[Question #1835] std info

42 months ago
hello,

I've read on this forum that trich, Gon, and Clamidia tests are pretty conclusive. I went on the CDC website and the 2015 trich info says that urine tests for males is 39%. is this outdated? Also what is the recommended treatment for Trich.  I have a 4 negative tests but my Dr prescribed 2000 MG Tinidazole  day  for 3 days. How long would it take to see results if indeed I do have trich.  What are the stats of a woman having trich showing symptoms. thanks 
Edward W. Hook M.D.
Edward W. Hook M.D.
42 months ago

Welcome to the Forum.  I'll be glad to provide some information.  Trichomoniasis is one of the most common STIs and is most often asymptomatic in both men and women.  When symptoms are present there may be mild discomfort on urination, or a small amount of clear urethra discharge.  Currently available PCR tests are the most sensitive tests for trich diagnosis in men and while a swab may be somewhat more sensitive than urine, the difference you describe is higher than most experts would suggest.  That estimate is based on a single study.  In your case, if you have had 4 initial void urine specimens which were negative for trich you can be confident that you were not infected.  The medication you mention, tinidazole is related to metronidazole and is one of the medications recommended for trichomoniasis treatment and is typically given as a single 2.0 gram dose.  Between the testing you have had and the medication you have taken, you should be confident that you do not have trichomoniasis, if you ever did.

Less than half of women with trich are symptomatic, typically with a vaginal discharge or irritation. 

I hope this information is helpful.  EWH


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42 months ago
Would the clear discharge contain WBC ?   How long does it take for the meds to work ? How serious is the infection ?   Would it clear on its own and if so how long would it take ? 
Edward W. Hook M.D.
Edward W. Hook M.D.
42 months ago

Yes, there would be WBC present in a discharge related to trich. 

The medications work quickly with symptoms resolving in a day or two.

Trich does not clearly cause complications but it can be uncomfortable for some persons with infection.

Yes, in some men the infection will clear itself over a week or two.  EWH

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42 months ago
Thank you for the info . Couple more questions . Some web sites states it can be passed by oral , can this happen . What happens if a woman has trich  on her hand and touches your genitals?   2g of tindaxole  1 time is recommended treatment ? 
Edward W. Hook M.D.
Edward W. Hook M.D.
42 months ago

I'm not sure what the basis for your concern is.  Further, I would suggest you stay off the internet.  If that is where you heard that trich could be acquired through oral sex, you have accessed an unreliable source.  Trich is almost never acquired or transmitted by oral sex.  Similarly there is little risk of transferring trichomonas by the transfer of genital secretions on one person's hands to another person's genitals. 

Yes as I said above, the recommended treatment for trich is 2.0 grams of tinidazole, orally once.  The regimen you mention taking was more than enough to cure trich if you had it.

This is my third reply to this series of questions. Thus, as per Forum guidelines, the thread will be closed in a few hours. Take care.  EWH

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