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What Is Trichomoniasis: Symptoms, Treatment, and Prevention

Dr. Matthew Fainman Virtual Care Medical Director at NextCareMedically reviewed by Dr. Matthew Fainman Virtual Care Medical Director at NextCare.

Dr. Fainman, an experienced Internal Medicine specialist, earned his Bachelor’s, MBA, and Medical Doctorate from the University of Manitoba. He completed his residency at Cleveland Clinic and, with over 20 years in healthcare, is a leader in Telehealth innovation and patient care.

Trichomoniasis symptoms treatment prevent

Did you know that trichomoniasis affects an estimated 3.7 million people in the U.S., yet most individuals are unaware they have it? This common sexually transmitted infection (STI), often referred to as “trich,” is highly treatable, but early detection is crucial to avoid complications.

If you suspect symptoms or think you may have been exposed, recognizing the signs and seeking testing is essential. Understanding trichomoniasis starts with learning how it spreads and knowing when to seek help.

With straightforward testing and treatment options available, managing your sexual health doesn’t have to be overwhelming. At NextCare Urgent Care, we provide fast, confidential testing and effective treatment for trichomoniasis. Take the first step toward better sexual health today.

NextCare is one of the nation’s largest providers of urgent care and occupational medical services. With 170+ clinics in Arizona, Colorado, Kansas, Michigan, Missouri, Nebraska, New Mexico, North Carolina, Oklahoma, Texas, Virginia and Wyoming, we offer exceptional, affordable care to patients across the country.

What is Trichomoniasis: Understanding the Basics

Trich is an infection caused by the parasite Trichomonas vaginalis. This parasite spreads through sexual contact. Trichomoniasis mainly affects the urinary tract; specifically the urethra in men and the vagina in women.

Unlike chlamydia and gonorrhea, which are bacterial STIs, trichomoniasis is parasitic. Getting proper treatment for this curable sexually transmitted disease begins with a diagnosis by a care provider.

How Common is Trichomoniasis?

Trichomoniasis is incredibly common. The CDC estimates that over two million trich infections occurred in the United States in 2018 alone.

Globally, the World Health Organization reports trichomoniasis as the most common curable, non-viral STI. This holds particularly among people assigned females at birth of reproductive age. Millions globally live with this infection, often unknowingly.

Recognizing the Symptoms of Trichomoniasis

A surprising aspect of trichomoniasis is that most of those infected—around 70% according to the CDC—experience no symptoms. Despite this, transmission to sexual partners is still possible, making it crucial to understand the signs for early detection and proper treatment.

Trichomoniasis Symptoms by Gender

Trichomoniasis symptoms can vary significantly between women and men, with many individuals remaining asymptomatic. When symptoms do appear, they often overlap with other conditions, making early testing and diagnosis essential. For women, symptoms may include changes in vaginal discharge, irritation, or pain, while men often experience mild symptoms like urethral irritation or penile discharge.

The table below highlights the key symptoms of trichomoniasis for both women and men, helping you recognize potential signs and take action to protect your health.

SymptomWomenMen
Vaginal/Penile DischargeThin, frothy, greenish-yellow, or foul-smelling vaginal dischargeClear or mucusy penile discharge
Itching/IrritationItching of the vulva or vagina; itching of the inner thighsItching of the urethra
Pain During UrinationPainful urinationPainful urination
Pain During Sexual ActivityPain during intercourseBurning sensation after urination or ejaculation
SwellingSwelling of the labiaTesticular pain
Other Symptoms“Strawberry cervix” (present in ~40% of cases); redness and irritation of vaginal tissuesUrinary frequency; cloudy urine

 

Why Recognizing Symptoms Matters

Even when asymptomatic, trichomoniasis can lead to complications, such as an increased risk of other sexually transmitted infections (STIs), including HIV. If you or your partner notice any of these symptoms, it’s essential to consult a healthcare provider for accurate diagnosis and timely treatment.

How Trichomoniasis Spreads

Trichomoniasis spreads primarily through sexual contact, including vaginal, oral, and anal sex. Genital-to-genital contact can also transmit the parasite.

Sharing sex toys without proper cleaning and condom use facilitates transmission. This makes understanding safe sex practices crucial for preventing the spread of trichomoniasis and receiving treatment, if needed.

Trichomoniasis Testing and Diagnosis: What to Expect

Trichomoniasis, often asymptomatic, can be challenging to identify based solely on symptoms. That’s why accurate testing is vital for proper diagnosis and treatment. At NextCare Urgent Care, we offer a streamlined and confidential testing process to help you take control of your sexual health.

Step-by-Step Diagnosis Process

  1. Initial Consultation
    • A healthcare provider will discuss your symptoms, medical history, and any potential recent exposures. This initial conversation helps determine whether testing for trichomoniasis is necessary.
  2. Physical Examination
    • The doctor may perform a visual exam of the genital area to check for signs of redness, irritation, or unusual discharge. These symptoms may indicate trichomoniasis or another infection.
  3. Sample Collection
    • For women, a pelvic exam may be performed to collect a sample of vaginal discharge. For men, a sample may be taken from the urethra. These samples are essential for accurate testing.
  4. Microscopic Examination
    • A microscopic exam is conducted to identify the Trichomonas vaginalis parasite in the sample. This method allows for immediate detection and confirmation of the infection.
  5. Advanced Testing Options
    • In cases where microscopic examination isn’t conclusive, advanced tests such as NAATs (nucleic acid amplification tests) or antigen tests may be used. These methods are highly sensitive and provide accurate results.
  6. Rapid Results
    • Same-day testing and results, give you peace of mind and a clear path forward without unnecessary delays.

Why Early Testing is Crucial

Trichomoniasis is treatable, but untreated cases can lead to complications such as increased susceptibility to other STIs, including HIV. Timely testing ensures prompt treatment, protecting both your health and that of your partner(s).

Why Choose NextCare for Trichomoniasis Testing?

NextCare Urgent Care is your trusted partner for fast, reliable, and confidential trichomoniasis testing. Here’s why:

  • Same-Day Appointments: Get tested and start treatment without delay.
  • Expert, Discreet Care: Our medical professionals provide compassionate, judgment-free testing and guidance.
  • Convenient Nationwide Locations: With STD walk-in clinics across the country, access to quality care is always close by.

Trichomoniasis Treatment

Once diagnosed, trichomoniasis is typically treated effectively with antibiotics. These antibiotics are generally safe, even during pregnancy. Trich can be treated at any healthcare provider location near you.

The CDC recommends that all sex partners receive treatment concurrently to prevent reinfection. It’s essential to inform your healthcare provider about all of your sex partners.

Medications

Doctors prescribe antibiotic pills, often metronidazole or tinidazole, to treat trichomoniasis. These are generally taken in either a single large dose or as multiple smaller doses spread out over several days.

Both partners must complete the prescribed medication. Abstaining from sex for one to two weeks after treatment is crucial to prevent reinfection. Ensure that you and your partner have followed the directions properly before having sexual intercourse again. If trichomoniasis goes untreated, or treated poorly, severe nausea is possible.

Risks of Untreated Trichomoniasis

Untreated trichomoniasis can lead to serious health complications, highlighting the importance of early detection and treatment. Some key risks include:

  • Infertility: Chronic untreated infections can impact reproductive health in both men and women.
  • Preterm Birth: Pregnant individuals with trichomoniasis have an increased risk of preterm delivery and low birth weight babies.
  • Higher HIV Transmission Risk: Trichomoniasis can cause inflammation, making it easier to acquire or transmit HIV during sexual contact.

By addressing trichomoniasis early, you can avoid these complications and protect your long-term health.

Preventing Tips for Trichomoniasis

Preventing trichomoniasis involves proactive steps to reduce risks and maintain sexual health. Here’s how:

  • Use Condoms Consistently: Always use latex or polyurethane condoms during vaginal, anal, or oral sex. They reduce but don’t eliminate risk, as they only protect covered areas.
  • Avoid Sharing Towels or Undergarments: Personal hygiene items can harbor bacteria, so keep them separate.
  • Regular STI Screenings: Get tested every 6 months if sexually active or in high-risk groups. Early detection is key.
  • Treat All Partners: Both you and your partner(s) should be treated simultaneously to prevent reinfection.
  • Clean and Cover Sex Toys: Use condoms on shared toys or wash them thoroughly between uses.
  • Avoid Douching: Douching disrupts vaginal balance, increasing infection risks.

By following these steps, you reduce the chances of contracting or spreading trichomoniasis and improve overall sexual health.

For more tips on maintaining sexual health, visit How to Practice Safe Sex: Essential Tips for Sexual Health.

Conclusion

Trichomoniasis is treatable, but early detection is essential to prevent complications and protect your sexual health. By recognizing the symptoms, understanding how it spreads, and getting tested, you can take proactive steps toward recovery.

Don’t wait—your health matters. Visit NextCare Urgent Care for fast, confidential testing and treatment today. With convenient STD walk-in clinic locations, taking the first step toward better health has never been easier.

Trusted Resources for Trichomoniasis Information

The information provided in this guide is sourced from reputable healthcare organizations to ensure accuracy and reliability. Explore these trusted resources to learn more about trichomoniasis symptoms, testing, treatment, and prevention:

FAQs

Untreated trichomoniasis can lead to pelvic inflammatory disease in women, increased risk of HIV, and complications during pregnancy.

Trichomoniasis discharge can be frothy and range in color from clear to greenish-yellow, often accompanied by a foul smell.

False positives for trichomoniasis are rare. If you receive a positive result, it is advisable to consult your healthcare provider for further confirmation and treatment options.

Trichomoniasis is not typically transmitted to children as it spreads through sexual contact. It is not passed through casual contact or genetic transmission.

Trichomoniasis is not a reportable STD in most states, meaning health professionals are not required to report cases to health departments. However, it’s still important to seek treatment if diagnosed.

Trichomoniasis can be misdiagnosed as its symptoms overlap with other STIs. Accurate diagnosis usually requires laboratory tests like NAATs or a microscopic examination.

It’s unlikely to contract trichomoniasis from a hot tub. The parasite causing trichomoniasis spreads primarily through sexual contact, not through water.

Chronic, untreated trichomoniasis might lead to complications such as pelvic inflammatory disease, which can cause infertility over time if not treated promptly.

You can go swimming with trichomoniasis, but it’s important to follow good personal hygiene practices to prevent spreading the infection to others through shared facilities.

Trichomoniasis can be treated during pregnancy with prescribed antibiotics such as metronidazole. Treating trichomoniasis is essential to reduce the risk of complications, including preterm birth or low birth weight. Always consult a healthcare provider to determine the safest treatment option for you and your baby.

Without treatment, trichomoniasis can persist for months or even years in some individuals. Although symptoms may fade, the infection remains active and can still be transmitted to others.

Yes, approximately 70% of individuals with trichomoniasis are asymptomatic, meaning they show no signs of infection. This makes regular STD testing crucial for early detection and prevention of complications or transmission.

Reinfection is common if sexual partners are not treated simultaneously. Studies show that about 1 in 5 individuals who receive treatment for trichomoniasis will become reinfected within three months. Ensuring all partners complete treatment and using protection during sexual activity can help minimize the risk.

No, trichomoniasis and chlamydia are distinct STIs. Trichomoniasis is caused by a parasite, while chlamydia is caused by bacteria. Both infections require different diagnostic tests and treatments. It’s possible to have both infections simultaneously, so comprehensive testing is essential.

Yes, trichomoniasis can be effectively cured with antibiotics such as metronidazole or tinidazole, prescribed by a healthcare provider. Both partners must complete the treatment to avoid reinfection. Avoid sexual activity until the treatment is completed and your healthcare provider confirms it is safe.

Trichomoniasis doesn’t always indicate infidelity. It can remain asymptomatic for months or years, meaning an infection from a previous partner could go unnoticed. Open communication, regular testing, and mutual trust are key components of maintaining a healthy relationship.

 

Yes, having trichomoniasis can increase your vulnerability to contracting or transmitting HIV. This is due to inflammation caused by the infection, which creates a more favorable environment for HIV transmission.

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