Patient's question:
Since the last time I had sex with my husband, my vagina has been itchy intensely. It's an itch that can't be described in words. After a thorough examination at the hospital, I found out it was trichomoniasis. Could you please briefly explain the symptoms and treatment methods for trichomoniasis?Doctor's answer:
Trichomoniasis of the vagina is primarily characterized by an increase in thin, foamy vaginal discharge and external genital itching. If other bacteria are mixed and transmitted, the discharge may become purulent and have an odor. The itchy areas are mainly the vaginal opening and external genitalia, with occasional burning, pain, or dyspareunia. Trichomonas vaginalis can absorb sperm and disrupt lactate fermentation, affecting sperm survival in the vagina and potentially leading to infertility. If the urethral opening is infected, symptoms may include frequent urination, painful urination, and sometimes hematuria. Trichomonas thrives in a pH range of 5.5–6, so using an acetic acid solution of chlorhexidine to rinse the vagina can lower the vaginal pH and inhibit the growth of trichomonas. Once daily, for a 10-day course. Metronidazole vaginal suppositories or metronidazole tablets, one tablet vaginally, should be used after vaginal rinsing each night, for a 10-day course. In addition to active treatment, patients with trichomoniasis of the vagina should...