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.

Other Voices

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Written by Li Li Jie
Obstetrics and Gynecology
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What causes trichomoniasis in women?

Women are susceptible to trichomonal vaginitis mainly due to poor sexual hygiene. Alternatively, low immunity can lead to an imbalance in the vaginal flora, thus triggering a trichomoniasis infection. Trichomonal vaginitis primarily causes itching of the vulva and the discharge resembles nasal mucus and is yellow-green in color. For this condition, anti-inflammatory medications are mainly used for internal application, supplemented with potassium permanganate solution and acetic acid solution for cleansing. During treatment, sexual activity should be prohibited to prevent intercourse, and the diet should be light, avoiding spicy and stimulating foods, and concentrating on a mild diet. (Use medications under the guidance of a doctor)

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Written by Wang Jing Hua
Obstetrics and Gynecology
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What is a good medicine for trichomonal vaginitis?

If the examination of vaginal secretions clearly indicates trichomonal vaginitis, treatment must specifically target trichomoniasis using drugs such as metronidazole, tinidazole, or ornidazole. Trichomonal vaginitis requires simultaneous treatment of both partners; treating only the woman is inadequate. It is also necessary for both partners to sterilize or sun-dry their underwear or bed sheets, as failing to do so can lead to easy recurrence. Therefore, detecting trichomonal vaginitis cannot be solely treated with medication applied inside the vagina.

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Written by Huang Shuai
Obstetrics and Gynecology
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Trichomoniasis is caused by what?

This trichomoniasis infection is generally usually caused by contact with trichomonas, and since trichomonas is a sexually transmitted disease, sexual activity can spread or transmit trichomonas. Of course, besides sexual activity, any other possible contact with trichomonas can also lead to infection, such as using unclean sanitary ware, towels, or during swimming; these can all potentially cause trichomonas infection. Thus, any activity that could possibly involve contact with trichomonas might lead to an infection.

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Written by Ma Yu Yu
Infectious Disease
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How to deal with recurrent trichomoniasis?

If you have trichomonal vaginitis, there will be an increase in vaginal discharge and itching in the vulva. If not treated thoroughly, it may recur frequently. It is recommended for trichomonal vaginitis to purchase some cleansing solution to wash the vulva and use metronidazole vaginal tablets to reduce inflammation and treat the condition, continuing for seven to ten days as one treatment course. If the symptoms are severe, it might be necessary to undergo three treatment courses, and the sexual partner should also be treated simultaneously. During the treatment period, refrain from sexual intercourse to prevent cross-infection.

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Written by Huang Shuai
Obstetrics and Gynecology
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If trichomoniasis is not treated for a year, what will happen?

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.