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Trichomoniasis is a widespread sexually transmitted infection that is more common in females than males. Symptoms usually show up within 28 days, although many people do not have any symptoms. Treatment with the antibiotic metronidazole is usually effective.
This article discusses trichomoniasis symptoms and testing, the main treatment options, when to see a doctor, and more.
Please note that the writer of this article has not tried these products. All information presented is purely research-based.
Trichomoniasis is one of the sexually transmitted infections (STI) in the United States and worldwide. It is
The parasite Trichomonas vaginalis, which is invisible to the naked eye, causes trichomoniasis, or trich. The disease is transmissible through sex, most often through penile-vaginal contact but also through vagina to vagina contact, shared sex toys, and occasionally hand, mouth, and anal transmission.
According to the
Symptoms typically include:
- irritation, itching, and inflammation of and around the genitals
- discomfort after urination or ejaculation
- discharge from the vagina or penis
Doctors often find it challenging to diagnose trichomoniasis even where symptoms exist because they often resemble those of other STIs. People may be hesitant about getting tested for trichomoniasis, but it is the best way to determine if someone has the infection.
A person who believes they have trichomoniasis should speak with a doctor. They can recommend various tests to ensure an accurate diagnosis.
Home tests are available, making it possible for people to connect with certified labs from the privacy of their homes. Options include:
LetsGetChecked: This company offers three sexual health tests, including trichomoniasis. Individuals take their samples at home, send them off with a pre-paid mailing label that comes with the testing kit, and can check their results 2–5 days later at a secure online location. Doctors review the test results, and the nursing team provides a consultation. Learn more about LetsGetChecked here.
EverlyWell: One of the 30 different tests this company conducts is a urine test for trichomoniasis. Users take their samples and mail them in a pre-paid bio-hazard bag that comes with their test kits. A board-certified doctor contacts people to discuss the next steps if their test results are positive.
People should always speak with a doctor if they receive positive or uncertain results.
Typically, doctors prescribe antibiotics to treat trichomoniasis, usually metronidazole, which is
People should not use alcohol when they are taking medication for trichomoniasis treatment. They should also
Some people are allergic to metronidazole. In 2015, health professionals treated a female who contracted trichomoniasis many times and was also allergic to metronidazole. They treated them with a 600-mg boric acid vaginal suppository twice a day for 60 days, which cleared the infection.
Doctors do not typically prescribe this treatment for trichomoniasis, and people should not use it as an alternative to antibiotics unless a doctor advises it.
Even though an individual might not experience trichomoniasis symptoms, it is essential to seek treatment because the infection may increase the
- contracting or transmitting HIV
- problems with pregnancy, including premature delivery and low birth weight
- contracting or transmitting herpes
Although most people with trichomoniasis will not have symptoms, people who do notice symptoms, such as itching or irritation around the genitals or discharge from the vagina or penis, should see a doctor for testing. They may not have trichomoniasis, but they may have something else that needs treatment.
People should also see a doctor if:
- they test positive for another STI
- a sexual partner tests positive for trichomoniasis or another STI
- they have sex without using barrier contraception with someone whose sexual history they do not know
People can get trichomoniasis again. According to the CDC,
The majority of people with trichomoniasis do not show symptoms. However, it can lead to significant health problems, including a greater risk of getting or transmitting HIV and pregnancy issues.
Treatment with metronidazole is the standard approach to trichomoniasis treatment and is generally effective.