6.3.4. Infections of the Genital Tract - Trichomoniasis

Question 1

What causes Trichomoniasis?

Answer 1

Trichomonas Vaginalis

Question 2

What are the Symptoms of Trichomoniasis in Men?

Answer 2

Asymptomatic

Question 3

What are the Symptoms of Trichomoniasis in Women?

Answer 3

1. Asymptomatic - 10-30%
2. Profuse, Thin, Vaginal Discharge - Greenish, Frothy and Foul Smelling
3. Vulvitis

Question 4

What is the Epidemiology of Trichomoniasis?

Answer 4

1. 100 / Year in Grampian (Uncommon)

2. More common in Middle Aged Women that some other STI’s

Question 5

What are the Complications of Trichomoniasis?

Answer 5

1. Miscarriage

2. Preterm Labour

Question 6

How is Trichomoniasis Diagnosed?

Answer 6

1. PCR on a Vaginal Swab
2. Point of Care - Microscopy of Wet Preparation of Vaginal Discharge
   Note - There is no Test for Men

Question 7

What is the Treatment of Trichomoniasis?

Answer 7

Metronidazole (400mg) Per Oral, Bi-Daily for 5 Days

Note - Can be given as a 2g Single Dose