256. Beating Trichomoniasis
Trichomoniasis is caused by a protozoan. In females, when symptoms are present, they include vaginal itching and burning, a yellow, green, or gray vaginal discharge with odor, and burning or pain when urinating. In males, symptoms include mild itching and irritation of the penis, pain during intercourse, discomfort when urinating, and a discharge from the foreskin (in uncircumcised men). Men who have trichomoniasis usually don’t experience any symptoms, however, and may unknowingly infect their sexual partners.
Trichomoniasis is diagnosed by examining a drop of vaginal fluid or penile discharge under a microscope or by growing a culture.
If you’re being treated for trichomoniasis, follow these simple guidelines.
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•Take medication as prescribed. The medication metronidazole (brand name Flagyl) is usually taken orally. (If you’re a female, don’t take this drug during the first three months of pregnancy.)
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•Avoid drinking alcohol for 24 hours before or after taking the metronidazole. The combination causes vomiting, dizziness, and headaches.
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•Women should douche with a solution of diluted providine iodine or a mild vinegar-and-water solution. (Don’t use as a substitute for metronidazole, however.) Ask your doctor what proportions he or she recommends, how often you should douche, and for how long.
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•To soothe irritated skin around the penis or vagina, wash the genital area with mild, unscented soap and water at least once a day.
If you have trichomoniasis, your partner should be treated simultaneously. Otherwise, you’ll continue to re-infect each other.
