Why is systemic treatment needed for trichomoniasis?

Updated: Jan 02, 2020
  • Author: Darvin Scott Smith, MD, MSc, DTM&H; Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

Because trichomoniasis is an infection of multiple sites (eg, vaginal epithelium, Skene glands, Bartholin glands, and urethra), systemic treatment is needed. Because of the high rate of coinfection with other sexually transmitted infections (STIs), the healthcare provider should consider empiric treatment of gonorrhea and chlamydia. Patients should also be offered counseling and testing for HIV.


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