Trichomoniasis - CDC Fact Sheet
Most people who have trichomoniasis do not have any symptoms.
What is trichomoniasis?
Trichomoniasis (or “trich”) is a very common sexually transmitted disease (STD) that is caused by infection with a protozoan parasite called Trichomonas vaginalis. Although symptoms of the disease vary, most women and men who have the parasite cannot tell they are infected.
How common is trichomoniasis?
Trichomoniasis is considered the most common curable STD. In the United States, an estimated 3.7 million people have the infection, but only about 30% develop any symptoms of trichomoniasis. Infection is more common in women than in men, and older women are more likely than younger women to have been infected.
How do people get trichomoniasis?
The parasite is passed from an infected person to an uninfected person during sex. In women, the most commonly infected part of the body is the lower genital tract (vulva, vagina, cervix, or urethra), and in men, the most commonly infected body part is the inside of the penis (urethra). During sex, the parasite is usually transmitted from a penis to a vagina, or from a vagina to a penis, but it can also be passed from a vagina to another vagina. It is not common for the parasite to infect other body parts, like the hands, mouth, or anus. It is unclear why some people with the infection get symptoms while others do not, but it probably depends on factors like the person’s age and overall health. Infected people without symptoms can still pass the infection on to others.
What are the signs and symptoms of trichomoniasis?
About 70% of infected people do not have any signs or symptoms. When trichomoniasis does cause symptoms, they can range from mild irritation to severe inflammation. Some people with symptoms get them within 5 to 28 days after being infected, but others do not develop symptoms until much later. Symptoms can come and go.
Men with trichomoniasis may feel itching or irritation inside the penis, burning after urination or ejaculation, or some discharge from the penis.
Women with trichomoniasis may notice itching, burning, redness or soreness of the genitals, discomfort with urination, or a change in their vaginal discharge (i.e., thin discharge or increased volume) with an unusual smell (i.e., fishy odor) that can be clear, white, yellowish, or greenish.
Having trichomoniasis can make it feel unpleasant to have sex. Without treatment, the infection can last for months or even years.
What are the complications of trichomoniasis?
Trichomoniasis can increase the risk of getting or spreading other sexually transmitted infections. For example, trichomoniasis can cause genital inflammation that makes it easier to get infected with the HIV virus, or to pass the HIV virus on to a sex partner.
How does trichomoniasis affect a pregnant woman and her baby?
Pregnant women with trichomoniasis are more likely to have their babies too early (preterm delivery). Also, babies born to infected mothers are more likely to have a low birth weight (less than 5.5 pounds).
How is trichomoniasis diagnosed?
It is not possible to diagnose trichomoniasis based on symptoms alone. For both men and women, your health care provider can examine you and get a laboratory test to diagnose trichomoniasis.
What is the treatment for trichomoniasis?
Trichomoniasis can be treated with medication (either metronidazole or tinidazole), pills which can be taken by mouth. It is safe for pregnant women to take this medication. It is not recommended to drink alcohol within 24 hours after taking this medication.
People who have been treated for trichomoniasis can get it again. About 1 in 5 people get infected again within 3 months after receiving treatment. To avoid getting reinfected, make sure that all of your sex partners get treated, and wait 7- 10 days after you and your partner have been treated to have sex again. Get checked again if your symptoms come back.
How can trichomoniasis be prevented?
The only way to avoid STDs is to not have vaginal, anal, or oral sex.
If you are sexually active, you can do the following things to lower your chances of getting trichomoniasis:
- Being in a long-term mutually monogamous relationship with a partner who has been tested and has negative STD test results;
- Using latex condoms the right way every time you have sex. This can lower your chances of getting trichomoniasis. But the parasite can infect areas that are not covered by a condom - so condoms may not fully protect you from getting trichomoniasis.
Another approach is to talk about the potential risk of infection before you have sex with a new partner, so that you can make informed choices about the level of risk you are comfortable taking with your sex life.
If you or someone you know has questions about trichomoniasis or any other STD, especially with symptoms like unusual discharge, burning during urination, or a sore in the genital area, check with a health care provider.
Where can I get more information?
Division of STD Prevention (DSTDP)
Centers for Disease Control and Prevention
CDC-INFO Contact Center
TTY: (888) 232-6348
CDC National Prevention Information Network (NPIN)
P.O. Box 6003
Rockville, MD 20849-6003
American Sexual Health Association (ASHA)
P. O. Box 13827
Research Triangle Park, NC 27709-3827
Centers for Disease Control and Prevention. Sexually Transmitted Diseases Treatment Guidelines, 2015. MMWR, 64(RR-3) (2015).
Sutton M, Sternberg M, Koumans EH, McQuillan G, Berman S, Markowitz L. The prevalence of Trichomonas vaginalis infection among reproductive-age women in the United States, 2001-2004. Clin Infect Dis. 2007 Nov 15;45(10):1319-26.
Centers for Disease Control and Prevention. Sexually Transmitted Disease Surveillance, 2015. Atlanta, GA: Department of Health and Human Services; October 2016.
Peterman TA, Tian LH, Metcalf CA, Satterwhite CL, Malotte CK, DeAugustine N, Paul SM, Cross H, Rietmeijer CA, Douglas JM Jr; RESPECT-2 Study Group. High incidence of new sexually transmitted infections in the year following a sexually transmitted infection: a case for rescreening. Ann Intern Med. 2006 Oct 17;145(8):564-72.
Hobbs M, Seña EC, Swygard H, Schwebke J. Trichomonas vaginalis and Trichomoniasis. In: KK Holmes, PF Sparling, WE Stamm, P Piot, JN Wasserheit, L Corey, MS Cohen, DH Watts (editors). Sexually Transmitted Diseases, 4th edition. New York: McGraw-Hill, 2008, 771-793.
- Page last reviewed: January 31, 2017
- Page last updated: January 31, 2017
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