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Trichomoniasis, commonly referred to as "trich," is a sexually transmitted infection (STI) caused by the parasite Trichomonas vaginalis. It is one of the most common STIs worldwide and can affect anyone who is sexually active. Although it is treatable, untreated trichomoniasis can lead to complications for both vulva and penis owners (Centers for Disease Control and Prevention [CDC], 2023a).
Vaginal discharge that is often frothy, yellow-green, and has a strong odor
Itching or irritation in the vaginal area
Painful urination and discomfort during sexual intercourse
Lower abdominal pain in severe cases (Mayo Clinic, 2023)
Often asymptomatic, but may experience:
Discharge from the penis
Burning sensation during urination or ejaculation
Itching or irritation inside the penis (CDC, 2023b)
The incubation period for trichomoniasis is typically 5 to 28 days after exposure, although many individuals may remain asymptomatic during this time (World Health Organization [WHO], 2023).
Trichomoniasis is primarily transmitted through sexual contact, including vaginal, anal, or oral sex. It can be spread even when an infected person does not have visible symptoms. The parasite can also survive outside the body for a short time, but it is not transmitted through toilet seats, swimming pools, or sharing towels (CDC, 2023a).
Increased risk of HIV infection
Complications during pregnancy, including preterm birth and low birth weight (CDC, 2023b)
Pelvic inflammatory disease (PID), which can lead to infertility (Mayo Clinic, 2023)
Increased risk of other STIs (WHO, 2023)
Prostatitis, an inflammation of the prostate gland
Using condoms consistently and correctly can reduce the risk of trichomoniasis and other STIs, although they do not provide complete protection (CDC, 2023a).
Discussing STI testing and sexual health openly with partners can help reduce the risk of transmission and ensure informed decisions (Planned Parenthood, 2023).
Regular STI screenings are recommended for sexually active individuals (CDC, 2023b).
Testing: Trichomoniasis can be diagnosed through laboratory tests, including a wet mount microscopy test or a nucleic acid amplification test (NAAT) (Mayo Clinic, 2023).
Treatment: Trichomoniasis is easily treatable with antibiotics, such as metronidazole or tinidazole. It is essential that sexual partners are treated simultaneously to prevent reinfection (CDC, 2023a).
Note: Follow-up testing may be necessary after treatment to ensure that the infection has been cleared.
Trichomoniasis is a common STI that can lead to significant health complications if left untreated.
Open communication with partners and regular testing are crucial for sexual health.
Consistent condom use and prompt treatment can significantly reduce transmission risks.
Centers for Disease Control and Prevention. (2023a). Trichomoniasis fact sheet. CDC. Retrieved from https://www.cdc.gov/std/trichomonas/stdfact-trichomoniasis.htm
Centers for Disease Control and Prevention. (2023b). Testing for STIs. CDC. Retrieved from https://www.cdc.gov/std/prevention/testing.htm
Mayo Clinic. (2023). Trichomoniasis. Mayo Clinic. Retrieved from https://www.mayoclinic.org/diseases-conditions/trichomoniasis/symptoms-causes/syc-20326355
Planned Parenthood. (2023). Trichomoniasis: Symptoms, causes, and treatment. Planned Parenthood. Retrieved from https://www.plannedparenthood.org/learn/stds-hiv-safer-sex/trichomoniasis
World Health Organization. (2023). Trichomoniasis. WHO. Retrieved from https://www.who.int/news-room/fact-sheets/detail/trichomoniasis