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{{Trichomoniasis}}
{{Trichomoniasis}}
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==Overview==
==Overview==
It is critical to collect a detailed and thorough sexual history from the patient. Specific areas of focus when obtaining a history from the patient include number and type of sexual partners (new, casual, or regular), contraception use, and previous history of trichomoniasis or other [[sexually transmitted diseases]]. The majority of women (85%) and men (77%) with trichomoniasis are [[asymptomatic]]. One-third of asymptomatic women become symptomatic within 6 months. Common symptoms of trichomoniasis in women include [[vaginal discharge]] (which is often diffuse, malodorous, and yellow-green or gray in color), painful urination ([[dysuria]]), vulvar irritation and itching, [[abdominal pain]], and discomfort during sexual intercourse.<ref name="pmid26242185">{{cite journal| author=Kissinger P| title=Trichomonas vaginalis: a review of epidemiologic, clinical and treatment issues. | journal=BMC Infect Dis | year= 2015 | volume= 15 | issue=  | pages= 307 | pmid=26242185 | doi=10.1186/s12879-015-1055-0 | pmc=PMC4525749 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26242185  }} </ref> Symptoms of trichomoniasis in men include clear or mucopurulent [[urethral discharge]], painful urination, and [[pruritus]] or a burning sensation following sexual intercourse.<ref name=aaa>{{cite web|url=http://www.cdc.gov/std/trichomonas/STDFact-Trichomoniasis.htm |title= Trichomoniasis - CDC Fact Sheet|author= |date= |work= |publisher= |accessdate=12 January 2011}}</ref>


==History==
==History==
A detailed and thorough sexual history from the patient is necessary. Specific areas of focus when obtaining a history from the patient include:
It is critical to collect a detailed and thorough sexual history from the patient. Specific areas of focus when obtaining a history from the patient include:
*Number and type of sexual partners (new, casual, or regular)
*Number and type of sexual partners (new, casual, or regular)
*Contraception use
*[[Contraception]] use
*Previous history of trichomoniasis or other sexually transmitted diseases
*Previous history of trichomoniasis or other [[sexually transmitted diseases]]


==Symptoms==
==Symptoms==
Trichomoniasis, like many other [[sexually transmitted diseases]], often occurs without any symptoms. Men almost never have symptoms, while 20% of women are asymptomatic. Some men may temporarily have an irritation inside the penis, a thin, whitish discharge from the [[penis]] and painful or difficult urination.'''
The majority of women (85%) and men (77%) with trichomoniasis are asymptomatic. One-third of asymptomatic women become symptomatic within 6 months.<ref name="pmid26242185">{{cite journal| author=Kissinger P| title=Trichomonas vaginalis: a review of epidemiologic, clinical and treatment issues. | journal=BMC Infect Dis | year= 2015 | volume= 15 | issue=  | pages= 307 | pmid=26242185 | doi=10.1186/s12879-015-1055-0 | pmc=PMC4525749 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26242185  }} </ref>
Common symptoms of trichomoniasis in women include:
*[[Vaginal discharge]] (which is often diffuse, malodorous, and yellow-green or gray in color)
*Painful urination ([[dysuria]])
*Vulvar irritation and itching
*[[Abdominal pain]]
*Discomfort during sexual intercourse


When women have symptoms, they usually appear within 5 to 28 days of exposure. Typically, only women experience symptoms associated with ''Trichomonas'' infection. Symptoms include inflammation of the  cervix ([[cervicitis]]), urethra ([[urethritis]]), and vagina ([[vaginitis]]) which produce an itching or burning sensation. The symptoms also include a heavy, yellow-green or gray vaginal discharge, discomfort during [[sexual intercourse|intercourse]], unpleasant [[vaginal odor]], and [[dysuria|painful urination]]. Irritation and itching of the female [[genital]] area, and on rare occasions, [[lower abdominal pain]] also can be present.  In about two-thirds of infected females, there is [[edema]], [[inflammation]], cell hypertrophy and [[metaplasia]].
Symptoms of trichomoniasis in men include:<ref name=aaa>{{cite web|url=http://www.cdc.gov/std/trichomonas/STDFact-Trichomoniasis.htm |title= Trichomoniasis - CDC Fact Sheet|author= |date= |work= |publisher= |accessdate=12 January 2011}}</ref>
*Clear or mucopurulent [[urethral discharge]]
*Painful urination
*[[Pruritus]] or burning sensation following sexual intercourse


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}


[[Category:Parasitic diseases]]
[[Category:Sexually transmitted diseases]]
[[Category:Disease]]
[[Category:Infectious disease]]
[[Category:Gynecology]]
[[Category:Primary care]]


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[[Category:Gynecology]]
[[Category:FinalQCRequired]]
[[Category:Emergency mdicine]]
[[Category:Disease]]
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[[Category:Infectious disease]]

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Maliha Shakil, M.D. [2]

Overview

It is critical to collect a detailed and thorough sexual history from the patient. Specific areas of focus when obtaining a history from the patient include number and type of sexual partners (new, casual, or regular), contraception use, and previous history of trichomoniasis or other sexually transmitted diseases. The majority of women (85%) and men (77%) with trichomoniasis are asymptomatic. One-third of asymptomatic women become symptomatic within 6 months. Common symptoms of trichomoniasis in women include vaginal discharge (which is often diffuse, malodorous, and yellow-green or gray in color), painful urination (dysuria), vulvar irritation and itching, abdominal pain, and discomfort during sexual intercourse.[1] Symptoms of trichomoniasis in men include clear or mucopurulent urethral discharge, painful urination, and pruritus or a burning sensation following sexual intercourse.[2]

History

It is critical to collect a detailed and thorough sexual history from the patient. Specific areas of focus when obtaining a history from the patient include:

Symptoms

The majority of women (85%) and men (77%) with trichomoniasis are asymptomatic. One-third of asymptomatic women become symptomatic within 6 months.[1] Common symptoms of trichomoniasis in women include:

  • Vaginal discharge (which is often diffuse, malodorous, and yellow-green or gray in color)
  • Painful urination (dysuria)
  • Vulvar irritation and itching
  • Abdominal pain
  • Discomfort during sexual intercourse

Symptoms of trichomoniasis in men include:[2]

References

  1. 1.0 1.1 Kissinger P (2015). "Trichomonas vaginalis: a review of epidemiologic, clinical and treatment issues". BMC Infect Dis. 15: 307. doi:10.1186/s12879-015-1055-0. PMC 4525749. PMID 26242185.
  2. 2.0 2.1 "Trichomoniasis - CDC Fact Sheet". Retrieved 12 January 2011.


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