What medicine is used for trichomonal vaginitis?

Written by Li Shun Hua
Obstetrics and Gynecology
Updated on September 30, 2024
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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.)

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Written by Li Shun Hua
Obstetrics and Gynecology
1min 15sec home-news-image

How can trichomoniasis be cured without recurring?

For women, contracting trichomonas means getting trichomoniasis vaginitis. The main transmission route of trichomoniasis vaginitis is through sexual intercourse. If there is a history of unprotected sexual activity, it is possible to contract this type of vaginitis. Additionally, going to public baths for showers can also increase the risk of contracting this type of vaginitis. Therefore, if trichomoniasis vaginitis is not completely treated or if personal hygiene is poor, it is very likely to recur. During the first treatment, it is essential to follow the complete course of treatment, using Metronidazole or Tinidazole for seven days. After stopping the medication, a follow-up examination should be conducted after another seven days. If the results are negative in two consecutive follow-up checks, then it is considered cured. However, it is necessary for both male and female partners to undergo treatment simultaneously. If the male partner does not undergo treatment, the infection is likely to recur in the female partner. (Medication should be used under the guidance of a doctor.)

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Written by Ma Yu Yu
Infectious Disease
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How to deal with recurrent trichomoniasis?

If you have trichomonal vaginitis, there will be an increase in vaginal discharge and itching in the vulva. If not treated thoroughly, it may recur frequently. It is recommended for trichomonal vaginitis to purchase some cleansing solution to wash the vulva and use metronidazole vaginal tablets to reduce inflammation and treat the condition, continuing for seven to ten days as one treatment course. If the symptoms are severe, it might be necessary to undergo three treatment courses, and the sexual partner should also be treated simultaneously. During the treatment period, refrain from sexual intercourse to prevent cross-infection.

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Written by Su Wen
Obstetrics and Gynecology
58sec home-news-image

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.

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Written by Su Wen
Obstetrics and Gynecology
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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.)

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Written by Wang Jing Hua
Obstetrics and Gynecology
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How to treat symptoms of trichomonal vaginitis

Trichomonas vaginitis should not be diagnosed solely based on symptoms. Even if there are symptoms like frothy white discharge, a lab test is necessary for confirmation before treatment can proceed. Trichomonas vaginitis requires both partners to take oral medication simultaneously. Medications such as metronidazole, tinidazole, or ornidazole, which target trichomonas, are necessary. It is essential to take these medications orally; treatment cannot rely only on vaginal applications. Both partners must also sanitize all underwear either by ironing or sun exposure to prevent recurrence. (Medication should be taken under the guidance of a professional doctor.)