Patient's question:
I have trichomoniasis. After visiting the hospital, after treatment in July, there were no trichomonads, and the cleanliness was degree three. Will it be contagious to my husband? I didn't have trichomonads at that time, will there be trichomonads after stopping medication?Doctor's answer:
Hello: Trichomoniasis is quite persistent and requires more than three negative test results to be considered cured. It can be transmitted to your husband and lead to cross-infection. After being diagnosed with trichomoniasis, 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 individuals 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 pay attention to are:
1. Ensure proper disinfection and maintain clean, dry external genitalia.
2. Wear loose, breathable underwear to avoid irritation of the external genital skin, which may worsen symptoms. Change underwear frequently, and boil underwear, basins, towels, etc., for disinfection to prevent reinfection.
3. Adhere to standardized medication, as this is crucial for treating the condition. Both married individuals should take medication simultaneously during treatment, and use condoms during intercourse to prevent cross-infection.
4. Choose bedtime for medication to allow for thorough decomposition and absorption.
5. Since trichomoniasis often recurs after menstruation, even when test results are negative, follow-up tests should still be conducted after menstruation. Three or more consecutive negative results are required to consider the condition cured.