Patient's question:
Detailed medical condition and consultation purpose: Had trichomoniasis vaginitis a year ago, now possibly experiencing a recurrence. The discharge is creamy white, turns into a cheese-like consistency when dry, and occasionally causes itching. What medication can completely cure this? Thank you.Duration and persistence of the current illness: About 2 months.
Doctor's answer:
Hello, the main drugs and their usage for trichomoniasis are as follows:（1）Oral medication Metronidazole to kill trichomonads. This drug has a high efficacy and low toxicity, and can be used by both partners and unmarried women. The dosage is 200 mg taken orally three times daily for 7 days. After treatment, if the trichomonads test negative, another course of treatment should be administered after the next menstrual period, as the condition is prone to recurrence after menstruation.
（2）In addition to oral medication, suppositories are also available. Most suppositories contain arsenic-based ingredients, with common drugs including Carbarsone and Metronidazole Suppositories. The usage is to insert one suppository into the vagina each night before bed for a 10-day course.
Preventive measures for trichomoniasis are as follows:
（1）Promote hygiene education.
（2）Strictly enforce isolation measures to prevent cross-infection. Gynecological examination pads should be replaced for each individual.
（3）Trichomoniasis patients should not enter swimming pools or public baths; do not rent swimwear or bath towels. Avoid taking tub baths or visiting public baths; opt for showers instead. Do not rent swimwear. Avoid sitting on public toilet seats or wet bath chairs.
（4）Patients should be isolated from family members and receive active treatment. The male partner or sexual contacts should also be examined. If positive, they should be treated together.
（5）Sexual activity should be avoided during the illness. If the condition recurs after treatment, the male partner’s urine and prostatic fluid should be rechecked. If positive, the individual should be treated.