Treatment of sexually transmitted infections by gynecologist Ekaterina Vyacheslavovna Silantyeva in Dnipro.

When consulting a doctor with suspected sexually transmitted infections, female patients often complain of unstable discharge, unpleasant sensations in the lower abdomen, discomfort during intimate contact, or recurring symptoms.

The doctor conducts a clinical assessment, carefully reviews the complaints and medical history, and, if necessary, prescribes the required examinations to clarify the condition.

Patients receive a clear, step-by-step plan—what to do at the moment, which tests and investigations to undergo, as well as recommendations for monitoring the condition's progression.

Special attention is given to differential diagnosis and prevention of exacerbations, which helps to promptly identify and address any difficulties in treatment.

When to See a Doctor

If you suspect a sexually transmitted infection, it is important to pay close attention to your feelings and condition. Sometimes symptoms may be mild or resemble other issues, so timely consultation with a gynecologist helps to accurately understand the situation. You should make an appointment with a gynecologist if you notice any of the following with sexually transmitted infections:

• Constant or intermittent itching and burning sensation in the intimate area
• Unusual or changed vaginal discharge in color
• Pain or discomfort during sexual intercourse
• Frequent urges to urinate or painful urination
• Malaise, unpleasant odor from the genital area
• Symptoms that recur or become more pronounced over time
• Discomfort interferes with normal work, rest, or sleep
• No improvement from self-care measures or previous treatment
• Symptoms appear for the first time and cause concern
• Need for adjustment or clarification of current treatment
• Flare-ups occur after stress or chronic illnesses
• Similar symptoms in a sexual partner cause anxiety

Even if the signs seem minor or resolve on their own, consulting a specialist helps prevent complications and choose the appropriate monitoring strategy. Do not delay a visit if any changes cause discomfort or concern — the clinic will provide support and help clarify the situation.

Emergency Conditions or When You Need to See a Doctor Immediately

• Sudden onset of severe lower abdominal pain that rapidly intensifies
• Combination of high fever with intense pelvic discomfort
• Sharp increase in discharge with unpleasant odor and color change
• Vaginal bleeding not related to menstruation, especially if heavy
• Severe weakness, dizziness, or fainting accompanied by other symptoms

If you experience any of these symptoms, do not wait for a routine appointment — seek urgent medical care. Our clinic offers a home visit service for prompt examination and necessary support.

Causes and Risk Factors for Sexually Transmitted Infections

This section explains the possible causes of sexually transmitted infections (STIs) and the factors that may increase the risk of their occurrence or worsening. Understanding these will help you know what to discuss with your doctor and which aspects to pay attention to.

Main Causes / Mechanisms (Brief)

• Unprotected contact with an infected sexual partner
• Presence of other inflammatory or infectious processes in the body
• Weakened immune system, making it harder to fight microbes
• Disruption of the normal vaginal or genitourinary microflora
• Frequent change of sexual partners or irregular use of barrier contraception

Risk Factors

• Young or sexually active age with an increased number of sexual contacts
• Poor personal hygiene
• Use of hormonal contraceptives without health monitoring
• Chronic diseases and stress leading to reduced immunity
• Smoking and harmful habits
• Presence of concurrent gynecological issues, such as cervical pathology
• Lack of regular preventive gynecological check-ups
• Irregular or incorrect treatment of previous infections

Reversible Causes That Should Be Excluded

• Failure to follow recommended therapy for infection symptoms
• Violation of personal hygiene rules that promote bacterial growth
• Self-treatment without consulting a specialist
• Use of inappropriate contraception methods without medical advice

Understanding the causes and risk factors will help prevent complications and ensure timely medical consultation for examination and proper treatment of sexually transmitted infections.

Diagnosis

Diagnosis of sexually transmitted infections is aimed at accurately identifying the causes of symptoms and determining the need for further investigations. The doctor takes individual factors into account and prescribes tests as indicated to develop an optimal treatment plan.

Diagnostic Approach

• Taking medical history: discussing complaints, symptom history, and risk factors
• Examination: assessing the condition of the genital organs and detecting visible changes
• Conducting basic tests as indicated, including analysis of secretions
• Ordering additional investigations if necessary
• Interpreting results and formulating recommendations for further monitoring and treatment

Typical Indicated Tests

May include:

• Microscopic examination of secretions
• Tests for sexually transmitted infections (PCR, immunofluorescence assay)
• Ultrasound of the pelvic organs
• Complete blood count and urinalysis
• Hormonal status tests (if indicated)

What to Bring to the Appointment

• Results of previous examinations and tests
• List of current medications and supplements
• Records of symptoms and their changes
• Questions or concerns to discuss with the doctor
• If available — results of ultrasound and other instrumental studies

Timely and thorough diagnosis of sexually transmitted infections helps create a clear treatment and monitoring plan.

Treatment

The treatment of sexually transmitted infections aims to reduce symptoms and manage the condition, taking into account the individual characteristics of each patient. The therapy plan is tailored individually, considering examination results and accompanying factors.

Therapy Goals

• Alleviate unpleasant symptoms and discomfort
• Address the underlying causes of the disease and prevent complications
• Improve quality of life and maintain reproductive system health
• Prevent recurrent flare-ups and the spread of infection

Main Treatment Approaches

• Therapy is individualized and based on indications; it may combine pharmacological and non-pharmacological methods
• May include prescription of medications that restore microflora and immunity
• Primary focus: correction of inflammation and elimination of infection
• Additional interventions may be prescribed if necessary, based on indications
• Comprehensive support is important, including recommendations on hygiene and lifestyle

What the Doctor Does

• Selects and adjusts therapy based on examination data and treatment response
• Assesses the impact of comorbidities on the course of the infection
• Monitors possible side effects and adjusts the treatment plan if needed
• Explains the criteria for therapy effectiveness and what to expect during the process
• Coordinates treatment with other specialists in complex cases

What to Expect: Plan and Monitoring

• Assessment of condition dynamics and symptoms during follow-up visits as indicated
• Therapy adjustments if there is no positive effect
• Individual schedule for monitoring and examinations, taking into account the specifics of the situation
• Observation aimed at stabilizing the condition and preventing complications

To develop an individual treatment plan, schedule a consultation with Dr. Ekaterina Vyacheslavovna Silantyeva.

Prevention

Prevention plays an important role in reducing the risk of sexually transmitted infections. A prevention plan is tailored individually, taking into account health characteristics and lifestyle.

Key Primary Prevention Measures

• Use of barrier contraceptives to reduce the likelihood of infection transmission
• Adherence to personal hygiene rules and regular changing of underwear
• Limiting the number of sexual partners and paying close attention to their health
• Avoidance of harmful habits that weaken the immune system
• Monitoring and timely treatment of chronic diseases that affect the body's defense functions

Screening and Secondary Prevention / Regular Monitoring

• Regular preventive examinations by a gynecologist as recommended by a doctor
• Screening for sexually transmitted infections when indicated
• Monitoring the reproductive system's condition in the presence of symptoms or risk factors
• Discussing HPV (human papillomavirus) vaccination with a doctor when appropriate

Practical Tips

• Discuss optimal contraception methods and protection measures with your doctor
• Avoid prolonged use of unsuitable hygiene products
• Strengthen the immune system through a healthy lifestyle and balanced nutrition
• Seek medical attention promptly if unusual symptoms occur
• Follow recommendations for treatment and monitoring if infections are detected

Prevention of sexually transmitted infections helps maintain health and prevent complications — discuss the preferred plan with your doctor.

Important to Know

The treatment of sexually transmitted infections requires a comprehensive approach and careful attention to your health. It is important to understand that symptoms can vary and are not always clearly expressed, so timely consultation with a doctor helps identify the cause and select the appropriate course of action. Monitoring and adjustment of the treatment plan may be necessary for stable condition control. Lifestyle factors, stress, or comorbidities affect the progression and recovery, so they are taken into account by the specialist. Self-medication can complicate diagnosis and lead to undesirable consequences.

• Identifying the cause of the infection is more important than simply eliminating symptoms
• Early evaluation reduces the risk of complications and helps choose effective treatment
• Dynamic monitoring allows control of the process and therapy adjustment
• Stress, lack of sleep, and chronic illnesses can affect the body's condition
• Self-medication can mask symptoms and delay accurate diagnosis
• A doctor will explain the action plan and help you understand what to expect from treatment

For a detailed overview of the topic, we recommend visiting the general page on sexually transmitted infections. There you will find more information and useful advice on prevention, diagnosis, and treatment.

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

Before your visit to Dr. Ekaterina Vyacheslavovna Silantyeva, it is important to know which measures are safe for maintaining your condition and which actions are better to avoid. If your symptoms worsen, be sure to seek medical attention immediately.

What You Can Do Before the Appointment

• Write down when the symptoms started and what makes them better or worse
• Bring a list of all medications and supplements you are taking
• Measure and record your temperature if you feel feverish
• Keep a symptom diary: note the time, intensity, and any related discomfort
• Reduce physical activity and try to get plenty of rest
• Drink enough water to avoid dehydration
• Maintain personal hygiene while avoiding irritating products
• Avoid sexual contact until after consulting with the doctor

What You Should Not Do Before the Appointment

• Do not change or stop medications without consulting your doctor
• Do not start any new medications without a specialist’s prescription
• Do not use folk remedies without consulting to avoid harm
• Do not ignore the appearance of new or worsening symptoms
• Do not use strong painkillers or antiseptics without your doctor’s recommendation
• Do not interpret test results or examinations on your own
• Do not postpone the appointment if your condition worsens or new complaints appear
• Do not neglect personal hygiene, but avoid excessive use of hygiene products

If signs of an emergency condition appear, contact Dr. Ekaterina Vyacheslavovna Silantyeva immediately.

How I Can Help as a Doctor with Sexually Transmitted Infections

When seeking help for sexually transmitted infections, it is important to receive comprehensive and competent care. During the consultation, I will help you understand your symptoms and medical history, assess risks, and develop an appropriate treatment plan. My medical approach includes interaction, indicated examinations, and monitoring the progression of your condition. In a consultation on sexually transmitted infections, I can assist you with the following:

• Analyze symptoms and disease history to identify possible causes
• Assess the severity of symptoms and risks affecting your condition
• Review current medications and their tolerance, making adjustments if necessary
• Develop a clear plan for examinations, treatment, and follow-up care
• Take into account comorbidities and other medications for a comprehensive approach
• Provide recommendations on lifestyle and regimen tailored to your individual needs
• Discuss control criteria and schedule follow-up visits to evaluate treatment effectiveness
• Conduct initial diagnostics and differential diagnosis to determine the cause of somatic symptoms
• Adjust therapy if there is no improvement or if side effects occur

My approach is focused on comprehensive patient care—from identifying the cause to monitoring treatment outcomes. This helps reduce the risk of complications and improves quality of life. If needed, I can provide a second opinion and assist with the interpretation of test results to refine diagnosis and treatment strategy.

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 Ekaterina Vyacheslavovna Silantyeva:

• Constant or periodic itching and burning in the intimate area
• Unusual discharge with changes in color or odor
• Pain or discomfort during sexual intercourse
• Frequent urges to urinate accompanied by unpleasant sensations
• Recurring symptoms or lack of effect from previously prescribed treatment
• Worsening symptoms that interfere with work or rest
• Questions about prevention and infection control planning

If you suddenly experience severe pain, a sharp increase in discharge, or bleeding — urgent medical assistance is needed; do not wait for a scheduled appointment.

Questions you can discuss during the consultation:

• What is happening to me and what could this be?
• Why have the symptoms appeared now?
• How can I tell if this is related to a sexually transmitted infection?
• What examinations are necessary in my specific case?
• Which tests are absolutely required and which can be skipped?
• How should I properly prepare for examinations and the appointment?
• What treatment options are available and how do they differ?
• Is it possible to completely get rid of the infection, or is it a chronic condition?
• Why is the prescribed treatment not working and what should I do next?
• Is it mandatory to use the medications or procedures that are recommended?
• How long does the treatment usually last and how often is follow-up needed?
• How can I tell if my condition is improving or worsening?
• What should I do if symptoms suddenly worsen or flare up?

During the appointment, the doctor evaluates your condition comprehensively, takes into account individual characteristics, and helps choose the optimal plan for examination and therapy. In urgent cases, timely medical attention helps avoid complications and ensures you receive the necessary care.

How the Consultation Proceeds

A consultation with the doctor involves a careful review of your complaints, assessment of your current condition, and the development of a plan for further actions. The scope of necessary examinations is determined individually and depends on your symptoms and examination findings. An exact diagnosis is not usually made immediately during the visit; instead, a preliminary evaluation is formed, and steps for clarification and treatment are suggested.

1. Clarifying complaints and the purpose of the visit: the doctor will ask what concerns you, how long the symptoms have been present, and what you expect from the appointment.
2. Collecting medical history and risk factors related to sexually transmitted infections.
3. Discussing previous treatments and examinations; if necessary, the doctor may request medical documents and a list of medications you are taking.
4. Conducting an examination and relevant tests as indicated to assess the condition of mucous membranes and the reproductive system.
5. Providing a preliminary conclusion with an explanation of possible causes of symptoms and important points to rule out.
6. Developing an examination plan, which may include microscopy of discharge, tests for infections, pelvic ultrasound, and other procedures based on individual indications.
7. Discussing general principles of treatment and management based on examination results and the patient’s condition.
8. Giving recommendations for monitoring progress: when to schedule a follow-up visit and what changes in condition should raise concern.

If this is your first visit, the consultation will focus on clarifying symptoms and searching for possible causes. If previous treatment was ineffective, the doctor will pay special attention to reviewing and adjusting the therapeutic approach.

This approach helps to take control of the situation and select the most suitable examination and treatment options for you without unnecessary stress.

Preparation for the Appointment

This guide will help you prepare for your gynecologist appointment and speed up the process of creating an accurate treatment plan. Proper preparation simplifies diagnosis and makes the consultation as productive as possible.

• Bring a list of all current medications with names and dosages, if known
• Take previous test results with you, including pelvic ultrasound, discharge analyses, general blood and urine tests
• Write down your main complaints: when and how symptoms start, what worsens or relieves them
• Do not stop taking prescribed medications without consulting your doctor
• If possible, arrive 10–15 minutes early for comfortable registration
• If required, come on an empty stomach — do not eat or drink for 8–12 hours before the appointment, unless otherwise instructed
• Avoid using cosmetics and creams in the intimate area on the day of the appointment
• Refrain from sexual intercourse for 24 hours before the visit to avoid affecting test results
• If unsure about preparation, clarify details when making the appointment or by phone

If you have any questions about preparation or changes in the appointment, it is always best to consult the registrar or doctor in advance and not alter your treatment on your own.

About the Doctor

Ekaterina Vyacheslavovna Silantyeva is an obstetrician-gynecologist with over 10 years of experience. She specializes in the diagnosis and treatment of sexually transmitted infections and works with patients during their initial visits, in cases of recurring symptoms, or when previous treatments have been ineffective.

In her practice, she focuses on differential diagnosis of causes and dynamic monitoring to ensure timely adjustment of therapy. During the consultation, you will receive a detailed analysis of your condition and recommendations for the next steps to manage and improve your health.

Why Patients Choose Dr. Ekaterina Vyacheslavovna Silantyeva

When treating sexually transmitted infections, a clear and consistent approach to diagnosis and therapy is crucial. Ekaterina Vyacheslavovna pays special attention to identifying the causes of symptoms and takes into account comorbidities for comprehensive and safe patient management. She works with the results of previous examinations, adjusts treatment based on the body's response, and explains the plan and criteria for assessing effectiveness. This approach allows patients to feel informed and confident in managing their condition.

• Clear treatment plan: what we are doing now, what indicators we monitor, and when the next visit is
• Examinations only as needed, without unnecessary procedures, saving time and effort
• Consideration of concomitant diagnoses and drug interactions for safe therapy
• Monitoring progress and adjusting treatment if effectiveness is insufficient or side effects occur
• Review and interpretation of already conducted tests, allowing patients to come with their results
• Explanation of treatment goals and possible risks in simple and accessible language
• Focus on preventing exacerbations and complications for long-term health maintenance

The doctor emphasizes careful observation and timely adjustment of tactics, which helps avoid unnecessary burden and improves the quality of ongoing monitoring. This style of work supports treatment transparency and gives patients a clear understanding of each step.

Case Examples

Initial Consultation with Complaints of Discomfort and Discharge

A middle-aged female patient presented with complaints of unpleasant sensations and changes in vaginal discharge. It was important to rule out various infections and determine the exact cause of the symptoms. A comprehensive examination was performed, necessary tests were taken as indicated, and preliminary treatment was prescribed with further monitoring. Over several weeks, a reduction in symptoms and stabilization of the condition were observed. Ongoing management includes regular monitoring and adjustment of therapy based on the clinical course.

Treatment Adjustment After Lack of Effect

A young woman came with recurring symptoms despite prior treatment at another facility. The physician reviewed previous prescriptions and evaluated possible reasons for the therapy’s ineffectiveness. A new approach was planned, including additional examinations and modification of treatment. At the follow-up visit, the symptoms became less frequent and less severe. A stepwise follow-up and preventive care plan was developed.

Chronic Course with Comorbidities

A middle-aged patient with a long history of chronic gynecological issues complicated by infection sought medical help. The challenge was to consider comorbidities and drug interactions. A comprehensive assessment was conducted, and the overall treatment plan was adjusted taking all factors into account. The patient reported improved quality of life and stable condition under continuous supervision.

Symptom Exacerbation and Increased Discomfort

An elderly female patient presented with a sudden worsening of symptoms after a period of relative calm. It was necessary to promptly assess the causes of exacerbation and exclude serious conditions. Required examinations and tests were performed, allowing for rapid adjustment of treatment measures. Gradual stabilization was noted over time. To prevent further exacerbations, a plan for regular visits and monitoring was developed.

Recurrent Symptoms without Significant Improvement

A woman complained of periodic symptoms persisting over an extended period. It was important to conduct a differential diagnosis and assess the effectiveness of previous interventions. The physician thoroughly reviewed the medical history, recommended additional investigations, and outlined a sequential management plan. During subsequent appointments, gradual positive dynamics were noted with decreased symptom severity and improved well-being. Monitoring continues with adjustment of tactics as needed.

How long does the consultation last?

The consultation usually takes from 30 to 60 minutes; the exact duration is specified when booking.

How to prepare for the appointment?

Write down your symptoms, how they manifest, and what worsens or alleviates your condition.

What should I bring to the appointment?

Bring the results of previous examinations, a list of medications you are taking, and notes on your symptoms.

Do I need to come on an empty stomach?

Usually no, unless otherwise specified at the time of booking.

How many visits are usually required?

The number of visits depends on the situation and chosen treatment strategy; this is determined individually.

When can I expect the first treatment results?

It depends on the cause and therapy; initial changes may occur at different times.

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

Contact your doctor as soon as possible, especially if symptoms intensify or new alarming signs appear.

Can the treatment be combined with my current medications?

Discuss all medications with your doctor and do not change your therapy on your own.

Is online consultation available?

Yes, remote consultations are available by prior appointment.

Can I come with tests already done?

Yes, bring all test results as this helps the doctor assess your situation more quickly.

Is it necessary to come for follow-up visits and how often?

Follow-up visits are scheduled as needed to monitor and adjust treatment.

Can I get a second opinion?

Yes, the doctor is willing to discuss diagnostics and treatment if additional evaluation is required.

What should I do if symptoms return after improvement?

Inform your doctor so the plan can be adjusted and additional tests performed if necessary.

What tests are usually needed during the appointment?

The scope of tests is determined individually based on complaints and preliminary assessment.

Can I assess the effectiveness of the treatment myself?

It is better to evaluate the effect together with your doctor using established criteria during follow-up visits.

How to prepare for tests?

The doctor will explain preparation details individually; usually, there are no strict restrictions.

How soon after the appointment is further treatment prescribed?

The treatment plan is discussed during the consultation after evaluating your condition and test results.

What if I cannot make it to an in-person appointment?

You can book a remote consultation or inquire about rescheduling options.

Is it okay to use folk remedies before the consultation?

Self-treatment may complicate diagnosis; it is better to discuss any methods with your doctor.