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Which Medication Is The Most Effective Treatment For Trichomoniasis

Trichomoniasis is a sexually transmitted infection. A person can pass it on through vaginal, oral, or anal sex.A parasite called Trichomonas vaginalis causes trichomoniasis, or trich, which is highly curable if a person seeks treatment. However, only about 30% of people with trich experience symptoms, according to the Centers for Disease Control and Prevention (CDC). Without treatment, trich can lead to complications. It can affect a pregnancy, and it also appears to increase the risk of getting and passing on HIV.Trichomoniasis is one of the most common sexually transmitted infections (STIs) in the United States, where the CDC estimate that it affects close to 3.7 million people. It is the most common curable STI. Share on PinterestA person with trichomoniasis may experience discomfort when urinating. Credit: Getty images.T. vaginalis, the parasite that causes trich, can pass from one person to another during sex. A person can transmit it during oral, anal, or vaginal sex or through genital touching.In females, trich is most likely to affect the lower genital tract. In males, it affects the urethra, the tube through which urine passes.Other parts of the body, such as the anus, hands, or mouth, cannot usually become infected.The following people have a higher chance of getting trich:femalespeople with more than one sexual partnerthose with a history of trich or other STIspeople who have unprotected sexAs the number of sexual partners that a person has increases, so does their risk of getting trich.Symptoms may appear between 5 and 28 days after exposure, or they may appear later or not at all.When symptoms are present, they can affect males and females differently.Minor symptoms include irritation, but someone with a more severe case may have inflammation with discharge.Possible symptoms in females include:frothy, foul-smelling vaginal discharge, which may be clear, white, gray, yellow, or greenvaginal discharge with bloodgenital irritationdiscomfort during sex or when urinatingswelling in the groinfrequent urinationin rare cases, lower abdominal painSymptoms in males may include:discharge from the urethra or penisitching in the penisburning sensations after ejaculating or urinatingfrequent need to urinatepain when urinatingTrichomoniasis can lead to several complications, including those below.Problems during pregnancyExperts have linked trichomoniasis with complications during pregnancy, including:preterm birthearly rupture of the membranelow birth weight in newbornsinfertilityA woman can sometimes pass on the infection to the newborn during delivery, but this is rare.It is safe to receive treatment with metronidazole during pregnancy.Other problemsTrich may increase the risk of reproductive tract infections. At least one study suggests that there may also be a link between trich and human papillomavirus (HPV), the virus that causes cervical cancer. More research is necessary, however, to clarify the association.HIV riskA trich infection can increase the risk of getting HIV and other STIs, especially in females.Scientists believe that this increased risk could be due to:inflammationa reduced immune responsechanges in the balance of vaginal flora, in femalesThese factors may lower a person’s natural protection from the virus.To diagnose a trichomoniasis infection, a doctor will:carry out a pelvic examtake a sample of vaginal or penile discharge for examination under a microscopetake a vaginal swab for a culture test in a laboratoryThe results of a lab test will come back in about a week.Preparing for the appointmentWomen should aim to schedule the appointment for a time when they are unlikely to be menstruating. Before the appointment, they should avoid using deodorant on the vulva, as this masks odor and can cause irritation. The doctor may also advise them to avoid vaginal intercourse or inserting any object, including tampons, into the vagina for 24–48 hours beforehandA Pap (smear) test does not check for trich. If a person has a clear Pap test, they may still have trich or another STI.As trich increases the risk of passing on HIV, people with HIV should also have a trich test at least once a year.If the result is positiveIf the test results are positive, a doctor will prescribe treatment and discuss what to do next.The person will need to:inform all of their sex partners, as they will also need a testtake the whole dose or course of treatment to stop the infection from coming backavoid sexual contact until the treatment is completeseek further advice if symptoms remain a few days after finishing a course of antibioticsThe doctor may also recommend having tests for other STIs. Trich is easy to treat in males and females, including during pregnancy.Treatment usually involves taking a single dose of an antibiotic by mouth. A doctor may also prescribe a vaginal suppository or a cream to apply topically.Antibiotic medications that kill parasites include metronidazole (Flagyl) and tinidazole (Tindamax).People should not consume alcohol while taking metronidazole, as there may be an adverse reaction, which can lead to abdominal cramps, nausea, headaches, and flushing.If symptoms continue after taking the treatment, a person should go back to see their doctor again.Breastfeeding after treatmentPeople should not take tinidazole while breastfeeding. Metronidazole is safe to use, but a doctor may suggest waiting 12–24 hours after taking it before breastfeeding.To prevent infection or reinfection, any sexual partners should also receive treatment.Ways of preventing the risk of infection or reinfection include:limiting the number of sexual partnersavoiding sex for 7–10 days after treatment for trichnot using a douche, as this can affect the healthy bacteria in the vaginalimiting or avoiding the use of recreational drugs and alcohol, as these increase the risk of unsafe sexusing a condom for protection during sexA condom can prevent transmission to some extent, but it is not fully reliable because the parasite can pass from person to person on areas of the body that it does not cover.Anyone who has symptoms or thinks that they have been exposed to trich should speak to a doctor.Trichomoniasis is a sexually transmitted infection. It spreads easily and can lead to complications, but effective treatment is available.Treatment can prevent complications and stop trich from spreading to another person.

Video about Which Medication Is The Most Effective Treatment For Trichomoniasis

Trichomoniasis (Trich): The Genital Parasite

In this video we will cover Trich or Trichomoniasis. We will cover what it is, what symptoms it causes and how to get rid of it.

This video is part of a videoseries on sex related medical problem. Find the playlists here:

What is Trich?
Trich, also called Trichomoniasis is an infectious disease caused by a parasite named Trichomonas vaginalis. It’s a protozoan, meaning it’s a single-celled organism.
It nests in the female lower genital tract, such as the cervix, urethra or bladder. And in men it resides in the urethra and prostate.
These locations explain why Trich is an STI. You can get Trich by having sex with someone who has it; even if that person has no symptoms.

What symptoms does Trich cause?
Once infected, about 70% of people does not develop any symptoms. In those that do get symptoms, they typically begin 5-28 days after the initial infection.
– In men Trich may cause: Itching or irritation of the genitals, a burning sensation after peeing and a discharge from the genitals.
– In women Trich may cause: Itching, burning, redness or soreness of the genitals; discomfort when peeing and a discharge.

How common is a Trich infection?
It is estimated to be the most common curable STI there is. There were about 2 million Trich infections in 2018 in the USA alone. And worldwide we are talking, about 60-180 million cases.

Tips & tricks:
– Avoid skin-to-skin contact.
– Use a condom or dental dams.
– Avoid sexual intercourse.
– Avoid having multiple sexual partners.
– Avoid drinking alcohol or using drugs.
– Have regular checkups or STI tests

Treatment:
Trich is easily treatable, usually with an one time oral dose of an anti-protozoics, like Metronidazole. It resolves 95-97% of all infections in one dose.
Here it is also important to mention that your partner should also be treated, even if he/she does not have any symptoms. In addition don’t have any intercourse for 7-10 days after treatment. And lastly when you have a proven Trich infection always get treated. If you don’t an infection can last for months or even years and can cause serious complications.

– Disclaimer: this video and the comments are meant purely informational! This is not medical advice! If you are looking for medical advice, always contact your own doctor. –

I want to give special thanks to my sponsors on Patreon:
– Sebastian Houwing: Investor

Literature:
1: CDC. (2021). Trichomoniasis – CDC Fact Sheet.
2: Johnson J.C. (2021). Trichomoniasis (Trich). WedMD.
3: Krieger JN. (1995). Trichomoniasis in men: old issues and new data. Sex Transm Dis. 22(2): 83-96[Medline].
4: Mayo Clinic Staff. (2020). Trichomoniasis. Mayoclinic
5: Olopaade J. Cronkleton E. (2021). Names of Common Antibiotics. Healthline.

* The images in this video are used for educational purposes only. Most of the images and video material in this video come from https://www.canva.com/.

Music:
1. Verified Picasso, Fish Room
2. Patrick Patrikos, Good Times
3: Patrick Patrikios, Rockville
4: Patrick Patrikios, Grut

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