Trichomonas vaginitis combined with cervical erosion is caused by what?

Written by Huang Shuai
Obstetrics and Gynecology
Updated on March 19, 2025
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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 Luo Chun Yan
Obstetrics and Gynecology
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What causes the symptoms of trichomonal vaginitis?

The symptoms of trichomonas vaginitis primarily manifest as an increase in vaginal discharge, itching of the vulva, and burning pain. The discharge in trichomonas vaginitis is usually abundant, sometimes frothy, and can be thin or pus-like, irritating the vulva and vaginal skin, causing mucosal congestion and edema, thus leading to pain. In severe cases, it can cause swelling of the vulva and the urethral opening, as well as symptoms like frequent urination, urgent urination, and painful urination. Trichomonas vaginitis is mostly transmitted directly through sexual intercourse, but it can also be contracted by using public baths, squat toilets, or clothing containing the parasite, although direct transmission through sexual activity is the primary route. Treating trichomonas vaginitis requires oral medication and systemic treatment, and sexual partners must be treated simultaneously. This is because most infected males may not show obvious symptoms, but if left untreated, they can easily cause recurrence and become a significant source of infection.

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Written by Zhang Lu
Obstetrics
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Can trichomonas get pregnant?

If a woman undergoing a vaginal secretion test is found to have trichomonas, she should be diagnosed with trichomoniasis. It is not recommended for women with trichomoniasis to become pregnant; they should first treat the trichomoniasis before attempting conception. If pregnancy occurs while trichomoniasis is present, the inflammation might spread through the cervix into the uterine cavity, affecting the implantation and later development of the gestational sac. Even if the gestational sac develops in the early stages, there might be complications such as intrauterine infection or premature rupture of membranes later on. Therefore, once diagnosed with trichomoniasis, treatment with medications should be initiated, typically healing within a week. After experiencing another menstrual cycle, it is then completely safe to try to conceive.

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Written by Ma Yu Yu
Infectious Disease
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How to deal with recurrent trichomoniasis?

If you have trichomonal vaginitis, there will be an increase in vaginal discharge and itching in the vulva. If not treated thoroughly, it may recur frequently. It is recommended for trichomonal vaginitis to purchase some cleansing solution to wash the vulva and use metronidazole vaginal tablets to reduce inflammation and treat the condition, continuing for seven to ten days as one treatment course. If the symptoms are severe, it might be necessary to undergo three treatment courses, and the sexual partner should also be treated simultaneously. During the treatment period, refrain from sexual intercourse to prevent cross-infection.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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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.

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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.)