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thickndlsh thickndlsh rating
Member since 14-Oct-09
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17-Jul-10, 03:19 AM (PST)
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"Has anyone heard of Trichonomas? ALL PROVIDERS READ"
 
   So I went to my regular STD check today which I go to on a regular basis, and this time the DR. made me aware of something that most women do not get checked for at an annual STD check. Its called Trichonomas, it is more like a vaginal infection that can be spread from a woman to a man or vice versa and if not treated it can continute to be passed around. I read the info sheet that the DR. gave to me and it stated that it is actually the most common, curable STI (sexually transmitted infection) in the United States amongst teens and young adults. I will list some facts on it and give you a couple links. I think all providers should be checked for this to insure they are not passing it around to their clients because then when these clients go to see another provider, it is once again spread. Condoms do reduce the spreading of the infection but it is best to avoid it altogether. Here are some facts:

-Trichomoniasis is an infection caused by a one-celled protozoan called trichomonas. This is an extremely common cause of vaginal infections. Trichomoniasis is also known as trichomonas vaginitis, trichomonas vaginalis or sometimes trich (pronounced "trick").

-Usually confined to the vagina, this organism also can invade the urinary tract and cause cystitis (inflammation of the bladder). Trichomonas can also be severe enough to cause an abnormal Pap smear - from which the organism also can be detected - and can recur. Although trichomonas can cause small red lesions on the cervix, it does not invade the uterus or fallopian tubes, nor does it affect fertility.

-In males, it is usually asymptomatic which means males will most likely have no symptoms of it although if not treated for it, they can pass it back to their partner or to other women who will then have symptoms.

-Symptoms for women include a foul odor of the vagina, greenish-yellow discharge, painful sex or urination, small red lesions in the cervix.

-Trichomonas is treated with one dose of 2,000mg Flagyl (metronidazole), it is then usually cured although you are not able to have sex for 7 days or drink alchol for 3 days prior to taking the meds. If your partner is not cured of it, do not have sex with them until they have taken the meds also otherwise you will get reinfected.

http://www.healthscout.com/ency/68/84/main.html

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bluethrills bluethrills rating
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17-Jul-10, 08:29 AM (PST)
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1. "RE: Has anyone heard of Trichonomas? ALL PROVIDERS READ"
In response to message #0
 
Thanks for sharing.

Also, the anchored thread has information about Trichomoniasis posted. http://forum.myredbook.com/dcforum2/health/2104.html#6


Cheers,
- blue thrills


"bluethrills is the current RB champion of Name That Porn"
~ Estella (respected RB sister)




What Is It?
Trichomoniasis, nicknamed "trick," is a sexually transmitted disease (STD) caused by a microscopic one-celled organism called Trichomonas vaginalis. Trichomoniasis can cause vaginal infections in women and inflammation of the urethra (the tube that drains urine from the bladder) in both sexes. In pregnant women, Trichomonas infections also can increase the risk of premature rupture of the membranes and preterm delivery.


Trichomonas is passed from an infected person to his or her partner during sexual intercourse without a condom. Currently, Trichomonas infections affect approximately 3 million women in the United States each year. Men can pass the infection on to their sexual partners, but they rarely develop symptoms themselves.

Symptoms

In women, Trichomonas organisms can live in the vagina for many years without causing symptoms. If symptoms occur, they can include:


A yellow-green, foul-smelling vaginal discharge
Vaginal pain or itching
Irritation and inflammation around the vaginal opening
Vaginal pain during sexual intercourse
Burning discomfort during urination

In rare cases there will be discomfort in the lower abdomen. Symptoms may be worse during a menstrual period. Although men usually have no symptoms, they occasionally can have irritation and inflammation at the tip of the penis, discomfort during urination, and a discharge from the end of the penis.

Diagnosis

Once you describe your symptoms, your doctor will check your vagina and/or urethra for inflammation and abnormal discharge, and perform a pelvic examination. During the exam, he or she will collect a specimen with a swab, and send it to a laboratory to be examined. Trichomoniasis can be diagnosed by viewing the parasite under the microscope, or by culturing it in the laboratory. Because people with Trichomonas infections have a higher-than-average risk of getting other STDs, your doctor also may perform tests for gonorrhea, chlamydia, syphilis and HIV.

Expected Duration

Without treatment, Trichomonas infections can persist for years.

Prevention

Because trichomoniasis is an STD that can be transmitted during sexual activity, you can help prevent infection by:

Not having sex
Having sex with only one uninfected sex partner
Consistently using male latex condoms during sexual intercourse.
Treatment

Trichomonas infections are best treated with an oral medication called metronidazole (Flagyl, Metryl). Although metronidazole gel is also available, it is not as effective as medication taken by mouth. To prevent becoming infected again, all sex partners of an infected person must be treated. Pregnant women should not take metronidazole during the first trimester of pregnancy, so an alternative medication should be used, or else treatment should be delayed until later in pregnancy. In people who drink alcohol, metronidazole can trigger cramps, nausea, vomiting, headaches and flushing. To prevent these problems, avoid drinking alcoholic beverages while taking metronidazole and for three days after you stop taking the drug.

When To Call A Professional

If you are a woman, call your doctor whenever you have vaginal discomfort or an abnormal vaginal discharge, especially if you are pregnant. If you are a man, call your doctor whenever you have redness or discomfort around the end of your penis.

Prognosis

Oral metronidazole cures trichomoniasis in 90 percent to 95 percent of cases. If the condition is not cured, it is often because the infected person's sex partner has not been treated and continues to transmit Trichomonas.

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hkdigweed hkdigweed rating
Member since 18-Oct-09
422 posts, 9 feedbacks, 14 points
04-Aug-10, 01:39 PM (PST)
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2. "RE: Has anyone heard of Trichonomas? ALL PROVIDERS READ"
In response to message #1
 
Yup - most people brush it off as a weird yeast infection unfortunately, when the solution is so simple.

Now, mind you that caution to avoid alcohol is real - alcohol + flagyl = disulfram reaction = violent violent projectile vomiting.

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MarcusWelby MarcusWelby rating
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05-Aug-10, 03:33 PM (PST)
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3. "Trich"
In response to message #2
 
   No, most do not pass it off as a yeast infection. Trich has an odor. Yeast alone does not. When a discharge is due to Trich, it is not curdy and/or white like yeast. If itching is present, it is not as severe as yeast can be. Yeast can be treated or controlled locally, whereas that's highly unlikely with Trich.

Trich is nothing compared to other STDs.

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hkdigweed hkdigweed rating
Member since 18-Oct-09
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07-Aug-10, 00:57 AM (PST)
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4. "RE: Trich"
In response to message #3
 
my point wasn't to discount the differences in symptoms, but rather the patients' approach and mentality regarding to treat or not. If you look at the united states epidemiology, you'll see that many trich vaginal infections have a pretty significant delay from onset to treatment vs your typical std.

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human_genome human_genome rating
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08-Aug-10, 09:09 AM (PST)
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5. "RE: Trich"
In response to message #3
 
   >No, most do not pass it off as a yeast infection. Trich has
>an odor. Yeast alone does not. When a discharge is due to
>Trich, it is not curdy and/or white like yeast. If itching
>is present, it is not as severe as yeast can be. Yeast can
>be treated or controlled locally, whereas that's highly
>unlikely with Trich.
>

I think a point that the poster was trying to make is that some patients may initially and unintentionally pass this off as a yeast infection because of the symptomatology (to a lay person) such as itching and discharge. And with the availability of and with the large amount of lay press advertising and media, some may self medicate with antifungals.

http://www.goaskalice.columbia.edu/1323.html

Your points are well outlined and informative for thinking of the differential diagnosis. Of note combining look and smell with a microscopic evaluation of vaginal secretions has a sensitivity of 60-70% for Trich.

Diagnosis of vaginal trichomoniasis is usually performed by microscopy of vaginal secretions, but this method again, has a sensitivity of only approximately 60%.70% and requires immediate evaluation of wet preparation slide for optimal results. Other FDA-cleared tests for trichomoniasis in women include OSOM Trichomonas Rapid Test (Genzyme Diagnostics, Cambridge, Massachusetts), an immunochromatographic capillary flow dipstick technology, and the Affirm. VP III (Becton Dickenson, San Jose, California), a nucleic acid probe test that evaluates for T. vaginalis, G. vaginalis, and C. albicans. These tests are both performed on vaginal secretions and have a sensitivity >83% and a specificity >97%. Both tests are point-of-care diagnostics. The results of the OSOM Trichomonas Rapid Test are available in approximately 10 minutes, and results of the Affirm. VP III are available within 45 minutes. Although these tests tend to be more sensitive than vaginal wet preparation, false positives might occur especially in low prevalence populations. Culture is the most sensitive and specific commercially available method of diagnosis. In women in whom trichomoniasis is suspected but not confirmed by microscopy, vaginal secretions should be cultured for T. vaginalis.

In men, wet preparation is insensitive, and culture testing of urethral swab, urine, and semen is required for optimal sensitivity. No FDA-cleared PCR test for T. vaginalis is available in the United States, but such testing might be available from commercial laboratories that have developed their own PCR tests [CDC 2006 so maybe there are new tests].

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MarcusWelby MarcusWelby rating
Member since 6-Dec-07
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08-Aug-10, 10:41 AM (PST)
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6. "RE: Trich"
In response to message #5
 
   LAST EDITED ON 08-Aug-10 AT 10:46 AM (PST)
 
Doubtful most members here can comprehend all of that. Let's make it simpler.

All of those tests you mentioned raise the important issue of being cost-effective. If a woman has a rubbery-fishy vaginal odor, it is far more cost-effective to empirically treat with oral metronidazole and a local anti-yeast cream (such as Gyne-Lotrimin, Monistat, etc.) than do do any of those tests. In the very unlikely event there is little or no improvement, then studies may be considered.

The cost of medical care, in which laboratory tests in and out of the clinician's office, is climbing. With true informed consent, and if patients would stop wanting to know the precise diagnosis before treatment, the cost of treating a simple vaginal infection, and the cost of medical care, would go down substantially.

Another example: Giardiasis. The laboratory test to document Giardia, the most common worldwide intestinal parasite, is about $120 and has about 95% accuracy. To treat Giardia with over a 90% success rate, is only $15 !

Now a small part of this problem is medical malpractice concerns, and part is that the physician often makes a profit off of lab tests done in his/her office. But it is within the standard of care to treat for a presumptive diagnosis if the patient is so informed, not extremely symptomatic, and there's plan for further treatment and/or investigation should the patient fail to improve.

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