Essential Information About Trichomoniasis
Trichomoniasis (trich) is a sexual infection that causes inflammation of the urogenital system. Its typical signs are very similar to the symptoms of colpitis, urethritis, cystitis or proctitis. Trich is often combined with other genital infections like chlamydia, gonorrhea, mycoplasma, candidiasis, etc.
In the acute stage there are abundant discharge from vagina, itching and burning – in women and soreness in urination – in men. In the absence of adequate treatment trichomoniasis passes into a chronic form and in the future can cause prostatitis, infertility, complicated pregnancy and childbirth, childhood pathology and even death.
How Trichomoniasis is Transmitted?
In most cases sexual intercourse in the vagina is the reason for trich infection. It is slightly possible during oral and anal sex, but there still is a small chance. It is so, because trichomonas survives in humid environment for several hours, but even though household contamination is possible too. As an example, take a look at the wet towels and washcloths – they are a perfect environment for trich.
Note 1: Most cases of trichomoniasis, which are associated with the non-sexual way of infection, actually are a late-identified chronic infection.
Note 2: Trichomoniasis incubation period taked 1-4 weeks.
What Are the Typical Trichomoniasis Symptoms?
Symptoms of trichomoniasis in women:
- Discharge from the vagina (usually yellow, sometimes with an unpleasant odor).
- Itching and redness of the external genitalia.
- Painful urination.
- Painful sexual intercourse.
Trichomoniasis in men in most cases is asymptomatic. Sometimes following symptoms are possible:
- Discharge from the urethra.
- Painful and burning-like urination.
- Prostatitis-like symptoms.
Trichomoniasis Testing and Treatment
For trichomoniasis diagnosis a general smear is used. In women it is the discharge from the vagina, in men – the discharge from the urethra and the secretion of the prostate. General smear results can be confirmed by more accurate methods like PIF, PCR or inoculation.
Treatment for acute uncomplicated trichomoniasis includes:
1) Metronidazole, 2 gr orally once.
2) Metronidazole, 500 mg orally 2 times a day for 7 days.
In some cases there is a need for additional treatment, for example, immunotherapy, prostate massage, urethral instillation, physiotherapy and so on.
In chronic trichomoniasis (and especially complicated one), antimicrobial therapy takes more time and as a rule it is often combined (several antimicrobials are used). Also immunotherapy, urethral instillations and physiotherapy are prescribed.
Note: Sexual affairs are strictly prohibited during the whole treatment course.
What if Trichomoniasis Is Not Treated?
Previously, the danger of trich was underestimated. Today it is proven that trichomoniasis increases the risk of premature birth and premature discharge of amniotic fluid. In men, it can lead to prostatitis.
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