Patient's question:
I have been persisting with treatment for trichomoniasis for nearly 4 months, but there has been no significant improvement. Although I am currently taking metronidazole, the itching symptom of the external genitalia has disappeared, but it starts itching again as soon as the medication is stopped. I don't know if there are any better methods to treat this disease.Doctor's answer:
Hello:Infected with Trichomonas vaginalis, some symptoms may appear, such as increased vaginal discharge, external genital itching, and a burning sensation. Some people may have no symptoms at all. How can Trichomonas vaginalis be completely treated? Since Trichomonas vaginalis often co-occurs with urinary and intestinal trichomoniasis, the parasite can also hide in the cervical glands and the lower urinary tract. Simple local medication is not easy to eradicate it completely; systemic medication is necessary to achieve a cure. The main drugs and their usage are as follows:
(1) Oral medication Metronidazole to kill Trichomonas. This drug has a high efficacy and low toxicity and can be used by both partners, as well as unmarried women. The dosage is 200 mg per time, taken three times daily, for a total of 7 days. After treatment, if the Trichomonas test turns negative, another course of treatment should be administered after the next menstrual period, as the condition is prone to recurrence after menstruation.
(2) In addition to oral medication, suppositories are also available. Most suppositories contain arsenic-based ingredients, with common drugs including Carbarsone and Metronidazole. The usage is to insert one suppository into the vagina each night before going to bed, for a 10-day course.
Preventive measures for Trichomonas vaginalis vaginitis are as follows:
(1) Popularize hygiene knowledge.
(2) Strict isolation measures to prevent cross-infection. Gynecological examination pads should be replaced for each person.
(3) Trichomoniasis patients should not enter swimming pools or public baths; do not rent swimsuits and bath towels. Avoid taking tub baths or visiting public baths; take showers instead. Do not rent swimsuits. Avoid sitting on public toilets or wet chairs in public baths.
(4) Patients should be isolated from family members and actively treated. The male partner or sexual contacts should also be examined. If positive, they should be treated together.