- 1 What is trichomoniasis?
- 2 Trichomoniasis symptoms
- 3 How do you get trichomoniasis?
- 4 How to treat trichomoniasis in males?
- 5 Trichomoniasis in women cure
- 6 What can I take for trichomoniasis? Trichomoniasis pills
- 7 Trichomoniasis treatment over-the-counter. OTC meds
- 8 Trichomoniasis treatment with Metronidazole (Flagyl). Dosage
- 9 How to cure trichomoniasis without going to the doctor?
- 10 Tinidazole for trichomoniasis treatment. Dosage
- 11 How to buy trichomoniasis medication online?
What is trichomoniasis?
Trichomoniasis (trich) is a sexually transmitted infection caused by a protozoan called Trichomonas vaginalis. Trichomonas vaginalis is the name of a flagellate protozoan, typical of the female reproductive tract and responsible for one of the most common sexually transmitted diseases in the world, trichomoniasis.
The trichomonas vaginalis does not penetrate inside the tissues, but carries out its pathogenic action by intimately adhering to the epithelial cells. In particular, this parasite has the ability to attach itself to its walls to the vagina, causing direct damage and altering the local bacterial flora.
Indeed, trichomonas tend to raise vaginal pH, destroying the “good” lactobacilli that protect the internal environment from infections. By decreasing the natural acidity of this delicate area of the female body, trichomonas allows other microorganisms to take root more easily.
Under the microscope, the Trichomonas vaginalis appears as a large, oval-shaped cell. Furthermore, this protozoan has a wavy membrane and flagella. The flagella are a kind of tails, with which the parasite is able to move inside the genital apparatus. In particular, the preferred infection sites are the urethra, the prostate, but above all the vagina.
The symptoms mainly described are: vaginal discharge (leucorrhoea) that is yellowish-greenish, foamy and sometimes malodorous (this characteristic is more common in Gardnerella vaginalis infections), vulvar burning and itching, pain during sexual intercourse, vulvovaginal erythema, cervicitis and urination disorders. In a good percentage of cases, trichomoniasis is asymptomatic.
- Cervical mucus alteration;
- Decline in sexual desire;
- Pain in the penis;
- Pain during sexual intercourse;
- Pus emission from the penis;
- Erythema of the urinary meatus;
- Urethral leaks, sometimes visible only after squeezing the glans;
- Vaginal discharge;
- Urethral itching;
- Vaginal itching;
- Blood in the urine;
- Smelly vaginal secretions;
- Bladder tenesmus;
- Smelly urine;
- Cloudy urine.
Very often the infection with Trichomonas vaginalis does not cause significant symptoms or disorders. In cases where symptoms occur they are clearly different in men and women. Men, in particular, are more often asymptomatic carriers and only in the rare cases in which the infection causes urethritis or prostatitis can there be irritation to the glans, scarce or moderate urethral secretions, burning to urinate and during ejaculation.
Compared to men, women are more prone to develop symptoms, since infection with Trichomonas vaginalis often causes vaginitis, cervicitis and urethritis. Therefore the symptomatology is characterized by an intense itching or burning in the external genitals and in the vagina, with yellowish-greenish, foamy and generally smelly discharge. As a result, sexual intercourse can be quite painful. Also in women, there may also be problems with urination, such as burning and the need to urinate frequently.
How do you get trichomoniasis?
Contagion almost always occurs through sexual transmission, although in recent years there has been a noticeable increase in cases in which trichomonas are transmitted through contact with towels or underwear.
The human species is the only natural host of trichomonas and the transmission, as well as through sexual contact, can also take place during the passage of the newborn in the birth canal.
In the external environment the trichomonas vaginalis survives only for a few hours and it is therefore possible, even if rare, the transmission through baths, underwear or infected towels (the trichomonas survives up to 30 minutes in warm water and for about a day in cold water).
Trichomoniasis is one of the most common sexually transmitted diseases (STDs). Infection with trichomonas is in fact widespread in all continents and in all climates. The incidence is about 170 million cases a year and, like many other STIs, it can promote HIV transmission (causing a local accumulation of macrophages and lymphocytes). The disease is typical of the fertile age and very rarely affects before the menarche or after menopause.
The incubation period is quite long and extends from 4 to 28 days.
How to treat trichomoniasis in males?
Trichomoniasis is not only an annoying, unpleasant and irritating disease. Furthermore, it can cause irritation of the penis and inflammation of the prostate in men. Even when it goes unnoticed for years, trichomoniasis can cause severe complications if not treated properly. In particular, it can cause sterility in men.
How does it manifest itself in man? Men rarely develop symptoms of trichomoniasis which, when present, follow those typical of non-gonococcal urethritis (urethral discharge). In most cases it is asymptomatic, but sometimes the symptoms are: small whitish penile leakage, usually morning, burning during the emission of urine or ejaculation and inflammation and infection of the prostate, seminal vesicles and / or urethra.
How is it diagnosed? It takes a medical examination, a swab and maybe even a urine test. The best therapy as always is prevention. One must abstain from sexual intercourse via vaginal, oral or anal, without protection and with multiple partners. Having one partner at a time (clearly not infected) is the wisest choice, otherwise always use a condom.
The therapy involves the intake of Metronidazole, very active on parasites such as Trichomonas vaginalis and on some types of bacteria. All sexual partners must follow the therapy at the same time, to avoid any re-infection. Healing is very rapid.
The therapeutic approach is pharmacological and involves the intake of Nitroimidazole (Metronidazole and Tinidazole) both locally and systemically. For the entire duration of treatment with metronidazole alcoholic beverages must be abolished and for the 24 following the end of treatment, and for 72 hours after the end of Tinidazole therapy. The partner should also be subjected to therapy, abstaining from sexual relations for the duration of the therapy and up to the healing of both.
A post-therapy check-up (within 3 months) is recommended to avoid the risk of very high relapses in this type of infection. Greater attention, also due to possible adverse events, should be reserved for pregnant women in whom the treatment, especially if asymptomatic, should last up to 37 weeks of gestation. Instead, the treatment of symptomatic women involves the administration of a single dose of 2 grams of metronidazole in any gestational period.
During breastfeeding, metronidazole can be administered with an interruption at the time of ingestion of the drug and for the next 24 hours.
Trichomoniasis in women cure
Trichomoniasis can have female sterility as one of its complications. In women it can lead to infection of the uterus and tube. Furthermore, it appears to increase the risk of cervical cancer, to promote HIV transmission. As for pregnancy, Trichomonas infection is associated with ectopic pregnancies, premature births and low weight of the baby at birth. The newborn, in turn, may even rarely acquire the infection while passing through the birth canal and suffer damage of varying severity, ranging from asymptomaticity, conjunctivitis and pneumonia.
The diagnosis is obtained by simply observing the vaginal or urethral secretions under the microscope, accompanied by the microbiological analysis. Given its peculiar characteristics, the Trichomonas vaginalis, in fact, is clearly visible in the fresh smear. The culture test and the amplification tests for the protozoan DNA research, both on the urethral secretion and on the urine, allow to confirm the diagnosis. Moreover, these tests allow to verify the possible co-infection with other sexually transmissible infectious pathologies, such as chlamydia and gonorrhea, to which trichomoniasis is often associated.
If the treatment of trichomoniasis is timely, healing is rapid. The treatment of trichomoniasis is based in particular on the intake of specific antibiotics, such as metronidazole. Alternatively, for metronidazole-resistant infections, Tinidazole is prescribed. After the conclusion of the therapy it is important to avoid taking alcoholic beverages for at least 24 hours for metronidazole or for 72 hours for Tinidazole.
Drinking alcohol, in fact, can give rise to manifestations such as nausea, vomiting, abdominal cramps, hot flushes and headaches. It is advisable to combine antibiotic therapy with a probiotic supplement to promote the regrowth of the normal vaginal bacterial flora. Furthermore, it is necessary to abstain from sexual intercourse until the treatment is completed. Another very important consideration is that the therapy must also involve the partner or sexual partners.
This precaution, to be taken even when the partner does not show symptoms, is important to limit the spread of the disease to other people and avoid the ping-pong effect, ie the continuous passage of the infection from one partner to another. In women with Trichomonas infection, monitoring is often recommended within 3 months after the end of therapy, given the high incidence of relapses in this type of infection.
What can I take for trichomoniasis? Trichomoniasis pills
The prevention of trichomoniasis is carried out essentially by adopting the rules of so-called “safe sex”. Among these, the regular and correct use of condoms in every sexual relationship is useful, especially when we are dealing with occasional partners. The first step is therefore to prevent its onset with condoms that you can get at any drugstore without prescription.
The gynecologist will appropriately prescribe an antibiotic cure to counteract the bacterium. In naturopathy we can associate pharmacological treatment with pills and some natural remedy useful to accelerate regression times and eradicate infection.
Metronidazole pills is the first-line therapy for trichomoniasis, eliminating the sensitive bacteria after a single dose as a rule.
It is possible to resort to natural remedies to treat vaginal infections, perhaps awaiting medical treatment, try these methods also in combination with therapies to enhance their effect.
Grapefruit seeds and tea tree: on the market you can find preparations in dry extract or fluid that combine the antibiotic capacities of grapefruit seeds or antibacterial tea tree preparations. These remedies in synergy are able to counteract the parasitic presence in the body.
Bearberry: an ancient remedy of great efficacy to counteract painful forms of cystitis and inflammation of the urinary tract in general.
Probiotics: always remember to take probiotics especially if you are following antibiotic treatments, to protect and enrich the bacterial flora, stimulate the immune system and help the body to sustain the effort required to eradicate it. bacterial infections. They can be found in many types, choose in favor those in spores that arrive intact in the intestine and dissect a high number of good bacteria, for your health.
You can use apple vinegar which restores the normal acid pH of the vaginal environment. With a kit for vaginal cleanser that you can find in the pharmacy, mix two tablespoons of apple vinegar and 240 ml of warm water and wash them a couple of times a day for four days and then daily until completely cured.
Lavender holds a special place among natural remedies for treating vaginal infections Lavender tincture based on hydrogen peroxide, disinfectant and suitable for mitigating all the related symptoms. Mix 3% hydrogen peroxide with an identical quantity of warm distilled water and do watering twice a day and then one up to healing. The same thing could be done with two or three drops of essential oil of oregano in 250 ml of distilled water.
Trichomoniasis treatment over-the-counter. OTC meds
Although trichomoniasis is asymptomatic for most affected patients, it is still necessary and essential to treat it promptly with targeted otc drugs; if you have unprotected sexual relations with subjects at risk, it is a good rule to undergo a specific control test.
Below you will find descriptions of over-the-counter drug classes used to treat trichomoniasis, and some examples of pharmacological specialties; it is up to the doctor to choose the most suitable active ingredient and posology for the patient, based on the severity of the disease, the health of the patient and his response to treatment:
Metronidazole is the first-line therapy for trichomoniasis, eliminating the sensitive bacteria after a single dose as a rule.
Nitroimidazoles: they are surely the drugs of choice for trichomoniasis treatment, useful not only for the remission of symptoms (when present) but also and above all for the definitive healing of the infection. It should be pointed out, however, that recurrences are possible possibilities when the disease is badly treated, when the sexual partner does not undergo the treatment itself (even when he does not complain of any appreciable symptoms he can transmit the infection), when no contraceptive methods are used barrier (eg condom).
Tinidazole (eg. Trimonase, Fasigin-N): it is recommended to take 2 grams of drug orally on a full stomach. The duration of the treatment must be established by the doctor; however, in most cases, the therapy should be continued for 7 days. The drug, administered orally, concentrates at the urogenital level, where it exercises its therapeutic activity. The sexual partner must also undergo pharmacological treatment.
Complete abstention from sexual intercourse is recommended as long as the drug has exercised its therapeutic action against Trichomonas vaginalis, and until complete remission of symptoms.
Trichomoniasis treatment with Metronidazole (Flagyl). Dosage
Metronidazole (eg. Flagyl, Metronid, Deflamon): it is recommended to take 2 grams of the drug orally once a day, or 500 mg twice a day for a week; alternatively, take 375 mg twice a day for 7 days, as directed by your doctor. In the case of pediatric trichomoniasis, it is recommended to take 15-30 mg of active per kilogram of body weight, divided into 3 doses (one dose every 8 hours), for a week. The recommended dose used in adolescents coincides with that used for adults. The sexual partner must also undergo treatment.
A single dose of metronidazole is the first-line treatment for trichomoniasis. However, bacterial vaginosis may affect the effectiveness of treatment in HIV-infected patients, so taking a single dose of metronidazole does not always completely cure the infection.
The study, the results of which were published in the October issue of The Lancet Infectious Diseases, compared a single dose of metronidazole with a 7-day course of treatment for trichomoniasis in HIV-infected non-pregnant patients. Also in the course of the study, a hypothesis was tested whether the efficacy of treatment could change in patients with bacterial vaginosis.
As it turned out, a 7-day course of treatment is less likely to lead to positive PCR results on T. vaginalis at the cure assessment visit than a single dose of metronidazole (11% vs 19%, relative risk 0.55, 95% CI 0.34-0 70, p < 0.0001). The presence of bacterial vaginosis did not affect the outcome of the treatment of trichomoniasis. Adherence to treatment was 96% in the 7-day therapy group and 99% in the single dose group. The frequency of side effects was comparable in both groups.
Thus, a 7-day course of treatment of trichomoniasis in women with metronidazole is more preferable than a single dose of the drug.
How to cure trichomoniasis without going to the doctor?
Natural remedies for trichomoniasis are used only as an additional therapy, since medical preparations are still more effective in the fight against this ailment.
Garlic is an effective remedy in the treatment of trichomoniasis. It can be used both by men and women. To achieve a therapeutic effect, squeeze the juice out of several garlic cloves, peeled. Drink it in a volume of 1/2 teaspoon in the morning, afternoon and evening. For each reception, fresh juice should be prepared. The duration of treatment is 30 days. Consider that garlic juice is irritating to the stomach, and therefore it should be drunk during meals.
Aloe is a universal remedy. In order to cure trichomoniasis, it is necessary to squeeze the juice of 1 fresh leaf of the plant and drink it by 1 small spoon 3 times a day 30 minutes before meals. The duration of treatment is selected individually.
For women, aloe can also be used as overnight tampons. To carry out the procedure, it is necessary to squeeze the juice from fresh aloe leaf, imbue a sterile bandage in it abundantly, after folding it as a tampon, insert it into the vagina for the night. This treatment is carried out for 30 nights. If repetition of the course is required, it should be carried out after an interval of 10 days.
Take 3 medium cloves of garlic and, peeling, rub with a grater. Then cut off a quarter of a medium-sized onion and grate it. The resulting pulp is mixed, spread on a gauze and rolled up into a tampon to be inserted for 4 hours. The duration of this treatment is 7 days. If irritation of the mucous occurs, lubricate the affected area with calendula ointment.
Chamomile treatment is suitable for both sexes. To obtain chamomile infusion, 5 large spoonfuls of the flowers are steeped with 400 ml of boiling water and kept under a lid, covered with a towel for 120 minutes. After straining the infusion through gauze, drink 120 milliliters 2 times a day before eating.
Eucalyptus-based collection is yet another remedy for trichomoniasis, applied equally in both women and men. Take 4 table spoons of dried eucalyptus leaves, 4 table spoons of tansy flowers, 2 teaspoons of dried yarrow herb and 3 teaspoons of Sophora fruit in the mix. After that, you need to take a tablespoon of the mix and let it steep with 250 ml of boiling water. Let steep for 30 minutes. Then it is poured over gauze and taken by 2 large spoons before meals 3 times a day. The course of treatment lasts 21 days.
Tinidazole for trichomoniasis treatment. Dosage
Tinidazole is an antibacterial drug belonging to the class of nitroimidazoles. It is effective against anaerobic bacteria, but finds applications especially in the treatment of infestations with parasites and protozoa.
Tinidazole treatment should also be extended to the partner, in order to avoid the “ping-pong” phenomenon of protozoan transmission. It appears that Tinidazole is metabolically activated by the protozoan by reduction of the nitro-group present in its chemical structure. Nitro-group reduction leads to the formation of radical oxygen species that are extremely toxic to the cell. In this way, the microorganism is killed.
The dose of Tinidazole to be administered and the duration of treatment must be established by the doctor depending on the type and severity of the infection to be treated. If deemed necessary, the doctor can change the dosage of the drug, therefore, it is necessary to strictly adhere to its indications.
For the treatment of infections caused by Trichomonas vaginalis, the dose of Tinidazole usually administered is 2 g, to be taken in a single dose. Usually a single administration is sufficient, but if the infection recurs, the treatment should be repeated after eight days.
How to buy trichomoniasis medication online?
Every drug ordered online is a subject to the same standards and rules as are applied in real life pharmacies. One cannot stress enough that self-medicating is fraught with severe damages to one’s health. Qualified medical board member should be consulted prior to having your therapeutic course established and a diagnose needs to be pinpointed. This can only be done during a physical examination at doctor’s office, and in case of STDs like trichomoniasis laboratory tests need to be performed.
Once the diagnosis is arrived at and a therapy method is chosen by healthcare specialist with the ensuing prescription issue, the drug can be purchased in whichever way it is convenient for the patient. At this day and age, there is a system of prescription verification which is totally automated. The licensed online drug provider will tap into the general prescription database based on the patient’s name, and the order of prescription drug online will be approved. You do not have to present your prescription at all in order to buy trichomoniasis antibiotics off an e-tailer.
It is always cheaper to buy trichomoniasis drugs online than off a brick-and-mortar drugstore, for a number of reasons most of which are drawn to the basics of managing an online sale point. The absence of necessity to cover such costs as renting extra premises and hiring additional personnel, as well as skipping some essential taxes since those do not apply to online business realia all translate into palpable price reductions Besides, the choice is normally ampler with an elaborately represented formulary of generic drugs to choose from in addition to more expensive brand trichomoniasis pills.
Another obvious benefit of ordering trichomoniasis drugs online is the amount of time and efforts saved. There is no need to hoof the city in search for the required pill, and might one add that clicking the drugs home entails much more confidentiality than speaking up at an actual point of drug sale.
Author: Dr. Eddie Louie , Infectious Diseases & Immunology, Internal Medicine, Phone: (212) 682-9202