[Question #4342] Treatment of trich

30 months ago
My gf recently got diagnosed with the STD "trich" would amoxicillian treat it ? 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
30 months ago
Welcome to the forum. Thanks for your question.

Sorry, the answer is no. Trichomoniasis is the most frequent of all STDs. It's an infection with a one-celled parasite called Trichomonas vaginalis. (Both the infection or the parasite often are abbreviated "trich".) Almost all infections are diagnosed in women. Trich probably is just as common in men as women, but usually causes no symptoms; and testing is less accurate in men, so harder to diagnose.

T. vaginalis is not susceptible to amoxicillin or any other antibiotics commonly used for non-STD infection (skin infections, bronchitis, urinary tract infections, etc). The only effective treatment is with metronidazole (Flagyl and other brands) or a similar drug called tinidazole (Tindamax). Your gf needs treatment with one of these drugs, and so do you. You'll need to see a doctor, or your local STD clinic.

Also, very important:  Gonorrhea and chlamydia are much more common in people with trich. You and your gf should be tested for both of them.

I hope this information is helpful. Let me know if anything isn't clear.

HHH, MD
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30 months ago
She was diagnosed by her dr.when she went in to have her female parts examined,surely if they diagnosed that they ran those other tests on her as well. Neither of us have ever had anything like this before,ever.
30 months ago
I know and understand how things like this are spread and contracted but what causes trichomoniasis ?
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
30 months ago
How old are you and your parnter? Age can make quite a difference in judging when and where someone was infected with trichomonas.

Many or most doctors would automatically test women for gonorrhea and chlamydia (and often syphilis and HIV) whenever they test for trich. But not always; double check with her doctor about it. In any case, you will need trich treatment yourself, so you'll need to see a doctor for a prescription.

There is no cause of trich other than what I said above. The symptoms are caused by the germ, the parasite trichomonas vaginalis. It is spread from person to person only by sex. However, it can lie dormant for years. A woman can catch it from one parter, and then have nothing show up until months or years later.
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30 months ago
I am 45yrs old she is 46. So her or I could have had this for years and it just now came out?
30 months ago
As any two people in a relationship,nobody likes to feel that they have been done wrong and would like to have the information avaliable to make a solid honest decision. This "trich" has about tore out long term relationship apart,I have not seen a dr.as of yet,I do have an appointment as embarrasing as it may be. She said they tested her for a lot of other things that were negative,but I cant say that for sure because I wasnt there. That's why I have reached out to you,someone I can trust 100% and I am very appreciative of it. This sort of this is not only kindly scary to me,mainly because of lack of knowledge about it,but it can also be a life changing situation between two people.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
30 months ago
Aha! That's exactly why I asked your age! Over age 40, almost certainly this is a long term, previously dormant infection either in you, your partner, or both of you. (You could be the source of her infection.) The large majority of trich is acquired before age 30, so you or she or both probably have had it for many years. This situation -- diagnosis in a woman, in a setting in which catching a new STD is very unlikely -- has been going on for over a hundred years, since trich was first recognized. In past decades, before it was understood that it's an STD, the infected woman and her partner were treated and never gave it another thought. Nowadays, the knowledge that it's an STD has raised anxieties about it. 

I'm not saying it's impossible she or you had another partner recently, and you should have a sensitive and caring discussion about it. But this sounds unlikely, and your conversation probably will be mutually reassuring. For those reasons, there is no reason this problem should have "torn [your] long term relationship apart" or for it to be "life changing". So don't overreact! You're never going to know which of you had it first, but it doesn't matter. At this point, the important thing is that you both be treated. Once that's done, no worries at all.

For the same reasons, seeing your doctor should not be at all embarrassing.  Trust me:  s/he has seen this exact situation lots of times and will confirm this should be no big deal. Consider printing out this thread and taking it with you, as a framework for discussion. I'm betting s/he will agree with my analysis.

Normally threads are closed after two follow-up comments and replies, and we're there. However, I'm going to leave it open so you can report a) that you've discussed this again with your partner and things are going OK, and b) the result of your visit with your doctor. However, I won't have any more comments until then.
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30 months ago
Could I submit payment for anouther question and not have to ask it to someone else?
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
30 months ago
You can start a new thread, sure. However, we give brief replies (and sometimes no reply at all) to questions that repeat earlier ones either in detail or by obvious logic. In other words, you won't get very helpful information if you simply ask for clarifications of the information above. What's wrong with my offer to wait until you report your further discussion with your partner and the doctor you see for treatment? And you can easily find lots of information about trichomoniasis online (e.g. at the sponsor of this forum ashasexualhealth.org or CDC, www.cdc.gov/std). But if the exposure history above is wrong, you want to discuss a different exposure or other STDs, and so on, starting a new thread is the way to go. (If you do so, this thread will be closed; you can give any follow-up information in the new one.)---
30 months ago
My question is what should be considered contaminated ? We do have a few sex toys and so forth and also have children in our home all the time. Can this parasite live outside the body on something like a sex toy,if so,how long?
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
30 months ago
Trich dies rapidly with drying and on exposure to air. Children never catch trich or any other STD just by being in the household or by sharing bathrooms, toilets, kitchens, etc -- or sex toys. No risk, no worries.

That ends this thread. I'm sorry you haven't reported your doctor visit and the other things we discussed above. But I hope the discussion has been helpful.
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