Can trichomoniasis in women be completely cured?

Written by Huang Shuai
Obstetrics and Gynecology
Updated on March 22, 2025
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Trichomonas vaginitis can be completely cured. It is caused by an infection of Trichomonas vaginalis in the vagina. After infection, Trichomonas does not only stay in the reproductive system but often enters the urinary system as well. Therefore, after diagnosing trichomonas vaginitis, it is generally recommended to use systemic treatment rather than just local vaginal treatment. This is because using only local treatment might clear the trichomonas from the vagina, but since it can still be present in the urinary system, trichomonas vaginitis can easily recur. Thus, we suggest using systemic medication for trichomonas vaginitis. As long as an adequate amount of oral systemic medication is used, it can generally be cured.

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Written by Huang Shuai
Obstetrics and Gynecology
57sec home-news-image

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 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 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 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 Li Shun Hua
Obstetrics and Gynecology
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How can trichomoniasis be cured without recurring?

For women, contracting trichomonas means getting trichomoniasis vaginitis. The main transmission route of trichomoniasis vaginitis is through sexual intercourse. If there is a history of unprotected sexual activity, it is possible to contract this type of vaginitis. Additionally, going to public baths for showers can also increase the risk of contracting this type of vaginitis. Therefore, if trichomoniasis vaginitis is not completely treated or if personal hygiene is poor, it is very likely to recur. During the first treatment, it is essential to follow the complete course of treatment, using Metronidazole or Tinidazole for seven days. After stopping the medication, a follow-up examination should be conducted after another seven days. If the results are negative in two consecutive follow-up checks, then it is considered cured. However, it is necessary for both male and female partners to undergo treatment simultaneously. If the male partner does not undergo treatment, the infection is likely to recur in the female partner. (Medication should be used under the guidance of a doctor.)