Can trichomonas be seen with the naked eye?

Written by Xu Xiao Ming
Obstetrics and Gynecology
Updated on September 13, 2024
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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 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 Luo Chun Yan
Obstetrics and Gynecology
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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 Yan Qiao
Obstetrics and Gynecology
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How to treat the symptoms of trichomoniasis vaginitis?

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 Li Shun Hua
Obstetrics and Gynecology
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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.

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Written by Gan Hai Ying
Obstetrics and Gynecology
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What are the symptoms of trichomonas vaginitis?

The symptoms of trichomoniasis vaginitis include: First, there can be a significant increase in vaginal discharge, which is mostly thin, purulent, and yellow-green in color, frothy, and has a distinct foul odor. Second, it can manifest as itching or a clear burning sensation and pain in the vulva, and even significant pain during sexual intercourse. Third, upon gynecological examination, the vaginal mucosa can be found to be visibly congested, and scattered bleeding points may even be observed, as well as bleeding spots on the cervix, which is what is commonly referred to as a strawberry-like cervix. A routine examination of vaginal discharge that reveals trichomonas can diagnose trichomoniasis vaginitis. Since trichomoniasis vaginitis can be sexually transmitted, it is necessary to treat the sexual partner with antitrichomonal medication simultaneously.