Many experts recommend 7 days of therapy during pregnancy. Yellow green, frothy discharge, often dysuria, itching. Punctate microhemorrhage on colposcopy. Use saline wet mount at high power on warm sample. Many white blood cells, with epithelial cells and protozoa.
Persistent infection is usually because of failure to treat the partner.
Remove all discharge prior to obtaining culture. The majority of men infected with T. vaginalis are asymptomatic, but many women are symptomatic. Among women, T. vaginalis typically causes a diffuse, malodorous, yellow-green discharge with vulvar irritation. There is recent evidence of a possible relationship between vaginal trichomoniasis and adverse pregnancy outcomes, particularly pre-mature rupture of the membranes and preterm delivery. Recommended Regimen Metronidazole 2 g orally in a single dose.