Because donovanosis is an infectious disease caused by bacteria, treatment is usually done with antibiotics to eliminate the infection.
The most commonly used antibiotics are:
If donovanosis symptoms do not improve in the first few days of treatment, you may need to return to your doctor to add another antibiotic, usually an aminoside, such as gentamicin, for example.
In addition to taking the antibiotic according to the indicated plan, during treatment it is very important to have regular appointments with your doctor so that the course of the disease is properly evaluated so that you can change antibiotics if necessary. Ideally, the intimate area should be kept clean to prevent wound infection and facilitate site healing.
In addition, it is advisable to avoid sexual contact or use a condom to prevent transmission of the infection until symptoms have completely disappeared and treatment is complete.
If you have had sexual contact in the last 60 days prior to diagnosis of donovanosis, it is also important to inform your partner to consult a doctor and evaluate the possibility of having the infection as well, starting treatment if necessary.
The main symptom of improved donovanosis is wound healing that normally appears in the genital area. Therefore, to confirm the cure of the disease, it is very important to go to the doctor, even after the wound has disappeared, to perform tests.
Signs of aggravation are more common when treatment is not started early or when the selected antibiotic has no effect. In these situations, it is common for the wound to show no signs of healing and worsen, enlarge, and blood more.
If there are signs of worsening, it is advisable to return to your doctor to assess the need to change the antibiotic being used, for one that might have a better effect. Sometimes your doctor may even order a review of the sensitivity and antibiotic resistance profile to find out which ones are most effective in treatment.