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Diagnosed with Trich on Monday

Hello,
I have read a lot of info on trich over the last few days.
My scenerio: my husband and I have been together since '02. I have not been with anyone else since then. In '02, I had a bad pap and my dr said I had HPV. I am 43 with 2 kids. My husband had just left for a combat zone. He has 26 yrs in the military. When we met, we did get tested for various things incl HIV. Both of us were negative. So at the time of this diagnosis, I emailed him and told him the news. He denied having an affair. I called dr back and told him to test the sample as I believed he was wrong. I didnt have HPV even though the type of cancer I had is usually caused by it. I have had 2 clean paps since then. So fast forward to now. My husband is again in a combat zone. He left last July. Over the last year I have felt like I had a reoccuring yeast infection, but I figured it was because of my diabetes and being stressed over the upcoming deployment. So my best guess is I contracted this in the last year/year and a half. At least that is when I started noticing symtoms. Lately, they had become worse. Well, he again is denying doing anything and is using the last 'mistake' as an excuse saying it's the same thing all over again. Per my understanding, this is not the same kind of thing..it's a straight out std, no ifs, ands, or buts.
I tried to question my dr, but she just stated she was required by law to give me the info. Guess she didn't want to get involved in the whole marital part of it.
I was reading another answer you gave on the subject of Trich. You stated "We now know that women can carry trich for many years, and have it show up at a time they are monogamous or not sexually active."
Prior to my current husband, I was in a 13 year relationship. After this and before my current husband, I was involved with one other person. My dr said that if I had trich in the past, it would have showed up on my other paps.
Is there a possibility that I didnt get this from current hubby?
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Avatar universal
Helpful - 0
300980 tn?1194929400
MEDICAL PROFESSIONAL
Studies have shown that Pap smear diagnosis of trich can yiel flase positve results.  

1.  If you are currently taking metronidazole , if you had trich it should be gone now and further testing will not help to sort this out.

2.  Not sure what dormancy means.  Women can certianly have trich without symptoms and then become symptomatic at a later date.  

3.  This is just not an answerable question.  Please re-read my orignal response.

4.  Again, if you had trich, that it was seen on a Pap does not tell yo anything about duration or burden of infection.  EWH
Helpful - 0
Avatar universal
Hi Dr. Hook,
Thank you for answering. I did have a pap and when the dr called she said that the pap showed it. I do not know if she did any addtl testing. I am on my 3rd day of metronidazole 500mg tabs and the symptoms do seem to be subsiding, though it was not persistant all the time over the last year/year and a half either. Hence me thinking it was re-occuring yeast infection. I will check with my dr to see if I can get addtl testing, along with other STD's like you have suggested to others.
1) Which methods of testing for Trich are the best? PCR and culture, correct?
2) I have read here that it can be dormant and then appear at later dates. Is there a history of this happening just when there are no symptoms present? I guess what I am asking, is is it possible that mine hid away and then I got symptoms later or since I did get symptoms does that follow along with the regular infection time frame. Does it usually stay dormant and then you get symptoms?
3) What is the longest you know of that Trich has been dormant?
4) I am also assuming that since it showed on a Pap, that means that I have higher levels of the infection (from what I have read here). What does this imply? That I am not a chronic carrier?

It does seem like this STD is much varied in its reactions and causes.
Thank you very much for taking the time to work with all of us to try to understand more about our varied situations.
Helpful - 0
300980 tn?1194929400
MEDICAL PROFESSIONAL
Welcome to the Forum.  Before I address your questions, do you mind if I ask, how was the trich diagnosed?  It is important to be sure you really do have trich.  Some doctors diagnose trich by looking at specimens under the microscope, others do so by culture, and others on the basis of PAP smears.  With PAP smears the results are sometimes falsely positive.   You might need to ask your doctor how the diagnosis is made.

A second question is, were you treated and have your symptoms resolved since treatment?

The questions you raise are amongst the most difficult we deal with.  On one hand, the VAST majority of trichomonas infections are STDs.  On the other hand,  not all are. We regularly see trich in elderly women who have not had sex in literally years and in relationships in which both persons maintain that they are monogamous.  So it does happen. Why?  That is difficult to say.

Implicit in your question is whether or not your husband might have had sex with someone outside of your relationship.  I'm sorry, I cannot provide you with a better answer.  

I hope these questions are helpful to you.  EWH
Helpful - 0

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