How should trichomoniasis be treated?

Patient's question:

I have always felt itchy external genitalia, abnormal increase in leukorrhea with a strong odor, dysuria, and a bit of blood, which was not during my menstrual period. Later, after a thorough examination, the doctor diagnosed it as trichomoniasis vaginitis. How should it be treated?

Doctor's answer:

Trichomoniasis is caused by the blood-borne pathogen Trichomonas vaginalis and is primarily spread through sexual contact or indirectly (through hot tubs, bathtubs, swimming pools, clothing, sterile gauze, and industrial-contaminated medical devices, etc.). It mainly manifests as vulvar itching, increased vaginal discharge, which is pale yellow and foamy, and in severe cases, the discharge may contain blood. It may also cause a burning sensation during urination and dyspareunia (painful intercourse). If accompanied by urethritis, symptoms may include frequent urination, painful urination, and even hematuria (blood in urine).
Given your condition, it's quite frustrating. You should seek medical attention for a thorough examination and treatment. Follow your doctor's advice regarding topical and oral medications, maintain regular hygiene, and avoid sexual activity during treatment. Patients should pay attention to personal hygiene, avoid unsafe sex, and prevent cross-infection. Wash underwear and towels thoroughly, and avoid alcohol during medication. After the trichomoniasis test results turn negative, re-examine vaginal discharge after each menstrual period. If the trichomoniasis test remains negative for three consecutive times, it means the treatment has been successful.

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