Treatment of sexually transmitted infections by obstetrician-gynecologist Irina Ivanovna Kulbach in Dnipro.

Among the reasons for seeking medical advice are the appearance of unusual discharge, itching and irritation, discomfort during intimate contact, or recurring complaints of inflammation.

The doctor conducts a thorough clinical assessment, analyzes the patient's complaints and history, and, if necessary, orders additional examinations to clarify the condition.

The patient receives a clear plan of further actions: what to do now to relieve symptoms, which tests to undergo, and how to monitor changes in the condition over time.

Special attention is given to the differential diagnosis of causes and adjustment of therapy considering possible side effects, which helps ensure safer and more effective treatment.

When to See a Doctor

It is advisable to consult an obstetrician-gynecologist if you notice unpleasant symptoms or complicated situations related to sexually transmitted infections (STIs). These conditions can present in various ways and sometimes require careful examination and treatment adjustment. You should make an appointment with an obstetrician-gynecologist if, when dealing with sexually transmitted infections, you notice:

• the appearance of unusual discharge with an unpleasant odor or change in color
• itching and burning in the genital area
• pain or discomfort during sexual intercourse
• periodic or constant lower abdominal pain
• a burning or stinging sensation during urination
• recurring symptoms after a course of treatment
• symptoms significantly interfering with normal work and sleep
• worsening or intensifying symptoms over time
• lack of improvement from self-care measures or previously prescribed treatment
• need for a second opinion regarding an already diagnosed condition
• new symptoms appeared after changing sexual partners
• exacerbation of symptoms in the context of chronic diseases

Each of these situations requires medical attention to conduct the necessary examination and choose an appropriate approach. Determining whether you need help can only be done together with a doctor, as symptoms may be similar among different conditions. Our clinic provides thorough support at all stages — from initial examination to monitoring progress.

Emergency situations or when you need to see a doctor urgently

• sudden onset of severe pain in the lower abdomen
• sharp increase in itching and swelling in the genital area
• bleeding unrelated to menstruation that rapidly intensifies
• combination of high fever with a marked deterioration in overall condition
• occurrence of severe burning and sharp pain during urination

If you experience any of these symptoms, do not wait for a scheduled appointment — seek medical help as soon as possible. Our clinic offers the option to call a doctor to your home for prompt examination and support.

Causes and Risk Factors of Sexually Transmitted Infections

This section outlines possible causes and factors that may contribute to the development of sexually transmitted infections. It is important to understand that accurate identification of the cause and selection of a treatment approach require examination and evaluation by a specialist.

Main Causes / Mechanisms (Briefly)

• Transmission of infection through unprotected sexual contact
• Disruption of the balance of microflora in the intimate area
• Decreased local immunity facilitating the proliferation of pathogenic microorganisms
• Contact with contaminated surfaces or objects (rarely)
• Presence of chronic inflammatory processes in the reproductive system

Risk Factors

• Changing sexual partners without using protection
• Neglecting personal hygiene rules
• Weakened immunity, including due to chronic illnesses
• Stress and fatigue affecting the body's defense functions
• Smoking and alcohol consumption as contributing factors
• Pregnancy and hormonal changes
• Age, especially young women with an active sexual life
• Presence of other diseases that may worsen the condition of the mucous membranes

Reversible Causes That Should Be Excluded

• Improper care of the intimate area and use of unsuitable products
• Self-treatment without consulting a doctor
• Incomplete courses of previously prescribed treatment
• Effects of allergic reactions or irritations

Understanding the likely causes and risk factors helps to seek medical advice promptly and take measures to control the condition. Any signs of infection require professional evaluation to choose the correct therapy.

Diagnostics

To successfully identify the causes of sexually transmitted infections, the physician conducts a comprehensive assessment of the patient's condition. This diagnostic approach allows for precise determination of the necessary examinations and the selection of an optimal treatment plan.

Diagnostic Approach

• Taking medical history: clarifying complaints, past medical history, and possible risk factors
• Gynecological examination with assessment of the mucous membranes and identification of signs of inflammation
• Basic laboratory tests as indicated, including secretion analysis
• Conducting additional studies if necessary, such as microbiological culture or PCR diagnostics
• Interpreting results in the context of the clinical picture and formulating a treatment and monitoring plan
• Discussing prevention recommendations and further follow-up with the patient

Typical Examinations as Indicated

• Microscopic analysis of a smear from the vagina or urethra
• Laboratory culture to identify pathogens
• PCR (polymerase chain reaction) to detect specific infections
• Blood tests to assess overall condition and inflammatory processes
• If necessary — ultrasound of the pelvic organs

What to Bring to Your Appointment

• Results of previous tests and examinations, if available
• A list of medications being taken, including topical treatments
• A description or diary of symptoms, if you have kept records
• Questions and concerns you wish to discuss with the doctor

This diagnostic approach helps to obtain the most comprehensive picture of the condition and to select the appropriate treatment for sexually transmitted infections.

Treatment

Treatment of sexually transmitted infections aims to reduce symptoms and manage the condition with consideration of the patient's individual characteristics. The therapy plan is tailored by the physician based on examination results and the overall health status.

Therapy Goals

• reduce unpleasant symptoms and discomfort
• eliminate or control the cause of infection when indicated
• preserve and restore normal sexual system function
• prevent possible complications and relapses

Main Treatment Approaches

• may include medication therapy based on the sensitivity of the pathogens
• restoration of the microbiota and support of the immune system are important
• non-pharmacological methods and physiotherapy are applied if necessary
• individual adjustment of treatment in the presence of comorbid conditions
• choice of treatment method depends on the clinical situation and examination data

Physician’s Role

• selects and adjusts therapy according to the patient’s current condition
• takes into account comorbidities and possible contraindications
• monitors for the emergence and potential side effects of therapy
• explains to the patient the criteria for assessing treatment effectiveness
• coordinates consultations with other specialists when needed

What to Expect: Planning and Monitoring

• symptom dynamics and examination results are evaluated approximately
• therapy may be adjusted if effectiveness is insufficient
• timing of follow-up depends on the individual situation and body’s response
• repeat visits help clarify the plan and ensure treatment safety

For personalized treatment planning, schedule a consultation with Dr. Irina Ivanovna Kulbach.

Prevention

Prevention plays an important role in reducing the risk of sexually transmitted infections and helps maintain intimate health. The prevention plan is tailored individually, taking into account the specific characteristics of each patient.

Main Primary Prevention Measures

• Use of protective measures during sexual contact to reduce the risk of infection transmission
• Maintaining personal hygiene and proper care of the intimate area
• Monitoring and strengthening the immune system, especially in chronic diseases
• Avoidance of harmful habits such as smoking and excessive alcohol consumption
• Regular check-ups when changing sexual partners or experiencing symptoms
• Being informed about modes of transmission and risk factors of infections

Screening and Secondary Prevention / Regular Monitoring

• Regular visits to a gynecologist for examinations and consultations as needed
• Conducting laboratory tests and screenings according to the doctor’s recommendations
• Observation and monitoring of chronic conditions affecting immunity
• Assessing treatment effectiveness and adjusting the prevention plan as necessary

Practical Advice

• Discuss vaccination and additional protective measures with your doctor as needed
• Avoid casual sexual contacts and monitor your partner’s health status
• Keep a symptom diary if experiencing discomfort to seek timely medical care
• Follow your doctor’s recommendations regarding prescribed medications and rest
• Maintain a healthy lifestyle, including proper nutrition and physical activity
• Seek consultations promptly if any worrisome signs appear

Preventive measures for sexually transmitted infections help reduce the risk of complications and maintain quality of life.

Important to Know

When treating sexually transmitted infections, it is important not only to eliminate the symptoms but also to identify the cause and the factors that trigger the condition. Early medical evaluation helps to choose the right approach and reduce the risk of complications or disease progression. Sometimes, ongoing monitoring and adjustment of the treatment plan are necessary based on changes in the patient’s condition. The course of the infection is influenced by overall stress levels, quality of sleep, presence of other diseases, and lifestyle. Self-medication can mask the clinical picture, cause side effects, and delay diagnosis, which complicates further treatment. In our clinic, the treatment process is based on thorough medical history collection and careful supervision of all therapy stages.

• Identifying the cause and risk factors is more important than simply eliminating symptoms
• Early consultation reduces the risk of complications and provides more treatment options
• It is important to maintain regular monitoring and adjust treatment according to results
• Stress, chronic illnesses, and overall well-being affect the condition
• Taking medications without consulting a doctor can hinder diagnosis
• Our clinic creates a treatment plan tailored to your health and medical history

Understanding these aspects helps to approach the treatment of sexually transmitted infections more consciously. For detailed information and a comprehensive overview, we recommend visiting the general topic page on our clinic’s website.

Self-Care Before the Appointment: What You Can and Cannot Do

Before your visit to Dr. Irina Ivanovna Kulbach, you can take several safe steps to monitor your condition and gather information. It is important to avoid any self-actions that might distort the picture of your illness. If your condition worsens, it is recommended to urgently seek professional help.

What You Can Do Before the Appointment

• Write down when and how the first symptoms appeared, and what makes them better or worse
• Bring a list of all medications and remedies you are taking, including dosages
• Measure and record your body temperature if you have a fever
• Keep a symptom diary, noting the intensity and timing of complaints
• Reduce physical activity and try to rest before seeing the doctor
• Drink plenty of water to avoid dehydration, if appropriate
• Avoid using someone else’s medications or remedies without consulting a doctor
• If possible, prepare information about recent sexual contacts or lifestyle changes

What You Should Not Do Before the Appointment

• Do not change or stop taking chronic medications without your doctor’s approval
• Do not start taking several new medications or remedies on your own simultaneously
• Do not use folk or unverified treatment methods without the specialist’s consent
• Do not apply aggressive hygiene products or self-treatments that may cause irritation
• Do not ignore worsening symptoms or the appearance of new worrying signs
• Do not attempt to diagnose yourself based on tests or symptoms
• Do not delay visiting the doctor if your condition significantly worsens
• Do not allow self-treatment that may conceal the true cause of the problem

If you experience signs of an emergency, immediately seek help from Dr. Irina Ivanovna Kulbach.

How I Can Help as a Doctor with Sexually Transmitted Infections

During a consultation about sexually transmitted infections, I can assist you in the following ways: conducting a detailed review of your symptoms and medical history, assessing the condition and severity of the problem, and suggesting a plan for further actions. It is important to establish a consistent approach to examination, treatment, and monitoring, taking into account all aspects of your health.

• Review symptoms and history to identify possible causes and triggers
• Assess the severity of the condition and potential health risks
• Analyze current medications and evaluate therapy tolerance
• Develop a step-by-step plan for examination, treatment, and monitoring
• Consider comorbidities and existing medications when choosing a management strategy
• Provide recommendations on lifestyle and daily routines based on individual indications
• Explain criteria for treatment effectiveness and when to seek follow-up care
• Perform initial differential diagnosis to clarify underlying causes
• Adjust the treatment plan if there is no effect or if side effects occur

This comprehensive approach helps not only to manage current symptoms but also to prevent complications or relapses. Medical care is focused on long-term support and monitoring of your health over time.

What Questions Can You Ask a Doctor About Sexually Transmitted Infections

During a consultation regarding sexually transmitted infections, you can discuss the following issues with Irina Ivanovna Kulbach:

• the appearance of unusual discharge and its characteristics
• itching and burning in the intimate area
• pain or discomfort during sexual intercourse
• recurring or worsening symptoms after treatment
• lack of effect from previously prescribed treatment
• questions about diagnosis and choosing an individualized examination plan
• lifestyle recommendations and prevention of flare-ups

In cases of sudden severe pain, bleeding, or high fever with worsening condition, emergency care is necessary — do not wait for a scheduled appointment.

Frequently Asked Questions

• What is happening to me and what could it be?
• Why have the symptoms appeared now?
• How can I tell if this is related to a sexually transmitted infection?
• What examinations are needed specifically in my case?
• Which tests and investigations are really mandatory?
• How should I properly prepare for the consultation and examinations?
• What treatment options are available and how do they differ?
• Is it possible to completely get rid of the problem or is it a chronic condition?
• Why is the prescribed treatment not helping and what should I do next?
• Do I need to use medications, or can I manage without them?
• How long does treatment usually last and how often is medical follow-up needed?
• What signs indicate that the condition is improving or worsening?
• What should I do if the symptoms suddenly worsen or a flare-up occurs?

If you experience urgent symptoms such as severe pain, bleeding, or a rapid deterioration of your general condition, seek emergency care. In regular situations, you can count on support and comprehensive guidance regarding sexually transmitted infections, taking all your individual circumstances into account.

How the Consultation Proceeds

A consultation with an obstetrician-gynecologist regarding sexually transmitted infections includes discussing complaints, an overall assessment of the condition, and developing a plan for further action. The scope of necessary examinations is determined individually based on indications. During a single visit, the doctor performs a preliminary examination and forms an idea of possible causes without making a definitive diagnosis.

1. Clarification of complaints and visit objectives: identifying what exactly is troubling the patient, how long symptoms have been present, and what aggravates or alleviates them.
2. Collection of medical history and risk factors, including details about sexual activity and the presence of concomitant diseases.
3. Review of previous treatments and examinations, if any; patients are advised to bring test results and a list of medications.
4. Conducting an examination and basic tests as indicated, aimed at assessing the condition of mucous membranes and detecting signs of inflammation.
5. Formulating a preliminary conclusion: identifying probable causes and ruling out dangerous conditions.
6. Discussing a plan for additional examinations, which may include microbiological analyses, PCR diagnostics, blood tests, and pelvic ultrasound.
7. Agreeing on a strategy for treatment and monitoring, taking individual characteristics into account, including recommendations on lifestyle and routines.
8. Planning follow-up visits to monitor the condition's progress and assess the effectiveness of therapy, with adjustments made if necessary.

If this is your first visit, the consultation will focus on a detailed clarification of symptoms and searching for possible causes. In cases where prior treatment was ineffective, special attention is given to analyzing the reasons for the lack of improvement and adjusting the approach accordingly.

Preparation for the Appointment

Proper preparation for an appointment with an obstetrician-gynecologist helps speed up diagnosis and the selection of the optimal treatment plan for sexually transmitted infections. Below is a checklist of important steps for an effective visit.

• Bring a list of all current medications, including names and dosages, if known.
• Take previous examination results, tests, and imaging (if available) with you.
• Write down your main complaints: when they started, what worsens or relieves the symptoms.
• Do not stop taking prescribed medications without consulting your doctor.
• If possible, provide information about recent sexual contacts and changes in your health.
• Avoid using local hygiene products and medications for 24 hours before the appointment.
• If you have questions about preparation or any doubts, clarify them when making the appointment.

If additional requirements are necessary, such as fasting, the doctor will inform you in advance. If you are unsure, it is best to confirm the details with the clinic. Do not change your treatment without consultation to avoid affecting test results and treatment effectiveness.

About the Doctor

Irina Ivanovna Kulbach is a top-tier obstetrician-gynecologist with over 40 years of experience. She specializes in managing patients with sexually transmitted infections, including initial consultations, recurring symptoms, and cases where previous treatments were ineffective.

The doctor places special emphasis on thorough differential diagnosis and therapy adjustment considering comorbid conditions. Continuous monitoring of progress and clear explanations of the treatment plan are also important aspects of her practice.

During the consultation, you will receive a detailed analysis of your situation and recommendations for the next steps.

Why Patients Choose Dr. Irina Ivanovna Kulbach

When treating sexually transmitted infections, Dr. Irina Ivanovna Kulbach pays special attention to a comprehensive analysis of the causes and the selection of an optimal therapy plan. All accompanying conditions and possible drug interactions are taken into account throughout the treatment process. This approach helps monitor the progression of the disease and promptly adjust the treatment if it does not yield the desired effect. Patients receive clear explanations and recommendations, promoting informed participation in therapy and prevention of exacerbations.

• Clear step-by-step treatment plan with definite steps and timelines for monitoring
• Examinations prescribed only when indicated, without unnecessary procedures
• Consideration of comorbidities and medications to ensure safe treatment
• Monitoring of condition dynamics and timely therapy adjustments when necessary
• Review of previously prescribed medications and possible side effects
• Interpretation of examination results, including data patients bring with them
• Focus on identifying causes and differential diagnosis of complex cases
• Regular patient management to prevent complications and relapses

This systematic and responsible approach helps patients feel confident at every stage of treating sexually transmitted infections. The doctor creates conditions for effective interaction and control of the patient’s condition, taking into account all individual health characteristics.

Case Studies

Initial Consultation for Unpleasant Symptoms

A middle-aged female patient presented with complaints of unusual discharge, itching, and discomfort in the intimate area. It was important to rule out various possible infections and inflammatory conditions, as well as to assess the presence of contributing factors. A comprehensive examination was conducted, samples were taken, and additional investigations were recommended as indicated. Over several weeks, symptoms decreased and overall well-being improved. The subsequent approach included monitoring the progression and providing recommendations for prevention of recurrent episodes.

Therapy Adjustment Due to Lack of Effect

A young woman reported recurrent symptoms despite previously prescribed treatment. The frequency of relapses and lack of stable results raised concerns. The physician carried out a detailed review of prior treatments and assessed therapy tolerability. The treatment approach was modified based on new examination results and symptomatology. Partial improvement was noted during follow-up visits. The plan includes regular monitoring and therapy adjustment as needed.

Chronic Course with Comorbid Conditions

A patient of advanced age with persistent symptoms and chronic diseases affecting immunity sought medical help. It was important to consider interactions with comorbid pathologies and medications. The doctor performed a comprehensive analysis of the medical history and devised an individualized management plan. Stability of the condition and reduction of symptom severity were observed over a month. Long-term monitoring with regular evaluation and therapy correction was recommended.

Exacerbation Triggered by Stress and General Health Deterioration

A woman presented with a sharp increase in unpleasant symptoms following significant stress. Prompt assessment of possible exacerbation causes and exclusion of complications were required. An urgent examination was performed and a plan for additional investigations was outlined. Follow-up visits showed gradual improvement and decreased symptom intensity. A comprehensive approach emphasizing prevention and restoration of overall condition was advised.

Second Opinion and Analysis of a Complex Case

A patient received ambiguous examination results from other specialists and sought to clarify the diagnosis and management strategy. The physician conducted an in-depth review of previous data, evaluated risks, and possible symptom causes. A plan for further steps was formulated, focusing on stepwise diagnostics and cautious treatment selection. During the first month, condition dynamics were monitored and therapeutic adjustments were discussed in subsequent consultations.

How long does a consultation last?

Usually, a consultation takes from 30 to 60 minutes; please confirm when booking.

How to prepare for the appointment?

It is recommended to write down your complaints, medical history, and questions for the doctor, as well as bring a list of medications.

What should I bring to the appointment?

Bring the results of previous examinations, tests, images, and a list of medications you are taking.

Do I need to come fasting?

Usually no, unless otherwise specified when booking.

How many visits are usually required?

The number of visits depends on the complexity of the situation and the treatment plan, usually several.

When can I expect the first treatment results?

The timing of improvements is individual and depends on the chosen approach.

What should I do if my condition worsens before the appointment?

If your condition worsens, contact your doctor or emergency services, especially in case of severe pain, bleeding, or high fever.

Can treatment be combined with my current medications?

Discuss medication compatibility during the appointment; do not change or stop medications on your own.

Is it possible to have an online consultation?

Yes, online consultations are available for initial assessment and follow-up monitoring.

Can I come with already completed examinations?

Yes, bring all available results for a more accurate evaluation.

Do I need to come for follow-up visits and how often?

Follow-up visits are planned individually to monitor effectiveness and adjust treatment.

Can I get a second opinion?

Yes, the doctor is willing to review your results and provide an additional assessment.

What should I do if symptoms return after improvement?

Contact the doctor for a repeat consultation and possible treatment adjustment.

What examinations are usually prescribed?

The list of examinations is selected individually based on symptoms and medical history.

Is treatment possible during pregnancy?

The possibility and safety of treatment are discussed individually, considering the condition and pregnancy term.

How quickly is the cause of symptoms identified?

Diagnosis requires a comprehensive approach and time for examinations, which is assessed during the appointment.

What should I do if the treatment does not help?

You should return to the doctor for evaluation and correction of the therapy.