Trichomoniasis (synonym for trichomoniasis) is an infectious disease of the urogenital organs caused by flagellated protozoa - vaginal trichomonas. Trichomonas is often found in pregnant women, more often in gynecological patients; in some cases, accompanied by gonorrhea of women. In men, trichomoniasis is 40-60% of non-gonococcal urethritis. In virgins and children, this disease is extremely rare. The source of infection is a person with trichomoniasis, or trichomonad carrier. Infection occurs predominantly through sex, non-sexual (domestic) infection is possible in rare cases. The possibility of infecting women through the water when bathing in water bodies and rivers is rejected.
Congenital and acquired immunity to trichomoniasis does not exist; Persons who have suffered trichomoniasis, can be infected again.
The clinical course and symptoms . The incubation period of the disease is 5-15 days. In women, the vagina is most often affected (see Colpit ) and the urethra (see Urethritis ). Symptoms of acute and subacute trichomonas colpitis: abundant liquid frothy whites, with a smell, sometimes with a mixture of blood-like secretion, accompanied by a sensation of itching and burning in the region of the external genitalia and vagina; there is pain during sexual intercourse. On examination, the mucous membrane of the vagina is swollen, diffusely hyperemic, in places with point hemorrhages. The cervix becomes edematous when involved in the inflammatory process, its mucosa is hyperemic, and secretions appear from the cervical canal. Flowing out of the vagina discharge causes irritation of the mucous membrane and skin of the external genital organs. In chronic coleitis, the mucous membrane of the vagina is focal hyperemic, and all the above phenomena are less pronounced. Painful frequent urination occurs with involvement in the process of the urethra. The symptoms of Trichomonas colpitis in both girls and mature women are absolutely identical.
In men with trichomoniasis, the urethra is most often affected. Clinically, the disease proceeds according to the type of gonorrheal and other bacterial urethritis, but is manifested by insignificant mucous or mucopurulent discharge from the urethra, itching, and pain during urination.
Trichomonas vaginal parasites not only on the mucous membrane of the vagina and urethra; they can affect the bladder (see Cystitis ), ureters , renal pelvis, uterine mucosa (see Metroendometritis ) and its appendages (see Adnexitis ), and in men the prostate gland (see Prostatitis ), seminal vesicles (see Vesiculitis ) and epididymis (see Epididymitis ). Complications of the genital organs with trichomoniasis are observed much more often than with gonorrhea.
The diagnosis is made on the basis of the anamnesis, the clinical picture and the results of laboratory research.