Trichomoniasis

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Written by Huang Shuai
Obstetrics and Gynecology
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Trichomoniasis is caused by what?

This trichomoniasis infection is generally usually caused by contact with trichomonas, and since trichomonas is a sexually transmitted disease, sexual activity can spread or transmit trichomonas. Of course, besides sexual activity, any other possible contact with trichomonas can also lead to infection, such as using unclean sanitary ware, towels, or during swimming; these can all potentially cause trichomonas infection. Thus, any activity that could possibly involve contact with trichomonas might lead to an infection.

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Written by Hou Jie
Obstetrics and Gynecology
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What does it mean when trichomonads are found occasionally?

When a woman has vaginitis, a routine vaginal discharge examination often suggests the occasional presence of trichomonas, indicating trichomoniasis vaginitis. This condition requires standard treatment as per medical advice. For women who are sexually active, it is recommended that both partners be treated simultaneously. After treatment, regular checkups are needed. If the follow-up results are negative, it indicates recovery. It is advised to properly store personal hygiene items, keep them clean, and avoid washing or storing them with children’s items to prevent transmitting the disease to children living together. Women with trichomoniasis vaginitis are advised to enhance their physical exercise to increase their resistance and help prevent the recurrence of the disease. Also, maintaining personal hygiene is necessary.

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Written by Zhang Hui
Obstetrics and Gynecology
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Can trichomonas vaginitis be detected by routine leukorrhea tests?

The main symptoms of trichomonal vaginitis are increased vaginal discharge and vulvar itching. The discharge is generally a grayish-yellow, frothy, thin liquid with a foul odor. Women with trichomonal vaginitis can detect the infection through a routine vaginal discharge test. It is recommended to visit the gynecology department of a local formal hospital and follow the active treatment under the guidance of a clinical doctor. During the treatment period, sexual intercourse should be avoided, vulvar hygiene should be maintained, and loose, breathable underwear should be worn and changed frequently. The diet should be light, avoiding raw, cold, spicy, and other irritating foods.

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Written by Zhang Chun Yun
Obstetrics and Gynecology
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Trichomonal vaginitis recurs at what stage?

Trichomonal vaginitis tends to recur after menstruation. During menstruation, the body's resistance is lowered, and the cervix is in an open state, making it easy for pathogens to invade and cause a recurrence of trichomonal vaginitis. The characteristic manifestation of trichomonal vaginitis is the discharge of thin, purulent, yellow-green, foamy secretions with a foul odor. The main clinical symptoms include an increase in vaginal discharge, itching or burning pain in the vulva, pain during sexual intercourse, etc. Generally, once trichomonal vaginitis is diagnosed, it can be treated under a doctor's supervision. However, it is important to note that trichomonal vaginitis is mainly transmitted through sexual contact. Sexual partners should be treated simultaneously, and sexual intercourse should be avoided during treatment to greatly increase the likelihood of cure and reduce the possibility of recurrence. Please follow the doctor’s advice and accurate diagnosis for specific treatment. If you have further questions, please consult a doctor at a hospital.

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Written by Gan Hai Ying
Obstetrics and Gynecology
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What are the symptoms of trichomonas vaginitis?

The symptoms of trichomoniasis vaginitis include: First, there can be a significant increase in vaginal discharge, which is mostly thin, purulent, and yellow-green in color, frothy, and has a distinct foul odor. Second, it can manifest as itching or a clear burning sensation and pain in the vulva, and even significant pain during sexual intercourse. Third, upon gynecological examination, the vaginal mucosa can be found to be visibly congested, and scattered bleeding points may even be observed, as well as bleeding spots on the cervix, which is what is commonly referred to as a strawberry-like cervix. A routine examination of vaginal discharge that reveals trichomonas can diagnose trichomoniasis vaginitis. Since trichomoniasis vaginitis can be sexually transmitted, it is necessary to treat the sexual partner with antitrichomonal medication simultaneously.

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Written by Zhang Chun Yun
Obstetrics and Gynecology
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How long is the incubation period for trichomonal vaginitis?

In cases of trichomonas vaginitis, the incubation period for women can vary in length and differs from person to person; it cannot be generalized. The specific onset time of the vaginitis should be considered. Generally, the incubation period for trichomonas vaginitis can be as short as 4 to 5 days, or as long as over 20 days. Trichomonas vaginitis is caused by the parasite Trichomonas vaginalis and is a common form of vaginitis. Trichomonas vaginalis thrives in temperatures between 26°C to 40°C, in moist environments with a pH value of 5.2 to 6.6. It can survive for 21 days at 3 to 5°C, for 20 to 60 minutes at 40°C, approximately 10 hours in a semi-dry environment, and for 45 to 120 minutes in ordinary soap water. Therefore, the incubation period for trichomonas vaginitis varies. If you have further questions, it is advisable to consult a doctor at a hospital.

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Written by Huang Shuai
Obstetrics and Gynecology
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Is vulvar itching caused by yeast or trichomonas?

Judging whether it is yeast or trichomoniasis based solely on vulvular itching is very difficult. Whether it is yeast, trichomoniasis, or even bacterial vaginitis, all can cause vulvar itching. In addition, simple vulvitis can also lead to symptoms of vulvar itching. Of course, the itching symptoms caused by yeast vaginitis among these diseases are usually the most severe. However, there are also some symptoms that are not especially severe. Thus, it is very difficult to distinguish the specific disease based solely on the symptom of vulvar itching. When this situation arises, it is advisable to visit a hospital for an examination, including an examination of the secretions, which may be able to definitively determine whether the cause is yeast, trichomoniasis, bacteria, or simply vulvitis, or even possibly some pathological changes in the vulvar skin.

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Written by Luo Chun Yan
Obstetrics and Gynecology
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What causes the symptoms of trichomonal vaginitis?

The symptoms of trichomonas vaginitis primarily manifest as an increase in vaginal discharge, itching of the vulva, and burning pain. The discharge in trichomonas vaginitis is usually abundant, sometimes frothy, and can be thin or pus-like, irritating the vulva and vaginal skin, causing mucosal congestion and edema, thus leading to pain. In severe cases, it can cause swelling of the vulva and the urethral opening, as well as symptoms like frequent urination, urgent urination, and painful urination. Trichomonas vaginitis is mostly transmitted directly through sexual intercourse, but it can also be contracted by using public baths, squat toilets, or clothing containing the parasite, although direct transmission through sexual activity is the primary route. Treating trichomonas vaginitis requires oral medication and systemic treatment, and sexual partners must be treated simultaneously. This is because most infected males may not show obvious symptoms, but if left untreated, they can easily cause recurrence and become a significant source of infection.

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Written by Su Wen
Obstetrics and Gynecology
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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.

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Written by Li Shun Hua
Obstetrics and Gynecology
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What medicine is used for trichomonal vaginitis?

Trichomonal vaginitis can be treated with metronidazole or tinidazole. Metronidazole can be taken orally or used vaginally. Generally, one treatment course, which lasts 7 days, is sufficient. Tinidazole can also be taken orally for treatment. Since trichomonal vaginitis is mostly caused by sexual activity, it is necessary for the male partner to be treated simultaneously. This is because the male may also carry the trichomonas. If he is not treated, even if the female is cured, she can become reinfected during sexual activity. (Please use medication under the guidance of a doctor.)