Consultation with a venereologist: how it is done and in what cases it is needed

• A venereologist is a doctor specializing in the diagnosis and treatment of infections with predominant sexual transmission (accepted abbreviation - STIs), otherwise venereal diseases.
• The last name comes from the Latin Venus - Venus, goddess of love.
• Already in ancient times it was noticed that characteristic symptoms of diseases appear precisely after sexual intercourse.

1. Today, the term “sexually transmitted diseases” is not included in the international classification.
2. But in the countries of the former USSR, the specialty “skin and venereal diseases” has been preserved and, accordingly, there are venereologists.
3. The term is also present in the article of the Criminal Code “Intentional infection with a venereal disease.”

What diseases are treated by venereologists during consultations?

According to WHO statistics, over 340 million people of reproductive age get sick every year with curable infections such as:

• trichomoniasis
• chlamydia
• gonorrhea
• syphilis

In addition to the above, venereologists treat sexually transmitted infections such as:

• genital herpes
• anogenital warts
• HIV infection
• lymphogranuloma venereum
• chancroid
• donovanosis
• mycoplasma and ureaplasma infections
• Hepatitis B
• cytomegalovirus infection
• molluscum contagiosum
• Kaposi's sarcoma
• candidiasis
• phthiriasis (pediculosis pubis)
• scabies

When is it necessary to consult a venereologist?

• Most sexually transmitted infections do not have specific symptoms (the exceptions are scabies and genital herpes).
• This does not allow for a timely diagnosis without consulting a doctor.
• At the same time, a problem can be suspected if the following conditions occur:

• pain in the lower abdomen, vagina, urethra, anogenital area
• sensations of burning, discomfort, itching in the groin and genital area
• discharge of any kind from the genitals
• rashes of various types (single/multiple elements, blisters, pustules, tubercles, etc.) on the genitals
• rashes on the torso, palms, feet, mouth
• enlarged lymph nodes, etc.

Consultation with a venereologist is necessary if symptoms occur that may indicate the development of complications due to a sexually transmitted infection, for example:

• fever, chills, deterioration in general health
• severe tingling, pain, feeling of heaviness in the lower abdomen, testicles, perineum
• problems with urination (difficulty, frequency, pain, etc.)
• prolonged or premature ejaculation
• changes in sperm color and/or volume
• infertility

It is important to consider that almost all sexually transmitted infections can occur without any symptoms.

This is why a consultation with a venereologist is necessary when:

• there was casual sexual contact without using a condom, regardless of the type of the latter
• sexually transmitted infection diagnosed in partner
• a preventive examination is carried out to obtain a certificate for medical workers, employees of food enterprises and child care institutions, pharmacies
• pregnancy planned
• surgical intervention on the pelvic organs, gynecological or urological, etc. is planned.

Where can I consult a venereologist?

1. Free consultation with a venereologist is carried out at skin and venereal disease clinics at your place of residence.
2. It is worth considering that when visiting such institutions, patients with syphilis or gonorrhea must sign a special “Warning about sexually transmitted diseases.”

3. After which they bear legal responsibility in case of intentional infection.
4. After completion of therapy, the patient is registered with mandatory regular follow-up examinations.
5. If you need to visit a skin and venous dispensary, you should first make an appointment with a dermatologist-venereologist.

6. During your first visit, take your insurance card and passport with you.
7. An anonymous consultation with a venereologist is possible when contacting specialized commercial medical centers or a private practitioner (a rather rare option).
8. As a rule, this option turns out to be more preferable.

9. The narrow specialization of doctors, available data on work experience and reviews allow the patient to be confident that he will receive advice from an experienced venereologist.

• The cost of such a consultation with a venereologist in Moscow varies greatly, while prices from a private doctor are usually higher than in a medical center.
• You can find out how to make an appointment on the center's or doctor's website (usually through online registration or by phone).
• Recently, such a service from a venereologist as an online consultation is often in demand.
• Such medical assistance can only be advisory in nature.
• Because the doctor cannot see the patient “through the monitor,” and “treatment over the Internet is fraught with death from a typo.”
• An online consultation may be justified in cases where the patient has previously contacted this specialist in person and only needs minimal monitoring of the progress of therapy.
• In any case, in a situation with sexually transmitted infections, both paid and free consultation with a specialist will help you avoid serious health problems.

How to prepare for a consultation with a venereologist?

1. Before going to the doctor, you should clearly formulate your complaints, perhaps even writing them down.
2. It is important to be able to describe the symptoms in detail (intensity of pain, their localization and connection with urination, sexual intercourse, localization and type of rashes, amount, color of discharge, etc.

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3. You need to know the approximate date of the onset of manifestations, remember the events preceding the problem, including non-traditional forms of sexual contact that took place.

4. If you suspect a disease, it is extremely important to avoid attempts at self-medication!
5. Thus, the use of traditional medicine can mask the appearance of external signs of the disease, making diagnosis difficult.
6. In turn, uncontrolled use of antibacterial drugs leads to the formation of resistance in bacteria that cause sexually transmitted infections.

• This will seriously complicate the selection of effective therapy in the future.
• Antibiotics have absolutely no effect in the case of a fungal or viral disease, and may even contribute to the progression of the disease.
• When preparing for your visit, you should prepare all the necessary documents in advance.
• For example, if you have had an STI in the past and received appropriate treatment, you will need a medical record detailing the treatment procedures and results.

What tests should I take for a consultation with a venereologist?

1. You should take the results of tests and examinations performed regarding previous sexually transmitted infections.

2. If the patient has not had such problems in the past, you can take with you a medical card with a description of chronic diseases and conditions, the results of the last medical examination (if available).

3. Before visiting a doctor, if tests are expected to be taken during the consultation, you should:

• Avoid douching, hygiene procedures in the genital area, and the use of vaginal suppositories and ointments.
• Avoid sexual intercourse for a couple of days
• refrain from urinating for a couple of hours
• Stop taking medications and performing medical procedures one week in advance (after consultation with your doctor!)

In women, material is collected from the genital organs for analysis before the onset of menstruation or a couple of days after its completion.

What happens during a consultation with a venereologist?

• First of all, the doctor questions the patient in detail about existing complaints, the presence of chronic pathologies, medications taken and procedures performed, characteristics of sexual life, and in women - the nature of the menstrual cycle.
• Next, an examination of the skin, scalp, mouth, genitals and anal area is carried out; in women, a gynecological examination is performed on a chair.
• The doctor pays attention to the nature of the rash, the color of the mucous membranes and skin, the presence of pathological formations, discharge, and painful areas.

1. Performs palpation of lymph nodes.
2. When examining the genital organs in men, the area of ​​the glans penis, scrotum, and external urethral opening is examined.
3. In women - the vaginal vestibule, urethral opening, uterine cervix (on a gynecological chair using vaginal speculum).
4. Based on the results of the examination, in some cases the venereologist can make a preliminary diagnosis, but laboratory tests are necessary to confirm it.

What tests does a venereologist take during a consultation?

Directly during the appointment, a smear can be taken from the genital organs, from the mucous membrane of the mouth and anus, a sample of discharge, scraping from the surface of erosions, ulcers, etc.

A smear is taken from the urethra after a short massage with a probe from a depth of about 1-1.5 cm in women, up to 4 cm in men, and from the external opening in children.

Material is also collected from women:

• vaginal discharge
• from inflamed Bartholin glands by puncture
• from the posterior vaginal fornix or altered areas in the vagina
• from the cervix, including the border between healthy and pathologically altered tissue

• The material is taken from the uterus with a special instrument like a syringe.
• If the appendages are affected, the material is taken not at a consultation.
• And either during surgery, or with a special diagnostic puncture through the vaginal vaults.
• The obtained samples are examined using dark-field microscopy, polymerase chain reaction (PCR), and cultural inoculation.
• Microscopic examination allows not only to detect the pathogen in some cases, but also to confirm the presence of an inflammatory process in the organs of the genitourinary system.
• Directly during your appointment with a venereologist, some skin tests may be performed.
• For example, treatment with Lugol's solution or 5% acetic acid solution.
• When applying an acetic solution, anogenital warts typically become lighter in color, unlike other formations.
• Additionally, the following may be prescribed:

• serological studies - blood tests for antibodies (for example, if syphilis is suspected), such as ELISA, DAC, RIF, RIT, RPGA, etc.
• urine tests (general, two/three glass test, etc.)
• examination of prostate secretions
• general and biochemical blood tests
• spermogram, etc.

If necessary, a biopsy (taking a piece of tissue) of the problem area is performed for the purpose of further histological study, instrumental studies:

• Ultrasound
• urethro-, colposcopy
• X-ray examinations, etc.

What questions can you ask a venereologist during a consultation?

When planning a trip to a venereologist, you should think through (and write down!) all your concerns in advance.

Most often doctors ask:

• How is the diagnosed disease transmitted?
• Is a non-sexual route of infection possible?
• Is it possible to become infected after one sexual contact?
• Is infection possible through non-traditional sexual contact (oral-genital, genital-anal, etc.), or through a kiss?
• What other STIs should be tested for if one infection is detected?
• Is the disease curable?
• When is it possible to plan a pregnancy after treatment?
• What is the risk of transmission of infection to a child from a sick mother?
• What are the consequences for pregnancy and the unborn child of a mother becoming infected with a sexually transmitted infection?
• Is it possible to get re-infected after treatment?
• Is it necessary to maintain sexual rest during treatment?
• Does my sexual partner need treatment?
• How long should I take the medication?
• When should I get tested to monitor my cure?
• How to reduce the risk of contracting sexually transmitted infections in the future?
• Are there vaccines against sexually transmitted infections?
• What sexually transmitted diseases and skin diseases are not allowed into the army?
• In what cases and for what hidden infections should you be tested?
• When should you get tested after a “suspicious” contact?
• Is it true that you should not drink alcohol while taking antibiotics?
• Does prostatitis after an STI lead to impotence?

1. The answers to some of these questions depend directly on the disease.
2. How is the diagnosis made?
3. The research and examination data are summarized by the doctor and the final diagnosis is established.
4. The formulation of the diagnosis must comply with the International Classification.
5. The causative agent of the disease and the affected organ are indicated.
6. How is treatment prescribed?
7. The therapeutic course is prescribed depending on the established diagnosis.

• For most infections, standard treatment regimens have been developed.
• Diseases of a bacterial nature are treated with antibiotics, mainly in the form of tablets, but in complicated cases injections may be required.
• In case of fungal diseases (for example, candidiasis), antimycotic agents are used.
• Therapy for viral infections is very limited: effective drugs have been developed only for single items, for example, for herpes.
• If you need advice from a venereologist, please contact the author of this article, a venereologist in Moscow with many years of experience.

Source: http://www.venerologia.ru/konsultatsiya-venerologa

Venereologist consultation

If you have symptoms of sexually transmitted diseases or have had unprotected sexual intercourse with a questionable partner, an urgent consultation with a venereologist is necessary. This will help quickly recognize the disease. And carry out treatment at the initial stage, without waiting for complications and chronicity of the process.

What symptoms are a reason to schedule a consultation with a venereologist? A rash in the groin area, discharge from the genitals that has an unusual character and an unpleasant odor.

Pain during urination and intimacy, sexual dysfunction. If such signs appear in one of the sexual partners, the other should also undergo examination.

If you had unprotected sexual intercourse, but it is not known for certain that the partner is healthy? Moreover, if there is a suspicion that he is suffering from a sexually transmitted disease, you should not wait for the first symptoms.

You should consult an experienced venereologist as soon as possible.

In some cases, timely preventive measures can avoid the disease. Many people do not want anyone to know about their problem, so they do not rush to see a specialist. Don’t be afraid, because there is an anonymous consultation with a venereologist. You can be sure that no one will know your passport details, and all test results will remain confidential.

How to prepare for a consultation with a venereologist

Listen to your body, determine exactly what is bothering you. What changes in health status have appeared recently? Remember when you discovered alarming symptoms, how much time has passed since questionable sexual intercourse. Every detail is important when making a diagnosis, so don't miss anything.

What tests should I take for a consultation with a venereologist?

Everything you have in your hands. Be sure to take an outpatient card from the clinic and hospital extracts, if available. The doctor should know about your concomitant diseases and allergic reactions.

This will help prescribe effective treatment with a minimum of side effects. If there are tests for your sexual partner or appointments from other doctors, also take them with you.

Before consulting a venereologist, do not take antibiotics; if there is a rash, you should not smear it with anything.

Women should not use vaginal suppositories, creams, or douching. All this can make diagnosis difficult. Be prepared for the doctor to take swabs at your appointment. In order to get a reliable result, you should not urinate for at least 1.5 hours before the visit.

And also, before visiting a venereologist, you should not wash yourself. Just in case, go to the clinic on an empty stomach; you may need to donate blood.

At the beginning of the appointment, the doctor will listen to the patient’s complaints, conduct a detailed survey, and review the medical documentation. Next, the venereologist proceeds to the examination. He assesses the condition of the skin, palpates the lymph nodes, determines the nature of the discharge from the genital tract, and carefully examines the genitals.

Already at this stage, an experienced specialist can make a preliminary diagnosis. To verify the disease, laboratory diagnostics is necessary.

What tests does a venereologist take during a consultation?

Here is the main list of studies:

• a smear from the urethra, vagina or cervix;
• sowing of biomaterials;
• biochemical blood test;
• collection of material for PCR or ELISA;
• allergy tests.

The list of studies is determined by the doctor individually for each patient.

After collecting material for research, the doctor gives recommendations and sets a date for a second consultation. During the second visit, he will evaluate the results of laboratory tests and prescribe a course of treatment.

Where to consult a venereologist

The first thing you can do is consult a venereologist online. Unfortunately, it is impossible to conduct an examination and take tests via the Internet.

Therefore, if there is a problem, you will still have to personally contact a specialist. During an online consultation, you can make sure that your problem is indeed a sexually transmitted disease.

The specialist will also tell you what tests you need to take in order to provide the specialist you go to with the most complete information. In public medical institutions you can find a free consultation with a venereologist. But you need to understand that there is always a long queue for such specialists.

And you simply don’t have time to wait, because the disease progresses every day. You can make an appointment for a consultation at a private clinic at any convenient time.

In addition, such rooms are equipped with everything necessary for accurate diagnosis. Now you know who a venereologist is and what he does . And you no longer feel fear of the unknown, so you won’t put off the visit that is needed today.

If you suspect sexually transmitted diseases, contact a competent venereologist.

Source: https://prosifilis.ru/content/konsultaciya-venerologa

Appointment with a venereologist

A venereologist is a highly specialized, specialized specialist. Engaged in the diagnosis and treatment of sexually transmitted diseases (STDs/STIs).

An appointment with a venereologist will include an examination and the appointment of appropriate laboratory tests. The doctor will interpret the research results and develop treatment tactics. A venereologist can also treat STIs that cause skin changes.

In this case, he will be called a dermatovenerologist. Treatment of sexually transmitted diseases can also be carried out by other specialists, in particular a urologist and gynecologist.

Possibilities of a venereologist

• A specialist in the field of venereology diagnoses and treats STIs.
• Deciphers test results and conducts preventive conversations with patients.
• An appointment with a venereologist includes not only making a diagnosis and determining therapeutic tactics, but also determines the treatment of complications and consequences caused by STIs.

How to prepare for an appointment with a venereologist

1. How to prepare for an appointment with a venereologist?
2. There are no special preparations before visiting a doctor.

3. Typically, the patient is advised to do the following:

• Perform genital hygiene immediately before visiting the doctor’s office
• Be mentally prepared to answer frank questions of an intimate nature.
• Take with you a medical book, as well as the results of tests and studies conducted earlier

It is possible that the doctor will take a swab for laboratory testing at the first appointment.

Therefore, a few days before going to the clinic, you should follow these recommendations:

• exclude any sexual activity two to three days before visiting the venereologist’s office
• stop taking medications a week before the appointment (if this is not possible, you must notify the doctor about the treatment)
• You need to avoid urinating for a few hours, which will allow you to collect better quality material from the urethra.
• a day before you should stop taking alcoholic beverages, fried foods, too salty or spicy

A woman should make an appointment with a venereologist two to three days before the onset of menstrual bleeding or a few days after it.

Today, there are modern laboratory testing methods that make it possible to make a diagnosis with almost 100% confidence. But in rare cases, when a specialist doubts the ongoing infectious process or suspects its latent form, a nutritional provocation is carried out.

More modern methods include special provoking drugs for identifying hidden infections. Such medications are used only in a hospital setting or under the close supervision of a doctor.

Consultation and appointment with a venereologist: how it goes

What does a venereologist do at an appointment, what should you be prepared for?

Patients are received in a specially equipped room - an office. As a rule, the room consists of two parts: an area in which the doctor talks with the patient, listens to complaints, and fills out medical documentation. And the place where the patient is directly examined and smears are taken for subsequent research.

• In the examination area there is a gynecological chair for examining patients and a couch designed for assessing the external manifestations of STIs.
• How is an appointment with a venereologist?
• Consultation with this specialist is divided into three stages:

1. Taking anamnesis, interviewing the patient
2. Physical examination of the patient, assessment of external changes on the genitals
3. Collection of biomaterial for transfer to the laboratory

How is the patient interviewed?

The initial appointment with a venereologist begins with studying the patient’s medical record and collecting his data - anamnesis. This includes information about the disease, symptoms, existing chronic pathologies, surgical interventions, etc.

The doctor may also ask about the patient’s sexual experiences and the contraceptive methods he uses. The specialist will find out about possible unprotected sexual intercourse that occurred recently.

An appointment with a venereologist to prescribe tests and treatment is completely confidential. If desired, the patient may not indicate passport details and place of work.

The patient should note that the doctor does not have the right to take photos of body parts without the patient’s consent. Or record the consultation on an audio/video device.

Both the initial and repeated appointments with a venereologist are a certain stress for a person. The doctor understands this very well. Therefore, it is completely normal to treat the patient regardless of his sexual orientation, intimate preferences and number of partners. Before starting the medical history, the doctor will explain the topic of the questions being asked, clarifying their non-disclosure.

In order to understand the situation in detail, the doctor may ask the following questions, what you should prepare for:

• What types of contraception does the patient use, has there been any practice of accidental unprotected sexual intercourse?
• When the patient last visited a venereologist and other related specialists (urologist, andrologist, gynecologist), there were or were no previous symptoms of STDs
• Number of sexual partners, how often they changed, whether same-sex intimacy was practiced
• How often does the patient have sexual contacts and casual relationships?
• Has there been any incidents of sexual violence in the patient’s life?
• Has the patient previously made an appointment with a venereologist, and what tests did the specialist take?

How is an objective/physical examination performed by a venereologist?

What procedures can be performed on a patient during an appointment with a venereologist?

After collecting anamnesis and clarifying the patient’s complaints, the doctor begins a physical examination, having previously explained all his actions. A physical or external examination is a diagnostic procedure performed using special instruments.

The physical examination involves the use of the following techniques:

• Physical examination, examination of the external genitalia, oral mucosa, dermal surface
• Feeling, palpating parts of the body to determine the presence of pain or other pathological changes

1. 
2. During the physical examination, your doctor will collect swabs for laboratory testing.
3. Sometimes it may be necessary to see a venereologist during treatment in order to monitor the patient’s condition.
4. At the appointment, the venereologist examines the following organs and structures:

• penis, labia majora/minor, anogenital area
• internal genital organs in women (examination is carried out using a gynecological speculum)
• epidermis (outer skin)
• mucous membranes of the eyes, throat, mouth
• nodes of the lymphatic system

To obtain a more detailed picture, a specialist may resort to the use of specialized equipment. Most often this is a urethroscope and colposcope (allows you to visualize the condition of the cervix and vaginal mucosa).

Appointment with a venereologist at a government institution

You can sign up for a consultation and undergo examination by a venereologist at a public clinic. It is possible in a specialized treatment and prophylactic department of the KVD (dermatovenerological dispensary).

KVD is a specialized institution that provides assistance in the diagnosis and treatment of sexually transmitted diseases.

How to get a consultation or appointment with a venereologist?

You can get an appointment with a venereologist at the KVD after contacting the reception desk and receiving a coupon. An advantage of the KVD is a free consultation with a venereologist, when in a private clinic the consultation is paid separately.

The main disadvantage of KVD is the registration of the patient. This may make it difficult to obtain some documentation in the future.

To solve an intimate problem as anonymously as possible, you should choose a private specialist.

Appointment with a venereologist in a private clinic

You can get a paid appointment with a venereologist at a private medical institution by phone or make an appointment online on the clinic’s website. Before choosing a doctor, it is recommended to read reviews about his work and learn in more detail about the medical center where the doctor sees.

A visit and appointment with a venereologist in a private clinic is completely anonymous. The patient is not registered and is not required to provide personal information.

Today, online consultations are often practiced, where you can ask a doctor a question via email. On the one hand, it is convenient, there is no need to go to an appointment with a venereologist, and an appointment is not required. But it is important to understand that such consultations are general.

No doctor will make a diagnosis in absentia, much less prescribe treatment. The clinic administrator will tell you how much an appointment and consultation with a private venereologist will cost.

Types of diseases treated by a venereologist

A doctor specializing in venereology diagnoses, prevents and treats the following pathological conditions:

• Treponema pallidum (syphilis)
• Haemophilus ducreyi (chancroid)
• Neisseria gonorrhoeae (gonorrhea)
• Chlamydia trachomatis (chlamydia)
• Trichomonas vaginalis (trichomoniasis)
• Human herpesvirus 2 (genital herpes)
• Donovanosis Broca (granuloma venereum)

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• If there are doubts about the diagnosis, the doctor will prescribe additional diagnostic measures.
• In addition, a venereologist can see HIV-infected patients.

How painful is it to take smears from women and men at a venereologist appointment?

An appointment with a venereologist is necessary not only for syphilis and other STDs, but also, if necessary, to collect biological material for the purpose of its examination. The procedure of taking a smear from the urethral canal frightens almost every man.

Patients believe that this is an extremely unpleasant and painful manipulation, after which visible discomfort will be felt for several days. Indeed, the procedure carries some discomfort. But its severity depends on several factors - the experience and skills of a specialist in collecting material, as well as the neglect of the inflammatory process.

If there is a strong inflammatory reaction localized in the urethra, taking a smear will be accompanied by pain and discharge mixed with blood. Discharge and pain when urinating may occur for 2-4 days. If after this period the condition has not returned to normal, the man should make another appointment with a venereologist.

In cases of severe inflammation, taking a smear may be accompanied by pain, which goes away after the procedure is completed. When taking a smear for oncocytology, slight bleeding may appear, which should go away after 2-3 days.

If women experience this symptom for a longer period of time, it is necessary to visit a gynecologist as soon as possible or make an appointment with a venereologist.

What is the interpretation of venereological tests?

1. The word “interpretation” means deciphering the results of laboratory tests and then explaining their meaning to the patient.
2. To obtain more accurate results so as not to make mistakes when making a diagnosis, several diagnostic methods are prescribed.

3. Microscopic examination of a smear

Bacterioscopy examines a smear taken from the urethral canal, vagina and pharyngeal mucosa. This is a fairly simple and inexpensive laboratory test.

When the concentration of leukocytes increases, we should talk about an infectious process. For greater information, other studies are additionally prescribed.

Bacteriological culture

In venereology, it is the most accurate method for diagnosing STIs; the reliability of the analysis result is equal to 98-100%. Diagnostics reveals the presence of a pathogen and its concentration.

The results are displayed as follows:

• 103–104/ml (the sample contains pathological elements or has recently been treated)
• 105/ml (it is necessary to start a course of therapy or repeat a previously completed one)
• 106/ml (acute course of the infectious process)

Polymerase chain reaction

Diagnostics is found under the abbreviation PCR and consists of detecting the DNA of an infectious agent.
The analysis is characterized by maximum information content and accuracy. Although the study is not cheap, you can get ready results within a day.

The conclusion will indicate two options: “positive” (infection present), “negative” (no infection).

Linked immunosorbent assay

Found under the name ELISA, it involves detecting antibodies in the blood to a specific pathogen. The analysis is highly sensitive and can detect microorganisms even in small concentrations.

The downside is the need to understand in advance what type of pathogen to look for. Decoding the result is quite simple.

The analysis will show the presence or absence of the required element.

If quantitative ELISA was performed, the test results will be displayed as “+”.

What related specialists might a venereologist need to consult at an appointment?

A venereologist is not always able to solve a patient’s problem. The doctor may also have doubts about the diagnosis and need to consult colleagues.

In controversial cases, the doctor can involve specialists from the field of urology, gynecology, immunology and infectology in the diagnosis.

If you need an appointment with a venereologist, contact the author of this article, a venereologist in Moscow with many years of experience.

Source: https://onvenerolog.ru/zppp/priem-vracha-venerologa.html

Make an appointment with a venereologist

What do you need to know before making an appointment with a venereologist?

In this topic, we will tell you in detail how to make an appointment with a venereologist, how the examination procedure goes, where you can get examined and get advice from a specialist.

Remember! You can undergo an examination by a venereologist if you have complaints or for preventive purposes.

• In order for you to feel comfortable, you should take a responsible approach to choosing a specialist and making an appointment with him.
• Long gone are the days when a venereologist, after tasting or smelling a patient’s urine, diagnosed him.
• Now venereology is included in the list of specialties of evidence-based medicine.
• This means that even if a diagnosis is made at an appointment, the venereologist is obliged to confirm it with appropriate tests.

1. Appointment with a venereologist: what includes
2. It is no secret to many that the work of a venereologist is to examine a patient in order to identify and treat sexually transmitted infections.
3. A specialist in this profile observes patients with skin diseases.
4. A venereologist examines:

• Skin;
• Lymph nodes;
• Mucosa of the genital organs;
• Oral mucosa and pharynx;
• Examination of the eyes and scalp.

• A venereologist collects bacteriological material.
• Conducts a preventive conversation with the patient in order to prevent illness in time and maintain health.
• Appointment with a venereologist for a man in Moscow
• To make a reliable diagnosis, it is necessary to undergo a series of studies.
• The same applies to control after treatment.
• No one will be satisfied with the answer: “YOU are most likely healthy.”
• Therefore, an appointment with a venereologist is as follows :

1. I. Survey of patient complaints
2. II.Evaluation of previously conducted analyzes (if any)
3. III.Assessment of sexual partner tests (if any)
4. IV.Evaluation of previous treatment
5. V. Survey of sexual life characteristics
6. VI.Examination of the patient
7. VII. Sample collection
8. VIII. Pre-treatment appointment and/or re-appointment date

1. If YOU have any medical tests, be sure to take them with you.
2. The same applies to tests of a sexual partner (or better yet, the partner himself).
3. If YOU have undergone any treatment, if possible, specify all medications (injections, tablets, ointments).

Venereological tests will be taken

• Making an appointment with a venereologist: what tests will the doctor prescribe?
• Making an appointment with a venereologist means that venereological tests will be taken - usually smears and blood from a vein.
• What tests can the doctor prescribe:

• Blood chemistry;
• Bacteriological seeding of the taken material;
• Allergy tests;
• PCR.

Attention! All tests necessary to make a diagnosis are prescribed only by a specialist doctor.

In order for the results to be reliable, it is necessary to strictly follow the doctor’s requirements.

To prepare for the assigned analysis, a number of conditions must be met:

• You must come to the venereologist without urinating for 1.5-2 hours (to take smears).
• Under no circumstances should women use vaginal creams, suppositories, or tablets during this time.
• Also, if there are rashes, do not apply anything to them before taking it.
• Women should not wash themselves or take vaginal baths before use.
• If YOU are taking any medications, stop taking them on the day you take them.
• Before taking some blood tests, it is advisable not to eat for 3-4 hours.

Source: https://kvd-moskva.ru/venerologiya/171/

Venereologist consultation

A venereologist diagnoses, treats, and deals with the prevention of sexually transmitted diseases and sexually transmitted infections.

The content of the article:

Diseases treated by a venereologist can be divided into two groups. These are classic sexually transmitted diseases and infections that enter the body through sexual contact.

What does a venereologist do?

Sexually transmitted diseases are usually transmitted sexually; sometimes the disease affects organs through contact at the household level. A venereologist diagnoses and treats such dangerous diseases as:

• inguinal lymphogranulomatosis;
• candidiasis;
• cytomegalovirus;
• mycoplasmosis;
• papillomavirus;
• hepatitis;
• HIV;
• pubic lice;
• scabies;
• gonorrhea;
• syphilis;
• trichomoniasis;
• genital herpes;
• chlamydia.

Sexually transmitted infections can cause urological or gynecological diseases in the future. Doctors always differentiate a disease by its root cause. Therefore, the patient should not be surprised if he was sent from the urology department to a venereologist.

When do you need to consult a venereologist?

Consultation with a venereologist is necessary if at least one of the following symptoms appears:

• burning and itching in the genital area;
• discharge from the vagina and urethra;
• pain when urinating in the perineum and urethra;
• warts, ulcers, redness and abrasions in the genital area;
• the urine changed color, flakes, lumps, and blood appeared in it.

The danger of sexually transmitted diseases lies not only in their severity. The big problem lies in the fact that many of these diseases have rather vague symptoms. This leads to the fact that the sick person does not even think about examining a venereologist until the last minute.

A late visit to the doctor leads to complications that complicate the treatment process and its effectiveness. In addition, the disease can affect other organs over time. The infection will affect the sexual partner, and he will need serious treatment.

Preparing for an appointment with a venereologist

Before visiting a venereologist, you must take a shower and put on clean underwear. The genital area does not need to be thoroughly treated. The specialist needs the most complete and unblurred picture of the disease. Doctors categorically do not recommend treating the genitals with antiseptics or douching before contacting a venereologist.

Progress of an appointment with a venereologist

During the appointment, the venereologist will have a conversation with the patient or patient. The specialist will definitely ask the patient about various aspects of his sexual life and the nature of sexual contacts. The venereologist will examine the patient on a special chair.

During the appointment, the specialist will take samples for analysis, which will allow you to most accurately diagnose the disease and choose the right treatment tactics.

The presence of a sexually transmitted infection can lead to the fact that your sexual partner will need to come to an appointment with a venereologist, and in the very near future.

Additionally, a venereologist may prescribe the following diagnostic measures:

• HIV test;
• test for syphilis;
• PCR diagnostics;
• linked immunosorbent assay;
• analysis of culture for flora of secretions from the genital organs.

The decision on diagnosis and testing is made by a venereologist depending on the venereal disease clinic on an individual basis.

Preventive examination - protection against sexually transmitted diseases

Regular visits to a venereologist and examination of the genital organs are mandatory for every person living a sexual life. Sexually transmitted diseases, which are asymptomatic and do not have a pronounced clinical picture, can bring great harm in the future and greatly undermine health.

The longer a sexually transmitted infection remains in the body, the more dangerous its consequences. For men, these are complications such as urethritis, prostatitis, vesiculitis, infertility, and colliculitis. The range of complications of sexually transmitted infections in women is also quite wide: erosion, inflammation of the appendages and uterus, cancer, infertility.

Preventive treatment of sexually transmitted diseases

If you suspect the possibility of contracting a sexually transmitted infection, trouble can be prevented. Prophylactic or preventive treatment of sexually transmitted infections is carried out when contacting a venereologist no later than two hours after casual sexual intercourse.

The infection can be treated by preventing its development and complications. The venereologist carries out local treatment of the contact zone using a special technique. Such treatment is carried out by a venereologist within the incubation period of the infection.

At the same time, to fight the infection and to avoid complications, the venereologist prescribes injections or oral medications.

The danger of self-medication of sexually transmitted infections

Inadequate treatment regimens for sexually transmitted infections inhibit the development of the disease and lead to serious complications. An infection that has entered the body adapts to the medications, and the disease continues to develop in a sluggish form.

In addition, incorrectly calculated doses of medications lead to side effects, the development of allergies, and damage to internal organs. Only an experienced venereologist, after a thorough diagnosis, will prescribe effective medications that will not lead to complications and will not allow the disease to become chronic.

Through clinical and laboratory tests, a specialist has the opportunity to monitor the treatment process, adjusting it if necessary.

After the initial appointment and examination, the doctor conducts etiotropic therapy, which is aimed at combating the causative agent of the sexually transmitted disease. STDs can be caused by bacteria, viruses or fungi, so treatment regimens vary.

For example, when diagnosing a syphilitic infection, antibacterial therapy is prescribed, candidiasis is treated with antifungal drugs, and antiviral drugs are used to combat chlamydia.

Local therapy is required, which consists of washing the genitals with special solutions.

Venereologist appointments are available in many clinics. You can choose a clinic that suits you in all respects using the MOSMED Portal website. All reference information is collected here, including addresses, contacts, list of clinic services and much more.

Source: https://www.mosmedportal.ru/article/konsultatsiya-venerologa/