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 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 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.)

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Written by Zhang Hui
Obstetrics and Gynecology
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Does trichomonal vaginitis affect the fetus if pregnant?

Women with trichomonal vaginitis who become pregnant should seek timely treatment under the guidance of a doctor. Mild inflammation generally does not adversely affect the fetus. However, if the inflammation is severe, it can ascend and enter the uterine cavity, potentially leading to conditions such as preterm birth or premature rupture of membranes. Therefore, to avoid any complications, pregnant women with trichomonal vaginitis should cooperate with their doctors for prompt and active treatment. It is recommended that pregnant women pay attention to rest during pregnancy, avoid stress and excessive fatigue, and maintain a relaxed mood.

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Written by Li Li Jie
Obstetrics and Gynecology
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What causes trichomoniasis in women?

Women are susceptible to trichomonal vaginitis mainly due to poor sexual hygiene. Alternatively, low immunity can lead to an imbalance in the vaginal flora, thus triggering a trichomoniasis infection. Trichomonal vaginitis primarily causes itching of the vulva and the discharge resembles nasal mucus and is yellow-green in color. For this condition, anti-inflammatory medications are mainly used for internal application, supplemented with potassium permanganate solution and acetic acid solution for cleansing. During treatment, sexual activity should be prohibited to prevent intercourse, and the diet should be light, avoiding spicy and stimulating foods, and concentrating on a mild diet. (Use medications under the guidance of a doctor)

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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.