Can trichomonas vaginitis be detected by routine leukorrhea tests?

Written by Zhang Hui
Obstetrics and Gynecology
Updated on January 01, 2025
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The main symptoms of trichomonal vaginitis are increased vaginal discharge and vulvar itching. The discharge is generally a grayish-yellow, frothy, thin liquid with a foul odor. Women with trichomonal vaginitis can detect the infection through a routine vaginal discharge test. It is recommended to visit the gynecology department of a local formal hospital and follow the active treatment under the guidance of a clinical doctor. During the treatment period, sexual intercourse should be avoided, vulvar hygiene should be maintained, and loose, breathable underwear should be worn and changed frequently. The diet should be light, avoiding raw, cold, spicy, and other irritating foods.

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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 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.

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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 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 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.