Should Your Partner Get Treated for Trichomoniasis Too?

If the wife is diagnosed with trichomoniasis, should the husband also be treated?

Hello, Doctor: I visited a gynecologist who performed a vaginal secretion test, a pelvic examination, and an ultrasound of my uterus.
The doctor prescribed me metronidazole for trichomoniasis and miconazole cream for candidiasis, and also inserted a 500 mg clindamycin vaginal suppository on the spot.
I told my husband that I might have a trichomonas infection (the doctor only mentioned vaginitis, not directly stating trichomoniasis).
My husband doesn't believe me and insists he also needs treatment for trichomonas.

1.
Does this mean I have both trichomoniasis and candidiasis? I only see "female pelvic inflammatory disease" listed in the health insurance app.

2.
Can the doctor use a microscope in the gynecology clinic to examine the vaginal secretions and identify trichomonas, or does it always need to be sent to an external laboratory for testing?
3.
I told my husband he also needs treatment for trichomonas, but he doesn't believe it and claims he is not sick.
I am very concerned about cross-infection.
If he needs treatment, should he see a gynecologist, urologist, or another specialist?

Niming, 20~29 year old female. Ask Date: 2024/05/03

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, the medication for trichomoniasis does not necessarily indicate a low-level infection; it is simply an antibiotic.
The determination of infection should be based on the physician's assessment.
Wishing you good health.

Reply Date: 2024/05/03

More Info

When it comes to sexually transmitted infections (STIs) like trichomoniasis, it is crucial for both partners to be treated to prevent reinfection and ensure complete resolution of the infection. Trichomoniasis is caused by a parasite called Trichomonas vaginalis, and it can lead to symptoms such as vaginal discharge, itching, and discomfort. However, many individuals, especially men, may be asymptomatic, meaning they do not show any signs of infection despite being carriers.

1. Diagnosis and Treatment: Based on your description, it seems that you have been diagnosed with both trichomoniasis and a yeast infection (candidiasis). The medications prescribed to you, including the metronidazole (the treatment for trichomoniasis) and the antifungal cream for the yeast infection, indicate that your healthcare provider has identified these conditions. The mention of "female pelvic inflammatory disease" in your health records may suggest that there are underlying issues related to your reproductive health that need to be addressed.

2. Testing for Trichomoniasis: In many cases, healthcare providers can use a microscope to examine vaginal secretions for the presence of Trichomonas during an office visit. This allows for immediate diagnosis and treatment. However, in some cases, samples may be sent to a laboratory for more detailed testing. The ability to diagnose on-site can vary depending on the clinic's resources and the provider's expertise.

3. Partner Treatment: It is essential for your partner to be treated for trichomoniasis, even if he does not exhibit symptoms. Asymptomatic men can still harbor the parasite and transmit it back to you, leading to a cycle of reinfection. Your husband should see a healthcare provider, preferably a urologist or a primary care physician, who can prescribe the appropriate treatment. It is important to communicate the necessity of treatment to him, emphasizing that trichomoniasis is a common infection and that both partners need to be treated to avoid complications and further infections.

In summary, both you and your partner should be treated for trichomoniasis to ensure complete recovery and prevent reinfection. Encourage your partner to seek medical attention, and if he is hesitant, consider discussing the importance of treatment with a healthcare provider together. Open communication about STIs is vital in maintaining a healthy relationship and ensuring both partners' well-being. Additionally, regular STI screenings and open discussions about sexual health can help prevent future infections and promote a healthier sexual relationship.

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