How do I treat trichomoniasis?

Patient's question:

Patient Age: I have a lot of leukorrhea, and it's yellow. My external genitalia are itchy. It has been like this for 4 months, and I have been treated many times, but it hasn't improved.

Doctor's answer:

Hello, for the treatment of trichomoniasis, local medication alone is not sufficient because the bacteria are present in many areas, so oral medication should be used concurrently. Oral medications such as metronidazole, 200mg each time, three times daily, for a 7-day course. After treatment, a trichomoniasis test should be conducted. If the result is negative, another course of treatment should be administered after the next menstrual period to consolidate the therapeutic effect. Both partners should be treated simultaneously. It is important to note that metronidazole should not be taken during the first 20 weeks of pregnancy. Additionally, local treatment should be administered concurrently, such as inserting 200mg of metronidazole after evening washing, with a 10-day course. Alternatively, one tablet of metronidazole can be inserted. During the treatment period, it is recommended to boil underwear and sterilize towels used for purification for 5 to 10 minutes.

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