Patient's question:
Patient Gender: FemaleDoctor, hello
My wife has candidal and trichomonal vaginitis. What medication should she take? What kind of medication? How long should she use it? Can it be cured?
Thank you, Doctor/
Medical History: 16 days
Doctor's answer:
Hello: If you have trichomoniasis, you may experience symptoms such as increased vaginal discharge, itching, and a burning sensation in the external genitalia. Some people may have no symptoms at all. How can trichomoniasis be completely treated? Since trichomoniasis often co-occurs with trichomoniasis in the urinary system and intestines, and the parasite can hide in the cervical glands and the lower urinary tract, simple local medication is not effective in completely eliminating it. Systemic medication is necessary for a (permanent cure). The main medications and their usage are as follows:（1）Oral medication to kill trichomonads, metronidazole. This medication is highly effective with low toxicity and can be used by both partners, as well as unmarried women. The dosage is 200 mg taken 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 medications including carbarson and metronidazole. The usage is to insert one suppository into the vagina each night before bed for a 10-day course.
Preventive measures for trichomoniasis vaginitis are as follows:
（1）Promote hygiene education.
（2）Strictly enforce isolation measures to prevent cross-infection. Each woman should use a disposable pad during gynecological examinations.
（3）Trichomoniasis patients should not enter swimming pools or public baths; swimwear and bath towels should not be rented. Avoid taking tub baths or visiting public baths; opt for showers instead. Do not rent swimwear. Avoid using public toilets or sitting on wet public bath chairs.
（4）Patients should be isolated from family members and receive active treatment. The male partner or sexual contacts should also be examined, and if positive, they should be treated together.