Trichomoniasis
Trichomoniasis
Define : Trichomoniasis is a sexually transmitted disease caused by small organism called trichomonas vaginalis.
We have described :
Management of Tichomonas vagintis
Symptoms of Tichomonas vagintis
Investigation of Tichomonas vagintis
Treatment of Tichomonas vagintis
Symptoms of Trichomonas vagintis :
For women :
- Sudden onset of purulent vaginal discharge – profuse or scanty.
- Irritation and itching of introitus.
- Dysuria and frequency of micturattion
- Dyspareunia
- Per vaginal discharge– thin, cream- coloured and frothy
- Vulva is inflamed with evidences of pruritus.
- Vagina is tender, may be diffuse, fiery red in colour with multiple punctuate haemorrhagic spots giving the appearance of strawberry.
- The external urethral meatus is congested.
For men :
- Itching inside the penis
- Burning after urination or ejaculation
- The urge to urinate frequently
- Penile discharge
Investigation of Trichomoniasis :
For women :
- Vaginal and urethral swab M/E – Hanging drop preparation.
- Culture of the discharge in kupferberg’s or Feinberg, Whittington medium;
For men :
- Urethral discharge can be examined under microscope to look for the parasite.
Treatment of Trichomoniasis:
Of both partners :
A. Metronidazole : Adult – 1 tab tds for 7 days
Below 12 years half tab tds for 7 days.
Infants : 50 mg tds for 7 days.
Second course after 1 week interval gives better result.
For first trimester of pregnancy : Intravaginal metronidazole 100 mg pessaries one per day for 7 days
B. Advice :
- The partners should use condom during coitus until sex is cured.
- The partner should be given the same treatment simultaneously.
- Care in disposal of her underclothing.
- Keep her own bath towel in order to minimize the chance of infecting other members of the family.
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