How to deal with trichomoniasis vaginitis in the eighth month of pregnancy

Patient's question:

On the 20th of last month, I went to the hospital for a check-up. During the urinalysis, trichomoniasis and vaginitis were detected, which were quite severe. That night, I received some vitamin injections and Cefixime. The next day, I went to the gynecology department for an examination, and the doctor said not to use Cefixime, as it could affect the child. They switched to penicillin instead. After receiving penicillin for six days, the four proteins that were previously present were gone, but the inflammation still persisted. Later, the doctor recommended taking potassium penicillin V. When I went to the pharmacy, the pharmacist said that penicillin should not be used during pregnancy, so I bought several types of vaginal douches. After using them, the condition improved slightly. It has been more than half a month now, but it hasn’t been fully cured yet. My due date is at the end of next month. I saw online that if there is inflammation, a cesarean section is necessary, but I want to give birth naturally. Now, I feel very troublesome. What kind of medicine can effectively treat this? My external genital area is still very itchy.

Doctor's answer:

Hello, trichomoniasis requires oral medication and medication insertion into the vagina for treatment. Commonly used drugs are metronidazole, which may have an impact on the fetus. Now that you are 8 months pregnant, you can consider medication. The couple needs to be treated simultaneously, and they should not have sex during treatment. Underwear and towels should be boiled for disinfection. Additionally, patients need to maintain a regular schedule, take precautions against cold and keep warm, eat light and soft foods, ensure good ventilation, and drink plenty of hot water to ensure the condition does not recur.

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