What are the symptoms of trichomoniasis?

Written by Su Wen
Obstetrics and Gynecology
Updated on September 21, 2024
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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 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.)

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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 Zhang Chun Yun
Obstetrics and Gynecology
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How long is the incubation period for trichomonal vaginitis?

In cases of trichomonas vaginitis, the incubation period for women can vary in length and differs from person to person; it cannot be generalized. The specific onset time of the vaginitis should be considered. Generally, the incubation period for trichomonas vaginitis can be as short as 4 to 5 days, or as long as over 20 days. Trichomonas vaginitis is caused by the parasite Trichomonas vaginalis and is a common form of vaginitis. Trichomonas vaginalis thrives in temperatures between 26°C to 40°C, in moist environments with a pH value of 5.2 to 6.6. It can survive for 21 days at 3 to 5°C, for 20 to 60 minutes at 40°C, approximately 10 hours in a semi-dry environment, and for 45 to 120 minutes in ordinary soap water. Therefore, the incubation period for trichomonas vaginitis varies. If you have further questions, it is advisable to consult a doctor at a hospital.

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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 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.