Patient's question:
I and my husband have been feeling uncomfortable after recently having sex. There has been an increase in leukorrhea, and besides the itching symptoms of the external genitalia, there is also pain during urination, although it is not very obvious. Sometimes it is accompanied by a bad odor, and the leukorrhea is foamy.Doctor's answer:
(1) The oral medication for complete elimination of trichomoniasis is primarily metronidazole. This drug is highly effective with low toxicity and can be used by both partners and married women. The dosage is 200 mg taken orally three times daily for a total of 7 days. After treatment, it is important to conduct a thorough check to ensure the trichomoniasis has turned negative. The next course of treatment is recommended after the next menstrual period to consolidate the therapeutic effect, as the condition is prone to recurrence after menstruation. Recently, some have advocated for high-dose single-dose administration, taking 2.4 grams at once, which can achieve the same effect as a 7-day Huanglong decoction. For those seeking an abortion, a single dose of Huanglong decoction can be used. (2) In addition to oral medications, suppositories are also available. Most suppositories contain arsenic-based compounds, with common drugs including carbaryl arsenic and diethylcarbamazine. The method of use is to insert one suppository deep into the vagina each night before bed, with a 10-day course of treatment. Metronidazole can also be formulated into suppositories, with each suppository containing