Outline treatment of trichomoniasis. State 4 advantages of Cusco's speculum over Sims' speculum. State 5 indications of myomectomy.

Treatment of trichomoniasis:
1. Metronidazole is the first-line treatment for trichomoniasis, typically taken as a single dose or a 7-day course.
2. Tinidazole is an alternative medication that can be used if metronidazole is not effective or well-tolerated.
3. Sexual partners should also be treated to prevent reinfection.
4. Abstaining from sexual activity until treatment is completed and symptoms have resolved is recommended.

Advantages of Cusco's speculum over Sims' speculum:
1. Cusco's speculum is easier to insert and remove compared to Sims' speculum.
2. Cusco's speculum provides a wider view of the cervix and vaginal walls.
3. Cusco's speculum is less likely to cause discomfort or pain during insertion and removal.
4. Cusco's speculum can be used for both vaginal and rectal examinations, making it more versatile than Sims' speculum.

Indications of myomectomy:
1. Symptomatic fibroids causing heavy menstrual bleeding, pelvic pain, or pressure symptoms.
2. Infertility or recurrent pregnancy loss associated with fibroids.
3. Rapidly growing fibroids or those causing complications such as torsion or degeneration.
4. Fibroids causing urinary symptoms or bowel disturbances.
5. Desire to preserve fertility or avoid hysterectomy.