How to treat the symptoms of trichomoniasis vaginitis?

Written by Yan Qiao
Obstetrics and Gynecology
Updated on September 17, 2024
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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 Huang Shuai
Obstetrics and Gynecology
48sec home-news-image

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.

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Written by Xu Xiao Ming
Obstetrics and Gynecology
46sec home-news-image

Can trichomonas be seen?

If there is an infection of Trichomonas vaginalis, it can be visible under specific conditions through the use of a test strip method which involves adding potassium hydroxide and requires examination under a microscope, as it is generally invisible to the naked eye. It is recommended that patients diagnosed with Trichomonas vaginalis infection through vaginal discharge testing undergo treatment, including treatment for both partners. The medication generally chosen is metronidazole, which can be taken all at once or in divided doses orally to treat the infection. The standard for curing this infection is to re-examine the vaginal discharge after three menstrual cycles; if the trichomonads are negative, then it is considered cured.

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

Trichomonas vaginitis can be completely cured, but it is mostly transmitted through sexual activity. Therefore, both partners must be treated simultaneously during treatment. Oral metronidazole or tinidazole can be taken, and metronidazole can also be placed inside the vagina. Generally, a 7-day course of treatment is sufficient for cure. One week after stopping the medication, a follow-up examination should be conducted, and this should be repeated twice. Only if both results are negative can the cure be considered complete. Males also need to take the medication for at least 7 days, because if a woman is treated and then resumes sexual activity, the male can re-infect the female. (Please use the medication under the guidance of a doctor.)

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Written by Huang Shuai
Obstetrics and Gynecology
1min 3sec home-news-image

Can trichomonal vaginitis be cured without recurrence?

Currently, the vast majority of cases of trichomonas vaginitis can be cured. However, before treating trichomonas vaginitis, the first step is to accurately diagnose whether the trichomonas is truly present. In addition, it's important to pay attention during treatment because trichomonas vaginitis is caused by an infection from Trichomonas vaginalis, which can occur not only in the female reproductive system but also in the urinary system. Therefore, when vaginitis is present, it is possible that the trichomonas has also infected the urethra. Thus, in the treatment of trichomonas vaginitis, it is generally not recommended to use only local medications, that is, applying medicine only to the vaginal area. Instead, oral medication is suggested. This is because if only the vagina is treated and the urinary tract is also infected, it could likely lead to frequent recurrences. Hence, oral administration of medication is usually recommended.

doctor image
home-news-image
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.