What are the symptoms of trichomonas vaginitis?

Written by Gan Hai Ying
Obstetrics and Gynecology
Updated on November 26, 2024
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The symptoms of trichomoniasis vaginitis include: First, there can be a significant increase in vaginal discharge, which is mostly thin, purulent, and yellow-green in color, frothy, and has a distinct foul odor. Second, it can manifest as itching or a clear burning sensation and pain in the vulva, and even significant pain during sexual intercourse. Third, upon gynecological examination, the vaginal mucosa can be found to be visibly congested, and scattered bleeding points may even be observed, as well as bleeding spots on the cervix, which is what is commonly referred to as a strawberry-like cervix. A routine examination of vaginal discharge that reveals trichomonas can diagnose trichomoniasis vaginitis. Since trichomoniasis vaginitis can be sexually transmitted, it is necessary to treat the sexual partner with antitrichomonal medication simultaneously.

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Written by Zhang Lu
Obstetrics
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Can trichomonas get pregnant?

If a woman undergoing a vaginal secretion test is found to have trichomonas, she should be diagnosed with trichomoniasis. It is not recommended for women with trichomoniasis to become pregnant; they should first treat the trichomoniasis before attempting conception. If pregnancy occurs while trichomoniasis is present, the inflammation might spread through the cervix into the uterine cavity, affecting the implantation and later development of the gestational sac. Even if the gestational sac develops in the early stages, there might be complications such as intrauterine infection or premature rupture of membranes later on. Therefore, once diagnosed with trichomoniasis, treatment with medications should be initiated, typically healing within a week. After experiencing another menstrual cycle, it is then completely safe to try to conceive.

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Written by Huang Shuai
Obstetrics and Gynecology
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Is trichomonal vaginitis that doesn't itch not serious?

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
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If trichomoniasis is not treated for a year, what will happen?

Trichomonas vaginitis is generally recommended for timely treatment after diagnosis, because it is caused by an infection of Trichomonas in the vagina. When Trichomonas infects the vagina, it can lead to fainting. The urethra may also be in an inflamed state, and under such conditions, the vaginal or urethral mucosa may be in a prolonged state of inflammatory edema. In such a state, the overall condition may be poor and continuing in this swollen state downstairs exacerbates the risk of infection by other pathogens. Moreover, a long-term Trichomonas vaginal infection can potentially lead to routine pelvic infections, thereby increasing the likelihood of developing pelvic inflammatory disease.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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What should I do about trichomonal gynecological inflammation?

Trichomonal vaginitis typically presents clinically with watery, foul-smelling, and frothy vaginal discharge, generally accompanied by itching that worsens at night. At this time, it is advisable to visit a hospital to get a secretion test to confirm the diagnosis. If it is a trichomonas infection, treatment can be administered according to the symptoms of trichomonal vaginitis. Normally, female vaginal discharge is clear, transparent, odorless, and in small amounts, which is considered normal. If a trichomonas infection occurs, symptomatic treatment usually leads to improvement within a week. Therefore, patients with trichomonal vaginitis must go to the hospital for a secretion test and then choose the appropriate medication based on the test results for symptomatic treatment. It is also crucial to maintain hygiene of the external genitalia to prevent infection, and inflamed conditions should be treated promptly.

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Written by Xu Xiao Ming
Obstetrics and Gynecology
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Can trichomonas be seen with the naked eye?

Trichomonas cannot be seen with the naked eye; to test for trichomonas, observation under a microscope is required, involving the collection of vaginal secretions. The simplest method is to mix the vaginal secretions with a 0.9% sodium chloride solution using a slide technique. After mixing the vaginal secretions with the sodium chloride solution, immediately search for trichomonas under low magnification. If trichomonas exhibiting wave-like motion and increased white blood cells being pushed are visible under the microscope, it is highly suspected that trichomonas is present. Moreover, it is advised to avoid sexual intercourse or local medication 24-48 hours before collecting the secretions.