Can trichomonal vaginitis be cured without recurrence?

Written by Huang Shuai
Obstetrics and Gynecology
Updated on March 13, 2025
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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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Trichomonas vaginitis combined with cervical erosion is caused by what?

Trichomonas vaginalis infection usually causes trichomonas vaginitis, while cervical erosion in most cases is a physiological condition, primarily due to the excessive growth of columnar epithelial cells on the cervix under the action of estrogen, replacing some of the squamous epithelial cells, thus presenting an eroded state of the cervix. Of course, this physiological condition sometimes cannot be easily distinguished visually from pathological changes, such as precancerous lesions of the cervix or cervical cancer. Therefore, when cervical erosion occurs, it is emphasized that cervical cancer screening must be performed, including tests like TCT (ThinPrep Cytology Test) and HPV (Human Papillomavirus) screening.

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How long does it generally take to treat a trichomoniasis infection?

Trichomoniasis infection generally improves within a week. Trichomoniasis requires symptomatic medication, and typically, is almost completely resolved after a week. Clinically, trichomonal vaginitis usually presents as abnormal discharge. Normally, vaginal discharge in women is clear, transparent, odorless, and minimal. Patients with trichomoniasis will have watery discharge with a fishy odor and itching, especially worsening at night. At this time, topical medications for symptomatic treatment can be used as well as oral medications. Thus, trichomoniasis is a common condition among women, and the treatment is generally effective, with symptomatic treatment usually resulting in improvement within a week.

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Written by Luo Chun Yan
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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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Obstetrics and Gynecology
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Can trichomonas vaginitis be detected by routine leukorrhea tests?

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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What is the old good method to treat trichomonal vaginitis?

The type of vaginitis detected is trichomonal vaginitis, which requires simultaneous treatment for both partners. It is necessary for both partners to disinfect all their underwear by either boiling or sun exposure. Treatment involves oral administration of metronidazole, tinidazole, or ornidazole, rather than using broad-spectrum antibiotics or vaginal suppository treatments. Vaginal medications may provide relief, but often the condition will recur.