What Are The Symptoms And Complications Of Trichomonas vaginalis (TV)?

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Dr Sanina Mansoor holds MBBS degree from Yenepoya university,Mangalore.She has 8 years of experience working as a medical officer at various health centres and medical colleges.
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Updated on 26 February, 2025
- Article was updated as part of our commitment to diversity, equity, and inclusion.

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Trichomonas vaginalis (TV) is a sexually transmitted infection (STI) caused by a protozoan parasite. It primarily affects the urogenital tract in both men and women, leading to various symptoms and potential complications. Here’s an overview of the symptoms and complications of TV for both men and women separately:
Symptoms Of Trichomonas Vaginalis In Women
- Vaginal Discharge: Women infected with TV often experience a frothy, yellow-green vaginal discharge with a strong odor. The discharge may also be white or clear in some cases.
- Genital Itching: Itching and irritation in the genital area, including the vulva and vagina, are common symptoms of TV.
- Genital Redness and Swelling: The infected area may appear red, swollen, and inflamed, indicating an immune response to the parasite.
- Painful Urination: Some women with TV may experience discomfort or a burning sensation during urination.
- Painful Intercourse: Sexual intercourse can become painful due to the inflammation and irritation caused by TV.
- Lower Abdominal Pain: In severe cases, women may experience lower abdominal pain or pelvic discomfort.
Symptoms Of Trichomonas Vaginalis In Men
- Urethral Discharge: Men infected with TV may experience a thin, clear-to-white discharge from the urethra.
- Genital Itching: Itching and irritation around the penis, particularly the tip (glans), are common symptoms.
- Genital Redness and Swelling: Similar to women, men may have redness, swelling, and inflammation of the genital area.
- Painful Urination: Some men with TV may experience pain or a burning sensation when urinating.
- Discomfort During Ejaculation: Ejaculation may be accompanied by discomfort or pain due to the infection.
Complications Of Trichomonas Vaginalis In Women
- Increased Risk of Other Infections: Women with TV have a higher susceptibility to other sexually transmitted infections (STIs) such as HIV, gonorrhea, and chlamydia.
- Pelvic Inflammatory Disease (PID): In untreated cases, TV can lead to PID, a serious infection of the reproductive organs that can cause infertility and chronic pelvic pain.
- Pregnancy Complications:
TV during pregnancy can increase the risk of preterm birth, low birth weight, and transmission of the infection to the newborn during delivery. - Cervical Abnormalities: Long-term TV infection may contribute to cervical inflammation and abnormalities, including cervical dysplasia.
Complications Of Trichomonas Vaginalis In Men
- Increased Risk of Other Infections: Like women, men with TV are at a higher risk of acquiring other STIs, including HIV.
- Prostatitis: TV infection can lead to inflammation of the prostate gland (prostatitis), causing pelvic pain and urinary symptoms.
- Infertility Concerns: Although rare, severe and untreated TV infections in men may affect fertility by causing damage to the reproductive organs.
It’s crucial to note that many individuals infected with Trichomonas vaginalis may not exhibit any symptoms (asymptomatic carriers), especially in men. Regular STI testing and prompt treatment are essential to prevent the spread of TV and its potential complications. If you suspect you have been exposed to TV or any other STI, consult a healthcare professional for testing, diagnosis, and appropriate management.
