STD - TRICHOMONAS

Symptom Definition

  • Seeking information about trichomonas, a sexually transmitted disease (STD).

Typical Symptoms

  • In women, trichomonas may cause a foul-odored, yellow, sometimes bubbly vaginal discharge. It may also cause vaginal itching and redness, or burning with urination.
  • Some women have no symptoms.
  • Most men with a trichomonas infection have no symptoms. Sometimes there may be a mild burning with urination or a discharge from the penis.

General Information

  • Trichomonas is caused by the Trichomonas vaginalis protozoa.
  • Trichomonas is a common STD. It has been estimated that there are 8 million new cases each year in North America.
  • Trichomonas is treatable with antibiotics.

What is a Normal versus Abnormal Vaginal Discharge?

  • Normal: May be clear or white, thin or thick. It is not odorous and there is no itching.

What is a Normal versus Abnormal Vaginal Discharge?

  • Normal: May be clear or white, thin or thick. It is not odorous and there is no itching.
  • Abnormal:
    • Yellow or green vaginal discharge is usually from an infection.
    • A foul-smelling discharge is usually from an infection.
    • A thick, white, itchy, cottage cheese-like non-odorous discharge is often caused by a yeast infection.

See More Appropriate Topic (instead of this one) If


WHEN TO CALL YOUR DOCTOR FOR TRICHOMONAS

Call Your Doctor Now (night or day) If

  • You were forced to have sex (sexual assault or rape)
  • Yellow or green vaginal discharge occurring with a fever
  • Constant abdominal pain for more than 2 hours

Call Your Doctor Within 24 Hours (between 9am and 4pm) If

  • You think you need to be seen
  • Abnormal color of vaginal discharge (i.e. yellow, green, gray)
  • Bad smelling vaginal discharge
  • Blood in vaginal discharge (EXCEPTION: normal, regular menstrual period)
  • Burning (pain) with urination

Call Your Doctor During Weekday Office Hours If

  • You have other questions or concerns
  • You are worried you might have a sexually transmitted disease

Self Care at Home If

  • No symptoms and you don't think you need to be seen
  • Questions about trichomonas

HOME CARE ADVICE FOR TRICHOMONAS

  1. How is trichomonas transmitted?
    • Trichomonas is spread by sexual intercourse (vaginal).
    • Some women and many men do not have symptoms when they are infected. As a result, trichomonas can be passed along with neither sexual partners knowing that it is occurring.
  2. How long does it usually take for symptoms to appear once one is exposed?
    • The incubation period is 4 days to 4 weeks.
  3. How can I get tested for trichomonas?
    • Inspection of a sample of the vaginal discharge under the microscope.
    • May also be found on a Pap smear.
  4. Is there treatment for trichomonas?
    • Antibiotic therapy is needed. A person with trichomonas is contagious until he or she has been treated.
    • Sexual partners should also be evaluated and treated.
  5. STD National Hotline
    • The CDC National STD Hotline provides information on sexually transmitted diseases (STDs), such as chlamydia, gonorrhea, HPV/genital warts, herpes, and HIV/AIDS. Specialists can provide general information, referrals to local clinics, and written materials about STDs and disease prevention.
    • Toll-free number (English): (800) 227-8922
    • Toll-free number (Spanish): (800) 344-7432
    • Their website is at: http://www.ashastd.org/N
  6. Pregnancy Test When In Doubt: If there is any doubt about the possibility of pregnancy, then obtain and use a urine pregnancy test from the store.
  7. Call Your Doctor If:
    • Pregnancy test is positive; or if you have difficulties with the home pregnancy test.
    • Discharge from penis or unusual vaginal discharge.
    • You become worse or develop any of the “Call Your Doctor” symptoms.

References and Resources

  1. American Social Health Association
  2. Sexually Transmitted Diseases Treatment Guidelines 2002. MMWR. 2002; 51(RR-6):1-80.
  3. Public Health Agency of Canada

Disclaimer: This information is not intended be a substitute for professional medical advice. It is provided for educational purposes only. You assume full responsibility for how you choose to use this information.

Adult HouseCalls Online. Copyright © 2000-2005 David Thompson, M.D. FACEP

Reviewed 6/2005

Revised 6/2005

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