Patient's question:
Why do I always get trichomoniasis?Doctor's answer:
Hello: Are you suffering from trichomoniasis? This condition is very stubborn with a high recurrence rate. It is essential to have confidence in the treatment and ensure standardized, full-course therapy. Once diagnosed with trichomoniasis, active treatment should be initiated, including systemic medication such as oral metronidazole (Flagyl) tablets at 200mg three times daily, with a 7-day course. Both married partners should take medication together. While undergoing systemic treatment, 200mg of metronidazole tablets should be inserted into 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 in daily life 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 sterilization to prevent reinfection.
3. Adhering to standardized medication is crucial for treating this condition. During treatment, both married partners should take medication simultaneously, and use condoms during intercourse to prevent cross-infection.
4. Choose bedtime for medication to facilitate full decomposition and absorption of the drug.
5. Since trichomoniasis often recurs after menstruation, even when test results are negative for trichomonads, follow-up tests should still be conducted after menstruation. A diagnosis of cure requires three consecutive negative test results.