Can trichomoniasis in women be completely cured?

Written by Huang Shuai
Obstetrics and Gynecology
Updated on March 22, 2025
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Trichomonas vaginitis can be completely cured. It is caused by an infection of Trichomonas vaginalis in the vagina. After infection, Trichomonas does not only stay in the reproductive system but often enters the urinary system as well. Therefore, after diagnosing trichomonas vaginitis, it is generally recommended to use systemic treatment rather than just local vaginal treatment. This is because using only local treatment might clear the trichomonas from the vagina, but since it can still be present in the urinary system, trichomonas vaginitis can easily recur. Thus, we suggest using systemic medication for trichomonas vaginitis. As long as an adequate amount of oral systemic medication is used, it can generally be cured.

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Written by Yan Qiao
Obstetrics and Gynecology
1min 10sec home-news-image

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 Zhang Lu
Obstetrics
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Can trichomonas get pregnant?

If a woman undergoing a vaginal secretion test is found to have trichomonas, she should be diagnosed with trichomoniasis. It is not recommended for women with trichomoniasis to become pregnant; they should first treat the trichomoniasis before attempting conception. If pregnancy occurs while trichomoniasis is present, the inflammation might spread through the cervix into the uterine cavity, affecting the implantation and later development of the gestational sac. Even if the gestational sac develops in the early stages, there might be complications such as intrauterine infection or premature rupture of membranes later on. Therefore, once diagnosed with trichomoniasis, treatment with medications should be initiated, typically healing within a week. After experiencing another menstrual cycle, it is then completely safe to try to conceive.

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Written by Zhang Chun Yun
Obstetrics and Gynecology
1min 37sec home-news-image

Is trichomonas vaginitis degree III serious?

Trichomoniasis vaginitis is caused by Trichomonas vaginalis. The main symptoms include increased vaginal discharge and vulvar itching, and may also involve burning, pain, and painful intercourse. The characteristic symptom of the vaginal discharge is thin, purulent, yellow-green, and foamy with a foul odor. Trichomoniasis vaginitis is primarily transmitted through sexual intercourse, though occasionally it can be transmitted via public baths, bathtubs, towels, swimming pools, toilets, contaminated clothing, and appliances used on the face, etc. Generally, males do not exhibit symptoms. Regardless of the severity, it is advisable to go to the hospital for active, systematic, and correct treatment for trichomoniasis vaginitis. Under a doctor's advice, some antitrichomonal medications can be used. Treatments may include oral administration, intravenous infusion, or local medication, as well as vulvar itching treatments or vulvar cleansing, etc. It is important to note that the sexual partner must be treated simultaneously to prevent cross-infection. Moreover, to avoid reinfection, the underwear of both the female and her sexual partner, as well as their bathing towels, should be boiled for more than ten minutes to eradicate the pathogens. For detailed information, it is best to adhere to the doctor's instructions and proper diagnosis.

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Written by Zhang Hui
Obstetrics and Gynecology
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Does trichomonal vaginitis affect the fetus if pregnant?

Women with trichomonal vaginitis who become pregnant should seek timely treatment under the guidance of a doctor. Mild inflammation generally does not adversely affect the fetus. However, if the inflammation is severe, it can ascend and enter the uterine cavity, potentially leading to conditions such as preterm birth or premature rupture of membranes. Therefore, to avoid any complications, pregnant women with trichomonal vaginitis should cooperate with their doctors for prompt and active treatment. It is recommended that pregnant women pay attention to rest during pregnancy, avoid stress and excessive fatigue, and maintain a relaxed mood.

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Written by Huang Shuai
Obstetrics and Gynecology
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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.