What is a good medicine for trichomonal vaginitis?

Written by Wang Jing Hua
Obstetrics and Gynecology
Updated on March 17, 2025
00:00
00:00

If the examination of vaginal secretions clearly indicates trichomonal vaginitis, treatment must specifically target trichomoniasis using drugs such as metronidazole, tinidazole, or ornidazole. Trichomonal vaginitis requires simultaneous treatment of both partners; treating only the woman is inadequate. It is also necessary for both partners to sterilize or sun-dry their underwear or bed sheets, as failing to do so can lead to easy recurrence. Therefore, detecting trichomonal vaginitis cannot be solely treated with medication applied inside the vagina.

Other Voices

doctor image
home-news-image
Written by Li Li Jie
Obstetrics and Gynecology
56sec home-news-image

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)

doctor image
home-news-image
Written by Xu Xiao Ming
Obstetrics and Gynecology
47sec home-news-image

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.

doctor image
home-news-image
Written by Huang Shuai
Obstetrics and Gynecology
50sec home-news-image

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.

doctor image
home-news-image
Written by Wang Jing Hua
Obstetrics and Gynecology
36sec home-news-image

What is the old good method to treat trichomonal vaginitis?

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.

doctor image
home-news-image
Written by Huang Shuai
Obstetrics and Gynecology
57sec home-news-image

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.