How can trichomoniasis be cured without recurring?

Written by Li Shun Hua
Obstetrics and Gynecology
Updated on September 21, 2024
00:00
00:00

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.)

Other Voices

doctor image
home-news-image
Written by Li Shun Hua
Obstetrics and Gynecology
50sec home-news-image

Can trichomoniasis be completely cured?

Trichomonas vaginitis can be completely cured, but it is mostly transmitted through sexual activity. Therefore, both partners must be treated simultaneously during treatment. Oral metronidazole or tinidazole can be taken, and metronidazole can also be placed inside the vagina. Generally, a 7-day course of treatment is sufficient for cure. One week after stopping the medication, a follow-up examination should be conducted, and this should be repeated twice. Only if both results are negative can the cure be considered complete. Males also need to take the medication for at least 7 days, because if a woman is treated and then resumes sexual activity, the male can re-infect the female. (Please use the medication under the guidance of a doctor.)

doctor image
home-news-image
Written by Li Shun Hua
Obstetrics and Gynecology
56sec home-news-image

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.

doctor image
home-news-image
Written by Huang Shuai
Obstetrics and Gynecology
57sec home-news-image

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.

doctor image
home-news-image
Written by Su Wen
Obstetrics and Gynecology
52sec home-news-image

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.

doctor image
home-news-image
Written by Zhang Lu
Obstetrics
52sec home-news-image

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.