About
- Caused by a protozoan parasite called Trichomonas vaginalis.
Aetiology
- Sexually transmitted
- Only 30% develop any symptoms
- More common in women than in men.
Clinical
- Itching or irritation inside the penis
- Burning after urination or ejaculation
- Discharge from the penis
- Itching, burning, redness or soreness of the genitals;
- Discomfort with urination
- Vaginal discharge (i.e., thin discharge or increased volume) that can be clear, white, yellowish, or greenish with an unusual fishy smell.
- Pain with sex, the infection can last for months or even year
Investigations
- Consider HIV tests and screen for other STD
- GUM clinic referral
Management
- Refer to GUM and treat partners simultaneously.
- Metronidazole: 400 mg every 12 hours for 5-7 days or 2g single dose stat (avoid if pregnant or breastfeeding)
- Clotrimazole 100 mg pessary at night for 6 nights. Topical clotrimazole gives symptomatic relief (not cure) if metronidazole declined.