Is vulvar itching caused by yeast or trichomonas?

Written by Huang Shuai
Obstetrics and Gynecology
Updated on November 07, 2024
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Judging whether it is yeast or trichomoniasis based solely on vulvular itching is very difficult. Whether it is yeast, trichomoniasis, or even bacterial vaginitis, all can cause vulvar itching. In addition, simple vulvitis can also lead to symptoms of vulvar itching. Of course, the itching symptoms caused by yeast vaginitis among these diseases are usually the most severe. However, there are also some symptoms that are not especially severe. Thus, it is very difficult to distinguish the specific disease based solely on the symptom of vulvar itching. When this situation arises, it is advisable to visit a hospital for an examination, including an examination of the secretions, which may be able to definitively determine whether the cause is yeast, trichomoniasis, bacteria, or simply vulvitis, or even possibly some pathological changes in the vulvar skin.

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Written by Li Shun Hua
Obstetrics and Gynecology
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Can trichomoniasis be cured?

Trichomonas infection in women results in trichomonal vaginitis, which is treatable and curable. The primary treatment for trichomonal vaginitis involves oral intake of metronidazole or tinidazole, and metronidazole can also be placed inside the vagina. However, during treatment, both male and female partners must undergo treatment simultaneously, as this disease is mostly transmitted through sexual intercourse. Therefore, if a woman has trichomonas, it is very likely that the male partner also has it. If the male does not receive treatment, he may re-infect the female during subsequent sexual activities. Thus, thorough treatment can only be achieved after both partners are treated. (Specific medications should be taken under the guidance of a physician.)

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Written by Li Shun Hua
Obstetrics and Gynecology
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Which is more serious, trichomoniasis or fungus?

The symptoms of trichomonal vaginitis and candidal vaginitis are different. In cases of candidal vaginitis, there is severe itching of the vulva, which can lead to congestion and edema of the vulva, difficulty sleeping at night, restlessness, and sometimes a burning pain of the vulva. In trichomonal vaginitis, although there is itching of the vulva, it is not very severe; the main symptom is a yellow, purulent vaginal discharge with a foul odor. Candidal vaginitis may occur due to local moist conditions of the vulva, long-term use of antibiotics, or in patients with diabetes, thus treatment involves addressing the underlying condition as well as the local infection. Most cases of trichomonal vaginitis are transmitted through sexual activity, so it is necessary for both partners to be treated simultaneously.

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Written by Su Wen
Obstetrics and Gynecology
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What are the symptoms of trichomoniasis?

Trichomonal vaginitis is generally caused by Trichomonas vaginalis. Typical symptoms include an increase in vaginal discharge, which is usually thin, serous, grayish-yellow, yellow-green, or frothy. There may also be itching, burning of the vulva, and pain during intercourse. Sometimes, it can affect the urethra, leading to symptoms like painful urination and urinary urgency. Generally, a routine vaginal discharge test is needed to clarify the bacterial analysis. It is advised that patients pay more attention to local hygiene, wash the vulva more often, and try to keep the vulval area dry and clean.

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Written by Yan Qiao
Obstetrics and Gynecology
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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 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.)