The essentials at a glance
It is caused by the single-celled parasite Trichomonas vaginalis. It is not a bacterium and cannot be treated with just any antibiotic.
What is it?
It is caused by the single-celled parasite Trichomonas vaginalis. It is not a bacterium and cannot be treated with just any antibiotic.
How is it transmitted?
Mainly through genital sexual contact, including transfer of infected vaginal fluid between partners.
How is it not transmitted?
Ordinary social contact and shared utensils are not typical transmission routes.
What happens after exposure?
It can persist for a long time without diagnosis. It is relevant when there is vaginal discharge or a partner with diagnosed infection.
Incubation period
In symptomatic infection, symptoms often begin after approximately 5–28 days, but can appear later.
Window period: when should I test?
There is no universal interval for all methods. Symptoms or known exposure warrant assessment now; an early negative result must be interpreted in context.
What are the symptoms?
Unusual vaginal discharge, odour, itching, irritation or burning when urinating. Urethral infection may cause mild discharge.
Can there be no symptoms?
Yes, many people have no symptoms or only mild ones.
Which parts of the body can be affected?
Mainly the vagina and urethra. Routine throat and rectal samples for trichomonas are generally not recommended.
How is it tested?
Molecular tests are more sensitive than ordinary microscopy. Negative microscopy does not rule out infection.
What sample is needed?
A vaginal swab or urine, depending on the validated test. The laboratory confirms the appropriate sample and preparation.
What does a positive result mean?
A treatment plan and partner assessment are needed. The result cannot establish with certainty when infection was acquired.
How is it treated?
With prescribed nitroimidazole medicines. Recurrence requires assessment for reinfection or resistance.
Can I acquire it again?
Yes. Reinfection is common when a partner remains untreated; CDC recommends retesting sexually active women at around three months.
What should partners know?
Current partners are treated according to the clinical plan. Avoid sex until everyone has completed treatment and symptoms have resolved.
How can I reduce the risk?
Condoms, cleaning/covering sex toys and coordinated partner care.
When should I seek medical care?
For persistent discharge, pelvic pain or symptoms during pregnancy. Symptoms have other possible causes that require examination.
What should I do now?
Seek a consultation and confirm the availability of the specific test. If symptoms persist after treatment, do not repeat the medicine on your own.
Is negative microscopy enough?
Not always. If infection is suspected, a more sensitive molecular test may detect infection missed by microscopy.
Chlamydia
Learn more ↗Gonorrhoea
Learn more ↗Mycoplasma genitalium
Learn more ↗What can I do now?
The right test depends on the contact, the sample site and the time since exposure.
Help me choose a test ↗Sexually transmitted infections: what goes unspoken
Read the brochure ↗Testing at CheckPoint
These related services are listed in our current catalogue. This is not a recommendation to take every test: the appropriate method and sample depend on the exposure, symptoms and clinical assessment.
SuperCheck package (gonorrhoea, chlamydia, mycoplasma, ureaplasma, trichomonas)
- Method
- PCR
- Sample
- dry swab / sterile container — throat, vaginal, urethral or cervical sample, or urine
- Result
- 3 working days
UltraCheck package (syphilis, Candida albicans, Gardnerella vaginalis, herpes simplex virus type 1, herpes simplex virus type 2, Chlamydia trachomatis, Mycoplasma genitalium, Mycoplasma hominis, Trichomonas vaginalis, Neisseria gonorrhoeae, Ureaplasma parvum, Ureaplasma urealyticum)
- Method
- Microbiology, virology, PCR
- Sample
- dry swab / sterile container — throat, vaginal, urethral or cervical sample, or urine
- Result
- 3–5 working days
