What are the methods for treating trichomoniasis?

Nowadays, many women often suffer from gynecological inflammation. Almost after having sex, they often suffer from vaginitis, bacterial infection, uterine inflammation, gynecological diseases, inflammation, and patients with trichomoniasis vaginitis often secrete yellowish and rice bran-smelling secretions in the vagina. Sometimes, due to excessive secretions, it will cause vaginal itching, and severe swelling and pain will occur. In terms of treatment, the first thing to do is to do a good job of disinfection, regularly use drugs and disinfectants to kill trichomoniasis, and go to the hospital for tests in time to check the current condition. Many patients try to choose external medications. Oral medications will have adverse reactions, but patients with more serious conditions also need to persist.

Presenting symptoms

When a woman is infected with Trichomonas, her vagina will produce yellow-green foamy or rice bran-like discharge with a foul odor. Sometimes she will have symptoms of vulvar itching or mild pain in the lower abdomen. In severe cases, it will cause swelling, redness, and congestion of the vaginal mucosa, resulting in extreme vaginal itching.

A small number of male patients may have urethral discharge, occasional mild itching, lower back pain and other symptoms, but most male patients infected with Trichomonas do not have very obvious symptoms, so men often become carriers of Trichomonas vaginalis.

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.