Why is trichomoniasis not cured?

Patient's question:

Trichomoniasis

Doctor's answer:

The characteristics of candidal vulvovaginitis are recurrent episodes, particularly more pronounced before and after menstruation. The first step in treating recurrent candidal vulvovaginitis is to eliminate the underlying causes that lead to repeated vaginal Candida infections, such as cross-infection between partners and consuming high-sugar foods.
Recommendations: Extend the treatment duration and use multiple treatment methods simultaneously. Local treatment can begin with steaming and soaking with traditional Chinese herbal medicine, followed by rinsing the vagina with baking soda water. Then, apply medication vaginally, such as Daktarin or clotrimazole vaginal tablets, and apply clotrimazole cream externally. Local treatment can be performed throughout the menstrual cycle, with medication discontinued during menstruation and treatment resumed after the period ends.
Oral fluconazole is also recommended. It is advised to consult a formal specialized hospital and undergo standardized treatment under the guidance of a doctor.