What should I do if I have a recurrence of trichomoniasis?

Patient's question:

A year ago, I was diagnosed with trichomoniasis, and after taking the medication prescribed by the doctor, it was cured. Now, I'm experiencing the same symptoms as before—is it a recurrence? I don't want to go for another check-up. Can I buy the same medication again?

Doctor's answer:

During treatment, maintain cleanliness of the external genitalia to prevent secondary bacterial infection. Wash the external genitalia daily and change underwear. During the acute phase, avoid spicy foods and alcohol. Sexual activity is prohibited during treatment.
Even if the trichomoniasis test is negative after treatment, continue with one more course of treatment after the next menstrual period. Check vaginal discharge after each menstrual period, and the condition is considered cured only if it is negative for three consecutive times.
Additionally, avoid re-infection during treatment. Boil underwear and washing towels for 5–10 minutes to eliminate pathogens.
Moreover, since trichomoniasis not only infects the vagina but also often invades the urethra and the foreskin folds and prostatic fluid in males, if the sexual partner is fixed, the male should also be treated simultaneously. If only the female is treated while the male is not, the female may still be re-infected through sexual activity. This cycle makes both partners' trichomoniasis persistent and difficult to cure.

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