doctor appoints also drugs for treatment of skin diseases. If necessary additional inspection can be appointed.
The well-known drug "Viagra" was initially developed for treatment of an arterial hypertension.
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