Is vulvar itching caused by yeast or trichomonas?

Written by Huang Shuai
Obstetrics and Gynecology
Updated on November 07, 2024
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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.

Other Voices

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

Trichomonas infection in women results in trichomonal vaginitis, which is treatable and curable. The primary treatment for trichomonal vaginitis involves oral intake of metronidazole or tinidazole, and metronidazole can also be placed inside the vagina. However, during treatment, both male and female partners must undergo treatment simultaneously, as this disease is mostly transmitted through sexual intercourse. Therefore, if a woman has trichomonas, it is very likely that the male partner also has it. If the male does not receive treatment, he may re-infect the female during subsequent sexual activities. Thus, thorough treatment can only be achieved after both partners are treated. (Specific medications should be taken under the guidance of a physician.)

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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How long does it generally take to treat a trichomoniasis infection?

Trichomoniasis infection generally improves within a week. Trichomoniasis requires symptomatic medication, and typically, is almost completely resolved after a week. Clinically, trichomonal vaginitis usually presents as abnormal discharge. Normally, vaginal discharge in women is clear, transparent, odorless, and minimal. Patients with trichomoniasis will have watery discharge with a fishy odor and itching, especially worsening at night. At this time, topical medications for symptomatic treatment can be used as well as oral medications. Thus, trichomoniasis is a common condition among women, and the treatment is generally effective, with symptomatic treatment usually resulting in improvement within a week.

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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 Zhang Chun Yun
Obstetrics and Gynecology
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Is trichomonas vaginitis degree III serious?

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 trichomoniasis in women be completely cured?

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.