What medication is good for trichomoniasis during lactation?

Patient's question:

I developed trichomoniasis during pregnancy and went to the hospital yesterday for a thorough examination. The doctor prescribed two medications: one for external washing (Huángbǎi wash solution) and one to be inserted into the vagina (Bisomethrin vaginal effervescent tablets). However, I experienced a burning sensation after inserting just two Bisomethrin vaginal effervescent tablets. The instructions state that users allergic to this product should stop using it. Since I am allergic to penicillin, I didn’t dare to continue using it. What medications are safe to use for trichomoniasis during pregnancy?

Doctor's answer:

You can use berberine solution to rinse the vagina and place metronidazole tablets into the deep part of the vagina once a day. During the treatment, it is essential to maintain cleanliness of the external genitalia to prevent secondary bacterial infections. Wash the external genitalia daily, change underwear and pants, and sterilize them. During the acute phase, avoid consuming spicy foods and alcohol, and sexual activity is strictly prohibited. Immediate family members should also be treated. Maintain a good routine and increase physical exercise in daily life to enhance the body's resistance and immunity.

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