If trichomoniasis is not treated for a year, what will happen?

Written by Huang Shuai
Obstetrics and Gynecology
Updated on March 21, 2025
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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 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 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 Li Shun Hua
Obstetrics and Gynecology
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How can trichomoniasis be cured without recurring?

For women, contracting trichomonas means getting trichomoniasis vaginitis. The main transmission route of trichomoniasis vaginitis is through sexual intercourse. If there is a history of unprotected sexual activity, it is possible to contract this type of vaginitis. Additionally, going to public baths for showers can also increase the risk of contracting this type of vaginitis. Therefore, if trichomoniasis vaginitis is not completely treated or if personal hygiene is poor, it is very likely to recur. During the first treatment, it is essential to follow the complete course of treatment, using Metronidazole or Tinidazole for seven days. After stopping the medication, a follow-up examination should be conducted after another seven days. If the results are negative in two consecutive follow-up checks, then it is considered cured. However, it is necessary for both male and female partners to undergo treatment simultaneously. If the male partner does not undergo treatment, the infection is likely to recur in the female partner. (Medication should be used under the guidance of a doctor.)

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Written by Zhang Chun Yun
Obstetrics and Gynecology
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Trichomonal vaginitis recurs at what stage?

Trichomonal vaginitis tends to recur after menstruation. During menstruation, the body's resistance is lowered, and the cervix is in an open state, making it easy for pathogens to invade and cause a recurrence of trichomonal vaginitis. The characteristic manifestation of trichomonal vaginitis is the discharge of thin, purulent, yellow-green, foamy secretions with a foul odor. The main clinical symptoms include an increase in vaginal discharge, itching or burning pain in the vulva, pain during sexual intercourse, etc. Generally, once trichomonal vaginitis is diagnosed, it can be treated under a doctor's supervision. However, it is important to note that trichomonal vaginitis is mainly transmitted through sexual contact. Sexual partners should be treated simultaneously, and sexual intercourse should be avoided during treatment to greatly increase the likelihood of cure and reduce the possibility of recurrence. Please follow the doctor’s advice and accurate diagnosis for specific treatment. If you have further questions, please consult a doctor at a hospital.

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Written by Li Li Jie
Obstetrics and Gynecology
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What happens if trichomonal vaginitis becomes severe?

If trichomonal vaginitis is severe, it may lead to ascending inflammation, resulting in cystitis and pyelonephritis. Therefore, trichomonal vaginitis is considered quite serious. When trichomonal vaginitis occurs, it is important to actively treat the symptoms. If it is untreated or not properly treated, it can become chronic trichomonal vaginitis. At this stage, there will be an increase in vaginal discharge, which appears grayish-white and has an odor, along with urinary tract infections. During an infection, symptoms such as frequent urination, urgency, and painful urination may occur. Patients with trichomonal vaginitis may also experience reddening and itching of the external genitalia, with scratch marks, and even ulcers. Therefore, it is crucial to actively treat trichomonal vaginitis if it is detected.