How to treat symptoms of trichomonal vaginitis

Written by Wang Jing Hua
Obstetrics and Gynecology
Updated on September 25, 2024
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Trichomonas vaginitis should not be diagnosed solely based on symptoms. Even if there are symptoms like frothy white discharge, a lab test is necessary for confirmation before treatment can proceed. Trichomonas vaginitis requires both partners to take oral medication simultaneously. Medications such as metronidazole, tinidazole, or ornidazole, which target trichomonas, are necessary. It is essential to take these medications orally; treatment cannot rely only on vaginal applications. Both partners must also sanitize all underwear either by ironing or sun exposure to prevent recurrence. (Medication should be taken under the guidance of a professional doctor.)

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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 Zhang Hui
Obstetrics and Gynecology
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Does the absence of symptoms in trichomonal vaginitis mean it is cured?

Trichomonas vaginitis is a relatively common gynecological disease, caused by Trichomonas vaginalis, with a high incidence rate. After treatment, if a woman no longer experiences symptoms, it might mean she is cured, but it is best to visit a reputable local hospital to recheck the vaginal discharge routine to confirm whether the disease has indeed been cured. It is advised to maintain personal hygiene in daily life, frequently change underwear, avoid unhygienic sexual activity, engage in regular physical exercise, and enhance one's immunity.

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Written by Huang Shuai
Obstetrics and Gynecology
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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 Li Li Jie
Obstetrics and Gynecology
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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
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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.