Understanding Trichomoniasis: Investigations, Treatment, and Management
What is Trichomoniasis?
Trichomoniasis is an infection caused by a tiny parasite called Trichomonas vaginalis. It is mainly found in the genital area and can affect both men and women, although it is more common in women. The infection can spread through sexual contact and is often passed on without the person knowing, as some people do not have any symptoms.
Symptoms
Many people with trichomoniasis do not show any symptoms. However, when symptoms do occur, they may include:
Women: Itching or irritation in the genital area, discomfort during intercourse, unusual vaginal discharge (which may be clear, white, yellow, or green), and a strong fishy smell.
Men: Irritation inside the penis, discharge, or a burning sensation when urinating.
If you experience these symptoms, it is important to see a healthcare provider.
Investigations
If trichomoniasis is suspected, your healthcare provider will conduct certain investigations:
Medical History: They will ask about your symptoms, sexual history, and any other health issues.
Physical Examination: A healthcare provider may examine the genital area for signs of infection.
Laboratory Tests:
Swab Test: For women, a swab from the vagina may be taken. For men, a swab from the urethra (the tube that carries urine) might be collected.
Urine Test: In some cases, a urine sample can be tested for the parasite.
These tests help confirm whether you have trichomoniasis.
Treatment
The good news is that trichomoniasis can be easily treated with medication. The BASHH (British Association for Sexual Health and HIV) guidelines recommend the following treatments:
Metronidazole: This is the most common medication used to treat trichomoniasis. It is usually given as a 7 days course or as a single dose. It can be taken as pills, the gel on it’s own is not recommended as is unlikely to kill all of the infection and may lead to resistance.
Tinidazole: This medication is another effective option, often used if someone cannot take metronidazole.
It is essential that both partners are treated at the same time to prevent re-infection. To obtain medication click here.
Management and Prevention
After treatment, it is important to follow these management tips:
Follow Up: After treatment, you may need to return to your healthcare provider for a follow-up check-up to ensure the infection has cleared.
Avoid Sexual Activity: It is recommended to avoid sexual contact until both partners have completed treatment and symptoms have resolved.
Practice Safe Sex: Using condoms can help reduce the risk of sexually transmitted infections, including trichomoniasis.
Regular Health Checks: Regular visits to your healthcare provider for sexual health check-ups can help catch any infections early.
Conclusion
Trichomoniasis is a common infection that can be easily treated with the right medication. If you think you might have trichomoniasis or experience any symptoms, don’t hesitate to see a healthcare provider. They will guide you through investigations, provide the necessary treatment, and help you manage your sexual health effectively. Remember, looking after your sexual health is important for your overall well-being!