General trichomoniasis treatment
Trichomoniasis is treated with anti protozors drugs, orally, such as metronidazole or tinidazole. Drugs are taken either 2 g single dose or in multiple doses (250 to 500 mg) in total about 7 g. The cumulative aggregate rate of healing of the disease through treatment with metronidazole is 90-95%.
Because the treatment with tinidazol was recently endorsed by international organizations, there have been few studies to evaluate its effectiveness, but is assumed to be close to that of metronidazole.
Both sexual partners must be treated simultaneously to increase the cure rate and prevent the possibility of reinfection and transmission to others. During trichomoniasis treatment, you should avoid sexual contact as long as symptoms are present. Ideally, it should avoid sexual contact during treatment and another week after that, in the case of single-dose treatment with metronidazole. Patients who are infected with HIV have the same treatment as the ones with HIV-negative.
Trichomoniasia treatment of pregnant women:
Pelvic infection during pregnancy increases the risk of premature rupture of membranes and premature birth. The risk seems not to decline even if the disease is treated. International organizations recommend that pregnant women with trichomoniasis infection and presenting symptoms at any time during pregnancy, to take a single dose of 2 g of oral metronidazole. Vaginal suppositories (ovules) or some specific creams are not effective in treating the disease but can reduce the discomfort and inflammation of the genital area.
Maintenance trichomoniasis treatment even in case of relapse
If symptoms disappear it is not required any maintenance trichomoniasis treatment. The reinfection is possible and therefore it is important to take measures to reduce the risk of exposure to STDs.
If the treatment fails and reinfection is excluded, then further tests are necessary to determine the cause of symptoms. The infection is likely to be given by a trichomonasis strain that is resistant to anti protozors medication. In this case we recommend treatment with high doses of tinidazol, which is as effective as metronidazole in curing trichomoniasis. If the disease is not treated properly or not treated at all, complications can occur, such as pelvic inflammatory disease in women or conditions that can lead to sterility in men.
Vaginal suppositories (ovules) and creams with metronidazole are not recommended because oral route is more effective. These products are more inefficient if applied in areas other than the vagina and cervix. They have a cure rate of approximately 50%. The metronidazole vaginal gel used to treat bacterial vaginitis is not recommended to treat trichomoniasis. If the disease is not treated properly or not treated at all, as complications can occur in women, pelvic inflammatory disease or disorder that can lead to sterility in men.
The treatment is simple - sometimes oral antibiotics associated with local treatment is short and gives good results if followed properly in terms of dose and time.
Because there is risk that the infection from one partner to be without symptoms (asymptomatic) is recommended for both partners to follow trichomoniasis treatment simultaneously. After the treatment it is recommended taking a new exam to make sure that the treatment was effective. Sexual abstinence is the best conduit until receiving the results that testify the disappearance of the infection. Intercourse is not recommended even if a condom is used.
It is not advisable to drink alcohol during treatment. Treatment requires special attention for women who are pregnant or nursing.