Patient's question:
Patient is 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 gradually improve, so she didn't pay much attention. Now, six months after getting the IUD, she has a very itchy sensation inside her vagina and has gone to the hospital. The doctor said it was mild trichomoniasis vaginitis. She took some medication and felt better, but a few days ago, when her period came, it returned and was very uncomfortable. She also noticed that she couldn't have sex because there was a little blood discharge, though not too much.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 vaginal discharge after treatment even when the initial test is negative. Only after three consecutive negative tests can the condition be considered cured. Sexual activity is prohibited during treatment.