General Practice 2022

Tricomoníase: what é, symptoms, transmission and treatment

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Tricomoníase: what é, symptoms, transmission and treatment
Tricomoníase: what é, symptoms, transmission and treatment

Trichomoniasis is an infection caused by the parasite Trichomonas sp., which can lead to the appearance of signs and symptoms that can be quite uncomfortable, such as yellowish or greenish discharge, pain and burning when urinating and itching in the genital area. Trichomoniasis is a sexually transmitted infection (STI) transmitted through sexual intercourse without a condom.

It is important that this disease is identified as soon as the first symptoms appear and that it is treated according to medical advice so that the parasite is eliminated more effectively. Thus, it is usually recommended to use antimicrobials for about 5 or 7 days, depending on the antibiotic used, with the aim of relieving symptoms and eliminating the parasite.

It is also indicated that the treatment be done by the couple, even if there are no apparent symptoms, because symptoms can take up to 28 days to appear and some cases of infection can be asymptomatic.

Main symptoms

Trichomoniasis can occur in both men and women, however in men it is common for this infection to be asymptomatic. In symptomatic cases, symptoms usually appear between 5 and 28 days after contact with the parasite, the main ones being:

  • Pain and discomfort when urinating;
  • Greenish or yellowish discharge with a strong smell, in the case of women;
  • White and fluid discharge for men;
  • Redness in the genital area.

In women, the symptoms are usually more intense during and after the menstrual period due to the change in the pH of the vagina, while in men it is common for the parasite to remain in the urethra, which can cause a more serious infection, which can be noticed swelling of the prostate and inflammation of the epididymis.Know other symptoms of trichomoniasis in men and women.

How the transmission happens

Transmission of trichomoniasis occurs mainly through sexual intercourse without a condom, but transmission is also possible during pregnancy or childbirth, because the parasite is able to migrate to the birth canal and infect the baby, resulting in infantile trichomoniasis, in which there may be respiratory symptoms and conjunctivitis.

Trichomonas sp. it is quite resistant to changes in the environment and therefore can survive in urine, sponges and towels for a few hours and in water for a few minutes. In this way, it is also possible to have transmission through the use of objects, however this route of contamination is rarer.

What to do in case of suspicion

In case of suspicion of infection by Trichomonas sp., it is important to consult the gynecologist, urologist or general practitioner so that an evaluation of the signs and symptoms can be carried out and the performance of some tests to confirm the infection.

Thus, it may be recommended to perform a type 1 urine test, as well as analysis of vaginal or penile secretion. Thus, through these tests, it is possible to confirm trichomoniasis and initiate the most appropriate treatment in order to prevent complications.

How the treatment is done

Treatment for trichomoniasis is aimed at relieving the symptoms of the infection and preventing future complications. This is because when the infection is not treated or the treatment is not carried out as directed by the doctor, there is a greater risk of the person acquiring other sexually transmitted infections due to the greater fragility of the immune system, such as HIV, gonorrhea, chlamydia and bacterial vaginosis.

In addition, when the treatment is not carried out to the end, there is also a greater probability that the person will continue to transmit the parasite, in addition to favoring its proliferation and the development of more serious symptoms.

1. Recommended remedies

Treatment for trichomoniasis is done with the use of antibiotics according to medical advice, which can be twice a day for 5 to 7 days or a single dose. The most used remedies are:

  • Tinidazole: This drug has antibiotic and antiparasitic activity, being able to destroy and prevent the multiplication of the microorganism, being widely used for the treatment of infections. The use of this medication must be done according to medical advice;
  • Metronidazole: The gynecologist may request the use of metronidazole either in a tablet, which is usually taken for 5 to 7 days with two daily doses or a single daily dose, or in the form of a cream, which is applied directly to the vagina 1 time a day according to medical advice.

During treatment, it is contraindicated to consume alcoholic beverages, as it can cause discomfort, vomiting, nausea and abdominal pain, in addition to decreasing the activity of the antibiotic used.The partner should also be treated, even if there are no symptoms, so that there is no chance of reinfection, and it is also recommended that sexual intercourse be avoided during the treatment period.

It is important that the treatment is continued even if there are no more symptoms, as this is the only way to guarantee that the parasite has been eliminated and there is no further risk to he alth and/or transmission.

In the case of trichomoniasis in pregnancy, it is important to consult the gynecologist so that an evaluation can be carried out and the risk of using antimicrobials can be evaluated and, thus, the best treatment can be indicated.

2. Home treatment

Home treatment for trichomoniasis should complement the treatment indicated by the doctor, being a good option the vaginal wash with pau d'arco tea, which is a medicinal plant that has antiviral and antibiotic properties, being able to eliminate or Trichomonas vaginalis.The tea is made with 1 liter of water and 3 tablespoons of dried leaves. After boiling for about 10 minutes and straining, you can wash. Discover other home remedies for vaginal discharge.

Signs of improvement and worsening of trichomoniasis

Signs of improvement of trichomoniasis appear about 2 to 3 days after starting treatment and include relief from itching, disappearance of discharge, reduction of redness and decreased urge to urinate frequently, for example.

On the other hand, when the person does not initiate or perform the appropriate treatment, signs of worsening may appear, such as increased redness in the intimate region, a fetid smell, swelling or the appearance of wounds. In addition, pregnant women with trichomoniasis who do not initiate adequate treatment may have other serious complications such as premature delivery or transmission of the disease to the baby during delivery.

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