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Trichomonas vaginitis is a one-celled parasite that lives in the vagina, the cervix, or in the lower genital tract of males.  Under the microscope, this protozoan is looking like a teardrop-shaped cell with a tail.  Patients with trichomonas usually have accompanying discharge or irritation.


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Occasionally the cervix may become inflamed, leading to bleeding after sexual intercourse or at the time a Pap smear is taken. In rare cases, a woman will notice discomfort with urination. In most cases bacterial vaginosis coexists with this infection, since the Trichomonas organism creates an alkaline pH in the vagina that encourages the growth of the "bad" bacteria.

In this case, a woman may also experience a fishy odor, especially after sexual intercourse. Fortunately, trich has no significant medical risks. It doesn't travel up into the uterus or fallopian tubes nor does it affect other parts of the body. It is purely an uncomfortable annoyance.

Symptoms of Trichomonas

Almost half of all women with trich present no symptoms and may go undiagnosed for years, even if they have had regular annual examinations.  Condoms can help protect against transmission of this trichomonas.

Causes of Trichomonas

Trichomonas vaginitis, also called "trich" (pronounced "trick"), is a sexually transmitted disease. If you believe your relationship is monogamous and have come down with Trichomonas, you may be wondering what the implications are.  While it's true that trich can live in the male genital tract, it is only able to survive for a few days or weeks at most.

But in the vagina it can be present for years, and has even been found in elderly women who have not had sex for decades. So many women may have in fact contracted the infection from a previous partner and not know it.   Nevertheless, it's important that you have an open, honest discussion with your current partner as it still remains possible that he passed on the infection to you if he was sexually involved with someone else.

How to Treat Trichomonas

Trich is treated with an anti-protozoan antibiotic. Metronidazole, aka Flagyl, is considered the most effective treatment and can be taken orally.  In most cases a one-time dose is all that is needed.

Sexual partners of women with trichomonas vaginitis should be treated simultaneously so that the couple doesn't pass the condition back and forth.  In very few cases, trichomonas may resist the usual doses of metronidazole.  Therefore higher doses are needed.

Gerd Petersen

P.S.  Read how I got bacterial vaginosis relief

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