What medicine is used for trichomonal vaginitis?

Written by Li Shun Hua

Obstetrics and Gynecology

Updated on September 30, 2024

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Trichomonal vaginitis can be treated with metronidazole or tinidazole. Metronidazole can be taken orally or used vaginally. Generally, one treatment course, which lasts 7 days, is sufficient. Tinidazole can also be taken orally for treatment. Since trichomonal vaginitis is mostly caused by sexual activity, it is necessary for the male partner to be treated simultaneously. This is because the male may also carry the trichomonas. If he is not treated, even if the female is cured, she can become reinfected during sexual activity. (Please use medication under the guidance of a doctor.)

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Written by Huang Shuai

Obstetrics and Gynecology

53sec

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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.

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Written by Xu Xiao Ming

Obstetrics and Gynecology

47sec

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Can trichomonas be seen with the naked eye?

Trichomonas cannot be seen with the naked eye; to test for trichomonas, observation under a microscope is required, involving the collection of vaginal secretions. The simplest method is to mix the vaginal secretions with a 0.9% sodium chloride solution using a slide technique. After mixing the vaginal secretions with the sodium chloride solution, immediately search for trichomonas under low magnification. If trichomonas exhibiting wave-like motion and increased white blood cells being pushed are visible under the microscope, it is highly suspected that trichomonas is present. Moreover, it is advised to avoid sexual intercourse or local medication 24-48 hours before collecting the secretions.

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Written by Hou Jie

Obstetrics and Gynecology

58sec

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What does it mean when trichomonads are found occasionally?

When a woman has vaginitis, a routine vaginal discharge examination often suggests the occasional presence of trichomonas, indicating trichomoniasis vaginitis. This condition requires standard treatment as per medical advice. For women who are sexually active, it is recommended that both partners be treated simultaneously. After treatment, regular checkups are needed. If the follow-up results are negative, it indicates recovery. It is advised to properly store personal hygiene items, keep them clean, and avoid washing or storing them with children’s items to prevent transmitting the disease to children living together. Women with trichomoniasis vaginitis are advised to enhance their physical exercise to increase their resistance and help prevent the recurrence of the disease. Also, maintaining personal hygiene is necessary.

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Written by Luo Chun Yan

Obstetrics and Gynecology

1min 16sec

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What causes the symptoms of trichomonal vaginitis?

The symptoms of trichomonas vaginitis primarily manifest as an increase in vaginal discharge, itching of the vulva, and burning pain. The discharge in trichomonas vaginitis is usually abundant, sometimes frothy, and can be thin or pus-like, irritating the vulva and vaginal skin, causing mucosal congestion and edema, thus leading to pain. In severe cases, it can cause swelling of the vulva and the urethral opening, as well as symptoms like frequent urination, urgent urination, and painful urination. Trichomonas vaginitis is mostly transmitted directly through sexual intercourse, but it can also be contracted by using public baths, squat toilets, or clothing containing the parasite, although direct transmission through sexual activity is the primary route. Treating trichomonas vaginitis requires oral medication and systemic treatment, and sexual partners must be treated simultaneously. This is because most infected males may not show obvious symptoms, but if left untreated, they can easily cause recurrence and become a significant source of infection.

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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.