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Trichomonas vaginalis: Treatment, symptoms, advice and help

About trichomonas vaginalis

It is vaginal inflammation caused by the protozoon: Trichomonas vaginalis associated with discharge and burning sensation. It is a lower genital tract infection. It is sexually transmitted.

Trichomonas vaginalis: Incidence, age and sex

It is seen in sexually active women in the reproductive age group. It is the most prevalent non viral infection in women with high risk sexual behaviour in the United States. 70% of the male sex partners will have the infection in their urinary tract.

Causes and prevention of trichomonas vaginalis

It is sexually transmitted. The organism infests the vagina, urinary tract and the ectocervix. It is a pear shaped flagellate. It is associated with co-infection with other organisms. It is exacerbated in the premenstrual period.Safe sex, early detection and appropriate treatment including treatment of the partner are necessary to prevent repeated infections.

Signs and symptoms of trichomonas vaginalis

It causes frothy green coloured vaginal discharge associated with burning, itching and vaginal irritation. It may be associated with burning sensation while passing urine. It may cause pain during sexual intercourse. It can be diagnosed by looking for these features during speculum examination carried out by the gynaecologist. Subjecting the discharge to wet smear examination and studying the smear under microscope confirms the diagnosis.

Trichomonas vaginalis: Complications

If left untreated, it causes urinary tract infection. It may cause premature labour and or premature rupture of membranes in pregnant women. Vertical transmission can also occur.

Trichomonas vaginalis: Treatment

The CDC recommendation is metronidazole 500mg twice a day for 7 days. Tinidazole is advocated for patients who are resistant to metronidazole.