What is a good medicine for trichomonal vaginitis?

Written by Wang Jing Hua
Obstetrics and Gynecology
Updated on March 17, 2025
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If the examination of vaginal secretions clearly indicates trichomonal vaginitis, treatment must specifically target trichomoniasis using drugs such as metronidazole, tinidazole, or ornidazole. Trichomonal vaginitis requires simultaneous treatment of both partners; treating only the woman is inadequate. It is also necessary for both partners to sterilize or sun-dry their underwear or bed sheets, as failing to do so can lead to easy recurrence. Therefore, detecting trichomonal vaginitis cannot be solely treated with medication applied inside the vagina.

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Written by Su Wen
Obstetrics and Gynecology
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Can trichomoniasis detect AIDS?

Trichomoniasis is caused by the vaginal parasite Trichomonas vaginalis and is primarily transmitted through sexual contact, though it can also spread indirectly. The main symptoms include abnormal vaginal discharge and itching of the vulva. The discharge may be thin and purulent or frothy and malodorous. On the other hand, HIV requires blood tests to detect HIV antibodies to determine if one has the disease. The examination processes for these two are distinct. Therefore, it is not possible to determine HIV status from a trichomoniasis test; trichomoniasis is diagnosed through vaginal discharge, whereas HIV is diagnosed through blood tests.

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Written by Huang Shuai
Obstetrics and Gynecology
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If trichomoniasis is not treated for a year, what will happen?

Trichomonas vaginitis is generally recommended for timely treatment after diagnosis, because it is caused by an infection of Trichomonas in the vagina. When Trichomonas infects the vagina, it can lead to fainting. The urethra may also be in an inflamed state, and under such conditions, the vaginal or urethral mucosa may be in a prolonged state of inflammatory edema. In such a state, the overall condition may be poor and continuing in this swollen state downstairs exacerbates the risk of infection by other pathogens. Moreover, a long-term Trichomonas vaginal infection can potentially lead to routine pelvic infections, thereby increasing the likelihood of developing pelvic inflammatory disease.

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Written by Xu Xiao Ming
Obstetrics and Gynecology
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Can trichomonas be seen with the naked eye?

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 Wang Jing Hua
Obstetrics and Gynecology
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What is a good medicine for trichomonal vaginitis?

If the examination of vaginal secretions clearly indicates trichomonal vaginitis, treatment must specifically target trichomoniasis using drugs such as metronidazole, tinidazole, or ornidazole. Trichomonal vaginitis requires simultaneous treatment of both partners; treating only the woman is inadequate. It is also necessary for both partners to sterilize or sun-dry their underwear or bed sheets, as failing to do so can lead to easy recurrence. Therefore, detecting trichomonal vaginitis cannot be solely treated with medication applied inside the vagina.

doctor image
home-news-image
Written by Huang Shuai
Obstetrics and Gynecology
36sec home-news-image

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.