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STDs (Expert Forum)
Trichomonas treatment
Answered by
University of Washington
Seattle - WA
This forum does not cover AIDS/HIV issues. This forum is for questions and support regarding STD issues such as: Chlamydia, Crabs (pubic lice scabies), Gonorrhea, Hepatitis (viral), Herpes, HPV, Molluscum Contagiosum, PID, Rectal Infections, Syphilis, Trichomonas, Warts, Yeast Infection.
IMPORTANT
This forum is limited to questions about STDs other than HIV/AIDS. For questions about HIV prevention, or if you have general questions about safe sex (e.g., condoms, how to protect yourself from HIV and STDs), please visit the HIV Prevention and Safe Sex Forum
Some of the most common types of questions concern the risk of HIV or STD after a particular sexual exposure, and about symptoms that might or might not be due to HIV. If your question is along these lines, please visit the HIV Prevention and Safe Sex Forum.
This forum is limited to questions about STDs other than HIV/AIDS. For questions about HIV prevention, or if you have general questions about safe sex (e.g., condoms, how to protect yourself from HIV and STDs), please visit the HIV Prevention and Safe Sex Forum
Some of the most common types of questions concern the risk of HIV or STD after a particular sexual exposure, and about symptoms that might or might not be due to HIV. If your question is along these lines, please visit the HIV Prevention and Safe Sex Forum.
Trichomonas treatment
by unknownSpace, Dec 06, 2004 12:00AM
Dear doctor,
I am a male and was infected with Trichomonas. I only have mild discomfort. My doctor suggests me to take 3 weeks of Flagyl.
However, when I check the CDC website, it said Flagyl needs to be taken for a week. why?
I am a male and was infected with Trichomonas. I only have mild discomfort. My doctor suggests me to take 3 weeks of Flagyl.
However, when I check the CDC website, it said Flagyl needs to be taken for a week. why?
Doctor's Answer
by H. Hunter Handsfield, M.D., Dec 06, 2004 12:00AM
, Dec 06, 2004 12:00AM
Recheck with your doctor and make sure you understood correctly. The standard treatments are either a single large dose (2 grams) all at once; or 7 days treatment, either with 250 mg 3 times a day or 500 mg twice a day. Nobody needs 3 weeks treatment.
By the way, how do you know that what you have is trichomonas? One way is when a female partner has it. But most cases in men cause no symptoms, so your "mild discomfort" makes me concerned about other infections, such as chlamyida, NGU, or gonorrhea.
Good luck-- HHH, MD
By the way, how do you know that what you have is trichomonas? One way is when a female partner has it. But most cases in men cause no symptoms, so your "mild discomfort" makes me concerned about other infections, such as chlamyida, NGU, or gonorrhea.
Good luck-- HHH, MD
Thanks for your answer a lot. I believe that you are a doctor who really concerns about patients and take care of their interest. I am pound of your contribution to this forum.
This is my first exposure to sex worker, on Oct 10. I used condom during intercourse, but I gave the girl oral sex without protection. Since then, I am very scare about getting STD, mostly HIV. I did a STD screening 3 weeks after exposure, including Chlamydia, Gonorrhea, HSV2, Syphilis, HIV, all come back negative.
Since i still had mild discomfort, and I did another STD screening 3 weeks later. This's time I was tested for Chlamydia, HSV, Syphilis, and Trich. I was diagnosed with Trich by urine test. The doctor said the urine test screens for something like Trich antigen, and it is more than 90% accurate. He gave me medication for that, 2 pills each time, 2 times per day, for totally 3 weeks.
Doctor, I am really concerned about the following questions:
1. How's my STD screening coverage? Do I need to do further testing because of testing sensitivity, or things like windows period?
2. My HIV test was an antigen antibody combine test at 3 weeks, how accurate is it?
3. After taken the trich pills for 11 days, there's still mild discomfort in my penis, what else should I be tested? or what should I do?
To answer your specific questions:
1) If you had visited me, I probably wouldn't have done any of those tests, except perhaps HIV--not because I think you really risked catching HIV, but because it likely would have assured you that didn't catch anything deadly. No, you don't need any more testing.
2) Modern HIV antibody tests become positive in 10-20 days after exposure. Three weeks is cutting it a bit close, but the odds are so teeny you could have caught HIV, I would just relax and not worry about it.
3) You don't describe the "discomfort" in enough detail to know what might be going on. But there is no way you could have caught any STD. My guess is that your discomfort is psychogenic, i.e. related to your anxiety. Stop taking the metronidazole (Flagyl) and sit tight (no pun intended). Your symptoms likely will fade.
Good luck-- HHH, MD