How to treat the symptoms of trichomoniasis vaginitis?

Written by Yan Qiao
Obstetrics and Gynecology
Updated on September 17, 2024
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Trichomonas vaginitis is one of the common types of vaginitis in women and is classified as a sexually transmitted disease. It can cause symptoms of urinary tract infection by invading the urinary tract, such as frequent urination, urgent urination, painful urination, and even bloody urine. The main treatment involves the use of systemic medications, currently primarily nitroimidazole drugs, including metronidazole and tinidazole. The main treatment regimens include taking two pills of metronidazole as a single dose, two pills of tinidazole as a single dose, or 400 mg of metronidazole twice daily for seven consecutive days. Sexual partners need to be treated simultaneously, and unprotected sexual intercourse should be avoided during the treatment period. Within three months of treatment, patients should be re-examined, generally after the menstrual period is over. If three consecutive re-examinations are negative, it can be declared cured.

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Written by Luo Chun Yan
Obstetrics and Gynecology
1min 16sec home-news-image

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 Li Li Jie
Obstetrics and Gynecology
1min 1sec home-news-image

What happens if trichomonal vaginitis becomes severe?

If trichomonal vaginitis is severe, it may lead to ascending inflammation, resulting in cystitis and pyelonephritis. Therefore, trichomonal vaginitis is considered quite serious. When trichomonal vaginitis occurs, it is important to actively treat the symptoms. If it is untreated or not properly treated, it can become chronic trichomonal vaginitis. At this stage, there will be an increase in vaginal discharge, which appears grayish-white and has an odor, along with urinary tract infections. During an infection, symptoms such as frequent urination, urgency, and painful urination may occur. Patients with trichomonal vaginitis may also experience reddening and itching of the external genitalia, with scratch marks, and even ulcers. Therefore, it is crucial to actively treat trichomonal vaginitis if it is detected.

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Written by Zhang Hui
Obstetrics and Gynecology
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Does trichomonal vaginitis affect the fetus if pregnant?

Women with trichomonal vaginitis who become pregnant should seek timely treatment under the guidance of a doctor. Mild inflammation generally does not adversely affect the fetus. However, if the inflammation is severe, it can ascend and enter the uterine cavity, potentially leading to conditions such as preterm birth or premature rupture of membranes. Therefore, to avoid any complications, pregnant women with trichomonal vaginitis should cooperate with their doctors for prompt and active treatment. It is recommended that pregnant women pay attention to rest during pregnancy, avoid stress and excessive fatigue, and maintain a relaxed mood.

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Written by Zhang Chun Yun
Obstetrics and Gynecology
1min 16sec home-news-image

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 Zhang Chun Yun
Obstetrics and Gynecology
1min 37sec home-news-image

Is trichomonas vaginitis degree III serious?

Trichomoniasis vaginitis is caused by Trichomonas vaginalis. The main symptoms include increased vaginal discharge and vulvar itching, and may also involve burning, pain, and painful intercourse. The characteristic symptom of the vaginal discharge is thin, purulent, yellow-green, and foamy with a foul odor. Trichomoniasis vaginitis is primarily transmitted through sexual intercourse, though occasionally it can be transmitted via public baths, bathtubs, towels, swimming pools, toilets, contaminated clothing, and appliances used on the face, etc. Generally, males do not exhibit symptoms. Regardless of the severity, it is advisable to go to the hospital for active, systematic, and correct treatment for trichomoniasis vaginitis. Under a doctor's advice, some antitrichomonal medications can be used. Treatments may include oral administration, intravenous infusion, or local medication, as well as vulvar itching treatments or vulvar cleansing, etc. It is important to note that the sexual partner must be treated simultaneously to prevent cross-infection. Moreover, to avoid reinfection, the underwear of both the female and her sexual partner, as well as their bathing towels, should be boiled for more than ten minutes to eradicate the pathogens. For detailed information, it is best to adhere to the doctor's instructions and proper diagnosis.