Is trichomonas vaginitis degree III serious?

Written by Zhang Chun Yun
Obstetrics and Gynecology
Updated on February 03, 2025
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Trichomoniasis vaginitis is caused by Trichomonas vaginalis. The main symptoms include increased vaginal discharge and vulvar itching, and may also involve burning, pain, and painful intercourse. The characteristic symptom of the vaginal discharge is thin, purulent, yellow-green, and foamy with a foul odor. Trichomoniasis vaginitis is primarily transmitted through sexual intercourse, though occasionally it can be transmitted via public baths, bathtubs, towels, swimming pools, toilets, contaminated clothing, and appliances used on the face, etc. Generally, males do not exhibit symptoms. Regardless of the severity, it is advisable to go to the hospital for active, systematic, and correct treatment for trichomoniasis vaginitis. Under a doctor's advice, some antitrichomonal medications can be used. Treatments may include oral administration, intravenous infusion, or local medication, as well as vulvar itching treatments or vulvar cleansing, etc. It is important to note that the sexual partner must be treated simultaneously to prevent cross-infection. Moreover, to avoid reinfection, the underwear of both the female and her sexual partner, as well as their bathing towels, should be boiled for more than ten minutes to eradicate the pathogens. For detailed information, it is best to adhere to the doctor's instructions and proper diagnosis.

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Written by Huang Shuai
Obstetrics and Gynecology
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Can trichomonal vaginitis heal on its own without medication?

Trichomonas vaginitis is often caused by an infection with Trichomonas vaginalis and generally does not heal spontaneously without treatment. Moreover, the trichomonads causing trichomonas vaginitis can also be present in the urinary system, i.e., they can appear in the urethra. Therefore, after diagnosing trichomonas vaginitis, it is usually not recommended to use local medications, i.e., medications applied only in the vagina, but rather to use systemic medications. This is because trichomonads may be present in locations other than the vagina. If only local vaginal medications are used, it might lead to the situation where, even if the vaginal infection is cured, trichomonas vaginitis could be reinfected from the urethra, leading to a recurrence. Hence, once diagnosed with trichomonas vaginitis, it is recommended to treat it, and oral medication is advised.

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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 Chun Yun
Obstetrics and Gynecology
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Trichomonal vaginitis recurs at what stage?

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 Xu Xiao Ming
Obstetrics and Gynecology
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Can trichomonas be seen?

If there is an infection of Trichomonas vaginalis, it can be visible under specific conditions through the use of a test strip method which involves adding potassium hydroxide and requires examination under a microscope, as it is generally invisible to the naked eye. It is recommended that patients diagnosed with Trichomonas vaginalis infection through vaginal discharge testing undergo treatment, including treatment for both partners. The medication generally chosen is metronidazole, which can be taken all at once or in divided doses orally to treat the infection. The standard for curing this infection is to re-examine the vaginal discharge after three menstrual cycles; if the trichomonads are negative, then it is considered cured.

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Written by Su Wen
Obstetrics and Gynecology
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Can trichomoniasis detect AIDS?

Trichomoniasis is caused by the vaginal parasite Trichomonas vaginalis and is primarily transmitted through sexual contact, though it can also spread indirectly. The main symptoms include abnormal vaginal discharge and itching of the vulva. The discharge may be thin and purulent or frothy and malodorous. On the other hand, HIV requires blood tests to detect HIV antibodies to determine if one has the disease. The examination processes for these two are distinct. Therefore, it is not possible to determine HIV status from a trichomoniasis test; trichomoniasis is diagnosed through vaginal discharge, whereas HIV is diagnosed through blood tests.