How to treat symptoms of trichomonal vaginitis

Written by Wang Jing Hua
Obstetrics and Gynecology
Updated on September 25, 2024
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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 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 Huang Shuai
Obstetrics and Gynecology
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Trichomoniasis is caused by what?

This trichomoniasis infection is generally usually caused by contact with trichomonas, and since trichomonas is a sexually transmitted disease, sexual activity can spread or transmit trichomonas. Of course, besides sexual activity, any other possible contact with trichomonas can also lead to infection, such as using unclean sanitary ware, towels, or during swimming; these can all potentially cause trichomonas infection. Thus, any activity that could possibly involve contact with trichomonas might lead to an 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 Huang Shuai
Obstetrics and Gynecology
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Can trichomonal vaginitis be cured without recurrence?

Currently, the vast majority of cases of trichomonas vaginitis can be cured. However, before treating trichomonas vaginitis, the first step is to accurately diagnose whether the trichomonas is truly present. In addition, it's important to pay attention during treatment because trichomonas vaginitis is caused by an infection from Trichomonas vaginalis, which can occur not only in the female reproductive system but also in the urinary system. Therefore, when vaginitis is present, it is possible that the trichomonas has also infected the urethra. Thus, in the treatment of trichomonas vaginitis, it is generally not recommended to use only local medications, that is, applying medicine only to the vaginal area. Instead, oral medication is suggested. This is because if only the vagina is treated and the urinary tract is also infected, it could likely lead to frequent recurrences. Hence, oral administration of medication is usually recommended.

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Written by Zhang Hui
Obstetrics and Gynecology
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Does the absence of symptoms in trichomonal vaginitis mean it is cured?

Trichomonas vaginitis is a relatively common gynecological disease, caused by Trichomonas vaginalis, with a high incidence rate. After treatment, if a woman no longer experiences symptoms, it might mean she is cured, but it is best to visit a reputable local hospital to recheck the vaginal discharge routine to confirm whether the disease has indeed been cured. It is advised to maintain personal hygiene in daily life, frequently change underwear, avoid unhygienic sexual activity, engage in regular physical exercise, and enhance one's immunity.