What causes recurrent trichomoniasis?

Generally, recurrent trichomoniasis may be caused by low immunity, poor hygiene habits, incomplete treatment of trichomonal vaginitis, coexisting infections, diabetes, and other factors. If abnormalities occur, timely medical consultation is recommended. Specific analysis is as follows:

1. Low immunity: When the body's immune system is weakened, it cannot effectively resist Trichomonas infection. Even after treatment, the parasites may easily regrow and multiply. Maintaining regular作息 (daily routines), ensuring sufficient sleep, and engaging in moderate aerobic exercises such as jogging or swimming can enhance physical resistance and improve the immune system’s ability to defend against Trichomonas.

2. Poor hygiene habits: Neglecting external genital cleanliness or sharing towels, bathtubs, and other personal items with others creates an environment conducive to the survival and transmission of Trichomonas, leading to repeated infections. It is important to maintain good personal hygiene by washing the external genital area daily with clean water, keeping the area dry and clean, avoiding sharing personal items, and changing underwear regularly.

3. Incomplete treatment of trichomonal vaginitis: Failure to complete the full course of medication or using insufficient dosage during initial treatment may leave residual Trichomonas, which can rapidly reproduce again under favorable conditions. Medications such as metronidazole vaginal effervescent tablets, tinidazole vaginal suppositories, or ornidazole vaginal suppositories may be used under a doctor’s guidance.

4. Coexisting infections: Concurrent infections with bacteria, fungi, or other pathogens disrupt the normal vaginal flora balance, creating favorable conditions for Trichomonas growth and resulting in recurrent episodes. Treatments such as clotrimazole vaginal tablets, miconazole nitrate vaginal soft capsules, or dual-azole vaginal gel may be used under medical supervision.

5. Diabetes: Elevated blood glucose increases glycogen levels in the vagina, promoting Trichomonas growth and reproduction. Additionally, individuals with diabetes often have reduced overall immunity, making them more susceptible to recurrent Trichomonas infections. Active blood glucose control is essential. Under medical guidance, medications such as metformin hydrochloride tablets, gliclazide tablets, or repaglinide tablets should be used to maintain blood glucose within the normal range.

In daily life, maintaining a healthy lifestyle, balanced diet, and increased intake of vegetables and fruits is recommended. Regular gynecological examinations can help detect and treat related conditions early.