- NICE provides a useful clinical knowledge summary on trichomoniasis.
- Trichomoniasis presents with yellow-green frothy vaginal discharge which has an offensive, fishy smell and may be accompanied by itch, inflammation, and dysuria. Trichomonas seen on a routine cervical screening test is not diagnostic.
- Send a high vaginal swab from all suspected cases, and treat only following laboratory confirmation. Screen for other sexually transmitted infections.
- Treat only cases with a confirmed diagnosis. Sexual partner(s) should be treated simultaneously.
- Contact Sexual Health Services if further advice or help with partner notification required or if symptoms fail to settle.
- General advice: Patients should abstain from sexual intercourse (including oral sex) until they and their partner(s) have completed treatment and follow-up.
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