To treat or not
The very fact of detection is not a diagnosis: the significance is determined by the titer (quantitative tests), leukocytes and clinic. Indications for therapy are urethritis/cervicitis without other causes, miscarriage, preparation for ART and invasive procedures. The partner is treated at the same time when the decision is made. The doctor will relieve both panic and undertreatment.
When is it appointed?
- discharge, itching, burning, pain when urinating;
- new partner, unprotected contact - screening;
- pregnancy planning and preparation for IVF;
- inflammation (urethritis, cervicitis, prostatitis) - search for the cause;
- control of cure after 3–4 weeks.
PCR is the standard for diagnosing STIs
Half of sexually transmitted infections occur latently, destroying fertility for years: PCR finds the DNA of the pathogen in any carrier, even asymptomatic. Each infection is tested with a separate test or panel as prescribed; absolute pathogens are always treated in both partners, conditional pathogens are treated based on quantity and clinical features. Collections from both men and women are performed in a clinic with proper technique; result is 1–3 days, treatment is prescribed by a urologist/gynecologist on site.
