Patient's question:
Got married last year, recently I've been experiencing lower abdominal pain, especially during my period. I'm very worried about it affecting fertility, and I'm also extremely sensitive to cold and cold drafts. Could it be trichomoniasis? What medications are available for treatment?Doctor's answer:
(1) General treatment: During the treatment period, it is essential to maintain external genital hygiene to prevent secondary bacterial infections. Wash the external genitalia daily, change underwear and sanitary pads, and sterilize them. In the acute phase, avoid consuming spicy foods and alcohol. Sexual activity is strictly prohibited, and close relatives should also be treated.(2) Changing the vaginal pH: Trichomonas thrives in a pH range of 5.5–6. Therefore, using an acetic acid solution of chlorhexidine to rinse the vagina can lower the vaginal pH and inhibit the growth of trichomonas. Do this once daily for a 10-day course.
(3) Vaginal medication: Use one tablet of metronidazole vaginal suppository or metronidazole tablets for vaginal medication. Apply it after washing the vagina each night for a 10-day course. In addition to standard treatment for trichomoniasis vulvitis, patients should also pay attention to dietary aspects, such as eating a balanced diet and maintaining a positive mood.