Trichomoniasis is a sexually transmitted
disease (STD)
caused by a small organism called Trichomonas
vaginalis. Women are most often affected by this disease, although men
can become infected and pass the infection to their partners through sexual
contact.
HOW COMMON IS TRICHOMONIASIS?
Trichomoniasis is the most common curable STD in young, sexually active women. An estimated 7.4 million new cases occur each year in women and men.HOW DO I KNOW IF I HAVE TRICHOMONIASIS?
Men often do not have symptoms of
trichomoniasis and usually do not know they are infected until their partners
need treatment. But when symptoms do occur, they include:
- Irritation inside the penis
- Mild discharge
- Slight burning after urination or ejaculation
Many women do have signs or
symptoms of infection. Symptoms in women can include:
- Greenish-yellow, frothy vaginal discharge with a strong odor
- Painful urination
- Vaginal itching and irritation
- Discomfort during intercourse
- Lower abdominal pain (rare)
Symptoms usually appear within
five to 28 days of exposure in women.
HOW IS TRICHOMONIASIS DIAGNOSED?
To diagnose trichomoniasis, a
doctor must perform a physical
exam and lab test. Lab tests are performed on a sample of vaginal fluid or
urethral fluid to look for the disease-causing parasite. The parasite is harder
to detect in men than in women.
HOW IS TRICHOMONIASIS TREATED?
Usually an oral antibiotic called
metronidazole
(Flagyl)
is given to treat trichomoniasis. It is the only drug that should be used to
treat trichomoniasis if there is any chance that you could be pregnant.
Your partner should also be
treated at the same time to prevent reinfection and further spread of the
disease. In addition, persons being treated for trichomoniasis should avoid sex until they
and their sex
partners complete treatment and have no symptoms. It is important to take all
of your antibiotics,
even if you feel better.
HOW CAN I PREVENT TRICHOMONIASIS INFECTION?
- Use condoms correctly every time you have sex.
- Limit the number of sex partners, and do not go back and forth between partners.
- Practice sexual abstinence, or limit sexual contact to one uninfected partner.
- If you think you are infected, avoid sexual contact and see a doctor.
Any genital symptoms such as
discharge or burning during urination or an unusual sore or rash
should be a signal to stop having sex and to consult a doctor immediately. If
you are told you have trichomoniasis or any other STD and receive treatment,
you should notify all of your recent sex partners so that they can see a doctor
and be treated.
WHAT HAPPENS IF I DON'T GET TREATED FOR TRICHOMONIASIS?
Trichomoniasis in pregnant women
may cause premature rupture of the membranes that protect the baby, and early
delivery. The genital inflammation caused by trichomoniasis might also increase
a woman's risk of acquiring HIV
infection if she is exposed to HIV.
Trichomoniasis in a woman who is also infected with HIV can increase the
chances of transmitting HIV infection to a sex partner.
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