Trichomonas vaginitis is a protozoan or one-celled parasite that can reside in the vagina, the cervix, or in the male's lower genital tract. If you study it under a microscope, the protozoan appears like a cell shaped as a teardrop with a tail. Women suffering from trichomonas usually have accompanying discharge or irritation.
Sometimes the cervix may become inflamed, causing bleeding after intercourse or at the time a Pap smear is taken. In exceptional cases, discomfort with urination will occur. In most cases bacterial vaginosis coexists with this infection, since the Trichomonas protozoan is creating an alkaline pH in the vagina that encourages the growth of the "bad" bacteria.
In such cases, the woman may also notice a fishy odor, especially after sexual intercourse. Fortunately, Trichomonas has no significant medical risks. It doesn't go up into the uterus or fallopian tubes or any other part of the body. It is nothing but an uncomfortable annoyance which can be bad enough indeed.
Common Symptoms of Trichomonas
About half of all women with trichomonas vaginitis present no symptoms and may go undiagnosed for years, even if they have undertaken regular annual examinations. Condoms can protect against transmission of this condition.
What Causes Trichomonas?
Trichomonas, also known as "trich" (pronounced "trick"), is a sexually transmitted disorder. If you know your relationship is monogamous and have come down with Trichomonas, you may be wondering which implications it has. Although trich can reside in the male genital tract, it can only survive for a few days or weeks at most.
In the vagina, however, it can be present for years, and has even been discovered in older women who have not had sex for decades. So, as a matter of fact you may have contracted the infection from a previous partner and not known it. Nevertheless, it's imperative that you have an open, honest dialogue with your current partner, as it still remains possible that he passed on the condition to you if he was sexually involved with someone else.
Treatment Options for Trich
In most cases trichomonas is treated with an anti-protozoan antibiotic. Metronidazole, aka Flagyl, is known to be the most effective treatment and can be taken orally. In most cases a one-time dose is all you need.
To prevent passing the infection back and forth, sexual partners of women with trich should be treated simultaneously. In exceptional cases, trichomonas vaginitis may resist the ordinary doses of metronidazole. Therefore higher doses are recommended.
by Gerd Petersen
P.S. Learn how I got bacterial vaginosis relief




