Patient's question:
A few weeks ago, I was diagnosed with trichomoniasis vaginitis. After treatment and medication, the symptoms disappeared, and the abnormal discharge also stopped. However, in the recent days, the discharge has started to increase again, and it has changed from the previous yellow-green color to a yellow, purulent appearance. There is a lot of it, and I also have constant lower back pain and discomfort. Could it be that I have cervical erosion again? If so, will it affect my ability to get pregnant? I am 30 years old this year, and I really want to have a baby during the Chinese New Year. But now I am very worried. My body keeps having abnormalities one after another, and I am really concerned. I hope the experts can provide me with a good answer, and thank you very much!Doctor's answer:
Hello: This is the symptom of trichomoniasis vaginitis. Active treatment is required. After being diagnosed with trichomoniasis vaginitis, active treatment should be initiated, including systemic medication such as oral metronidazole (Flagyl) tablets, 200mg three times daily, with a 7-day course. Both married couples should take medication together. During systemic treatment, 200mg of metronidazole tablets should be placed in the vagina nightly, with a 10-day course. To enhance efficacy, the vagina and external genitalia should be rinsed with 1% lactic acid or a 1:5000 potassium permanganate solution before medication.The key points to note in daily life are:
1. Pay attention to disinfection and maintain cleanliness and dryness of the external genitalia.
2. Wear loose, breathable underwear to avoid irritation to the external genital skin, which may worsen symptoms. Change underwear frequently, and boil underwear, basins, towels, etc., for disinfection to prevent reinfection.
3. Adhering to standardized medication is crucial for treating this condition. During treatment, both married couples should take medication simultaneously, and use condoms during sexual activity to prevent cross-infection.
4. Medication should be taken in the evening before bedtime to allow for full decomposition and absorption of the drug.
5. Since trichomoniasis vaginitis often recurs after menstruation, even when trichomoniasis tests are negative, follow-up tests should still be conducted after menstruation. A diagnosis of cure can only be confirmed after three consecutive negative test results.