What to do if you have trichomoniasis

Trichomonas infection has a great impact on the body. Patients need to take active treatment to achieve recovery. During the period of Trichomonas infection, patients need to be careful not to go to public places, especially public bathrooms and public swimming pools. These places should be avoided during the illness because they may be transmitted to others or infect their own body and worsen the condition.

Treatment

Carry out health publicity, actively carry out census and treatment work, and eliminate the source of infection. A strict management system should be implemented, and people with trichomoniasis or carriers should be prohibited from entering the swimming pool. Bathtubs, shower facilities and other utensils should be disinfected.

Medical institutions should carry out disinfection and isolation to prevent cross infection. Systemic medication metronidazo1e, also known as F1agyl, is 200 mg each time, 3 times a day, for 7 days as a course of treatment; or 400 mg, 2 times a day, for a total of 5 days. For first-time patients, a single dose of 2 g can also achieve the same effect.

It has good oral absorption, high efficacy, low toxicity, and is easy to use. It can be used by both men and women. It is difficult for unmarried women to use local medications in the vagina, but it is convenient to use systemic medications.

Gastrointestinal reactions such as loss of appetite, nausea, and vomiting may occasionally occur after taking the medicine. In addition, headaches, rashes, leukopenia, etc. may occasionally occur. Once discovered, the drug should be stopped immediately. Metronidazole can pass through the placenta into the fetus and can be excreted through breast milk.

When taken in early pregnancy, teratogenic effects on the fetus have not been ruled out, so it is not advisable to take it in early pregnancy and during lactation. Topical medication can also achieve good results.

Metronidazole 200 mg is inserted into the vagina once every night, and 10 times constitute a course of treatment. If it is flushed with 1% lactic acid or 0.5% acetic acid first to improve the vaginal environment, the efficacy will be improved. Because Trichomonas vaginitis often recurs after menstruation, even if the Trichomonas test is negative after treatment, the leucorrhea should still be checked after each menstruation. If it is negative after 3 tests, it can be considered cured. Sexual intercourse is prohibited during treatment.

If the trichomoniasis test is negative after treatment, one course of treatment should be continued after the next menstruation, using the same method as before, to consolidate the therapeutic effect. To avoid repeated infection, underwear and washing towels should be boiled for 5 to 10 minutes to kill pathogens. Married people should also check whether the man has genital trichomoniasis and whether there are Trichomonas in the prostatic fluid. If positive, they need to be treated at the same time.

Timely prevention and treatment of asymptomatic carriers and patients to reduce and control the source of infection. Both spouses or sexual partners should be treated at the same time to achieve a complete cure.

Commonly used oral drugs in clinical practice are metronidazole and metronidazole. For local treatment, vaginal flushing can be done with diwetting or 1:5000 potassium permanganate solution; metronidazole and mandelic acid suppositories can also be used, the latter of which is more effective and safer. Pay attention to personal hygiene and menstrual hygiene; do not share swimsuits and bathing utensils; it is recommended to use showers in public bathrooms; use public toilets with caution.

Prevention focus

Self-protection against genital trichomoniasis:

(1) Keep yourself clean and avoid unclean sexual intercourse.

(2) When one spouse becomes ill, his or her spouse or sexual partner should also be examined and treated to avoid cross-infection and difficulties in treatment.

(3) The basin and towel used for washing the vulva should be used by one person only. Try to avoid using public toilets or sharing a tub or bathtub with others. It is best to take a shower.

(4) Maintain good personal hygiene, keep the vulva clean at all times, and change and wash underwear frequently.

(5) Patients should persist in the treatment for 1 to 2 courses. After the symptoms subside, they should go to the hospital for examination. The patient can be considered cured only if the laboratory test confirms that Trichomonas is negative for at least 3 times.