Can trichomonas vaginitis be detected by routine leukorrhea tests?

Written by Zhang Hui
Obstetrics and Gynecology
Updated on January 01, 2025
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The main symptoms of trichomonal vaginitis are increased vaginal discharge and vulvar itching. The discharge is generally a grayish-yellow, frothy, thin liquid with a foul odor. Women with trichomonal vaginitis can detect the infection through a routine vaginal discharge test. It is recommended to visit the gynecology department of a local formal hospital and follow the active treatment under the guidance of a clinical doctor. During the treatment period, sexual intercourse should be avoided, vulvar hygiene should be maintained, and loose, breathable underwear should be worn and changed frequently. The diet should be light, avoiding raw, cold, spicy, and other irritating foods.

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Written by Huang Shuai
Obstetrics and Gynecology
53sec home-news-image

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 Zhao Xiao Dong
Obstetrics and Gynecology
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What should I do if I get my period with trichomonal vaginitis?

If you have trichomonal vaginitis and are menstruating, you cannot use topical treatments; instead, you must continue with oral medications. Take oral metronidazole tablets, and after your period, supplement with topical metronidazole suppositories. Combining these treatments is necessary to achieve a cure. For trichomonal vaginitis, treatment must also be provided for the male partner, involving oral metronidazole tablets to prevent cross-infection. Trichomonas vaginitis is very prone to recurrence, often related to cross-infection between partners, and sometimes linked to unclean bed sheets, duvet covers, underwear, and panties. It is necessary to clean and disinfect these items thoroughly.

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Written by Li Shun Hua
Obstetrics and Gynecology
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How can trichomoniasis be cured without recurring?

For women, contracting trichomonas means getting trichomoniasis vaginitis. The main transmission route of trichomoniasis vaginitis is through sexual intercourse. If there is a history of unprotected sexual activity, it is possible to contract this type of vaginitis. Additionally, going to public baths for showers can also increase the risk of contracting this type of vaginitis. Therefore, if trichomoniasis vaginitis is not completely treated or if personal hygiene is poor, it is very likely to recur. During the first treatment, it is essential to follow the complete course of treatment, using Metronidazole or Tinidazole for seven days. After stopping the medication, a follow-up examination should be conducted after another seven days. If the results are negative in two consecutive follow-up checks, then it is considered cured. However, it is necessary for both male and female partners to undergo treatment simultaneously. If the male partner does not undergo treatment, the infection is likely to recur in the female partner. (Medication should be used under the guidance of a doctor.)

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Written by Huang Shuai
Obstetrics and Gynecology
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Trichomonas vaginitis combined with cervical erosion is caused by what?

Trichomonas vaginalis infection usually causes trichomonas vaginitis, while cervical erosion in most cases is a physiological condition, primarily due to the excessive growth of columnar epithelial cells on the cervix under the action of estrogen, replacing some of the squamous epithelial cells, thus presenting an eroded state of the cervix. Of course, this physiological condition sometimes cannot be easily distinguished visually from pathological changes, such as precancerous lesions of the cervix or cervical cancer. Therefore, when cervical erosion occurs, it is emphasized that cervical cancer screening must be performed, including tests like TCT (ThinPrep Cytology Test) and HPV (Human Papillomavirus) screening.

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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.