Trichomoniasis


What are the transmission routes of trichomonas?
Trichomonas vaginitis, primarily caused by Trichomonas vaginalis, is a common vaginal inflammation and the most common sexually transmitted disease. It is transmitted mainly through sexual intercourse but can also parasitize the male urethra and prostate. It can also be indirectly transmitted through public baths, bathtubs, bath towels, sit-down toilets, clothing, and contaminated instruments. The main characteristics are increased vaginal discharge and itching of the vulva, as well as pain in the vulva. The discharge is typically thin, purulent, or frothy, and has a foul smell. Diagnosis can be confirmed by finding these symptoms in the examination of vaginal secretions.


Can trichomonal vaginitis heal on its own without medication?
Trichomonas vaginitis is often caused by an infection with Trichomonas vaginalis and generally does not heal spontaneously without treatment. Moreover, the trichomonads causing trichomonas vaginitis can also be present in the urinary system, i.e., they can appear in the urethra. Therefore, after diagnosing trichomonas vaginitis, it is usually not recommended to use local medications, i.e., medications applied only in the vagina, but rather to use systemic medications. This is because trichomonads may be present in locations other than the vagina. If only local vaginal medications are used, it might lead to the situation where, even if the vaginal infection is cured, trichomonas vaginitis could be reinfected from the urethra, leading to a recurrence. Hence, once diagnosed with trichomonas vaginitis, it is recommended to treat it, and oral medication is advised.


Can moxibustion be effective for trichomonal vaginitis?
The main symptoms of trichomonas vaginitis are an increase in vaginal discharge, along with itching of the vulva, sometimes accompanied by a burning sensation, pain, or pain after sexual intercourse. The typical characteristics of the discharge are thin, yellow-green, yellow purulent, foamy, and accompanied by an odor. Trichomonas vaginitis requires that both partners be treated, and it needs to be done under the correct and reasonable treatment guidelines prescribed by a doctor. Systemic medication can be chosen, either intravenous or oral, and local medications can be applied as prescribed by a doctor, including the use of vaginal suppositories. As for the effectiveness of moxibustion for trichomonas vaginitis, it is advised to further consult a doctor at a hospital. If moxibustion is considered, it should be performed by a professional traditional Chinese medicine therapist under medical advice. Do not seek treatment in beauty salons or minor clinics, as moxibustion requires specialized expertise.


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)


What should I do if I get my period with trichomonal vaginitis?
If you have trichomonal vaginitis and are menstruating, you cannot use topical treatments; instead, you must continue with oral medications. Take oral metronidazole tablets, and after your period, supplement with topical metronidazole suppositories. Combining these treatments is necessary to achieve a cure. For trichomonal vaginitis, treatment must also be provided for the male partner, involving oral metronidazole tablets to prevent cross-infection. Trichomonas vaginitis is very prone to recurrence, often related to cross-infection between partners, and sometimes linked to unclean bed sheets, duvet covers, underwear, and panties. It is necessary to clean and disinfect these items thoroughly.


Can trichomonal vaginitis heal itself without treatment?
Trichomonas vaginitis is caused by an infection of Trichomonas vaginalis in the vagina. Without treatment, it is usually difficult to heal on its own. Furthermore, Trichomonas vaginalis in vaginal trichomoniasis can not only occur in the vagina but can also cause infections in the urinary system and enter into the urethra. Therefore, when diagnosing trichomonas vaginitis, it is generally advised not to use local treatment, i.e., not to administer medication solely into the vagina, but to recommend systemic treatment, generally recommending oral administration. This is because if only vaginal medication is administered, it might initially clear the trichomonas vaginalis in the vagina, but since the urinary system may still harbor Trichomonas vaginalis, it could lead to a recurrence of trichomonas vaginitis.


How is trichomonas vaginitis transmitted without sexual intercourse?
Trichomonas vaginalis is predominantly transmitted through sexual contact, although on rare occasions it can also be transmitted through close non-sexual contact, such as bed sheets and bedding. These instances are very uncommon but do happen. For treating Trichomonas vaginalis, metronidazole is the drug of choice, typically using a combination of topical metronidazole suppositories and oral metronidazole tablets. If sexually active, the male partner should also take oral metronidazole tablets to prevent cross-infection. Women with Trichomonas vaginalis should thoroughly clean sheets, bedding, underwear, and panties and ensure proper disinfection to avoid recurrent infections. (Please use medications under the guidance of a doctor)


Is trichomonal vaginitis prone to recurrence?
Trichomonas vaginitis is a common gynecological disease caused by Trichomonas vaginalis. It has a high incidence rate. Recurrence is likely if the treatment is incomplete, or if there is sexual activity during treatment, and if personal hygiene is not maintained, or if there is poor resistance. It is advised to visit the gynecology outpatient clinic at a local reputable hospital. Under the guidance of a clinical doctor, cooperate actively with the treatment. During treatment, sexual activity should be prohibited, maintain cleanliness and hygiene of the private parts, wear loose, breathable, pure cotton underwear, change frequently, and avoid eating spicy or other irritating foods.


Is trichomonal vaginitis that doesn't itch not serious?
Trichomonas vaginitis is caused by the infection of Trichomonas vaginalis in the vagina, where it normally should not be present, indicating it is an infectious disease. For most patients with trichomonas vaginitis, the symptom of itching is not very noticeable. Moreover, there is no clear correlation between the degree of itching and the severity of the disease, so the presence or intensity of itching should not be used to determine whether the condition is mild or severe. As an infectious disease, the presence of this condition indicates an infection, namely the presence of Trichomonas vaginalis. Therefore, once diagnosed, it is recommended to seek timely treatment. Delayed treatment may increase the risk of ascending infections such as pelvic inflammatory disease or urinary system infections.


Can trichomoniasis in women be completely cured?
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.