Subscribe
6
Su Wen
Obstetrics and Gynecology
About me
Lanzhou Qilihe District People's Hospital, Department of Obstetrics and Gynecology, Associate Chief Physician, engaged in clinical work in obstetrics and gynecology for many years, with rich clinical experience in common obstetric and gynecological diseases.
Proficient in diseases
Specializes in vulvovaginitis, cervicitis, pelvic inflammatory disease, and benign diseases of the reproductive system such as uterine fibroids and ovarian cysts.
Voices
Early symptoms of ectopic pregnancy
Ectopic pregnancy, also known as extrauterine pregnancy, refers to the implantation of the gestational sac outside the uterine cavity. For example, in the fallopian tubes, ovaries, or the cornual region, etc., leading to a series of symptoms known as ectopic pregnancy. Typically, symptoms of an ectopic pregnancy include a history of amenorrhea, where most individuals have a long or short history of missed periods. The second symptom is bleeding, which can be irregular, minor vaginal bleeding or significant bleeding, as well as bleeding within the abdominal cavity, which can lead to hemorrhagic shock in severe cases. Additionally, abdominal pain may occur, manifesting as sudden, tearing-like lower abdominal pain, or irregular referred pain.
Can trichomoniasis detect AIDS?
Trichomoniasis is caused by the vaginal parasite Trichomonas vaginalis and is primarily transmitted through sexual contact, though it can also spread indirectly. The main symptoms include abnormal vaginal discharge and itching of the vulva. The discharge may be thin and purulent or frothy and malodorous. On the other hand, HIV requires blood tests to detect HIV antibodies to determine if one has the disease. The examination processes for these two are distinct. Therefore, it is not possible to determine HIV status from a trichomoniasis test; trichomoniasis is diagnosed through vaginal discharge, whereas HIV is diagnosed through blood tests.
What are the symptoms of trichomoniasis?
Trichomonal vaginitis is generally caused by Trichomonas vaginalis. Typical symptoms include an increase in vaginal discharge, which is usually thin, serous, grayish-yellow, yellow-green, or frothy. There may also be itching, burning of the vulva, and pain during intercourse. Sometimes, it can affect the urethra, leading to symptoms like painful urination and urinary urgency. Generally, a routine vaginal discharge test is needed to clarify the bacterial analysis. It is advised that patients pay more attention to local hygiene, wash the vulva more often, and try to keep the vulval area dry and clean.
How to completely cure trichomonal vaginitis?
During the treatment of trichomonas vaginitis, it is necessary to maintain the cleanliness of the vulva to prevent secondary bacterial infections. Clean the vulva daily, change underwear frequently, and avoid eating spicy foods and drinking alcohol during the acute phase. Sexual activities should be prohibited during the treatment period. After the treatment, it is important to promptly check for trichomonas negativity. Treatment should continue for one more course after the next menstrual period is clean, and vaginal discharge should be re-examined after each menstrual period; only after three negative results can it be considered cured. Additionally, attention should be paid to avoiding reinfection during treatment. Underwear and towels used for washing should be boiled for five to ten minutes to eliminate pathogens, which is crucial for the radical cure of trichomonas vaginitis.
Why can't you have sex with trichomoniasis?
Trichomonas vaginitis is caused by Trichomonas vaginalis. During treatment, it is important to keep the vulva clean to prevent secondary bacterial infections. Wash the vulva daily, change underwear frequently, avoid spicy foods and alcohol during the acute phase, and abstain from sexual activity during treatment. After treatment, it is necessary to check for Trichomonas negativity promptly. Continue treatment for one more cycle after the next menstruation is completed, and recheck the vaginal discharge after each menstruation. Cure can be considered after three negative results. During treatment, it is also important to avoid reinfection. Underwear and towels used for washing should be boiled for about 5 to 10 minutes to eliminate pathogens.
Do you need an infusion for trichomonal vaginitis?
Patients with trichomonal vaginitis generally do not require intravenous infusion treatment. Treatment usually involves oral administration of metronidazole or tinidazole, or local treatment with metronidazole effervescent tablets or metronidazole suppositories placed in the vagina. Generally, intravenous infusion is not necessary. For patients with trichomonal vaginitis, it is advised to pay more attention to hygiene, hang underwear in the sun more often for drying, wash them frequently, avoid sexual intercourse during treatment, and maintain local hygiene by washing the external genitalia with a cleansing solution daily. (Please use medications under the guidance of a professional physician and do not self-medicate.)