Which physical findings are characteristic of trichomoniasis?

Updated: Dec 04, 2018
  • Author: Hetal B Gor, MD, FACOG; Chief Editor: Michel E Rivlin, MD  more...
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Answer

In trichomoniasis, the vulva may appear erythematous and edematous, with excoriation. Look for a copious, frothy, homogeneous vaginal discharge that can be white, gray, yellow, or green. Small punctate cervical and vaginal hemorrhages with ulcerations may be observed. So-called strawberry cervix, or colpitis macularis, is highly specific for Trichomonas infection, and 2-5% of patients will have this finding on examination.

Because diagnosis of Trichomonas infection on the basis of clinical signs and symptoms is unreliable, laboratory confirmation is mandatory.


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