Trichomoniasis, also called trich, is a common sexually transmitted disease (STD).

Trich is caused by a tiny one-celled parasite named Trichomonas vaginalis. Anyone who’s sexually active can get it. It affects women more than men, older women more than younger ones, and African American women more than white women.

People with trich often don’t have any symptoms, and it doesn’t usually cause problems. But if you don’t get treatment, it raises your chances of getting or spreading other STDs, including HIV.

Trichomoniasis Causes

You get trich by having sex with someone who has it. Typically, it spreads through contact between a penis and a vagina. Women who have sex with women can also get trich through vaginal contact.

Women typically get the infection in their vulva, vagina, cervix, or urethra. Men usually get it in their urethra. They may also get it in their prostate, the gland between the bladder and the penis. It’s rare to have trich in other parts of your body, such as your hands, mouth, or anus. Anyone who has trich can spread it, even if they don’t have symptoms.

Trichomoniasis Symptoms

About 70% of people with trich don’t have symptoms. In others, the signs might not show up until days or weeks after infection.

Women with trichomoniasis may have:

  • Vaginal fluid that smells bad and is greenish or yellowish
  • Genital itching, burning, redness, or soreness
  • Pain when they pee or have sex
  • Frequent urination
  • Bleeding after sex

Men with trichomoniasis may have:

  • Itching or irritation inside their penis
  • A thin white discharge from the penis
  • Pain when they pee or have sex
  • Frequent urination

Trichomoniasis Complications

If you don’t get treatment, trich can lead to other health problems.

It can raise your risk of getting or spreading other STDs. If you have HIV, trich may make you more likely to spread it. Because of this risk, doctors suggest that women with HIV get tested for trich at least once a year.

If you’re pregnant, trich may make you give birth earlier than expected. Your baby may have a low birth weight, which can raise the chances of health or developmental problems. It’s rare, but your baby may also get trich as they go through the birth canal. You can get treated for trich while pregnant, so talk to your doctor about the best options for you.

Trichomoniasis Prevention

The only way you can totally avoid trich is to not have vaginal sex. You can take other steps to lower your chances of getting it:

  • Always use latex condoms. Because you can get or spread trich through contact alone, make sure to put the condom on early, before it touches the vagina.
  • Avoid douching. Your vagina has a natural balance of bacteria to keep you healthy. When you douche, you remove some of those helpful bacteria, which can raise your chances of getting an STD.
  • Stick with one sex partner who’s tested negative for STDs. If that doesn’t work for you, think about limiting your number of sex partners.
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