- What is trichomonas ?
- Trichomonas vaginalis is a parasitic protozoa and it is a sexually transmitted disease (STD). Most women can get it on the cervix of the uterus or for men on the tip of their penis, and its usual place is on the anus. It can be detected with a colposcopic exam, and it usually looks like a group of bubbles.
The symptoms in women can occur as mild irritation in the vagina and swollen belly. After few days from the infection, women can notice white discharge from the vagina, i.e. the occurrence of early mild vaginitis (inflammation in the vagina). If ignored for some time, it passes into yellow greenish discharge with a strong foul odor. There may be soreness, itching and irritation, of the genital area. Urination or sexual intercourse may be uncomfortable or even painful.
Symptoms usually appear 5 to 28 days, but 50% of the woman doesn’t have that kind of symptoms at all.
If they are not treated in 6 mounths , however ,30% of infected asymptomatic woman will develop symptoms. Clinical signs include vulva’s erythema, inflammation, vaginal pH ab-ow 5.
Symptoms in men typically include urethral discharge , pain during urination, mild local itching, and burning after sexual intercourse.
Al sow some of complications in woman include : preterm delivery, low birth weight, and increased mortality as well as predisposing to HIV, AIDS, and cervical cancer. Condoms are effective at reducing , but not wholly preventing, transmission. Ten percent of woman with the infection will have a “strawberry”cervix or vagina on examination.Classically with a cervical smear, infected women have a transparent “halo” around rhea superficial cell nucleus.
It is unreliably detected by studding a genital discharge or with a cervical smear because of their low sensitivity.Trichomonas vaginalis was traditionlly diagnosed via a wet mouth, in which “corkscrew” motility was observed .Courently, the most common method of diagnosis is via overnight culture, with a sensitivity range of 75-95%. Newer method, such as rapid antigen testing and transcription -mediated amplification, have even greater sensitivity, but are not in widespread use. The presence of trichomonas vaginalis can also be diagnosed by PCR.
- There are difrent ways of diagnosing trihomonas between man and women:
- A doctor or nurse may collect a sample of cells from the vagina during an eternal examination.
- You may be asked to use a swab to collect cells from inside your vagina.
- You may be asked to provide a speciment of urine (this is less common).
- A doctor or nurse may use a swab to collect a sample of cells from the entrance to the urethra.
- You may be asked to provide a speciment of urine.
A swab looks a bit like a cotton bud, but is smaller and rounded. It somethimes has a small plastic loop on the end rather than a cotton tip. It is wiped over the parts of the body that could be infected and easily picks up samples of discharge and cells. This only takes a few seconds and is not painful, thpugh is uncomfortable for a moment.
Sometimes trichomonas will sow up during a routine cervical screening . If this happens you will be offered a test for trichomonas to confirm you have the infection. This is because the trichomonas result from a cervical screening test is not reliable. If you have had a cervical screening test it does not mean that you have been tested for trichomonas.
Routine blood tests do not detect infections such as trichomonas.
The treatment for trichomonas starts with giving metronidazole for bouth partners. For women there are also vaginal tablets and, the terapi is about 10 days for bouth partners.
Do tell the doctor or nurse if you are pregnant, thonk you might be, or a breastfeeding, as this can affect the treatment you are given.
Not all women are given tretman during pregnancy.The doctor or nurse will discuss the options for you.