Patient's question:
Patient is a female, 25 years old, and was generally healthy before getting an IUD. After getting the IUD, she felt very uncomfortable and consulted a doctor, who said it would improve gradually and she didn't pay much attention. Now, six months after getting the IUD, she has been experiencing itching inside her vagina and went to the hospital. The doctor diagnosed her with mild trichomoniasis vaginitis. She took some medication and felt better, but a few days ago, her period came and the condition returned, causing her discomfort. She also noticed some bleeding during intercourse, though not much—just a little.Doctor's answer:
Metronidazole 200mg is inserted into the vagina once every night, with 10 doses constituting one course of treatment. If the vagina is first flushed with 1% lactic acid or 0.5% acetic acid to improve the vaginal environment, the therapeutic effect will be enhanced. Since trichomoniasis often recurs after menstruation, it is necessary to check for trichomonads in the discharge after treatment, and to continue examining the discharge after each menstrual period. Only when three consecutive checks are negative can the condition be considered cured. Sexual activity is prohibited during treatment.