[Question #10691] Trich
20 months ago
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Dr H was very helpful last time. I would like to ask about the possibility of trich being in my long term monogamous marriage. When my wife and I took a break from dating in college is when I had my other exposure ( unprotected ). Time between my exposure in the next time I had unprotected sex with my now wife was 4months. First question.
1) I see trich usually self clears like Cham etc on it’s own ( best guess by experts as I know not much data ) what are the odds in 4 months if I got it it would have cleared?
2) I don’t think my wife has ever been tested for it through any of the 3 pregnancies and she has always been good about getting paps etc and when the hpv issue was going on she had a colposcopy as well once. Would gyno over the years seen signs of this possibly?
3) I see on post on here that dr h suggests that having a colposcopy is not away to exclude chalamydia or trich but “significantly reduces the chance” is that still a true statement? Even if the trich was otherwise asymptomatic? Ie no obvious discharge etc.
4) so what are the chances of this…. Unprotected with college girl (19yrs ) me carrying trich for 4 months asymptomaticly then get back with me gf ( wife now) we resume sex and I passed to her and for the last 16 years it hasn’t been suspected at the gyno and or she has never shown symptoms?
5) i see where it is pretty common to pop up in married couples. What percent of marriages does this happen to? Is it really common like hpv? We little exposure history the hpv was a little surprising but clearly its so common but Is trich really common in this scenario as well?
6) as an expert if you were me would you just put trich out of your mind and this scenario really plausible and I should be confident in that and just move on
Thanks again for your time. Just trying to put this out of my mind.
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H. Hunter Handsfield, MD
20 months ago
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Welcome back. But I'm sorry to see the evidence that you're still concerned about STDs on account of your very low risk back all those years ago!
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There are no data on which to answer your question, which boils down to the chances I acquired trichomonas in view of my sexual history, the likelihood it is now gone, and the possibility you infected your wife who nevertheless never tested positive or had any suspicion of a vaginal infection of any kind. Despite absence of firm data, I would say the answer is zero for all practical purposes. To your specific questions:
1) There are no data on how long trich can persist in infected males. Maybe for years, but probably it's usually gone in a few months.
2) Routine gyn exams detect most trichomonas infections, even when trich is not suspected or tested. Having had multiple pelvic exams over the years, including in pregnancy, the chance she has undetected trichomonas is close to zero.
3) I don't recall ever saying anything about colposcopy and detection of trichomonas. But other aspects of those repeated vaginal/pelvic exams would have detected most if not all trichomonas infections.
4) "So what are the chances...?" Zero for all practical purposes.
5) I can't say how common this is. But in the vast majority of such cases, trich shows up in women during a routine gyn exam, primarily in women who have not been having regular Pap smears and pelvic exams. This situation doesn't apply to you and your wife.
6) Yes. Put it out of your mind and move on.
HHH, MD
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20 months ago
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Thank you for the information. I guess it the common asymptomatic nature in both sexes that concerns me with trich. If I may can I ask a few follow ups?
1) my wife has never had foul smelling or colored discharge but a few times during her ovulation time of the month she will get a lot of clear mucus like discharge ( never smells but occasionally she has spotted some during this time ) her gyno told her as long as it’s not foul smelling or green etc and happens during ovulation than that is prob what it is. It only lasts for 4 to 5 days. Does this discharge at all sound suspicious of being trich? Also if the discharge was trich I see where dr hook has said it would most likely not only last a few days ie once an infection symptom started it would be mostly likely for a few weeks. Is that accurate? In other words that my wife’s discharge is during ovulation, clear, and only last a 4 to 5 days go against trich?
2)She is prob had 10 paps over the years and monitored through three pregnancies. I see how paps aren’t a way to test for trich and if trich is commonly asymptomatic for years how would gynos find trich in routine paps/pelvic exams? Just trying to gain knowledge.
Over all you are saying this is just almost and impossible set of events to occur? If you had to put a guess on it as a bet what would say the odds of given the chain of events my wife has undetected trich? Like 1/1000? I know it’s just a random guess but one persons close to zero can be another’s not rare. ( the 1/20,000 chance about herpes is what helped me put in prospective how rare it was in my situation )
Thanks again for all your insight, truly appreciate it!
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H. Hunter Handsfield, MD
20 months ago
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1) This description of your wife's vaginal health doesn't sound abnormal. Vaginal moisture varies widely over time. If she hasn't perceived anything wrong, there is little chance of any infection.
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2) It is exceedingly unlikely that 10 paps plus the routine inspection that occurs during Pap smear collection would miss trichomonas.
3) I'd put those odds at under one chance in millions.
Just let it go!
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20 months ago
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Thanks for all the responses so far but if a I may ask a few more questions then we can close the thread.
1) everything online and says paps only detect hpv no other std and same as pelvic exams. Is that because some trich infections are missed but some aren’t on paps BUT since my wife has had several at least one would have picked it up? I just want to be clear she has never been tested specifically for trich. I know she has for other std through pregnancies so I am not worried about others. Just the fact trich can be asymptomatic for years and she has never been tested concerns me with relying on the pelvic exams/ paps to exclude it. Just trying to reason with why it would “exceedingly unlikely to be missed on 10paps”
2) so even though she was not specifically test for trich during those exams still having 8 to 10 exams over the years wouldn’t have missed it? Even if it was asymptomatic? ( she hasn’t ever to my knowledge has any )
3) I do recall sometimes she has had a brownish discharge but never last for more than a few days at most. Is this suggestive of trich?
4) if my wife ever develops symptoms like yellow/green vaginal discharge would you think trich is the most likely cause in my case? Or can other things cause this? In other words if you were me and your wife developed symptoms of an infection would you think it would be some undetected std form years ago just now flaring up?
5) so even with the brown discharge sometimes and never being tested for trich does that change your calculations of one in millions chance?
I appreciate it I am really trying to move on from this but everything keeps telling me what if this or that etc.
I’m working on addressing my anxiety as well
Thanks again please close thread after these questions.
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H. Hunter Handsfield, MD
20 months ago
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1) HPV is the only STD specifically analyzed by pap, but trichomonas often can be seen microscopically and, if present, is reported. More important, Pap smears require pelvic exam, which involves visual assessment of vaginal fluid/discharge, inflammation of the cervix, and general evaluation of vaginal and vulvar health.
2) Repeat question. See no. 2 in your previous reply. I haven't changed my mind.
3) No.
4) Worry about this if it ever happens. It's nonsense to speculate.
5) Correct.
You're really off the deep end on this. "Addressing my anxiety" is the important issue here.
Threads are routinely closed after two follow-up exchanges. Please note the forum does not permit repeated questions on the same topic or exposure. This being your second, will have to be your last; future new questions about your distant past sexual experience and your fears about trichomonas and other STDs may receive no reply and the posting fee will not be refunded. This policy is based on compassion, not criticism, and to reduce temptations to keep paying for questions with obvious answers. In addition, experience shows that continued answers tend to prolong users' anxieties rather than reducing them. Finally, such questions have little educational value for other users, one of the forum's main purposes. Thanks for your understanding.