Sexually transmitted urogenital infection caused by a pear-shaped, parasitic protozoan
Causes vaginitis/urethritis in women, nongonococcal urethritis in men
Association with infertilit...
Women—up to 85% may be asymptomatic (1).
Yellow-green, malodorous vaginal discharge
Vulvovaginal pruritus
Dysuria
Symptoms often worsen during menses.
Men—77% are asymptomatic (1).
Dysuri...
Symptomatic individuals require treatment.
Sexual partners should be treated presumptively.
Patients should abstain from sexual intercourse during treatment and until they are asymptomatic.
If symptoms persist after initial treatment, repeat testing.
Repeat infections occur in up to 37% of cases, treat with metronidazole at same or higher dosage (1)
R...
Akter T, Festin M, Dawson A. Hormonal contraceptive use and the risk of sexually transmitted infections: a systematic review and meta-analysis. Sci Rep. 2022;12(1):20325....
A59.02 Trichomonal prostatitis
A59 Trichomoniasis
A59.0 Urogenital trichomoniasis
A59.9 Trichomoniasis, unspecified
A59.8 Trichomoniasis of other sites
A59.09 Other urogenital trichomoniasis
A59....
Both partners need to be treated for trichomoniasis.
Retest patients between 3 weeks and 3 months of treatment.
Avoid alcohol during treatment.
Treatment in pregnancy does not reduce risk...
Sign up for a 10-day FREE Trial now and receive full access to all content.
FIGURE 28.50. Trichomonas vaginalis in urine. Note the flagella and the spherical character of this parasite. These organisms are easily misdiagnosed as white blood cells. (Bright-field microscopy, 3400.)
FIGURE 28.50. Trichomonas vaginalis in urine. Note the flagella and the spherical character of this parasite. These organisms are easily m...
Strawberry cervix associated with trichomoniasis.
FIG. 9.16. A: Trichomonad in the vaginal discharge of a 17-year-old patient with gonococcal pelvic inflammatory disease. The flagellated protozoan is elliptical and somewhat larger than the adjacent polymorphonuclear leukocytes (2253 magnification). B: After suspension in saline solution for microscopy, trichomonads gradually become swollen and immobile. This balloon-shaped trichomonad is barely recognizable (2253 magnification).
FIG. 9.16. A: Trichomonad in the vaginal discharge of a 17-year-old patient with gonococcal pelvic inflammatory disease. The flagellated pr...