What are the clinical symptoms of Trichomonas vaginitis?

Trichomonas vaginitis can actually be considered a widely spread disease, and both men and women can actually suffer from this disease. Generally, trichomoniasis is always caused by vaginal Trichomonas, human Trichomonas or oral Trichomonas. These viruses often live in the human urogenital tract or intestines, and eventually cause some symptoms of inflammation of human organs. Among them, the most common problem is Trichomonas vaginitis.

The incubation period of Trichomonas vaginitis is generally unclear. In volunteer vaccination trials, symptoms may appear after 4 to 7 days.

The main symptoms of trichomoniasis in women are increased yellow-green foamy leucorrhea and vulvar itching. The leucorrhea is thin and has a fishy odor. If combined with bacterial infection, it will be purulent leucorrhea with a foul odor. Bleeding from the vaginal mucosa often presents as red discharge. The amount of leucorrhea is large and often accumulates in the posterior fornix, and sometimes overflows from the vaginal opening. The itching areas are mainly at the vaginal opening and vulva, and burning pain and pain during sexual intercourse are also common. Vaginal examination may reveal redness and swelling of the vaginal mucosa and cervix, bleeding "strawberry spots", and vaginal tenderness. A small number of patients may experience lumbar pain and menstrual irregularities. If Trichomonas vaginalis parasitizes in the urethra and bladder, it can cause Trichomonas urethrocystitis. Patients have symptoms such as frequent urination, urgency, pain when urinating, intermittent hematuria, interrupted urine stream, urinary retention and urethral redness and swelling.

Male patients with Trichomonas infection may have mild symptoms, with varying degrees of urethral itching and discomfort, which worsens during urination. They may experience dysuria, urethral flushing, and discharge of yellow-white purulent secretions. In severe cases, posterior urethritis and cystitis may occur.

Most people do not show clinical symptoms after being infected with this parasite and are called asymptomatic carriers. Such carriers are both sources of infection and can become ill when conditions are right, so they should also be treated. Moreover, this disease must be differentiated from other vaginal pathogen infections, such as Candida, gonococci, vaginal bacilli and other infectious vaginitis. Bacterial vaginosis often causes vaginal discharge with a fishy odor and a pH greater than 4.5, similar to trichomoniasis. However, patients with bacterial vaginosis generally have no symptoms of vulvar irritation, the vagina is not congested, the secretions are thin and uniform grayish white, not yellow-green foamy, the amine test is positive, and the microscopic clue cells are positive. Candidal vaginitis often presents with symptoms of vulvar itching and/or irritation. Examination may reveal vulvitis, vaginal mucosal flushing, vaginal discharge that is cheese-like or okara-like, pH <4.5, and negative amine test. Pseudomycetes and blastospores may be seen under a microscope.

In order to prevent these problems, both men and women must maintain good personal hygiene. Women should also pay attention to regular physical examinations, which can help detect and solve problems in time. In addition, it is best to use condoms during sexual intercourse, which can help prevent the problem of Trichomonas vaginitis.