How to effectively manage trichomonas vaginalis?
Patient's Query
Hello doctor,
I had my period on the fifth of this month, which ended on the eighth. Today, on the ninth, I had sex and noticed some brown discharge. What could be the reason for this? I also experienced a lot of pain during penetration.
Please help.
Hello,
Welcome to icliniq.com.
I understand your concerns.
Based on your description, brown discharge with a smell or odor is most commonly associated with trichomonas vaginalis, which is a sexually transmitted infection (STI). I would recommend getting a confirmatory test to confirm this. You should consider doing the following tests:
- High vaginal swab test.
- NAAT (nucleic acid amplification test).
In the meantime, I suggest the following medications:
- Metronidazole 400 mg, three times a day for 14 days.
- Ofloxacin 400 mg, twice a day for 14 days.
It is important that your partner is treated with the same medication, at the same dose and duration. Consult your specialist doctor, discuss with him or her, and take the medicines with their consent.
Regarding the pain you feel during penetration, this is called dyspareunia. There are two types of dyspareunia:
- Superficial dyspareunia: Pain during penetration, often caused by trichomonas vaginalis or candidiasis.
- Deep dyspareunia: Pain after penetration, usually inside the pelvis, and often caused by endometriosis, adenomyosis, or PID (pelvic inflammatory disease).
The pain you are experiencing seems to be related to trichomonas vaginalis based on your symptoms. If you and your partner take the prescribed medications, your symptoms should improve.
If you have any further questions or concerns, please do not hesitate to reach out.
Thank you.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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