Trichomonoza
Charakterystyka, pielęgnacja i opieka

Trichomonoza, wywołana przez pierwotniaka Trichomonas vaginalis, jest najczęstszą niewirusową, uleczalną infekcją przenoszoną drogą płciową, dotykającą zarówno kobiety, jak i mężczyzn. U kobiet objawy obejmują pienistą, żółto-zieloną wydzielinę pochwową, świąd, dyspareunię oraz ewentualne krwawienia po stosunku, natomiast u mężczyzn infekcja często przebiega bezobjawowo lub z łagodnym podrażnieniem cewki moczowej. Diagnostyka opiera się na badaniu mikroskopowym, posiewie, testach PCR oraz szybkich testach point-of-care. Leczenie standardowo obejmuje nitroimidazole: metronidazol 500 mg p.o. dwa razy dziennie przez 7 dni lub 2 g w pojedynczej dawce, tynidazol 2 g jednorazowo lub seknidazol jako alternatywę. U kobiet ciężarnych zalecana jest pojedyncza dawka 2 g metronidazolu, ze względu na bezpieczeństwo stosowania i ryzyko powikłań ciąży przy nieleczonej infekcji.

Definicja i etiologia Trichomonozy

Trichomonoza (trichomoniasis) jest powszechną infekcją przenoszoną drogą płciową (STI), wywołaną przez pierwotniaka Trichomonas vaginalis. Jest to najczęstsza niewirusowa, uleczalna infekcja przenoszona drogą płciową na świecie. Infekcja ta dotyka zarówno kobiety, jak i mężczyzn, chociaż objawy częściej występują u kobiet.123

Pasożyt Trichomonas vaginalis może zainfekować pochwę, cewkę moczową i gruczoły przycewkowe. Może być obecny w płynach ustrojowych, takich jak nasienie, preejakulat i wydzieliny pochwowe. Trichomonoza jest przekazywana głównie poprzez kontakt seksualny, w tym penetracyjny stosunek płciowy oraz aktywności seksualne wiążące się z wymianą płynów ustrojowych. Można również zarazić się poprzez wspólne korzystanie z zabawek seksualnych.45

Objawy kliniczne

Ważne jest, aby pamiętać, że do 70% osób zakażonych Trichomonas vaginalis nie wykazuje żadnych objawów, co znacznie utrudnia wczesne wykrycie i leczenie infekcji.67

Objawy u kobiet

U kobiet trichomonoza może powodować charakterystyczne objawy, takie jak:89

  • Zwiększona wydzielina pochwowa, często pienista, żółto-zielona
  • Silny, nieprzyjemny zapach pochwy
  • Świąd i podrażnienie pochwy
  • Dyskomfort podczas stosunku płciowego (dyspareunia) lub oddawania moczu
  • Ból w dolnej części brzucha (w rzadkich przypadkach)
  • Możliwe krwawienie po stosunku płciowym

Podczas badania ginekologicznego można zaobserwować czerwone plamki na ścianie pochwy lub szyjce macicy. Badanie wydzieliny pochwowej pod mikroskopem może wykazać oznaki stanu zapalnego lub obecność drobnoustrojów wywołujących infekcję.1011

Objawy u mężczyzn

U mężczyzn trichomonoza często przebiega bezobjawowo, jednak niektórzy mogą doświadczać:1213

  • Tymczasowego podrażnienia wewnątrz penisa
  • Łagodnej wydzieliny z cewki moczowej
  • Lekkiego pieczenia po oddaniu moczu lub ejakulacji
  • Bólu jąder
  • Częstomoczu
  • Mętnego moczu

Diagnoza trichomonozy

Diagnostyka trichomonozy zazwyczaj odbywa się w warunkach ambulatoryjnych i wymaga badania fizykalnego oraz testów laboratoryjnych. Pasożyt jest trudniejszy do wykrycia u mężczyzn niż u kobiet.14

Metody diagnostyczne obejmują:151617

  • Badanie mikroskopowe wydzieliny pochwowej („mokry preparat”)
  • Posiew mikrobiologiczny
  • Testy PCR (testy amplifikacji kwasów nukleinowych – NAATs)
  • Testy typu point-of-care (POC) – szybkie testy diagnostyczne

Ze względu na wysoką częstość występowania trichomonozy, testy powinny być rutynowo wykonywane u kobiet poszukujących opieki medycznej z powodu wydzieliny pochwowej i/lub świądu sromu i pochwy. U każdej osoby zdiagnozowanej z trichomonozą zaleca się również przeprowadzenie pełnego panelu badań w kierunku innych infekcji przenoszonych drogą płciową (HIV, wirusowe zapalenie wątroby typu B, chlamydioza, rzeżączka i kiła).1819

Leczenie trichomonozy

Trichomonoza jest infekcją uleczalną i wymaga odpowiedniego leczenia antybiotykami. Bez leczenia może utrzymywać się miesiącami lub nawet latami i nie ustąpi samoistnie.20

Farmakoterapia

Standardowe leczenie trichomonozy obejmuje zastosowanie leków z grupy nitroimidazoli:212223

  • Metronidazol (Flagyl):
    • 500 mg doustnie dwa razy dziennie przez 7 dni (zalecany schemat)
    • lub 2 g w pojedynczej dawce doustnej
  • Tynidazol (Tindamax):
    • 2 g doustnie w pojedynczej dawce
  • Seknidazol (Solosec) – alternatywna opcja leczenia

Podczas leczenia metronidazolem lub tynidazolem pacjenci powinni unikać spożywania alkoholu w trakcie kuracji oraz przez 24-48 godzin po zakończeniu przyjmowania metronidazolu lub 72 godziny po zakończeniu przyjmowania tynidazolu, ze względu na ryzyko wystąpienia reakcji disulfiramowej (silne nudności i wymioty).2425

Leczenie w ciąży

Kobiety w ciąży z objawami trichomonozy powinny być leczone niezależnie od etapu ciąży. Nieleczona trichomonoza u kobiet ciężarnych może prowadzić do przedwczesnego porodu i niskiej masy urodzeniowej dziecka.2627

CDC zaleca pojedynczą dawkę 2 g metronidazolu jako leczenie z wyboru dla kobiet w ciąży. Metronidazol jest bezpieczny do stosowania w ciąży. Leczenie tynidazolem w ciąży nie zostało dobrze zbadane, a badania na zwierzętach sugerują, że lek może stwarzać umiarkowane ryzyko.2829

Leczenie partnerów seksualnych

Kluczowe znaczenie ma leczenie wszystkich partnerów seksualnych osoby zakażonej, nawet jeśli nie mają oni objawów. Leczenie partnerów zwiększa wskaźnik wyleczenia i zapobiega ponownemu zakażeniu oraz dalszemu rozprzestrzenianiu się choroby.3031

W niektórych krajach dostępna jest przyspieszona terapia partnerska (EPT – Expedited Partner Therapy), która umożliwia osobom zakażonym przekazanie leków swoim partnerom seksualnym bez konieczności osobistej wizyty partnerów u lekarza.32

Opieka pielęgnacyjna w trichomonozie

Ocena stanu pacjenta

Proces pielęgnowania pacjenta z trichomonozą rozpoczyna się od dokładnego zebrania wywiadu i oceny stanu zdrowia. Ocena pielęgniarska powinna uwzględniać:3334

  • Wywiad dotyczący objawów i czasu ich wystąpienia
  • Informacje o ostatnich kontaktach seksualnych
  • Przegląd historii infekcji przenoszonych drogą płciową
  • Ocenę czynników ryzyka
  • Badanie fizykalne obszarów dotkniętych infekcją

Interwencje pielęgniarskie

Interwencje pielęgniarskie w przypadku pacjentów z trichomonozą obejmują:3536

  • Podawanie leków zgodnie z zaleceniami lekarza
  • Wyjaśnienie diagnozy, leczenia i potencjalnych skutków ubocznych
  • Monitorowanie:
    • Niepożądanych reakcji lub powikłań
    • Wyników badań laboratoryjnych
    • Odpowiedzi na leczenie
    • Parametrów życiowych
  • Przestrzeganie zasad zapobiegania zakażeniom i środków bezpieczeństwa
  • Zapewnienie odpowiedniej edukacji pacjenta

Monitorowanie i badania kontrolne

CDC zaleca ponowne badanie pacjentów aktywnych seksualnie w ciągu 3 miesięcy po zakończeniu leczenia ze względu na wysokie ryzyko ponownego zakażenia, szczególnie u kobiet. Ponowne badanie jest kluczowe, aby upewnić się, że infekcja została całkowicie wyeliminowana.3738

Rutynowe badanie kontrolne nie jest konieczne, jeśli pacjent nie ma objawów po zakończeniu leczenia i prawidłowo przyjmował leki. Jeśli jednak objawy utrzymują się, należy rozważyć ponowne badanie i alternatywne opcje leczenia.39

Przypadki oporności na leczenie

W przypadku utrzymywania się infekcji mimo prawidłowego leczenia, należy rozważyć:4041

  • Weryfikację przestrzegania zaleceń terapeutycznych przez pacjenta
  • Możliwość ponownego zakażenia
  • Potencjalną oporność na leki

Oporność na metronidazol i inne nitroimidazole została odnotowana w do 5% przypadków klinicznych zakażeń Trichomonas vaginalis. W przypadku podejrzenia oporności na leki, konsultacja z ekspertami z CDC może być wskazana.4243

Edukacja pacjenta

Informacje o chorobie i leczeniu

Ważnym elementem opieki nad pacjentem z trichomonozą jest odpowiednia edukacja. Pacjent powinien otrzymać informacje dotyczące:4445

  • Diagnozy i planu leczenia
  • Leków i potencjalnych skutków ubocznych
  • Konieczności przyjmowania całej przepisanej kuracji antybiotyków, nawet po ustąpieniu objawów
  • Unikania spożywania alkoholu podczas leczenia i przez określony czas po jego zakończeniu
  • Znaczenia leczenia wszystkich partnerów seksualnych

Zalecenia dotyczące aktywności seksualnej

Pacjenci powinni być poinformowani o konieczności:464748

  • Unikania kontaktów seksualnych do czasu zakończenia pełnego leczenia zarówno przez pacjenta, jak i jego partnerów
  • Wstrzymania się od seksu przez co najmniej tydzień po zakończeniu leczenia, nawet w przypadku pojedynczej dawki antybiotyku
  • Poinformowania wszystkich partnerów seksualnych z ostatnich 2 miesięcy o zakażeniu, aby mogli oni zostać przebadani i leczeni

Profilaktyka i zapobieganie reinfekcji

Pacjenci powinni zostać poinformowani o sposobach zapobiegania ponownemu zakażeniu oraz innym infekcjom przenoszonym drogą płciową:495051

  • Stosowanie prezerwatyw podczas każdego stosunku seksualnego
  • Ograniczenie liczby partnerów seksualnych
  • Regularne badania w kierunku infekcji przenoszonych drogą płciową
  • Otwarta komunikacja z partnerami seksualnymi na temat bezpieczniejszego seksu

Potencjalne powikłania nieleczonej trichomonozy

Nieleczona trichomonoza może prowadzić do poważnych powikłań zdrowotnych, w tym:525354

Powikłania u kobiet

  • Zwiększone ryzyko zakażenia HIV i innych STI
  • Zapalenie narządów miednicy mniejszej (PID)
  • Problemy z płodnością
  • Zwiększone ryzyko raka szyjki macicy

Powikłania u mężczyzn

  • Zapalenie i podrażnienie najądrzy
  • Zapalenie i podrażnienie prostaty
  • Problemy z płodnością
  • Zwiększone ryzyko raka prostaty

Powikłania w ciąży

  • Zwiększone ryzyko przedwczesnego porodu
  • Niska masa urodzeniowa noworodka (poniżej 2,5 kg)
  • Przedwczesne pęknięcie błon płodowych
  • Zwiększone ryzyko poporodowej infekcji u matki

Współpraca interdyscyplinarna w opiece nad pacjentem

Skuteczna opieka nad pacjentem z trichomonozą wymaga współpracy między różnymi specjalistami ochrony zdrowia:5556

  • Lekarze (ginekolodzy, urolodzy, lekarze rodzinni)
  • Pielęgniarki i pielęgniarki specjalistyczne
  • Pracownicy laboratoriów diagnostycznych
  • Specjaliści chorób zakaźnych
  • Doradcy w zakresie zdrowia seksualnego

Otwarta komunikacja między członkami zespołu jest niezbędna, aby zapewnić pacjentowi standardową opiekę i pełne wyleczenie. Pielęgniarki chorób zakaźnych odgrywają kluczową rolę w edukacji pacjenta na temat stosowania metod barierowych antykoncepcji i przestrzegania zaleceń leczniczych.57

Specjalne populacje pacjentów

Pacjenci z HIV

Pacjenci z HIV powinni otrzymać to samo leczenie co osoby bez HIV. Warto jednak zauważyć, że wielodniowy schemat leczenia (metronidazol 500 mg dwa razy dziennie przez 7 dni) okazał się bardziej skuteczny w leczeniu T. vaginalis u kobiet HIV-pozytywnych niż leczenie pojedynczą dawką.58

Trichomonoza zwiększa ryzyko transmisji HIV, a zakażenie HIV może wpływać na skuteczność leczenia trichomonozy, dlatego pacjenci z trichomonozą powinni być również badani w kierunku HIV.5960

Młodzież i pacjenci pediatryczni

Młodzież aktywna seksualnie powinna być regularnie badana w kierunku STI, w tym trichomonozy. Edukacja na temat bezpiecznych praktyk seksualnych jest szczególnie ważna w tej grupie wiekowej.61

W przypadku wykrycia trichomonozy u dzieci przed okresem dojrzewania, należy rozważyć możliwość wykorzystania seksualnego i skierować pacjenta do odpowiednich służb ochrony dzieci.62

Kolejne rozdziały

Zapraszamy do dalszego czytania naszego leksykonu.

Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 09.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Trichomoniasis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK534826/
    Trichomonas vaginalis is a protozoan responsible for trichomoniasis, one of the most prevalent non-viral sexually transmitted infections (STIs) in the United States. […] This activity reviews the evaluation and management of trichomoniasis and highlights the role of interprofessional team members in collaborating to provide well-coordinated care and enhance outcomes for affected patients. […] Outline the treatment and management options available for trichomoniasis. […] According to the 2021 CDC STI treatment guidelines, a seven-day course of 500 mg metronidazole twice daily is indicated. […] Pregnant women must be treated. Otherwise, it can result in adverse outcomes. The drug of choice is metronidazole. Women should stop breastfeeding during treatment. […] The CDC also recommends performing a test of cure for all women treated for trichomoniasis within three months of treatment.
  • #2 Trichomoniasis Information | Mount Sinai – New York
    https://www.mountsinai.org/health-library/diseases-conditions/trichomoniasis
    Trichomoniasis is a sexually transmitted infection caused by the parasite Trichomonas vaginalis. […] Antibiotics, most often metronidazole (Flagyl) or tinidazole (Tindamax), are commonly used to cure the infection. […] Avoid sexual intercourse until you have finished treatment. Your sexual partners should be treated at the same time, even if they have no symptoms. […] Treating trichomoniasis helps prevent it from spreading to sexual partners. […] Contact your health care provider if you have any unusual vaginal discharge or irritation. […] Practicing safer sex can help reduce the risk of sexually transmitted infections, including trichomoniasis.
  • #3
    https://www.who.int/news-room/fact-sheets/detail/trichomoniasis
    Trichomoniasis is a common sexually transmitted infection (STI) among women of reproductive age, caused by the protozoan Trichomonas vaginalis. […] It is treatable and curable. […] In females, trichomoniasis is a common cause of vaginal discharge and is associated with poor birth outcomes and increased risk of pelvic inflammatory disease. […] Infection with T. vaginalis is also associated with increased risk of HIV acquisition. […] Trichomoniasis is a preventable condition. […] The most effective method to prevent sexual transmission of trichomoniasis and various other STIs is by consistently and correctly using condoms. […] People diagnosed with trichomoniasis should inform their sexual partners to prevent further transmission. […] Trichomoniasis is treatable and curable. […] It is best treated with the antibiotics metronidazole or tinidazole.
  • #4
    http://www.bccdc.ca/health-info/diseases-conditions/trichomoniasis
    Trichomoniasis is a sexually transmitted infection (STI) caused by the parasite Trichomonas vaginalis. Infections can occur in a penis or external genitals, and a vagina or internal genitals. The parasite can also be found in body fluids such as semen, pre-ejaculate, and vaginal fluids. […] Trichomoniasis can be cured with antibiotics. […] If you have Trichomoniasis, it is common to not notice any symptoms. If you do get symptoms, they will most likely show up between 5 to 28 days after exposure. The type of symptoms you experience will depend on where the infection is located on your body. The most common symptoms include: […] Trichomoniasis is passed through vaginal sexual contact. This includes both penetrative sex and sexual activities where there is an exchange of body fluids. You can also get Trichomoniasis by sharing sex toys. If you have Trichomoniasis, you can pass it to others even if you don’t have symptoms.
  • #5 Trichomoniasis
    https://www.hse.ie/eng/services/list/2/gp/antibiotic-prescribing/conditions-and-treatments/genital/trichomoniasis/
    Trichomoniasis is caused by the flagellated protozoan, Trichomonas vaginalis. It can infect the vagina, urethra and para urethral glands. […] In women trichomoniasis usually presents with a vaginal discharge which may be offensive with an associated vulvitis/vaginitis. Symptoms in women include frothy yellow-green discharge, offensive odour, dyspareunia/dysuria, vulval itch/discomfort. Signs include vulvitis, vaginitis, a frothy vaginal discharge and strawberry cervix. […] Men usually present as sexual contacts of women with infection. They may present with symptoms of urethritis including dysuria and urethral discharge. Men with persistent urethritis should be referred to a dedicated GUM clinic. […] Complications of trichomoniasis in women include perinatal complications, infertility and pelvic inflammatory disease. Complications in men include prostatitis and infertility.
  • #6 Interventions for treating trichomoniasis in women
    https://pmc.ncbi.nlm.nih.gov/articles/PMC6532670/
    Nitroimidazole drugs are effective in the treatment of trichomoniasis in women. […] This review examines the effectiveness of various treatments and found that oral nitroimidazole drugs are effective in treating trichomoniasis in women. […] Trichomoniasis infection is characterised by greenyellow frothy vaginal discharge, pain on sexual intercourse, vulvovaginal soreness and itching, and pain on urination. However, many women with trichomoniasis have no symptoms (asymptomatic). […] T. vaginalis vaginitis requires prompt and effective treatment. Metronidazole and other nitroimidazole drugs (such as ornidazole, tinidazole, nimorazole, and carnidazole) have been used as antitrichomonal agents for more than 30 years. […] Treatment strategies aim to treat infected women and ensure that sexual partners are also treated.
  • #7 Trichomoniasis: Select Family Practice and Urgent Care: Family Medicine
    https://www.selectfamilypractice.com/blog/trichomoniasis
    Trichomoniasis (AKA trich) is a common sexually transmitted infection that affects about 2 million individuals in the US every year, per the CDC. It is spread by unprotected sexual contact or intercourse. Signs and symptoms of trichomoniasis differ between men and women. Men may experience discharge, irritation, or itching inside penis or burning with peeing or ejaculating. Women may notice burning with peeing or itching, irritation in genital region, or green, frothy discharge with a fishy odor. Both men and women may experience discomfort with sex. Up to 70% of patients with trich do not experience any of the above symptoms, so it is important seek testing and treatment immediately if you know or suspect that you have been exposed. Trich is extremely treatable with antibiotics. If you do test positive for trich, it is important to treat it and encourage any sexual partners to be treated as well. When trich goes untreated, it can cause severe complications, such as pelvic inflammatory disease. Contact your provider if you think you may have been exposed.
  • #8 Trichomoniasis – Women’s Health Guide – Public Health
    https://www.publichealth.va.gov/infectiondontpassiton/womens-health-guide/stds/trichomoniasis.asp
    Trichomoniasis is an infection caused by a tiny parasite. It affects both men and women. It is also known as „trich”. […] Women get trichomoniasis from sexual contact with someone who has it. Anyone who has it can spread it to others. It can be spread between: Men and women, Women and women, Men and men. […] Some women can have „trich” without having signs. Others have signs that include: Increased vaginal discharge that can be foamy, yellow, or yellow-green; Strong vaginal odor; Vaginal itching and irritation; Discomfort during sex or urination. […] The only way to know if you have trichomoniasis is by a medical exam. Your health care provider can use a simple vaginal swab to test for it. […] Trichomoniasis can be treated and cured with prescription pills. Always finish treatment. Do not have sex until after treatment and all signs are gone.
  • #9
    http://www.stdpreventiononline.org/index.php/std/detail/104
    Trichomoniasis is a common sexually transmitted disease (STD) that affects both women and men, although symptoms are more common in women. […] 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. […] Trichomoniasis is caused by the single-celled protozoan parasite, Trichomonas vaginalis. The vagina is the most common site of infection in women, and the urethra (urine canal) is the most common site of infection in men. The parasite is sexually transmitted through penis-to-vagina intercourse or vulva-to-vulva (the genital area outside the vagina) contact with an infected partner. Women can acquire the disease from infected men or women, but men usually contract it only from infected women. […] Most men with trichomoniasis do not have signs or symptoms; however, some men may temporarily have an irritation inside the penis, mild discharge, or slight burning after urination or ejaculation. Some women have signs or symptoms of infection which include a frothy, yellow-green vaginal discharge with a strong odor. The infection also may cause discomfort during intercourse and urination, as well as irritation and itching of the female genital area. In rare cases, lower abdominal pain can occur. Symptoms usually appear in women within 5 to 28 days of exposure.
  • #10 FloridaHealthFinder | Trichomoniasis | Health Encyclopedia | FloridaHealthFinder
    https://quality.healthfinder.fl.gov/health-encyclopedia/HIE/1/001331
    Trichomoniasis is a sexually transmitted infection caused by the parasite Trichomonas vaginalis. […] Women may have these symptoms: Discomfort with intercourse, Itching of the inner thighs, Vaginal discharge (thin, greenish-yellow, frothy or foamy), Vaginal or vulvar itching, or swelling of the labia, Vaginal odor (foul or strong smell). […] In women, a pelvic examination shows red blotches on the vaginal wall or cervix. Examining the vaginal discharge under a microscope may show signs of inflammation or infection-causing germs in vaginal fluids. […] Antibiotics, most often metronidazole (Flagyl) or tinidazole (Tindamax), are commonly used to cure the infection. […] Avoid sexual intercourse until you have finished treatment. Your sexual partners should be treated at the same time, even if they have no symptoms.
  • #11
    https://www.nursingcenter.com/journalarticle?Article_ID=3953445&Journal_ID=54012&Issue_ID=3953291
    Mrs. H was tested for urinary tract infections twice; however, when she called the clinic regarding her cultures, she was informed of negative urine culture results. […] Due to the high prevalence of trichomoniasis, testing should be done routinely in women seeking care for complaints of vaginal discharge and/or vulvovaginal itching and irritation. […] The leading signs and symptoms of acute trichomoniasis include a purulent, malodorous, thin vaginal discharge often associated with dysuria, pruritus, urinary frequency, lower abdominal pain, dyspareunia, and possible postcoital bleeding. […] Uncomplicated trichomoniasis should be treated with metronidazole or tinidazole. […] During treatment with metronidazole or tinidazole, advise patients to abstain from alcohol use for 24 hours after completion of metronidazole or 72 hours after completion of tinidazole. […] This case highlights the importance of the vaginal exam when evaluating a patient for complaint of vaginal discharge and/or vulvovaginal itching and irritation.
  • #12
    http://www.stdpreventiononline.org/index.php/std/detail/104
    Trichomoniasis is a common sexually transmitted disease (STD) that affects both women and men, although symptoms are more common in women. […] 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. […] Trichomoniasis is caused by the single-celled protozoan parasite, Trichomonas vaginalis. The vagina is the most common site of infection in women, and the urethra (urine canal) is the most common site of infection in men. The parasite is sexually transmitted through penis-to-vagina intercourse or vulva-to-vulva (the genital area outside the vagina) contact with an infected partner. Women can acquire the disease from infected men or women, but men usually contract it only from infected women. […] Most men with trichomoniasis do not have signs or symptoms; however, some men may temporarily have an irritation inside the penis, mild discharge, or slight burning after urination or ejaculation. Some women have signs or symptoms of infection which include a frothy, yellow-green vaginal discharge with a strong odor. The infection also may cause discomfort during intercourse and urination, as well as irritation and itching of the female genital area. In rare cases, lower abdominal pain can occur. Symptoms usually appear in women within 5 to 28 days of exposure.
  • #13 Trichomoniasis: Select Family Practice and Urgent Care: Family Medicine
    https://www.selectfamilypractice.com/blog/trichomoniasis
    Trichomoniasis (AKA trich) is a common sexually transmitted infection that affects about 2 million individuals in the US every year, per the CDC. It is spread by unprotected sexual contact or intercourse. Signs and symptoms of trichomoniasis differ between men and women. Men may experience discharge, irritation, or itching inside penis or burning with peeing or ejaculating. Women may notice burning with peeing or itching, irritation in genital region, or green, frothy discharge with a fishy odor. Both men and women may experience discomfort with sex. Up to 70% of patients with trich do not experience any of the above symptoms, so it is important seek testing and treatment immediately if you know or suspect that you have been exposed. Trich is extremely treatable with antibiotics. If you do test positive for trich, it is important to treat it and encourage any sexual partners to be treated as well. When trich goes untreated, it can cause severe complications, such as pelvic inflammatory disease. Contact your provider if you think you may have been exposed.
  • #14 Trichomoniasis Treatment & Management: Approach Considerations, Pharmacologic Therapy, Diet and Activity
    https://emedicine.medscape.com/article/230617-treatment
    Evaluation for trichomoniasis is typically conducted in the outpatient setting. […] After positive diagnosis, treatment should be instituted immediately and, whenever possible, in conjunction with all sexual partners. […] Both patient and partner should abstain from sex until pharmacological treatment has been completed and they have no symptoms. […] Patients undergoing pharmacotherapy should be advised to avoid alcohol consumption during the course of treatment and for an appropriate amount of time after the completion of their medication. […] Because trichomoniasis is an infection of multiple sites (eg. vaginal epithelium, Skene glands, Bartholin glands, and urethra), systemic treatment is needed. […] Patients should also be offered counseling and testing for HIV. […] In clinical practice, repeat testing is rarely performed unless symptoms do not improve with drug treatment.
  • #15
    https://www.nhs.uk/conditions/trichomoniasis/
    Trichomoniasis can usually be diagnosed after an examination of the genitals and a laboratory test carried out on a swab taken from the vagina or penis. […] If the test shows you have trichomoniasis, it’s important that your current sexual partner and any other recent partners are also tested and treated. […] Trichomoniasis is unlikely to go away without treatment, but it can be effectively treated with antibiotics. […] Most men and women are treated with an antibiotic called metronidazole, which is usually taken twice a day for 5 to 7 days. […] It’s important to complete the whole course of antibiotics and avoid having sex until the infection clears up to prevent reinfection. […] Your current sexual partner and any other recent partners should also be treated.
  • #16
    http://www.bccdc.ca/health-info/diseases-conditions/trichomoniasis
    If Trichomoniasis is treated early, there are usually no other health problems. If left untreated, it can lead to serious complications including: higher chance of getting and passing HIV and infertility. […] Tell your health care provider if you are pregnant and have Trichomoniasis. There is an increased risk for the premature rupture of membranes. […] There are options for how you test for Trichomoniasis. A health care provider will recommend certain tests depending on the types of sex that you’re having. Testing is usually done with urine or a swab sample. […] It is best to get tested for Trichomoniasis if you have vaginal symptoms, or have a sexual partner who has tested positive for Trichomoniasis. […] Trichomoniasis is treated with prescription antibiotics. It is important to take all your medications as directed. If you miss any doses, the infection may not be cured. Go back to your health care provider if this happens or if you still have symptoms after you finish your treatment.
  • #17 Point-of-Care Assays to Trichomonas vaginalis Diagnosis: The Road So Far
    https://www.mdpi.com/2674-0710/3/3/9
    Trichomonas vaginalis infection represents the most prevalent non-viral, curable parasitic sexually transmitted infection (STI) worldwide. The demand for precise and cost-effective point-of-care (POC) tests is paramount in the pursuit of STI epidemic control, ensuring expeditious patient diagnosis and therapeutic interventions. […] T. vaginalis infection is associated with serious adverse events. Therefore, diagnostic testing is recommended for individuals who live in environments and acquire risk behaviors (such as multiple sexual partners, active substance use, and housing in correctional environments) in addition to asymptomatic HIV-positive women and symptomatic individuals. Furthermore, surveillance of non-symptomatic carriers is of great value in preventing disease transmission. […] Early and effective diagnosis of trichomoniasis can mitigate the ongoing transmission chain and prevent the consequences of untreated infections.
  • #18
    https://www.nursingcenter.com/journalarticle?Article_ID=3953445&Journal_ID=54012&Issue_ID=3953291
    Mrs. H was tested for urinary tract infections twice; however, when she called the clinic regarding her cultures, she was informed of negative urine culture results. […] Due to the high prevalence of trichomoniasis, testing should be done routinely in women seeking care for complaints of vaginal discharge and/or vulvovaginal itching and irritation. […] The leading signs and symptoms of acute trichomoniasis include a purulent, malodorous, thin vaginal discharge often associated with dysuria, pruritus, urinary frequency, lower abdominal pain, dyspareunia, and possible postcoital bleeding. […] Uncomplicated trichomoniasis should be treated with metronidazole or tinidazole. […] During treatment with metronidazole or tinidazole, advise patients to abstain from alcohol use for 24 hours after completion of metronidazole or 72 hours after completion of tinidazole. […] This case highlights the importance of the vaginal exam when evaluating a patient for complaint of vaginal discharge and/or vulvovaginal itching and irritation.
  • #19 Trichomoniasis
    https://www.hse.ie/eng/services/list/2/gp/antibiotic-prescribing/conditions-and-treatments/genital/trichomoniasis/
    Diagnostic testing for trichomoniasis should be undertaken in patients complaining of vaginal discharge or vulvitis, male contacts of female cases and considered in men with persistent symptoms/signs of urethritis. Asymptomatic testing is not routinely indicated. […] Diagnosis can be made on a wet prep of vaginal secretions (in GUM clinics), culture or PCR. In general practice, PCR testing in men is on a first void urine specimen and in women on a vulvovaginal swab. […] Individuals diagnosed with trichomoniasis should be offered testing for other STIs including HIV, Hepatitis B, chlamydia, gonorrhoea and syphilis. […] Testing and treatment of sexual partners within the four weeks prior to presentation is important to prevent reinfection and onward transmission and patients should be encouraged to inform their sexual partners. Sexual partners in the two week window period after last sexual contact may have a false negative result and should be empirically treated for trichomoniasis.
  • #20 Trichomoniasis: Causes, Symptoms, Testing & Treatment
    https://my.clevelandclinic.org/health/diseases/4696-trichomoniasis
    Trichomoniasis is an STI. It doesn’t typically cause symptoms. […] Healthcare providers treat trichomoniasis with antibiotic medication to kill the parasite causing the infection. Without treatment, trich can last for months or even years. It won’t go away on its own. The entire time you’re infected, you can give the infection to your sexual partners. It’s important that all sex partners are treated to prevent re-infection. […] Oral antibiotic medications kill trich. Your healthcare provider may prescribe metronidazole or tinidazole. […] Yes, trich is curable. A healthcare provider treats trich infection with medication you take by mouth (swallow). […] No, trich doesn’t go away on its own. You need an antibiotic to treat the infection. […] Trichomoniasis is a very common STI that goes away with proper treatment. It’s important that you and your sexual partners take antibiotic medication as prescribed and abstain from sex until the infection clears up (about one week). […] If you’re pregnant or breastfeeding and have trichomoniasis, it’s generally safe to take metronidazole to treat it.
  • #21 Trichomoniasis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK534826/
    Trichomonas vaginalis is a protozoan responsible for trichomoniasis, one of the most prevalent non-viral sexually transmitted infections (STIs) in the United States. […] This activity reviews the evaluation and management of trichomoniasis and highlights the role of interprofessional team members in collaborating to provide well-coordinated care and enhance outcomes for affected patients. […] Outline the treatment and management options available for trichomoniasis. […] According to the 2021 CDC STI treatment guidelines, a seven-day course of 500 mg metronidazole twice daily is indicated. […] Pregnant women must be treated. Otherwise, it can result in adverse outcomes. The drug of choice is metronidazole. Women should stop breastfeeding during treatment. […] The CDC also recommends performing a test of cure for all women treated for trichomoniasis within three months of treatment.
  • #22 Interventions for treating trichomoniasis in women
    https://pmc.ncbi.nlm.nih.gov/articles/PMC6532670/
    Nitroimidazole drugs are effective in the treatment of trichomoniasis in women. […] This review examines the effectiveness of various treatments and found that oral nitroimidazole drugs are effective in treating trichomoniasis in women. […] Trichomoniasis infection is characterised by greenyellow frothy vaginal discharge, pain on sexual intercourse, vulvovaginal soreness and itching, and pain on urination. However, many women with trichomoniasis have no symptoms (asymptomatic). […] T. vaginalis vaginitis requires prompt and effective treatment. Metronidazole and other nitroimidazole drugs (such as ornidazole, tinidazole, nimorazole, and carnidazole) have been used as antitrichomonal agents for more than 30 years. […] Treatment strategies aim to treat infected women and ensure that sexual partners are also treated.
  • #23 Trichomonas | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/trichomoniasis
    Trichomonas (also known as trichomoniasis and 'trich’) is a sexually transmissible infection (STI). […] The infection can be treated with antibiotics. […] Avoid sex or use condoms until the infection has been treated. […] Standard treatment for trichomonas is: metronidazole (Flagyl) a single dose, 400 mg oral tablet twice daily for 7 days, taken with food (for people with a vagina) […] Avoid drinking alcohol during treatment and for 48 hours after taking metronidazole. […] If you have trichomonas, all your sexual partners need to be treated even if you have no symptoms. […] After completing treatment, the best way to protect yourself and partners from trichomonas, is to use condoms (internal or external) during sex. […] If this happens, see your GP, who may prescribe a longer course of treatment.
  • #24
    https://www.nursingcenter.com/journalarticle?Article_ID=3953445&Journal_ID=54012&Issue_ID=3953291
    Mrs. H was tested for urinary tract infections twice; however, when she called the clinic regarding her cultures, she was informed of negative urine culture results. […] Due to the high prevalence of trichomoniasis, testing should be done routinely in women seeking care for complaints of vaginal discharge and/or vulvovaginal itching and irritation. […] The leading signs and symptoms of acute trichomoniasis include a purulent, malodorous, thin vaginal discharge often associated with dysuria, pruritus, urinary frequency, lower abdominal pain, dyspareunia, and possible postcoital bleeding. […] Uncomplicated trichomoniasis should be treated with metronidazole or tinidazole. […] During treatment with metronidazole or tinidazole, advise patients to abstain from alcohol use for 24 hours after completion of metronidazole or 72 hours after completion of tinidazole. […] This case highlights the importance of the vaginal exam when evaluating a patient for complaint of vaginal discharge and/or vulvovaginal itching and irritation.
  • #25 Trichomoniasis Treatment & Management: Approach Considerations, Pharmacologic Therapy, Diet and Activity
    https://emedicine.medscape.com/article/230617-treatment
    Evaluation for trichomoniasis is typically conducted in the outpatient setting. […] After positive diagnosis, treatment should be instituted immediately and, whenever possible, in conjunction with all sexual partners. […] Both patient and partner should abstain from sex until pharmacological treatment has been completed and they have no symptoms. […] Patients undergoing pharmacotherapy should be advised to avoid alcohol consumption during the course of treatment and for an appropriate amount of time after the completion of their medication. […] Because trichomoniasis is an infection of multiple sites (eg. vaginal epithelium, Skene glands, Bartholin glands, and urethra), systemic treatment is needed. […] Patients should also be offered counseling and testing for HIV. […] In clinical practice, repeat testing is rarely performed unless symptoms do not improve with drug treatment.
  • #26 Trichomoniasis Treatment & Management: Approach Considerations, Pharmacologic Therapy, Diet and Activity
    https://emedicine.medscape.com/article/230617-treatment
    However, the CDC recommends rescreening at 3 months posttherapy for sexually active women, as they have a high rate of reinfection. […] Inpatient therapy is usually not required but may be indicated when resistance is present and intravenous (IV) therapy is indicated. […] For patients in whom treatment fails and in whom reinfection is ruled out, consultation with experts from the CDC may be advisable. […] Patients who are HIV-positive should generally receive the same treatment as those who are HIV negative. […] The notable exception is that the multiday treatment drug regimen (metronidazole 500 mg twice daily for 7 days) was recently shown to be more effective in treating T vaginalis in HIV-positive women than a single-dose treatment. […] Pregnant individuals showing symptoms, regardless of their pregnancy stage, should be tested and treated.
  • #27
    https://www.who.int/news-room/fact-sheets/detail/trichomoniasis
    Women who present with vaginal discharge, and who are managed based on the syndromic approach are treated for bacterial vaginosis (BV), candidiasis and trichomoniasis. […] Untreated T. vaginalis is linked to adverse birth outcomes, including low birth weight, preterm delivery and premature rupture of membranes. […] T. vaginalis infections are linked to a 1.5 times increased risk of HIV acquisition. […] In 2024, WHO published Recommendations for the treatment of Trichomonas vaginalis, Mycoplasma genitalium, Candida albicans, bacterial vaginosis and human papillomavirus (anogenital warts) to provide evidence-informed clinical and practical recommendations on case management of Trichomonas vaginalis.
  • #28 Trichomoniasis Treatment & Management: Approach Considerations, Pharmacologic Therapy, Diet and Activity
    https://emedicine.medscape.com/article/230617-treatment
    Managing T vaginalis infections can help relieve symptoms like vaginal discharge in pregnant individuals and reduce the likelihood of sexual transmission to partners. […] The CDC recommends a single 2-g dose of metronidazole if treatment is deemed necessary. […] Treatment of pregnant women with tinidazole has not been well-studied, however animal studies suggest that the drug poses moderate risks. […] Routine screening for trichomoniasis in asymptomatic pregnant women is not currently recommended. […] Patients should be instructed to avoid alcohol while taking metronidazole, tinidazole, or other nitroimidazole drugs. […] Modifying sexual behavior helps reduce the incidence of infection. […] Treatment of the patients partner is crucial for minimizing reinfection. […] Abstinence from sexual intercourse prevents trichomoniasis, except in cases of vertical transmission.
  • #29 Trichomoniasis (Trich): Symptoms, Causes, and Treatments
    https://resources.healthgrades.com/right-care/sexual-health/trichomoniasis
    Trichomoniasis is easy to treat. Treatment options include metronidazole (Flagyl) as a single 2-gram (g) oral dose and tinidazole (Tindamax) as a single 2-g oral dose. […] For people with an HIV infection, doctors may prescribe smaller doses of metronidazole over a week. Metronidazole is safe for pregnant people. However, those who have recently given birth should avoid breastfeeding during treatment. […] It is also important for anyone with the infection to avoid drinking alcohol while receiving treatment, as these drugs can cause serious side effects, such as severe nausea and vomiting. […] Trichomoniasis treatment is usually successful. Complications can develop if the infection is left untreated, especially in pregnancy. […] Having trichomoniasis also increases the risk of contracting HIV and other STIs if you come into contact with a person who has an infection.
  • #30 Trichomoniasis: Causes, Symptoms, Testing & Treatment
    https://my.clevelandclinic.org/health/diseases/4696-trichomoniasis
    Trichomoniasis is an STI. It doesn’t typically cause symptoms. […] Healthcare providers treat trichomoniasis with antibiotic medication to kill the parasite causing the infection. Without treatment, trich can last for months or even years. It won’t go away on its own. The entire time you’re infected, you can give the infection to your sexual partners. It’s important that all sex partners are treated to prevent re-infection. […] Oral antibiotic medications kill trich. Your healthcare provider may prescribe metronidazole or tinidazole. […] Yes, trich is curable. A healthcare provider treats trich infection with medication you take by mouth (swallow). […] No, trich doesn’t go away on its own. You need an antibiotic to treat the infection. […] Trichomoniasis is a very common STI that goes away with proper treatment. It’s important that you and your sexual partners take antibiotic medication as prescribed and abstain from sex until the infection clears up (about one week). […] If you’re pregnant or breastfeeding and have trichomoniasis, it’s generally safe to take metronidazole to treat it.
  • #31
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uh3143
    Trich needs to be treated so that you don’t spread it to others. Both you and your sex partner or partners should be treated at the same time so you don’t infect each other again. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Take your antibiotics as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics. […] Do not have sex while you are being treated. If your doctor gave you a single dose of antibiotics, do not have sex until one week after both you and your partner or partners have been treated. […] Tell your sex partner or partners that they will also need to be tested and treated. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if you do not get better as expected.
  • #32 Trichomoniasis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK534826/
    Many states allow expedited partner therapy (EPT). […] When metronidazole fails, the other drug is tinidazole. […] Patient education is vital. The infectious disease nurse should educate the patient on the use of barrier contraception and be compliant with treatment. […] Open communication between the team members is vital to ensure the patient receives the standard of care treatment and a complete cure.
  • #33 Trichomoniasis: Nursing Diagnosis & Interventions | Nurse.com
    https://www.nurse.com/clinical-guides/trichomoniasis/?srsltid=AfmBOoqYlTFLzGavxLtWJgiyGKHodwZlXYtLWTnCpbgco4fdfeqkxpNg
    Trichomoniasis can be managed through oral metronidazole (Flagyl) or tinidazole (Tindamax). All sexual partners must also be treated. […] Use the nursing process to develop a plan of care for individuals. The nursing assessment (with common findings listed), diagnosis, interventions, expected outcomes, and education for individuals with trichomoniasis are listed below. […] Administer medications, as ordered. […] Explain the diagnosis, treatment, and side effects. […] Follow infection and safety precautions. […] Monitor the following: Adverse reactions or complications, Lab results, Treatment response, Vital signs. […] Know diagnosis and treatment plan. […] Know medications and potential side effects. […] Avoid all sexual contact until individual and partner(s) finish full treatment. […] Individuals should follow safe sex practices. […] Call if any complications or adverse effects arise. […] Follow up with provider, as directed.
  • #34 Urgent Care for Trichomoniasis: Rapid Trich Test & Treatment – Same Day Results | NextCare
    https://nextcare.com/what-we-treat/std-testing-screening/urgent-care-trichomoniasis/
    Initial Assessment: Our healthcare professionals will discuss your symptoms, recent exposure, and any sexual health concerns to determine the best testing and treatment plan. […] Comprehensive Testing Methods: We offer an instant trichomoniasis test, which may include urine tests or swabs from affected areas, to detect the presence of Trichomonas vaginalis. […] Treatment Plan: If diagnosed, our medical team will create a personalized trichomoniasis treatment plan, typically involving a course of antibiotics such as metronidazole, which the CDC recommends as the primary treatment for trichomoniasis. […] Completing the entire treatment is essential to prevent reinfection or complications. […] Follow-Up Care: We provide guidance on managing your recovery and may recommend follow-up testing to ensure the infection is fully cleared.
  • #35 Trichomoniasis: Nursing Diagnosis & Interventions | Nurse.com
    https://www.nurse.com/clinical-guides/trichomoniasis/?srsltid=AfmBOoqYlTFLzGavxLtWJgiyGKHodwZlXYtLWTnCpbgco4fdfeqkxpNg
    Trichomoniasis can be managed through oral metronidazole (Flagyl) or tinidazole (Tindamax). All sexual partners must also be treated. […] Use the nursing process to develop a plan of care for individuals. The nursing assessment (with common findings listed), diagnosis, interventions, expected outcomes, and education for individuals with trichomoniasis are listed below. […] Administer medications, as ordered. […] Explain the diagnosis, treatment, and side effects. […] Follow infection and safety precautions. […] Monitor the following: Adverse reactions or complications, Lab results, Treatment response, Vital signs. […] Know diagnosis and treatment plan. […] Know medications and potential side effects. […] Avoid all sexual contact until individual and partner(s) finish full treatment. […] Individuals should follow safe sex practices. […] Call if any complications or adverse effects arise. […] Follow up with provider, as directed.
  • #36 Trichomoniasis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK534826/
    Many states allow expedited partner therapy (EPT). […] When metronidazole fails, the other drug is tinidazole. […] Patient education is vital. The infectious disease nurse should educate the patient on the use of barrier contraception and be compliant with treatment. […] Open communication between the team members is vital to ensure the patient receives the standard of care treatment and a complete cure.
  • #37 Trichomoniasis Treatment & Management: Approach Considerations, Pharmacologic Therapy, Diet and Activity
    https://emedicine.medscape.com/article/230617-treatment
    However, the CDC recommends rescreening at 3 months posttherapy for sexually active women, as they have a high rate of reinfection. […] Inpatient therapy is usually not required but may be indicated when resistance is present and intravenous (IV) therapy is indicated. […] For patients in whom treatment fails and in whom reinfection is ruled out, consultation with experts from the CDC may be advisable. […] Patients who are HIV-positive should generally receive the same treatment as those who are HIV negative. […] The notable exception is that the multiday treatment drug regimen (metronidazole 500 mg twice daily for 7 days) was recently shown to be more effective in treating T vaginalis in HIV-positive women than a single-dose treatment. […] Pregnant individuals showing symptoms, regardless of their pregnancy stage, should be tested and treated.
  • #38 Trichomoniasis – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/trichomoniasis/diagnosis-treatment/drc-20378613
    Your health care provider may diagnose trichomoniasis by doing an exam of the genitals and lab tests. […] Treatment of trichomoniasis requires an oral antibiotic that is effective against infections caused by this parasite. Treatment can be given during pregnancy. Options may include: […] All sex partners need treatment at the same time. This prevents getting the infection again right way (reinfection). And you need to avoid sex until the treatment is done and the symptoms have gone away. This usually takes about a week after finishing the last antibiotic dose. Tell your health care provider if symptoms don’t go away after treatment. […] Your health care provider will typically retest you for trichomoniasis after treatment. A retest two weeks to three months after treatment can check to be sure the infection is gone and that you haven’t been reinfected.
  • #39
    https://www.nhs.uk/conditions/trichomoniasis/treatment/
    Trichomoniasis is unlikely to go away without treatment. The infection may cure itself in rare cases, but you risk passing the infection on to someone else if you are not treated. […] Trichomoniasis is usually treated quickly and easily with antibiotics. […] Most people are prescribed an antibiotic called metronidazole, which is very effective if taken correctly. You’ll usually have to take metronidazole twice a day, for 5 to 7 days. […] A specialist can recommend alternative treatments if metronidazole is unsuitable for you (for example, if you’re allergic to it). […] If you take your antibiotics correctly, you will not normally need any follow-up tests or examinations for trichomoniasis. […] You may need more antibiotics or a different form of treatment. […] You should avoid having sex while you’re being treated for trichomoniasis, as you may become reinfected. […] It’s very important that your current sexual partner and any other recent partners are also tested and treated. If your sexual partner is not treated, this increases the risk of reinfection.
  • #40 Trichomoniasis Treatment & Management: Approach Considerations, Pharmacologic Therapy, Diet and Activity
    https://emedicine.medscape.com/article/230617-treatment
    However, the CDC recommends rescreening at 3 months posttherapy for sexually active women, as they have a high rate of reinfection. […] Inpatient therapy is usually not required but may be indicated when resistance is present and intravenous (IV) therapy is indicated. […] For patients in whom treatment fails and in whom reinfection is ruled out, consultation with experts from the CDC may be advisable. […] Patients who are HIV-positive should generally receive the same treatment as those who are HIV negative. […] The notable exception is that the multiday treatment drug regimen (metronidazole 500 mg twice daily for 7 days) was recently shown to be more effective in treating T vaginalis in HIV-positive women than a single-dose treatment. […] Pregnant individuals showing symptoms, regardless of their pregnancy stage, should be tested and treated.
  • #41 Trichomoniasis
    https://dermnetnz.org/topics/trichomoniasis
    Resistance to metronidazole and other nitroimidazoles have been reported in up to 5% of clinical isolates of T. vaginalis. […] Nitroimidazoles have a 90% cure rate, intravaginal preparations result in a 50% cure rate, and there is spontaneous resolution in 20-25% of cases of trichomoniasis. […] Like other STIs, the risk of acquiring trichomoniasis is reduced by safe-sex practices, including limiting the number of sexual partners, using condoms, and avoiding re-infection by not having sexual contact with untreated sexual partners.
  • #42 Trichomoniasis Treatment & Management: Approach Considerations, Pharmacologic Therapy, Diet and Activity
    https://emedicine.medscape.com/article/230617-treatment
    However, the CDC recommends rescreening at 3 months posttherapy for sexually active women, as they have a high rate of reinfection. […] Inpatient therapy is usually not required but may be indicated when resistance is present and intravenous (IV) therapy is indicated. […] For patients in whom treatment fails and in whom reinfection is ruled out, consultation with experts from the CDC may be advisable. […] Patients who are HIV-positive should generally receive the same treatment as those who are HIV negative. […] The notable exception is that the multiday treatment drug regimen (metronidazole 500 mg twice daily for 7 days) was recently shown to be more effective in treating T vaginalis in HIV-positive women than a single-dose treatment. […] Pregnant individuals showing symptoms, regardless of their pregnancy stage, should be tested and treated.
  • #43 Trichomoniasis
    https://dermnetnz.org/topics/trichomoniasis
    Resistance to metronidazole and other nitroimidazoles have been reported in up to 5% of clinical isolates of T. vaginalis. […] Nitroimidazoles have a 90% cure rate, intravaginal preparations result in a 50% cure rate, and there is spontaneous resolution in 20-25% of cases of trichomoniasis. […] Like other STIs, the risk of acquiring trichomoniasis is reduced by safe-sex practices, including limiting the number of sexual partners, using condoms, and avoiding re-infection by not having sexual contact with untreated sexual partners.
  • #44 Trichomoniasis: Nursing Diagnosis & Interventions | Nurse.com
    https://www.nurse.com/clinical-guides/trichomoniasis/?srsltid=AfmBOoqYlTFLzGavxLtWJgiyGKHodwZlXYtLWTnCpbgco4fdfeqkxpNg
    Trichomoniasis can be managed through oral metronidazole (Flagyl) or tinidazole (Tindamax). All sexual partners must also be treated. […] Use the nursing process to develop a plan of care for individuals. The nursing assessment (with common findings listed), diagnosis, interventions, expected outcomes, and education for individuals with trichomoniasis are listed below. […] Administer medications, as ordered. […] Explain the diagnosis, treatment, and side effects. […] Follow infection and safety precautions. […] Monitor the following: Adverse reactions or complications, Lab results, Treatment response, Vital signs. […] Know diagnosis and treatment plan. […] Know medications and potential side effects. […] Avoid all sexual contact until individual and partner(s) finish full treatment. […] Individuals should follow safe sex practices. […] Call if any complications or adverse effects arise. […] Follow up with provider, as directed.
  • #45 Trichomoniasis: Care Instructions | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.trichomoniasis-care-instructions.uh3143
    Trich needs to be treated so that you don’t spread it to others. Both you and your sex partner or partners should be treated at the same time so you don’t infect each other again. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Take your antibiotics as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics. […] Do not have sex while you are being treated. If your doctor gave you a single dose of antibiotics, do not have sex until one week after both you and your partner or partners have been treated. […] Tell your sex partner or partners that they will also need to be tested and treated. […] Watch closely for changes in your health, and be sure to contact your doctor if: You do not get better as expected. You have any new symptoms or your symptoms get worse.
  • #46
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uh3143
    Trich needs to be treated so that you don’t spread it to others. Both you and your sex partner or partners should be treated at the same time so you don’t infect each other again. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Take your antibiotics as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics. […] Do not have sex while you are being treated. If your doctor gave you a single dose of antibiotics, do not have sex until one week after both you and your partner or partners have been treated. […] Tell your sex partner or partners that they will also need to be tested and treated. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if you do not get better as expected.
  • #47 Trichomoniasis: Care Instructions | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.trichomoniasis-care-instructions.uh3143
    Trich needs to be treated so that you don’t spread it to others. Both you and your sex partner or partners should be treated at the same time so you don’t infect each other again. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Take your antibiotics as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics. […] Do not have sex while you are being treated. If your doctor gave you a single dose of antibiotics, do not have sex until one week after both you and your partner or partners have been treated. […] Tell your sex partner or partners that they will also need to be tested and treated. […] Watch closely for changes in your health, and be sure to contact your doctor if: You do not get better as expected. You have any new symptoms or your symptoms get worse.
  • #48 Trichomoniasis Treatment & Management: Approach Considerations, Pharmacologic Therapy, Diet and Activity
    https://emedicine.medscape.com/article/230617-treatment
    Male condoms are the best and most reliable protection against T vaginalis transmission during intercourse. […] Infected women who are sexually active have a high rate of reinfection. […] Rescreening sexually active women at 3 months posttreatment has been reviewed and studied and is recommended. […] Sexual partners of patients infected with trichomoniasis must be treated to prevent reinfection. […] Patient and sexual partners should abstain from sexual intercourse until they have both completed therapy and are asymptomatic.
  • #49 Trichomoniasis | healthdirect
    https://www.healthdirect.gov.au/trichomoniasis
    Trichomoniasis is a sexually transmitted infection (STI) caused by a parasite. […] Trichomoniasis is treated with antibiotics. […] You should tell all your current and recent sexual partners, so they can be tested and treated, even if they do not have any symptoms. […] You are also recommended to avoid sexual contact, even with a condom, for 7 days after you have started your treatment, or until you have finished your antibiotics and your symptoms have gone away whichever is later. […] The best way to prevent getting trichomoniasis is to have safe sex. Use a condom every time you have vaginal, anal or oral sex. Safe sex will also protect you from most other STIs. […] If you have trichomoniasis, you should tell all your sexual partners. That way they can also get tested and treated if needed. This helps to stop the infection from spreading. […] Untreated trichomoniasis stays in your system for months or years. You are also at a higher risk of getting HIV if you have trichomoniasis. […] If you are pregnant, trichomoniasis can cause you to go into labour early or your baby to be born with a low birth weight.
  • #50 Trichomoniasis Treatment & Management: Approach Considerations, Pharmacologic Therapy, Diet and Activity
    https://emedicine.medscape.com/article/230617-treatment
    Male condoms are the best and most reliable protection against T vaginalis transmission during intercourse. […] Infected women who are sexually active have a high rate of reinfection. […] Rescreening sexually active women at 3 months posttreatment has been reviewed and studied and is recommended. […] Sexual partners of patients infected with trichomoniasis must be treated to prevent reinfection. […] Patient and sexual partners should abstain from sexual intercourse until they have both completed therapy and are asymptomatic.
  • #51
    http://www.bccdc.ca/health-info/diseases-conditions/trichomoniasis
    It is important to not have sex (even with a condom) for 7 days after the start of your treatment. If you do have sex during this time, you could pass Trichomoniasis to your sexual partner or get it again. If this happens, talk to your health care provider. […] Your sexual partners within the last two months should be tested and treated for Trichomoniasis. If you haven’t had sex in the last two months, your last partner should be treated. […] It is a good idea to be tested regularly for STIs, especially if you have new sexual partners or open relationships. Talking with partners about safer sex makes sure everyone knows what to expect. Condoms are great if they work for you the correct use of condoms reduces your chances of getting and passing Trichomoniasis.
  • #52
    http://www.bccdc.ca/health-info/diseases-conditions/trichomoniasis
    If Trichomoniasis is treated early, there are usually no other health problems. If left untreated, it can lead to serious complications including: higher chance of getting and passing HIV and infertility. […] Tell your health care provider if you are pregnant and have Trichomoniasis. There is an increased risk for the premature rupture of membranes. […] There are options for how you test for Trichomoniasis. A health care provider will recommend certain tests depending on the types of sex that you’re having. Testing is usually done with urine or a swab sample. […] It is best to get tested for Trichomoniasis if you have vaginal symptoms, or have a sexual partner who has tested positive for Trichomoniasis. […] Trichomoniasis is treated with prescription antibiotics. It is important to take all your medications as directed. If you miss any doses, the infection may not be cured. Go back to your health care provider if this happens or if you still have symptoms after you finish your treatment.
  • #53 Trichomoniasis (for Parents) | Nemours KidsHealth
    https://kidshealth.org/en/parents/trichomoniasis.html
    Trichomoniasis is caused by a parasite called Trichomonas vaginalis. […] Health care providers treat trichomoniasis with an antibiotic. All sexual partners from the past 2 months need treatment too, even if they don’t have signs of trichomoniasis. […] Females who don’t get treatment for trichomoniasis have a greater chance of fertility problems (trouble getting pregnant), developing cervical cancer, getting HIV if they have sex with someone who has HIV. […] Males who don’t get treatment for trichomoniasis have a greater chance of swelling and irritation of the tubes at the back of the testicles, swelling and irritation in the prostate, fertility problems (trouble getting a woman pregnant), developing prostate cancer. […] The only way to prevent trichomoniasis and other STDs is to not have sex (oral, vaginal, or anal). If someone decides to have sex, using a latex condom every time can prevent most STDs. […] Anyone who is sexually active should get tested for STDs every year, or more often if recommended by their health care provider.
  • #54 Trichomoniasis
    https://www.hse.ie/eng/services/list/2/gp/antibiotic-prescribing/conditions-and-treatments/genital/trichomoniasis/
    Trichomoniasis is caused by the flagellated protozoan, Trichomonas vaginalis. It can infect the vagina, urethra and para urethral glands. […] In women trichomoniasis usually presents with a vaginal discharge which may be offensive with an associated vulvitis/vaginitis. Symptoms in women include frothy yellow-green discharge, offensive odour, dyspareunia/dysuria, vulval itch/discomfort. Signs include vulvitis, vaginitis, a frothy vaginal discharge and strawberry cervix. […] Men usually present as sexual contacts of women with infection. They may present with symptoms of urethritis including dysuria and urethral discharge. Men with persistent urethritis should be referred to a dedicated GUM clinic. […] Complications of trichomoniasis in women include perinatal complications, infertility and pelvic inflammatory disease. Complications in men include prostatitis and infertility.
  • #55 Trichomoniasis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK534826/
    Many states allow expedited partner therapy (EPT). […] When metronidazole fails, the other drug is tinidazole. […] Patient education is vital. The infectious disease nurse should educate the patient on the use of barrier contraception and be compliant with treatment. […] Open communication between the team members is vital to ensure the patient receives the standard of care treatment and a complete cure.
  • #56 CE Activity | Trichomoniasis | Nurses
    https://www.statpearls.com/nurse/ce/activity/104520
    Trichomonas vaginalis is a protozoan responsible for trichomoniasis, one of the most prevalent non-viral sexually transmitted infections (STIs) in the United States. Women with trichomoniasis will often present with vaginal discharge, painful intercourse, urinary tract infection symptoms, vaginal itching, or pelvic pain. Men may be asymptomatic, or on occasion, they may present with symptoms including penile discharge, testicular pain, dysuria, urinary frequency, or cloudy urine. This activity reviews the evaluation and management of trichomoniasis and highlights the role of interprofessional team members in collaborating to provide well-coordinated care and enhance outcomes for affected patients. […] At the conclusion of this activity, the learner will be better able to: […] Outline the treatment and management options available for trichomoniasis. […] Explain the importance of improving care coordination among interprofessional team members to improve outcomes for patients affected by trichomoniasis.
  • #57 Trichomoniasis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK534826/
    Many states allow expedited partner therapy (EPT). […] When metronidazole fails, the other drug is tinidazole. […] Patient education is vital. The infectious disease nurse should educate the patient on the use of barrier contraception and be compliant with treatment. […] Open communication between the team members is vital to ensure the patient receives the standard of care treatment and a complete cure.
  • #58 Trichomoniasis Treatment & Management: Approach Considerations, Pharmacologic Therapy, Diet and Activity
    https://emedicine.medscape.com/article/230617-treatment
    However, the CDC recommends rescreening at 3 months posttherapy for sexually active women, as they have a high rate of reinfection. […] Inpatient therapy is usually not required but may be indicated when resistance is present and intravenous (IV) therapy is indicated. […] For patients in whom treatment fails and in whom reinfection is ruled out, consultation with experts from the CDC may be advisable. […] Patients who are HIV-positive should generally receive the same treatment as those who are HIV negative. […] The notable exception is that the multiday treatment drug regimen (metronidazole 500 mg twice daily for 7 days) was recently shown to be more effective in treating T vaginalis in HIV-positive women than a single-dose treatment. […] Pregnant individuals showing symptoms, regardless of their pregnancy stage, should be tested and treated.
  • #59
    https://www.who.int/news-room/fact-sheets/detail/trichomoniasis
    Trichomoniasis is a common sexually transmitted infection (STI) among women of reproductive age, caused by the protozoan Trichomonas vaginalis. […] It is treatable and curable. […] In females, trichomoniasis is a common cause of vaginal discharge and is associated with poor birth outcomes and increased risk of pelvic inflammatory disease. […] Infection with T. vaginalis is also associated with increased risk of HIV acquisition. […] Trichomoniasis is a preventable condition. […] The most effective method to prevent sexual transmission of trichomoniasis and various other STIs is by consistently and correctly using condoms. […] People diagnosed with trichomoniasis should inform their sexual partners to prevent further transmission. […] Trichomoniasis is treatable and curable. […] It is best treated with the antibiotics metronidazole or tinidazole.
  • #60 Trichomoniasis
    https://www.hse.ie/eng/services/list/2/gp/antibiotic-prescribing/conditions-and-treatments/genital/trichomoniasis/
    Diagnostic testing for trichomoniasis should be undertaken in patients complaining of vaginal discharge or vulvitis, male contacts of female cases and considered in men with persistent symptoms/signs of urethritis. Asymptomatic testing is not routinely indicated. […] Diagnosis can be made on a wet prep of vaginal secretions (in GUM clinics), culture or PCR. In general practice, PCR testing in men is on a first void urine specimen and in women on a vulvovaginal swab. […] Individuals diagnosed with trichomoniasis should be offered testing for other STIs including HIV, Hepatitis B, chlamydia, gonorrhoea and syphilis. […] Testing and treatment of sexual partners within the four weeks prior to presentation is important to prevent reinfection and onward transmission and patients should be encouraged to inform their sexual partners. Sexual partners in the two week window period after last sexual contact may have a false negative result and should be empirically treated for trichomoniasis.
  • #61 Trichomoniasis (for Parents) | Nemours KidsHealth
    https://kidshealth.org/en/parents/trichomoniasis.html
    Trichomoniasis is caused by a parasite called Trichomonas vaginalis. […] Health care providers treat trichomoniasis with an antibiotic. All sexual partners from the past 2 months need treatment too, even if they don’t have signs of trichomoniasis. […] Females who don’t get treatment for trichomoniasis have a greater chance of fertility problems (trouble getting pregnant), developing cervical cancer, getting HIV if they have sex with someone who has HIV. […] Males who don’t get treatment for trichomoniasis have a greater chance of swelling and irritation of the tubes at the back of the testicles, swelling and irritation in the prostate, fertility problems (trouble getting a woman pregnant), developing prostate cancer. […] The only way to prevent trichomoniasis and other STDs is to not have sex (oral, vaginal, or anal). If someone decides to have sex, using a latex condom every time can prevent most STDs. […] Anyone who is sexually active should get tested for STDs every year, or more often if recommended by their health care provider.
  • #62 Trichomonas: Diagnosis, Treatment and Preventions | Nationwide Children’s Hospital
    https://www.nationwidechildrens.org/conditions/trichomonas
    You and your partner(s) must be treated. Treatment not only protects your sexual partner(s), but it also keeps you from getting infected again. […] Abstinence (not having sex) is the best way to avoid other STIs and HIV. If you do have sex, these things might help prevent the spread of STIs: […] You and your partner(s) must be treated and have a follow-up health care visit if the symptoms do not go away. […] Get re-tested in 3 months to ensure the infection doesn’t return.