Patient's question:
Detailed medical condition and consultation purpose: I would like to ask what trichomoniasis is? Did he transmit it to me? I heard that it can only be spread through sexual activity. Is there something wrong with him or is he unfaithful to me?Doctor's answer:
Treatment of Trichomoniasis Vaginitis:1) Adjusting the vaginal pH: Trichomonas thrives in a pH range of 5.5–6. Therefore, using acetic acid chlorhexidine solution to rinse the vagina can lower the vaginal pH and inhibit the growth of trichomonads. Once daily, for a 10-day course.
2) Metronidazole vaginal suppositories or metronidazole tablets: Insert one tablet vaginally, to be used after vaginal rinsing each night, for a 10-day course.
3) Pay attention to the following:
a) Maintain hygiene: Wash the external genitalia daily and change underwear frequently. Boil underwear and towels after use, air out bedding often, and avoid sexual intercourse.
b) Avoid scratching. If symptoms such as external genital itching occur, use traditional Chinese medicine topical washes for the external genitalia for sitz baths. Do not scratch to prevent skin and mucosal damage of the external genitalia, which may lead to secondary infection.
c) Abstain from sexual activity. Sexual activity should be avoided during treatment, and the husband should undergo a urological examination. If infection is detected in the urine, prompt treatment should be administered.
d) Avoid spicy foods. Reduce intake of common spicy foods like chili, pepper, and curry, as well as hot foods such as mutton, dog meat, and longans. Avoid seafood (e.g., shrimp, crabs, and shellfish) and sweet, greasy foods, as they may worsen itching.