How to treat vaginal trichomoniasis

Vaginal trichomoniasis is a very common gynecological disease among women. Although it is common, it can cause more serious conditions if not treated in time. Therefore, it is very important for women to have regular physical examinations, and they must pay attention to when they feel unwell. Early treatment means early recovery. Next, we will introduce the treatment methods of vaginal trichomoniasis in detail.

1. Topical medication

Those who cannot tolerate oral medications or are not suitable for systemic medications can choose vaginal local medications. The efficacy of local medications alone is not as good as systemic medications, and the effectiveness of local medications is ≤50%. For local medication, one metronidazole suppository can be given once a night for 7 consecutive days.

2. Systemic treatment

Take metronidazole (Flagyl) by mouth. It is important to treat sex partners simultaneously; a single-dose regimen may also be used. Metronidazole is effective and drinking alcohol is prohibited during treatment and within 24 hours after treatment. Metronidazole is carcinogenic to rodents. It also has a mutagenic effect on bacteria. It should not be used during the first 3 months of pregnancy.

3. Precautions during treatment

When the trichomoniasis test turns negative after treatment, it should be rechecked after the menstruation ends. The patient is considered cured only if the results are negative for three consecutive months.

The incubation period of vaginal trichomoniasis is 4 to 7 days. After infection, women will experience persistent vaginitis, which may have an acute or slow onset. The clinical manifestations are increased vaginal discharge, which is foamy, foul-smelling, and yellow-green in color. Difficulty urinating, vulvar itching. The acute phase lasts for 1 week or several months, with fluctuations in severity, pain during sexual intercourse, and worsening symptoms after menstruation. Subsequently, the amount of vaginal discharge decreases, the symptoms are alleviated, and may even disappear completely. If Trichomonas vaginalis parasitizes in the urethra or bladder, it can cause Trichomonas urethritis and cystitis. Trichomonas vaginalis can devour sperm and cause infertility. Trichomonas vaginalis can also cause abnormal cell development and nuclear abnormalities, and the incidence of cancer is significantly higher than that in women without Trichomonas. Examination findings range from mild engorgement of the vaginal vault and cervix to extensive erosions, petechiae, and perianal erosions and a flushed endometrium (strawberry cervix).

The above contents are about some treatments for vaginal trichomoniasis. In fact, although this common gynecological disease is not very dangerous, it may worsen. Some serious diseases start from very small diseases. For women, physical health is the most important thing and must not be ignored.