Trichomonas Vaginitis - What are the causes, Symptoms and Treatment?

Trichomonas vaginitis is a one-celled parasite that lives in the vagina, the cervix, or in the lower genital tract of males. Under the microscope, this protozoan is looking like a teardrop-shaped cell with a tail. Patients with trichomonas usually have accompanying discharge or irritation.


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Occasionally the cervix may become inflamed, leading to bleeding after sexual intercourse or at the time a Pap smear is taken. In rare cases, a woman will notice discomfort with urination. In most cases bacterial vaginosis coexists with this infection, since the Trichomonas organism creates an alkaline pH in the vagina that encourages the growth of the "bad" bacteria.

In this case, a woman may also experience a fishy odor, especially after sexual intercourse. Fortunately, trich has no significant medical risks. It doesn't travel up into the uterus or fallopian tubes nor does it affect other parts of the body. It is purely an uncomfortable annoyance.

Trichomonas Vaginitis Symptoms

Around half of all women with Trichomonas present no symptoms and may go undiagnosed for years, even if they have been followed up with regular annual examinations. Condoms are mandatory if you want protection against this organism.

Trichomonas Causes

Trichomonas, aka "trich" (pronounced "trick"), is a sexually transmitted condition. If you know for sure that your relationship is monogamous and have come down with Trichomonas, you may be wondering which implications you can expect. Although Trichomonas can live in the male genital tract, it cannot survive for more than a few days or weeks at most.

But in the vagina it can live for years, and has even been found in elderly women who have not had intercourse for decades. As a matter of fact you may have contracted the condition from a previous partner without knowing it. Nevertheless, it's mandatory that you have an open, honest dialog with your current partner, as it may even be possible that he passed on the infection to you if he was sexually involved with someone else.

Treatment of Trichomonas

Trichomonas vaginitis is commonly treated with an anti-protozoan antibiotic. The most effective treatment is metronidazole or Flagyl, which can be taken orally. Most often a one-time dose is all that is needed.

Male sexual partners of women with trich should be treated simultaneously so that the couple doesn't pass the infection back and forth. Rarely, trich is resistant to the usual doses of metronidazole and higher doses are needed.

by Gerd Petersen

P.S. Learn how I got bacterial vaginosis relief