Consulting About Trichomoniasis: Treatment and Partner Concerns

Consultation on Trichomoniasis Infection Issues

Your questions: Hello Doctor, about two years ago I was diagnosed with a Trichomonas vaginalis infection, and at that time the doctor prescribed "Johnson" Metronidazole oral tablets for seven days.
After completing the treatment, I did not return for a follow-up.
Recently, my girlfriend (who has been the same partner for the past two years) has been experiencing frequent urination.
I would like to ask the doctor three questions: 1.
Can we go directly to the obstetrics and gynecology department at the hospital (or do we need to visit both urology and obstetrics and gynecology) to explain the situation and request the doctor to prescribe medication for Trichomonas for both of us? 2.
Can the medication for Trichomonas treat infections in both the oral cavity and the vagina simultaneously? 3.
Since I took Metronidazole two years ago, if medication is prescribed again, should I ask the doctor to use a different medication to avoid the development of drug resistance in Trichomonas? Thank you very much for taking the time to respond, Doctor.

Xiao Lin, 20~29 year old female. Ask Date: 2024/01/24

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your description, it is recommended to consult a physician for a proper diagnosis to ensure correct treatment and avoid delays and side effects.
Thank you! Wishing you peace and health.
Dr.
Zhang

Reply Date: 2024/01/24

More Info

When it comes to consulting about Trichomoniasis, it's essential to understand both the treatment options available and the concerns regarding partner treatment and potential reinfection. Trichomoniasis is a sexually transmitted infection caused by the parasite Trichomonas vaginalis, and it can affect both men and women. Here’s a detailed response to your questions:
1. Consulting the Right Specialist: You can indeed go directly to a gynecologist for your girlfriend's symptoms, especially since she has a history of Trichomoniasis. Gynecologists are well-equipped to handle infections like Trichomoniasis and can prescribe the necessary medications. However, if you have symptoms or concerns, it may also be beneficial for you to see a urologist. This way, both you and your girlfriend can receive appropriate evaluations and treatments simultaneously. It’s important for both partners to be treated to prevent reinfection.

2. Treatment for Oral and Vaginal Trichomoniasis: The standard treatment for Trichomoniasis typically involves oral medications, such as Metronidazole or Tinidazole. These medications are effective in treating the infection in both the vaginal and oral areas, as the same parasite causes the infection regardless of the site. However, it’s crucial to follow the healthcare provider's instructions regarding dosage and duration of treatment. If your girlfriend has symptoms in both areas, it’s important to inform the doctor so they can ensure the treatment plan addresses all concerns.

3. Concerns About Drug Resistance: Regarding your previous treatment with "強生" (likely referring to Metronidazole), it’s a valid concern to consider the potential for drug resistance. While Trichomonas vaginalis can develop resistance to certain medications, it is not common. However, if you have been treated previously with Metronidazole, it might be wise to discuss this with your healthcare provider. They may consider alternative medications, such as Tinidazole, or may choose to prescribe Metronidazole again, depending on your medical history and the current guidelines. Always communicate your past treatments to your doctor to ensure they can make the best decision for your care.

In summary, it is advisable for both you and your girlfriend to seek medical attention promptly. Ensure both of you are treated simultaneously to avoid reinfection, and communicate openly with your healthcare providers about your treatment history and any concerns regarding drug resistance. Trichomoniasis is treatable, and with proper care, you can both achieve a full recovery. Always follow the prescribed treatment regimen and attend any follow-up appointments to ensure the infection is fully cleared.

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