How should trichomoniasis vulvitis be treated?

Patient's question:

Hello, I recently got trichomoniasis of the external genitalia. I would like to consult about this disease. How should one treat trichomoniasis of the external genitalia?

Doctor's answer:

Trichomoniasis is primarily transmitted by the vaginal trichomonas, with main symptoms including thin, foamy vaginal discharge and vaginal itching. Vaginitis is mainly treated locally. It is recommended to use Jie'er Yin to rinse the vagina and external genitalia, followed by inserting metronidazole suppositories into the vagina for treatment. Metronidazole is a sensitive medication for treating trichomoniasis. If you have not yet been sexually active, vaginal rinsing and medication insertion are not recommended. Instead, you can rinse the external genitalia and take oral metronidazole for treatment. Each treatment course lasts 7 to 10 days, and you should complete 3 consecutive courses. Follow-up tests after each menstrual period are necessary. The condition is considered cured only if three consecutive vaginal discharge tests are negative.

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