Patient's question:
Medical Description: More than a year of vulvar itching and yellow discharge with a foul odor. Previous treatment and effectiveness: Before a vaginal discharge test, it was diagnosed as bacterial vaginosis. After treatment, symptoms persisted. Upon visiting the hospital again, another vaginal discharge test was conducted with the following results: Hydrogen+, Sialidase+, Leukocyte Esterase++ Cleanliness 3, Mold-, Trichomonas+. It was diagnosed as trichomoniasis, and oral medications were prescribed: Metronidazole, Vitamin B6 tablets, Fuyan Kangfu tablets, and Tinidazole vaginal effervescent tablets. Desired Help: It is said that both partners should be treated. How should the husband be treated?Doctor's answer:
Hello, the causative agent of trichomoniasis is Trichomonas vaginalis, which is transmitted through sexual contact or indirect transmission (such as through hot tubs, bathtubs, swimming pools, clothing, bedding, and contaminated medical devices). The main symptoms include vulvar itching, increased vaginal discharge, which is light yellow and foamy. In severe cases, the discharge may contain blood. There may also be a burning sensation, pain during intercourse, and if accompanied by urethritis, symptoms such as frequent urination, painful urination, or even hematuria may occur.Recommendations: Treatment typically involves oral metronidazole and the intravaginal placement of tinidazole suppositories, with a course of 7–10 days. At the same time, a 1% lactic acid solution can be used to rinse the vulva. The husband should also be treated concurrently, and sexual activity should be avoided during the treatment period.