Clinical features of trichonomiasis
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).
Reference:
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