Is trichomonal vaginitis that doesn't itch not serious?

Written by Huang Shuai
Obstetrics and Gynecology
Updated on April 28, 2025
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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 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 Zhang Hui
Obstetrics and Gynecology
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Does trichomonal vaginitis affect the fetus if pregnant?

Women with trichomonal vaginitis who become pregnant should seek timely treatment under the guidance of a doctor. Mild inflammation generally does not adversely affect the fetus. However, if the inflammation is severe, it can ascend and enter the uterine cavity, potentially leading to conditions such as preterm birth or premature rupture of membranes. Therefore, to avoid any complications, pregnant women with trichomonal vaginitis should cooperate with their doctors for prompt and active treatment. It is recommended that pregnant women pay attention to rest during pregnancy, avoid stress and excessive fatigue, and maintain a relaxed mood.

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Written by Su Wen
Obstetrics and Gynecology
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Do you need an infusion for trichomonal vaginitis?

Patients with trichomonal vaginitis generally do not require intravenous infusion treatment. Treatment usually involves oral administration of metronidazole or tinidazole, or local treatment with metronidazole effervescent tablets or metronidazole suppositories placed in the vagina. Generally, intravenous infusion is not necessary. For patients with trichomonal vaginitis, it is advised to pay more attention to hygiene, hang underwear in the sun more often for drying, wash them frequently, avoid sexual intercourse during treatment, and maintain local hygiene by washing the external genitalia with a cleansing solution daily. (Please use medications under the guidance of a professional physician and do not self-medicate.)

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Written by Zhang Hui
Obstetrics and Gynecology
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Is trichomonal vaginitis prone to recurrence?

Trichomonas vaginitis is a common gynecological disease caused by Trichomonas vaginalis. It has a high incidence rate. Recurrence is likely if the treatment is incomplete, or if there is sexual activity during treatment, and if personal hygiene is not maintained, or if there is poor resistance. It is advised to visit the gynecology outpatient clinic at a local reputable hospital. Under the guidance of a clinical doctor, cooperate actively with the treatment. During treatment, sexual activity should be prohibited, maintain cleanliness and hygiene of the private parts, wear loose, breathable, pure cotton underwear, change frequently, and avoid eating spicy or other irritating foods.

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Written by Gan Hai Ying
Obstetrics and Gynecology
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What are the symptoms of trichomonas vaginitis?

The symptoms of trichomoniasis vaginitis include: First, there can be a significant increase in vaginal discharge, which is mostly thin, purulent, and yellow-green in color, frothy, and has a distinct foul odor. Second, it can manifest as itching or a clear burning sensation and pain in the vulva, and even significant pain during sexual intercourse. Third, upon gynecological examination, the vaginal mucosa can be found to be visibly congested, and scattered bleeding points may even be observed, as well as bleeding spots on the cervix, which is what is commonly referred to as a strawberry-like cervix. A routine examination of vaginal discharge that reveals trichomonas can diagnose trichomoniasis vaginitis. Since trichomoniasis vaginitis can be sexually transmitted, it is necessary to treat the sexual partner with antitrichomonal medication simultaneously.