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 Huang Shuai
Obstetrics and Gynecology
1min 3sec home-news-image

Can trichomonal vaginitis be cured without recurrence?

Currently, the vast majority of cases of trichomonas vaginitis can be cured. However, before treating trichomonas vaginitis, the first step is to accurately diagnose whether the trichomonas is truly present. In addition, it's important to pay attention during treatment because trichomonas vaginitis is caused by an infection from Trichomonas vaginalis, which can occur not only in the female reproductive system but also in the urinary system. Therefore, when vaginitis is present, it is possible that the trichomonas has also infected the urethra. Thus, in the treatment of trichomonas vaginitis, it is generally not recommended to use only local medications, that is, applying medicine only to the vaginal area. Instead, oral medication is suggested. This is because if only the vagina is treated and the urinary tract is also infected, it could likely lead to frequent recurrences. Hence, oral administration of medication is usually recommended.

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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.

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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 Li Li Jie
Obstetrics and Gynecology
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What causes trichomoniasis in women?

Women are susceptible to trichomonal vaginitis mainly due to poor sexual hygiene. Alternatively, low immunity can lead to an imbalance in the vaginal flora, thus triggering a trichomoniasis infection. Trichomonal vaginitis primarily causes itching of the vulva and the discharge resembles nasal mucus and is yellow-green in color. For this condition, anti-inflammatory medications are mainly used for internal application, supplemented with potassium permanganate solution and acetic acid solution for cleansing. During treatment, sexual activity should be prohibited to prevent intercourse, and the diet should be light, avoiding spicy and stimulating foods, and concentrating on a mild diet. (Use medications under the guidance of a doctor)

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Written by Li Li Jie
Obstetrics and Gynecology
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What happens if trichomonal vaginitis becomes severe?

If trichomonal vaginitis is severe, it may lead to ascending inflammation, resulting in cystitis and pyelonephritis. Therefore, trichomonal vaginitis is considered quite serious. When trichomonal vaginitis occurs, it is important to actively treat the symptoms. If it is untreated or not properly treated, it can become chronic trichomonal vaginitis. At this stage, there will be an increase in vaginal discharge, which appears grayish-white and has an odor, along with urinary tract infections. During an infection, symptoms such as frequent urination, urgency, and painful urination may occur. Patients with trichomonal vaginitis may also experience reddening and itching of the external genitalia, with scratch marks, and even ulcers. Therefore, it is crucial to actively treat trichomonal vaginitis if it is detected.