Patient's question:
Diagnosing trichomoniasis vaginitis with itching, odor, and pain during masturbation. The diagnosis is trichomoniasis vaginitis. After one day of treatment, cottage cheese-like discharge reappears in underwear. Is it the trichomonads coming out?Doctor's answer:
Caused by the vaginal trichomonas, a blood-borne pathogen, it is spread through masturbation or indirectly (such as through bathtubs, tubs, swimming pools, clothing, sterile gauze, and industrial-contaminated medical devices). The main symptoms include vulvar itching, increased vaginal discharge, which is light yellow and foamy, and in severe cases, the discharge may contain blood. It may also cause a burning sensation, masturbation pain, and if accompanied by urethritis, it can lead to frequent urination, painful urination, and even hematuria. Treatment typically involves oral metronidazole and the insertion of metronidazole suppositories into the vagina, with a course of 7 to 10 days. At the same time, 1% lactic acid solution can be used to rinse the vulva. The husband should also be treated simultaneously, and sexual activity should be avoided during the treatment period.