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Относится к группе заболеваний, передающихся половым путём (ЗППП) [3](https://fomin-clinic.ru/zabolevaniya/trikhomoniaz/). \n\nОсобенность трихомониаза — **длительное бессимптомное течение**, особенно у мужчин, что затрудняет своевременное выявление и лечение инфекции [4](https://www.yamed.ru/services/ginekologiya/trikhomoniaz/).\n\n## Причины\n**Основной путь передачи** — незащищённый половой контакт с инфицированным партнёром [4](https://www.yamed.ru/services/ginekologiya/trikhomoniaz/). Это касается как вагинального, так и других форм близости, где есть контакт слизистых [3](https://fomin-clinic.ru/zabolevaniya/trikhomoniaz/). \n\n**Другие пути передачи**: \n* **Интранатальный** — от матери к ребёнку во время родов [4](https://www.yamed.ru/services/ginekologiya/trikhomoniaz/)[6](https://doct.ru/articles/trikhomoniaz.html). \n* **Контактно-бытовой** — через предметы личной гигиены, например, через мочалки, полотенца, бельё, хотя такой путь передачи встречается реже [4](https://www.yamed.ru/services/ginekologiya/trikhomoniaz/).\n\n## Симптомы\n**У женщин** заболевание чаще проявляется серо-жёлтыми или пенистыми выделениями с неприятным запахом [3](https://fomin-clinic.ru/zabolevaniya/trikhomoniaz/). Нередко появляется зуд во влагалище, жжение, болезненность при мочеиспускании или во время близости [3](https://fomin-clinic.ru/zabolevaniya/trikhomoniaz/). Возможен дискомфорт или боли внизу живота [3](https://fomin-clinic.ru/zabolevaniya/trikhomoniaz/). \n\n**У мужчин** трихомониаз тоже не всегда даёт заметные проявления, но если они есть — это обычно выделения из уретры, жжение, зуд или боль при мочеиспускании [3](https://fomin-clinic.ru/zabolevaniya/trikhomoniaz/). Может появиться дискомфорт в промежности, иногда боль отдаёт в прямую кишку или низ живота [3](https://fomin-clinic.ru/zabolevaniya/trikhomoniaz/). В редких случаях встречаются высыпания на коже головки полового члена или кровь в сперме [3](https://fomin-clinic.ru/zabolevaniya/trikhomoniaz/).\n\n## Диагностика\n**Диагноз ставят только после лабораторного подтверждения** [3](https://fomin-clinic.ru/zabolevaniya/trikhomoniaz/). Некоторые методы диагностики: \n* **Микроскопическое исследование** мазка из половых органов (у женщин — выделения из влагалища, у мужчин — выделения из мочеиспускательного канала и секрет предстательной железы) [1](https://www.VIDAL.ru/encyclopedia/infektsionniebolesni/trichomonias). \n* **Молекулярно-биологические методы** — например, ПЦР, который позволяет обнаружить фрагменты ДНК возбудителя [3](https://fomin-clinic.ru/zabolevaniya/trikhomoniaz/)[16](https://ProBolezny.ru/trihomoniaz/). \n\n**Важно**: материал берут не раньше, чем через 3 часа после последнего мочеиспускания, у женщин мазок не делают во время менструации [3](https://fomin-clinic.ru/zabolevaniya/trikhomoniaz/).\n\n## Лечение\n**Лечение трихомониаза проводят венерологи, гинекологи и урологи** [20](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_venereology/trichomoniasis). **Некоторые принципы терапии**: \n* Индивидуальный подбор медикаментозной терапии [15](https://www.smclinic-spb.ru/doctor/dermatolog-venerolog/uslugi/5997-lechenie-trihomoniaza). \n* Строгий отказ от половых контактов, употребления алкоголя и курения на весь период лечения [15](https://www.smclinic-spb.ru/doctor/dermatolog-venerolog/uslugi/5997-lechenie-trihomoniaza). \n* Устранение факторов риска повторного заражения трихомониазом [15](https://www.smclinic-spb.ru/doctor/dermatolog-venerolog/uslugi/5997-lechenie-trihomoniaza). \n\n**Лечение нужно проводить одновременно для половых партнёров** (даже при отрицательных анализах одного из них) [20](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_venereology/trichomoniasis). 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