Overview
In this section you will get an overview of the condition and its relevance to your health.
Trichomoniasis is caused by the single-celled parasite Trichomonas vaginalis and is one of the most common sexually transmitted infections worldwide. Despite its prevalence, it is relatively unknown among the general public.
Many infections are asymptomatic, particularly in men. However, if left untreated, the disease can lead to persistent symptoms and an increased risk of further sexually transmitted infections.
The good news: Trichomoniasis can be reliably treated with medication. Physician-supervised therapy — including as part of an online consultation — is possible in most cases.
What is it?
Here you will learn what medically characterizes this condition and how it is defined.
Trichomonads are single-celled parasites that infect the mucous membranes of the urogenital tract. The pathogen Trichomonas vaginalis causes inflammation of the vagina or urethra.
Unlike bacterial infections, trichomonads are protozoa. They multiply directly on the mucous membranes and can trigger pronounced inflammatory reactions there.
The incubation period is usually 4 to 28 days.
Causes
The following information explains which factors can contribute to the development of this condition.
Trichomonas transmission occurs almost exclusively through sexual contact.
Transmission routes include:
- Unprotected vaginal intercourse
- Rarely, indirect transmission through moist objects
Risk factors include:
- Frequently changing sexual partners
- Not using condoms
- Previous or concurrent sexually transmitted infections
Transmission is also possible through partners who show no symptoms.
Symptoms
This section describes the typical signs and symptoms you should watch for.
Symptoms differ significantly between women and men.
Typical symptoms in women:
- Yellow-green, frothy vaginal discharge
- Unpleasant odor
- Itching and burning
- Pain during urination or sexual intercourse
Typical symptoms in men:
- Burning during urination
- Discharge from the urethra
- Frequently asymptomatic course
Warning signs include fever, lower abdominal pain, or persistent symptoms.
Diagnosis
Below you will learn how this condition is detected through medical examinations.
The diagnosis is made through direct detection of the pathogen.
Available methods include:
- Microscopic examination of a swab
- PCR test from vaginal or urethral swab
PCR tests are considered particularly reliable.
As part of an online consultation, symptoms and test results can be medically evaluated and the next steps discussed.
Treatment
Here the available therapy options and their modes of action are explained.
Trichomoniasis is treated with medication.
Metronidazole is the first-line treatment. It is taken either as a single dose or over several days. The active ingredient specifically targets the pathogen.
Important notes:
- No alcohol should be consumed during treatment.
- Sexual partners must always be treated as well.
- Sexual intercourse should be avoided during therapy.
Common side effects include nausea, metallic taste, or gastrointestinal discomfort.
Available medications
Various prescription medications are available for treatment. Click on a medication to learn more about its effects, dosage and side effects.
Prevention
This section provides guidance on prevention and reducing risk factors.
Consistent condom use provides the best protection against trichomoniasis.
Regular testing with changing sexual partners helps detect infections early.
Complete treatment of all parties involved prevents reinfection.
FAQ
Here you will find answers to frequently asked questions on this topic.
Would you like a medical assessment?
Fill out the medical questionnaire. A licensed doctor will review your information and recommend a suitable therapy if appropriate.
Important notice
This content is for general information only. In case of severe pain, shortness of breath, impaired consciousness, fever > 39°C or rapidly worsening symptoms, please seek immediate medical help ().
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