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Self-Study STD Module - Vaginitis : Trichomoniasis

Clinical Manifestations and Sequelae

Females

Vaginitis due to T. vaginalis can have a characteristic "frothy" gray or yellow-green vaginal discharge and pruritis. Cervical petechiae ("strawberry cervix") is a classic presentation which occurs <2% of cases. T. vaginalis may also infect the Skene's glands and the urethra and may be asymptomatic in women.

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Strawberry cervix due to T. vaginalis

Males

T. vaginalis may cause up to 11%-13% of nongonococcal urethritis (NGU) in males, but urethral infection in males is frequently asymptomatic. Urethral trichomoniasis has been associated with increased shedding of HIV in HIV-infected men.

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