Local preventive medicine personnel can provide guidance. A leukocyte esterase positive result is typically seen on the first morning, voided urine. Symptomatic individuals have a mucopurulent discharge from the urethra or cervix. Sexually active females in their teens and twenties should be screened during their annual exam. Place this sample in the appropriate media.
Symptomatic patients have purulent discharge from the urethra or cervix.
A high frequency of co-infection can occur with chlamydia. When gonorrhea is diagnosed, treat the patient for gonorrhea and chlamydia simultaneously. T. vaginalis Males are usually asymptomatic. In females, trichomonas infection usually causes a diffuse, malodorous, yellow green discharge with vulvar irritation. Symptoms may be subtle and difficult to diagnose.