Trichomoniasis history and symptoms
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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
History
A detailed and thorough sexual history from the patient is necessary. Specific areas of focus when obtaining a history from the patient include:
- Number and type of sexual partners (new, casual, or regular)
- Contraception use
- Previous history of chlamydia infection or other sexually transmitted diseases
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.
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 intercourse, unpleasant vaginal odor, and 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.