What does it mean when trichomonads are found occasionally?

Written by Hou Jie
Obstetrics and Gynecology
Updated on January 03, 2025
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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 Huang Shuai
Obstetrics and Gynecology
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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.

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Written by Huang Shuai
Obstetrics and Gynecology
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Is vulvar itching caused by yeast or trichomonas?

Judging whether it is yeast or trichomoniasis based solely on vulvular itching is very difficult. Whether it is yeast, trichomoniasis, or even bacterial vaginitis, all can cause vulvar itching. In addition, simple vulvitis can also lead to symptoms of vulvar itching. Of course, the itching symptoms caused by yeast vaginitis among these diseases are usually the most severe. However, there are also some symptoms that are not especially severe. Thus, it is very difficult to distinguish the specific disease based solely on the symptom of vulvar itching. When this situation arises, it is advisable to visit a hospital for an examination, including an examination of the secretions, which may be able to definitively determine whether the cause is yeast, trichomoniasis, bacteria, or simply vulvitis, or even possibly some pathological changes in the vulvar skin.

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Written by Li Shun Hua
Obstetrics and Gynecology
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What medicine is used for trichomonal vaginitis?

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 Zhang Chun Yun
Obstetrics and Gynecology
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Is trichomonas vaginitis degree III serious?

Trichomoniasis vaginitis is caused by Trichomonas vaginalis. The main symptoms include increased vaginal discharge and vulvar itching, and may also involve burning, pain, and painful intercourse. The characteristic symptom of the vaginal discharge is thin, purulent, yellow-green, and foamy with a foul odor. Trichomoniasis vaginitis is primarily transmitted through sexual intercourse, though occasionally it can be transmitted via public baths, bathtubs, towels, swimming pools, toilets, contaminated clothing, and appliances used on the face, etc. Generally, males do not exhibit symptoms. Regardless of the severity, it is advisable to go to the hospital for active, systematic, and correct treatment for trichomoniasis vaginitis. Under a doctor's advice, some antitrichomonal medications can be used. Treatments may include oral administration, intravenous infusion, or local medication, as well as vulvar itching treatments or vulvar cleansing, etc. It is important to note that the sexual partner must be treated simultaneously to prevent cross-infection. Moreover, to avoid reinfection, the underwear of both the female and her sexual partner, as well as their bathing towels, should be boiled for more than ten minutes to eradicate the pathogens. For detailed information, it is best to adhere to the doctor's instructions and proper diagnosis.

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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.