What are the treatment principles for Trichomonas vaginitis?

The principle of treatment for Trichomonas vaginitis is to take the medication as prescribed by the doctor and follow the course of treatment. Do not stop taking the medication without authorization after the symptoms are alleviated, otherwise it is easy to be infected again and it is not easy to cure it. In addition, if the woman is undergoing treatment, her husband must also undergo treatment at the same time and avoid sexual intercourse. Only scientific treatment can completely cure the disease. Usually, be careful not to share bathtubs, towels, etc. with others.

1. Topical medication. Metronidazole vaginal suppositories are generally used, but it should be noted that it is best to flush the vagina before local medication, which can improve the treatment effect.

2. Initial treatment with systemic medication. Metronidazole is taken orally as a single dose or tinidazole is taken orally as a single dose. Due to the poor compliance of patients taking medication, especially sexual partners who often find it difficult to persist in completing the prescribed course of treatment, the recommended systemic medication is metronidazole, which should be taken all at once. It should be noted that drinking alcohol is prohibited during the use of metronidazole and within 24 hours of stopping the medication, and during the use of tinidazole and within 72 hours of stopping the medication. Breastfeeding is not advisable while taking the medication during breastfeeding. Vaginal suppositories are recommended for medication during breastfeeding.

3. Treatment of sexual partners. Metronidazole or tinidazole is taken orally once. Because Trichomonas vaginitis is mainly transmitted through sexual intercourse, sexual partners should be treated at the same time and sexual intercourse should be prohibited during treatment.

4. Treatment during pregnancy. Metronidazole is taken orally as a single dose. Pregnant patients must communicate with their doctors during treatment because metronidazole can cross the placenta and enter the fetus. Although there is no data proving that it has carcinogenic effects, given that the potential risk of carcinogenesis due to metronidazole has not been completely ruled out, you must follow your doctor's orders when treatment is needed. It is also recommended not to use metronidazole during early pregnancy and to avoid single large doses of the drug.