Trichomonas vulvovaginitis is a sexually transmitted infection (STI), and women and men are equally affected by this infection. However, in men, it is most often asymptomatic, while women suffer much more and get complications much more often. Diagnosis of trichomonas vulvovaginitis is usually not difficult, but the patient should be warned that STIs require persistent and prolonged treatment in order to avoid chronicity and relapse.
The prevalence of Trichomonas vulvovaginitis in the world is quite high, since this type of STI is transmitted not only during sexual intercourse, but also through objects that the patient has touched if there are secretions containing the infection on his skin.
There is an opinion that men do not suffer from trichomoniasis, but they are no less susceptible to infection, only most often they remain carriers of Trichomonas or are asymptomatic.
For women, trichomonas vulvovaginitis poses a much greater danger, since it often becomes chronic and, according to many studies, worsens childbearing, while maintaining the risk of infection of the baby during childbirth.
In addition, trichomonas vulvovaginitis is often complicated by other infections that are associated with trichomoniasis.
Clinical manifestations of trichomonas vulvovaginitis in women
During a visit to the gynecologist, patients complain of severe itching in the genital area and foamy unpleasant yellowish or gray discharge from the vagina, burning sensation when urinating. Sometimes there are complaints of pain during intercourse.
Visual examination of the skin of the vulva usually reveals superficial erosions, red inflamed spots, perineal diaper rash, and sometimes even ulcerative skin lesions if trichomonas vulvovaginitis has not been treated for a long time. The mucous membrane of the vagina is usually hyperemic, genital warts may form in the area of the vestibule.
A specific clinical sign of trichomonas vulvovaginitis is the so-called strawberry cervix. We are talking about small hemorrhages on the cervix, which are detected during colposcopy in almost 45% of women with trichomonas vulvovaginitis.
Diagnosis and treatment of trichomonas vulvovaginitis in women
Trichomonas vulvovaginitis should be diagnosed on the basis of a patient interview, clinical examination and laboratory data - a microbiological smear.
An individual therapeutic tactic is developed for each patient, and both sexual partners must undergo treatment in order to avoid further re-infection. In parallel with the course of treatment of trichomonas vulvovaginitis itself, if possible, concomitant diseases that weaken the body's defenses are eliminated, measures are taken to increase and strengthen immunity.
Metronidazole is considered one of the most effective remedies for trichomonas vulvovaginitis. Simultaneously with systemic drugs, local treatment is prescribed - for example, terzhinan, which has both anti-inflammatory and antibacterial effects.
Control the effectiveness of the treatment, usually a week after its completion and then - after the next menstruation. Unfortunately, in about 20% of cases, the infection recurs after a while, so the patient should be warned about the need for preventive examinations, and also that the risk of recurrence of trichomonas vulvovaginitis increases significantly with alcohol consumption and a decrease in immunity.
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