Genital Trichomoniasis: Symptoms And Treatment Of Venereal Disease

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Genital Trichomoniasis: Symptoms And Treatment Of Venereal Disease
Genital Trichomoniasis: Symptoms And Treatment Of Venereal Disease

Video: Genital Trichomoniasis: Symptoms And Treatment Of Venereal Disease

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Video: What is trichomoniasis? | Infectious diseases | NCLEX-RN | Khan Academy 2023, February

Trichomoniasis is a sexually transmitted disease. Occurs when Trichomonas gets on the genitals. The disease is characterized by the presence of pronounced symptoms. When the first signs of a pathological process appear, treatment should be started immediately to avoid complications.


  • 1 Features of infection
  • 2 Symptoms of the disease

    2.1 Diagnostic measures

  • 3 Features of treatment

Features of infection

Trichomonas is the simplest unicellular class of flagellates. Therefore, taking antibacterial drugs for trichomoniasis is ineffective. The parasite lives on the genitals, vagina and urethra in women and men, respectively. The presence of Trichomonas in the upper urinary system is rarely noted.

Outside the human body, the vital activity of the parasite persists for several hours in humid conditions. When exposed to sunlight or heating, the death of Trichomonas is observed. Due to the ability to disguise the parasite as human cells, the immune system often does not notice it. It is possible for other bacteria to penetrate into Trichomonas, which it protects from the influence of medications. Trichomonas has the ability to damage the epithelial barrier, which leads to a decrease in its protective function.

In most cases, Trichomonas are sexually transmitted. As a rule, this disease is observed in women, which is associated with the anatomical features of the structure of the organs of the reproductive system.

Since trichomoniasis is sexually transmitted, people are advised to limit casual sex.

Symptoms of the disease

Signs of genital trichomoniasis in men and women differ, which is explained by differences in their reproductive system. Quite often, the course of the trichomoniasis disease is practically asymptomatic. The acute course of the disease is accompanied by pronounced symptoms. Depending on the degree of severity of the pathological process, trichomoniasis can be:

  • sharp;
  • subacute;
  • torpid.

In the acute course of the disease, there are unpleasant sensations during the period of emptying and sexual intercourse, foamy discharge. After a certain time, symptoms may subside. But this does not mean that the disease has passed. The disease in acute form most often occurs in women.

In women with trichomoniasis, more pronounced symptoms are observed. Patients complain of the appearance of a frothy, profuse discharge of a gray, green or yellow shade with an unpleasant odor.

The disease is accompanied by itching in the genital area. Some women complain of discomfort and soreness during sexual intercourse. Trichomoniasis can be accompanied by discomfort and pain during urination. The vulva and vagina turn red. In some cases, there may be soreness in the lower abdomen.


Diagnostic measures

Diagnosis of the disease requires the use of a variety of methods that can be used to detect the pathogen. Initially, a doctor's examination of the patient is carried out, anamnesis and complaints are studied. During the examination of women, the gynecologist notices signs of an inflammatory process in the form of hyperemia of the vagina and vulva, edema.

Colposcopy is often performed to confirm the preliminary diagnosis. This research method makes it possible to detect redness on the mucous membranes, punctate and focal hemorrhages on the cervix. On examination, epithelial dysplasia can be detected. In some cases, atypical epithelial cells are observed.


For reliable diagnosis of trichomoniasis, laboratory methods are used in most cases. The most effective of them include:

  • microscopy (for the study, a smear is taken from the vagina and urethra);
  • culture sowing;
  • immunological method;
  • PCR.

Since men do not have symptoms, this greatly complicates the process of making a diagnosis. During the course of the disease, Trichomonas have an atypical amoeba-like shape, which complicates the diagnostic process. During pregnancy planning, both partners are recommended to undergo a test for trichomoniasis, which will exclude the possibility of infection of the child during the birth process.

Diagnosis of the disease should be carried out by highly qualified specialists, which will ensure its information content.

Treatment features

Therapy of the pathological process is carried out by urologists, gynecologists and venereologists. Treatment is carried out in any case, regardless of the presence of symptoms. When trichomoniasis appears in one sexual partner, therapy should be carried out simultaneously with the second of them. If only one partner receives treatment, then after completing the course, the second can re-infect him. If antibodies are produced against the causative agent of trichomoniasis, then this does not provide persistent immunity. That is why re-infection with this disease is possible.

During the period of therapy for this pathological process, other immunological diseases should be treated simultaneously. In pregnant women, trichomoniasis is treated only when necessary, which can only be determined by a doctor. Since Trichomonas are not sensitive to antibiotics, these medications are not used to treat the disease.

To combat trichomoniasis, in most cases, antiparasitic therapy is used. The most effective in this case are drugs that belong to the group of 5-nitroimidazoles. To combat the pathological process, doctors recommend the use of the following drugs:

  • Ornidazole;
  • "Tinidazole";
  • "Metronidazole";
  • "Ternidazole";
  • "Nimorazole".

If the disease has an uncomplicated acute or subacute form, then patients are advised to take antiprotozoal drugs. The complicated and chronic form of the disease requires the preliminary use of stimulating therapy.

Quite often, a patient has a mixed infection. That is, against the background of trichomoniasis, the development of ureaplasmas, gonococci, chlamydia, candida, cytomegalovirus is observed. In this case, not only antiparasitic drugs are prescribed, but also antibiotics. The result of treatment of the pathological process depends on how much the microflora in the genital area is normalized. In some cases, treatment is carried out with the use of immunomodulatory drugs.

After completing the course of treatment, the patient must re-undergo a course of diagnostics. The disease will be considered cured only if the pathogen is not detected, and clinical manifestations are absent. Sexual relations are strictly prohibited during therapy.

Trichomoniasis is a rather unpleasant disease of the genitourinary system, sexually transmitted. Signs of pathology can be expressed in different ways. Regardless, when the first symptoms appear, the patient should seek help from a doctor. Only a specialist after appropriate diagnosis can prescribe rational and effective treatment.

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