What is the old good method to treat trichomonal vaginitis?

Written by Wang Jing Hua
Obstetrics and Gynecology
Updated on September 04, 2024
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The type of vaginitis detected is trichomonal vaginitis, which requires simultaneous treatment for both partners. It is necessary for both partners to disinfect all their underwear by either boiling or sun exposure. Treatment involves oral administration of metronidazole, tinidazole, or ornidazole, rather than using broad-spectrum antibiotics or vaginal suppository treatments. Vaginal medications may provide relief, but often the condition will recur.

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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 Xu Xiao Ming
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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 Zhang Chun Yun
Obstetrics and Gynecology
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How long is the incubation period for trichomonal vaginitis?

In cases of trichomonas vaginitis, the incubation period for women can vary in length and differs from person to person; it cannot be generalized. The specific onset time of the vaginitis should be considered. Generally, the incubation period for trichomonas vaginitis can be as short as 4 to 5 days, or as long as over 20 days. Trichomonas vaginitis is caused by the parasite Trichomonas vaginalis and is a common form of vaginitis. Trichomonas vaginalis thrives in temperatures between 26°C to 40°C, in moist environments with a pH value of 5.2 to 6.6. It can survive for 21 days at 3 to 5°C, for 20 to 60 minutes at 40°C, approximately 10 hours in a semi-dry environment, and for 45 to 120 minutes in ordinary soap water. Therefore, the incubation period for trichomonas vaginitis varies. If you have further questions, it is advisable to consult a doctor at a hospital.

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Written by Li Shun Hua
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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.)