How to treat trichomoniasis correctly?

Patient's question:

The leukorrhea is yellow, viscous, and occasionally causes lower abdominal pain. The amount of leukorrhea is excessive, and sleep quality is poor. Appetite has decreased compared to before. The waist sometimes aches. It was probably around 2008-2009 when the condition first appeared, coinciding with the birth of the child. At that time, there was already inflammation, and medication provided temporary relief. The child was born in 2006.

Doctor's answer:

Based on the symptoms you described, you may not only have trichomoniasis, but also possible pelvic infections such as pelvic inflammatory disease. Therefore, it is best to start with antiviral treatment first. Before treatment, it is recommended to do a routine vaginal discharge test again, as it was trichomoniasis a year ago, but it may not necessarily be the same now. The main drug for treating trichomoniasis is metronidazole, and there are now better alternatives such as ornidazole or tinidazole. Other drugs are generally ineffective. So you still need to take this medication. For pelvic inflammatory disease, the causes may be more than just trichomoniasis—it could also be other bacterial infections. Therefore, other antibiotics such as cephalosporins or quinolones may be needed.
Lifestyle care: Pay attention to hygiene to prevent reverse transmission. For patients, if the condition of trichomoniasis is severe, immediate action is required.

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