clinical features of trichonomiasis

Last reviewed 01/2018

Vaginal Trichomoniasis;

  • in most cases the vagina is involved. The patient may complain of:
    • a vaginal discharge - thin, yellow/green, offensive, may be frothy
    • vulvovaginal irritation or pain
    • dyspareunia
    • external dysuria
    • no increased frequency or urgency
    • occasionally the patient may complain of lower abdominal discomfort (1)

On examination there may be reddening of the vulval, vaginal and cervical mucosae. Around 2% of women will have a strawberry cervix appearance to the naked eye (1).

Urethral Trichomoniasis:

  • this may be present in up to half of the cases of vaginal infestation. It may cause dysuria and frequency if the trigone of the bladder is involved.

Note: Sizeable numbers of women have asymptomatic infection (1).

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