What happens if trichomonal vaginitis becomes severe?

Written by Li Li Jie

Obstetrics and Gynecology

Updated on February 02, 2025

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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.

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Written by Zhang Xiu Rong

Obstetrics and Gynecology

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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 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 Li Li Jie

Obstetrics and Gynecology

1min 1sec

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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.

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Written by Su Wen

Obstetrics and Gynecology

58sec

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How to completely cure trichomonal vaginitis?

During the treatment of trichomonas vaginitis, it is necessary to maintain the cleanliness of the vulva to prevent secondary bacterial infections. Clean the vulva daily, change underwear frequently, and avoid eating spicy foods and drinking alcohol during the acute phase. Sexual activities should be prohibited during the treatment period. After the treatment, it is important to promptly check for trichomonas negativity. Treatment should continue for one more course after the next menstrual period is clean, and vaginal discharge should be re-examined after each menstrual period; only after three negative results can it be considered cured. Additionally, attention should be paid to avoiding reinfection during treatment. Underwear and towels used for washing should be boiled for five to ten minutes to eliminate pathogens, which is crucial for the radical cure of trichomonas vaginitis.

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Written by Su Wen

Obstetrics and Gynecology

54sec

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Do you need an infusion for trichomonal vaginitis?

Patients with trichomonal vaginitis generally do not require intravenous infusion treatment. Treatment usually involves oral administration of metronidazole or tinidazole, or local treatment with metronidazole effervescent tablets or metronidazole suppositories placed in the vagina. Generally, intravenous infusion is not necessary. For patients with trichomonal vaginitis, it is advised to pay more attention to hygiene, hang underwear in the sun more often for drying, wash them frequently, avoid sexual intercourse during treatment, and maintain local hygiene by washing the external genitalia with a cleansing solution daily. (Please use medications under the guidance of a professional physician and do not self-medicate.)