How long does it generally take to treat a trichomoniasis infection?

Written by Zhang Xiu Rong
Obstetrics and Gynecology
Updated on September 15, 2024
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Trichomoniasis infection generally improves within a week. Trichomoniasis requires symptomatic medication, and typically, is almost completely resolved after a week. Clinically, trichomonal vaginitis usually presents as abnormal discharge. Normally, vaginal discharge in women is clear, transparent, odorless, and minimal. Patients with trichomoniasis will have watery discharge with a fishy odor and itching, especially worsening at night. At this time, topical medications for symptomatic treatment can be used as well as oral medications. Thus, trichomoniasis is a common condition among women, and the treatment is generally effective, with symptomatic treatment usually resulting in improvement within a week.

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Written by Su Wen
Obstetrics and Gynecology
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What are the symptoms of trichomoniasis?

Trichomonal vaginitis is generally caused by Trichomonas vaginalis. Typical symptoms include an increase in vaginal discharge, which is usually thin, serous, grayish-yellow, yellow-green, or frothy. There may also be itching, burning of the vulva, and pain during intercourse. Sometimes, it can affect the urethra, leading to symptoms like painful urination and urinary urgency. Generally, a routine vaginal discharge test is needed to clarify the bacterial analysis. It is advised that patients pay more attention to local hygiene, wash the vulva more often, and try to keep the vulval area dry and clean.

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Written by Zhang Lu
Obstetrics
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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 Zhao Xiao Dong
Obstetrics and Gynecology
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What should I do if I get my period with trichomonal vaginitis?

If you have trichomonal vaginitis and are menstruating, you cannot use topical treatments; instead, you must continue with oral medications. Take oral metronidazole tablets, and after your period, supplement with topical metronidazole suppositories. Combining these treatments is necessary to achieve a cure. For trichomonal vaginitis, treatment must also be provided for the male partner, involving oral metronidazole tablets to prevent cross-infection. Trichomonas vaginitis is very prone to recurrence, often related to cross-infection between partners, and sometimes linked to unclean bed sheets, duvet covers, underwear, and panties. It is necessary to clean and disinfect these items thoroughly.

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Written by Huang Shuai
Obstetrics and Gynecology
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Can trichomonal vaginitis heal itself without treatment?

Trichomonas vaginitis is caused by an infection of Trichomonas vaginalis in the vagina. Without treatment, it is usually difficult to heal on its own. Furthermore, Trichomonas vaginalis in vaginal trichomoniasis can not only occur in the vagina but can also cause infections in the urinary system and enter into the urethra. Therefore, when diagnosing trichomonas vaginitis, it is generally advised not to use local treatment, i.e., not to administer medication solely into the vagina, but to recommend systemic treatment, generally recommending oral administration. This is because if only vaginal medication is administered, it might initially clear the trichomonas vaginalis in the vagina, but since the urinary system may still harbor Trichomonas vaginalis, it could lead to a recurrence of trichomonas vaginitis.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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What should I do about trichomonal gynecological inflammation?

Trichomonal vaginitis typically presents clinically with watery, foul-smelling, and frothy vaginal discharge, generally accompanied by itching that worsens at night. At this time, it is advisable to visit a hospital to get a secretion test to confirm the diagnosis. If it is a trichomonas infection, treatment can be administered according to the symptoms of trichomonal vaginitis. Normally, female vaginal discharge is clear, transparent, odorless, and in small amounts, which is considered normal. If a trichomonas infection occurs, symptomatic treatment usually leads to improvement within a week. Therefore, patients with trichomonal vaginitis must go to the hospital for a secretion test and then choose the appropriate medication based on the test results for symptomatic treatment. It is also crucial to maintain hygiene of the external genitalia to prevent infection, and inflamed conditions should be treated promptly.