Description

Most men with trichomoniasis have an asymptomatic infection that is usually self-limiting. The presence of certain risk factors can help identify a male who should be screened for Trichomonas vaginalis.


 

Risk factors for trichomoniasis:

(1) attendance at a sexually transmitted disease (STD) clinic

(2) presence of a sexually transmitted disease (gonorrhea, syphilis, chlamydia, HIV)

(3) recent unprotected sexual contact with a woman with trichomoniasis

(4) presence of urethritis (defined as symptoms, discharge and/or a smear with >= 5 PMNs per oil immersion field)

 

Factors reducing the risk of trichomonasis:

(1) wearing a condom during sexual intercourse

(2) being treated at the same time as female sexual partner with trichomoniasis

 

A male may still have Trichomonas vaginalis after antibiotic therapy, either due to antibiotic resistance or reinfection.

 

Schwebke and Hook found that at an STD clinic:

(1) 10% of men without urethritis had trichomoniasis

(2) 20% of men with urethritis had trichomoniasis

(3) Many men with trichomoniasis had one or more other STDs.

 


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