What is the old good method to treat trichomonal vaginitis?

Written by Wang Jing Hua

Obstetrics and Gynecology

Updated on September 04, 2024

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The type of vaginitis detected is trichomonal vaginitis, which requires simultaneous treatment for both partners. It is necessary for both partners to disinfect all their underwear by either boiling or sun exposure. Treatment involves oral administration of metronidazole, tinidazole, or ornidazole, rather than using broad-spectrum antibiotics or vaginal suppository treatments. Vaginal medications may provide relief, but often the condition will recur.

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Written by Zhang Lu

Obstetrics

52sec

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Can trichomonas get pregnant?

If a woman undergoing a vaginal secretion test is found to have trichomonas, she should be diagnosed with trichomoniasis. It is not recommended for women with trichomoniasis to become pregnant; they should first treat the trichomoniasis before attempting conception. If pregnancy occurs while trichomoniasis is present, the inflammation might spread through the cervix into the uterine cavity, affecting the implantation and later development of the gestational sac. Even if the gestational sac develops in the early stages, there might be complications such as intrauterine infection or premature rupture of membranes later on. Therefore, once diagnosed with trichomoniasis, treatment with medications should be initiated, typically healing within a week. After experiencing another menstrual cycle, it is then completely safe to try to conceive.

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Written by Luo Chun Yan

Obstetrics and Gynecology

1min 16sec

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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

52sec

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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.

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Written by Xu Xiao Ming

Obstetrics and Gynecology

47sec

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Can trichomonas be seen with the naked eye?

Trichomonas cannot be seen with the naked eye; to test for trichomonas, observation under a microscope is required, involving the collection of vaginal secretions. The simplest method is to mix the vaginal secretions with a 0.9% sodium chloride solution using a slide technique. After mixing the vaginal secretions with the sodium chloride solution, immediately search for trichomonas under low magnification. If trichomonas exhibiting wave-like motion and increased white blood cells being pushed are visible under the microscope, it is highly suspected that trichomonas is present. Moreover, it is advised to avoid sexual intercourse or local medication 24-48 hours before collecting the secretions.

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Written by Li Shun Hua

Obstetrics and Gynecology

56sec

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Which is more serious, trichomoniasis or fungus?

The symptoms of trichomonal vaginitis and candidal vaginitis are different. In cases of candidal vaginitis, there is severe itching of the vulva, which can lead to congestion and edema of the vulva, difficulty sleeping at night, restlessness, and sometimes a burning pain of the vulva. In trichomonal vaginitis, although there is itching of the vulva, it is not very severe; the main symptom is a yellow, purulent vaginal discharge with a foul odor. Candidal vaginitis may occur due to local moist conditions of the vulva, long-term use of antibiotics, or in patients with diabetes, thus treatment involves addressing the underlying condition as well as the local infection. Most cases of trichomonal vaginitis are transmitted through sexual activity, so it is necessary for both partners to be treated simultaneously.