If trichomoniasis is not treated for a year, what will happen?

Written by Huang Shuai
Obstetrics and Gynecology
Updated on March 21, 2025
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Trichomonas vaginitis is generally recommended for timely treatment after diagnosis, because it is caused by an infection of Trichomonas in the vagina. When Trichomonas infects the vagina, it can lead to fainting. The urethra may also be in an inflamed state, and under such conditions, the vaginal or urethral mucosa may be in a prolonged state of inflammatory edema. In such a state, the overall condition may be poor and continuing in this swollen state downstairs exacerbates the risk of infection by other pathogens. Moreover, a long-term Trichomonas vaginal infection can potentially lead to routine pelvic infections, thereby increasing the likelihood of developing pelvic inflammatory disease.

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Written by Su Wen
Obstetrics and Gynecology
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Why can't you have sex with trichomoniasis?

Trichomonas vaginitis is caused by Trichomonas vaginalis. During treatment, it is important to keep the vulva clean to prevent secondary bacterial infections. Wash the vulva daily, change underwear frequently, avoid spicy foods and alcohol during the acute phase, and abstain from sexual activity during treatment. After treatment, it is necessary to check for Trichomonas negativity promptly. Continue treatment for one more cycle after the next menstruation is completed, and recheck the vaginal discharge after each menstruation. Cure can be considered after three negative results. During treatment, it is also important to avoid reinfection. Underwear and towels used for washing should be boiled for about 5 to 10 minutes to eliminate pathogens.

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Written by Huang Shuai
Obstetrics and Gynecology
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Is trichomonal vaginitis that doesn't itch not serious?

Trichomonas vaginitis is caused by the infection of Trichomonas vaginalis in the vagina, where it normally should not be present, indicating it is an infectious disease. For most patients with trichomonas vaginitis, the symptom of itching is not very noticeable. Moreover, there is no clear correlation between the degree of itching and the severity of the disease, so the presence or intensity of itching should not be used to determine whether the condition is mild or severe. As an infectious disease, the presence of this condition indicates an infection, namely the presence of Trichomonas vaginalis. Therefore, once diagnosed, it is recommended to seek timely treatment. Delayed treatment may increase the risk of ascending infections such as pelvic inflammatory disease or urinary system infections.

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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 Zhang Xiu Rong
Obstetrics and Gynecology
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How long does it generally take to treat a trichomoniasis infection?

Trichomoniasis infection generally improves within a week. Trichomoniasis requires symptomatic medication, and typically, is almost completely resolved after a week. Clinically, trichomonal vaginitis usually presents as abnormal discharge. Normally, vaginal discharge in women is clear, transparent, odorless, and minimal. Patients with trichomoniasis will have watery discharge with a fishy odor and itching, especially worsening at night. At this time, topical medications for symptomatic treatment can be used as well as oral medications. Thus, trichomoniasis is a common condition among women, and the treatment is generally effective, with symptomatic treatment usually resulting in improvement within a week.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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What is a good medicine for trichomonal vaginitis?

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.