Trichomonas is diagnosed through laboratory evaluation of a sample of vaginal discharge from a women suspected of having this infection. Physicians can also diagnose trich during a woman's annual pelvic exam and Pap smear. In men diagnosis is difficult, however a physician may take a swab from the urethra and send it to the lab for evaluation. Although there are no firmly known long-term health risks associated with this infection treatment is necessary to relieve symptoms and prevent a possible twenty year long infection. There is some discussion that trichomoniasis is associated with increased risk of transmission of HIV and may cause a woman to deliver a low-birth-weight or premature infant. However, more study is needed to fully understand these relationships. Metronidazole is the treatment of choice for trichomonas. A study reported in the Journal of Obstetrics and Gynecology concluded that 1.5 gram and 2 gm doses of metronidazole were equivalent for treatment of Trichomonaisis, curing approximately 85% of infections.
The physician may also choose to treat the partner of the patient to prevent reinfection.
It's important not to consume alcoholic beverages during treatment with Flagyl (metronidazole) because it could cause severe vomiting.
Proper use of condoms could prevent most cases of trichomonas, as well as other sexually transmitted diseases. Washcloths and towels should not be left for children or others to use to reduce the chance of transmission of this infection--trich can live for several hours in wet towels.
Remember, whenever you experience any usual vaginal discharge or symptoms contact your healthcare provider for proper evaluation and treatment.
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