Patient's question:
Detailed medical condition and consultation purpose: I am usually very clean. I wash the vaginal area with plain water every day. However, this year I was diagnosed with trichomoniasis (what factors can lead to this disease?) and cervical erosion degree 3. I received treatment in the hospital for two weeks, mainly through intravenous fluids (anti-inflammatory), quadruple topical medication, and microwave therapy. The microwave treatment was effective, but the cycle was too long and the cost was high. Is there a one-time cure method for unmarried women? What is the recurrence rate? Thank you, doctor, please help me! I am an unmarried woman and can I use laser, electrocautery, and other methods for a one-time cure? Are there better and faster treatments for unmarried women?Doctor's answer:
Hello: Trichomoniasis, also known as Trichomonas vaginalis, is a parasitic protozoan that is anaerobic, making it easily in the vagina and causing vaginitis, known as trichomoniasis. Trichomonads are found in many places and have strong adaptability to the environment, but they struggle to survive in dry or semi-dry environments. After leaving the human body, they can only survive for a few hours. Trichomoniasis is usually transmitted, with the primary mode of transmission being direct sexual contact. Most infected women have sexual partners who suffer from genital trichomoniasis. Another way of transmission is indirect, such as hot tubs, swimming pools, and public restrooms. Symptoms of trichomoniasis generally include increased vaginal discharge, itching of the external genitalia, frequent urination, painful urination, and hematuria.As for treatment, it is highly recommended to actively consider microwave therapy! Some people believe that physical therapy methods (e.g., laser) for cervical erosion may lead to infertility, which is actually an incorrect viewpoint. Cervical erosion itself can cause infertility and definitely requires treatment. However, if the erosion is severe, medication may be costly, time-consuming, and labor-intensive (if the erosion is moderate to severe, clinical experience shows that treatment may take 2–3 months, with some individuals improving faster while others may take longer). Therefore, for patients with severe cervical erosion who are childless, it is advisable to use physical therapy methods such as laser. This approach is fast-acting, and during treatment, it is important to inform the doctor of your fertility goals so that the procedure can be performed superficially without affecting cervical function. Even in cases of cervical adhesion, it can be resolved with a simple procedure.