According to the World Health Organization, trichomoniasis is the most common curable sexually transmitted disease (STD) in the world. Usually it is asymptomatic in men and women. As a rule, women have more pronounced clinical symptoms of trichomoniasis while men may experience no symptoms at all.
Depending on a localization of the STD in the genitourinary system, women may have the following symptoms of vaginitis (inflammation of the vagina): itching, burning, redness of the vulva, vaginal discharges from the vagina, and pain in the lower abdomen.
If the disease is left untreated, trichomoniasis may cause serious complications including inflammatory diseases of the pelvic organs, infertility, premature birth for women and chronic prostatitis in men.
If you or your partner is diagnosed with trichomoniasis, it is required for all partners to get treatment. Even though trich is not regarded as a very serious STD and it can be cured in most cases, it still raises the risk of other STDS including HIV. You have to remember about the risk of STDs and practice safe sex if you want to stay healthy.
Until the mid-20th century, there was no effective cure for trichomonas. Only in 1960 scientists discovered metronidazole and it made treatment of trichomoniasis much more efficient.
Metronidazole is a synthetic antibacterial and antiprotozoal preparation of the 5-nitroimidazole groups. It inhibits the synthesis of nucleic acids in the DNA of microorganisms. According to the recommendations of the Center for Disease Control and Prevention, Metronidazole is the first and preferable choice in the treatment of trichomoniasis, as well as bacterial vaginosis. It is highly effective. Only 2-5% of patients in the USA demonstrate the resistance of Trichomonas vaginalis (causing trichomoniasis) to metronidazole.
Flagyl is the medicine with Metronidazole as its active ingredient. Doctors trust it and prescribe it often for bacterial diseases. Flagyl is successful in treating many sexually transmitted infections that may cause serious complications with inappropriate or ineffective therapy. Flagyl can be used not only for the treatment of urogenital infections but also as a part of the complex therapy of peptic ulcer.
Even a decade ago the doctors used to prescribe metronidazole in high doses and for a long duration to treat trichomoniasis. However, recent clinical studies proved that the treatment of trichomoniasis does not require high doses of metronidazole. The results confirm that the use of a single dose of metronidazole produces absolutely the same effect as a three-, five- or seven-day treatment with high doses of 5 to 8 grams.
Therefore, the regimen has changed to small-doses taken for a short period. Many doctors consider two grams of Flagil an effective single dose to treat trichomoniasis. However, some doctors follow more traditional schemes and prescribe lower doses for a longer time. There are many regimens for treating trichomoniasis, and the most common six of them are described below:
- 2g of Flagyl (metronidazole) taken as a single dose.
- 0.25 g of Flagyl (metronidazole) taken twice a day for ten days (the overall dose should not exceed 5 grams).
- 0,5 g of Flagyl (metronidazole) taken twice a day for seven days.
- 0.25 g of Flagyl (metronidazole) taken three times a day for the first four days. 0.25 g of Flagyl (metronidazole) taken twice a day for the last four days.
- 2.0 g of Flagyl (metronidazole) per day for three days.
- 1.0 g metronidazole taken twice a day for seven days.
It is not recommended to drink alcohol during the treatment and for two-three days after. There is a high risk of developing an adverse reaction, manifested as nausea, rapid heartbeat and general weakness. Only a doctor can choose and prescribe a right scheme of treatment for the patient. The above information of the different regimens for treatment is provided only for informational purposes. You should always see a doctor first before taking any medicine.
Most doctors will tell the patients to make an appointment in two weeks after the end of the course of treatment for the control test. Also, it is recommended to check for the presence of pathogens trichomoniasis in six months after the treatment. If the tests came back clean after six months, it could be said that the disease is cured completely.