Trichomoniasis: Symptome, Komplikationen und heilbare Behandlung

Trichomoniasis (“trich”) is a common, curable STI caused by the parasite Trichomonas vaginalis.

Symptoms

Women (more often symptomatic):

• Vaginal itching, burning, irritation
• Yellow-green, frothy, foul-smelling discharge
• Dysuria, dyspareunia
• Lower abdominal pain

Men (often asymptomatic):

• Urethral irritation, burning on urination/ejaculation
• Penile discharge
• Testicular discomfort

Complications

• Women: PID, infertility, preterm birth, low birth weight, increased HIV susceptibility.
• Men: Prostatitis, epididymitis, infertility.

Treatment

Single-dose oral metronidazole or tinidazole (both partners simultaneously). Avoid alcohol during/after. Retest in 3 months.

Testing: NAAT (urine/swab) is most sensitive. Routine screening not universal—ask your provider.