Trichomonal vaginitis recurs at what stage?

Written by Zhang Chun Yun
Obstetrics and Gynecology
Updated on January 01, 2025
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Trichomonal vaginitis tends to recur after menstruation. During menstruation, the body's resistance is lowered, and the cervix is in an open state, making it easy for pathogens to invade and cause a recurrence of trichomonal vaginitis. The characteristic manifestation of trichomonal vaginitis is the discharge of thin, purulent, yellow-green, foamy secretions with a foul odor. The main clinical symptoms include an increase in vaginal discharge, itching or burning pain in the vulva, pain during sexual intercourse, etc. Generally, once trichomonal vaginitis is diagnosed, it can be treated under a doctor's supervision. However, it is important to note that trichomonal vaginitis is mainly transmitted through sexual contact. Sexual partners should be treated simultaneously, and sexual intercourse should be avoided during treatment to greatly increase the likelihood of cure and reduce the possibility of recurrence. Please follow the doctor’s advice and accurate diagnosis for specific treatment. If you have further questions, please consult a doctor at a hospital.

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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.)

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Written by Li Shun Hua
Obstetrics and Gynecology
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Can trichomoniasis be completely cured?

Trichomonas vaginitis can be completely cured, but it is mostly transmitted through sexual activity. Therefore, both partners must be treated simultaneously during treatment. Oral metronidazole or tinidazole can be taken, and metronidazole can also be placed inside the vagina. Generally, a 7-day course of treatment is sufficient for cure. One week after stopping the medication, a follow-up examination should be conducted, and this should be repeated twice. Only if both results are negative can the cure be considered complete. Males also need to take the medication for at least 7 days, because if a woman is treated and then resumes sexual activity, the male can re-infect the female. (Please use the medication under the guidance of a doctor.)

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Written by Huang Shuai
Obstetrics and Gynecology
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Is vulvar itching caused by yeast or trichomonas?

Judging whether it is yeast or trichomoniasis based solely on vulvular itching is very difficult. Whether it is yeast, trichomoniasis, or even bacterial vaginitis, all can cause vulvar itching. In addition, simple vulvitis can also lead to symptoms of vulvar itching. Of course, the itching symptoms caused by yeast vaginitis among these diseases are usually the most severe. However, there are also some symptoms that are not especially severe. Thus, it is very difficult to distinguish the specific disease based solely on the symptom of vulvar itching. When this situation arises, it is advisable to visit a hospital for an examination, including an examination of the secretions, which may be able to definitively determine whether the cause is yeast, trichomoniasis, bacteria, or simply vulvitis, or even possibly some pathological changes in the vulvar skin.

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Written by Huang Shuai
Obstetrics and Gynecology
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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 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.