Trichomonas vaginalis – mycological examination

• The material for testing is (after inserting a gynecological speculum) discharge from the vaginal walls, posterior fornix, cervical canal, and a urethral swab.
  Ideally, the discharge should be collected 2-3 days before or after menstruation.
  The material for testing is collected by a midwife before or after starting treatment for Trichomonas.

• In men, a urethral swab is taken, preferably before
  urination in the morning or after a longer break of approximately four hours.
  The material for testing is collected by a midwife before or after starting anti-Tchomonas treatment.

Samples brought from outside are not accepted for testing.

Trichomonas vaginalis is a parasite most commonly transmitted sexually. It causes a disease called trichomoniasis. In chronic inflammatory conditions, trichomonas occurs in the vagina and urethra in women and in the urethra, prostate gland, and seminal vesicles in men. Infection is often acquired during childbirth
Newborns are affected (it disappears spontaneously within a month). These parasites cause damage to the vaginal epithelium, minor lesions, and ulcers. The incubation period is 1-4 weeks. 50% of infected women experience abundant, frothy, yellowish vaginal discharge, accompanied by vaginal and vulvar irritation. Symptoms worsen with time
menstruation. The examination reveals vaginal inflammation, accumulation of discharge in the vaginal vault, and minor hemorrhages of the vaginal mucosa or cervix. Trichomoniasis is often complicated by bacterial or fungal infection. Candidiasis is particularly often exacerbated by treatment of trichomoniasis due to the changed
vaginal biocenosis. Chronic trichomoniasis may contribute to pelvic inflammatory disease, infertility, pregnancy complications, and the length of recovery after hysterectomy. In men, trichomoniasis sometimes nests in the urethra, prostate gland, epididymis, and penile ulcers. Infections in men are most often asymptomatic; they should be differentiated from gonorrhea infection and diplococcus.

Trichomoniasis infections are usually accompanied by bacterial and fungal infections (e.g., Candida albicans). Chronic, untreated trichomoniasis can cause infertility and pregnancy complications.

Symptoms of trichomoniasis
:
– vaginal discharge (discharge from the genital tract): very abundant, foamy, foul-smelling, usually yellow or greenish in color,

– itching, burning
,
– pain in the perineum area
,
– irritation of the vulva and vagina
.

When a urinary tract infection occurs in addition to a genital infection, burning, frequent urination, urinary urgency, and even painful urination and lower abdominal pain may occur.

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