Trichomonas vulvitis often secondary to Trichomonas vaginitis. Women’s multi-parasite Trichomonas vaginalis in the vagina, urethra, Bartholin’s gland and bladder. Bartholin’s gland involvement are rare.
     Trichomonas vaginalis is a flagellate咱than the large number of polymorphonuclear leukocytes, showing pear-shaped, the top four have flagellum, the tail shaft protruding columns can be parasitic in the human body without causing clinical symptoms.
     Some bacteria can be induced active and trichomoniasis symptoms, but the antibodies in vivo and can spread directly or indirectly, mainly through the bath, a bath, swimming pool, or a thorough disinfection of medical equipment such as an indirect means of communication. Direct transmission through sexual intercourse, came from the male urinary system, the patient’s urine and faeces may also be the source.
     The disease incubation period is 4 ~ 28 days, the vaginal mucous membrane of small particles or red petechia. pH value is higher than normal. How the amount of vaginal yellow-green or gray discharge out of the bubble, there is stench smell, sometimes mixed with a little blood, or purulent secretions stimulate the vulva while itching. Vulva redness, inflammation or even ulceration occurred, some due to moisture and abrasion due to be spread to the reproductive unit folds. Pain during intercourse, and may have dysuria, urinary frequency and other symptoms.
     According to symptoms and signs, the disease is not difficult to diagnose, can only be found diagnosis of Trichomonas vaginalis. Vaginal secretion obtained with the hanging drop method checks the activities can be found in the microscope, trichomoniasis, which could be seen in the stained smears. When necessary, can be cultured. Impact of vaginal trichomoniasis infection cells with malignant tumors should be noted that identification, if necessary, can be made after treatment of vaginal cytology.
     Once diagnosed, targeted therapies should take early measures, such as metronidazole orally or by injection, local scrub vulvar and vaginal lavage 7 to 10 days for a course of treatment, continuous treatment of three menstrual cycle, in addition, pay attention to maintaining local clean during treatment , underwear and genital contact with the utensils should be sterilized to prevent further boiling dye. Where there is sex life, it is recommended for men and women with the diagnosis-wen, a sexual partner must also be treated to prevent cross-repeated infection.