What Are the Most Common Symptoms of Trichomoniasis in Men?

Trichomonas is a common sexually transmitted disease caused by Trichomonas vaginalis infection. It only affects the urogenital system, mainly the urethra and prostate. Fewer men are infected, and most are asymptomatic after infection with T. vaginalis.

Trichomonas is a common sexually transmitted disease caused by Trichomonas vaginalis infection. It only affects the urogenital system, mainly the urethra and prostate. Fewer men are infected, and most are asymptomatic after infection with T. vaginalis.

Chinese name

Trichomoniasis in men

Foreign name

Trichomonas male

Trichomoniasis in men I. Causes and common diseases:

It is often transmitted by direct contact such as sexual intercourse, or indirectly through public baths and bath towels. Trichomonas enteritis may have symptoms such as chronic diarrhea, abdominal pain, and loss of appetite.

Male trichomoniasis is divided into urethritis, cystitis, prostatitis, and epididymitis.

Trichomonas can cause male infertility, the mechanism is: Trichomonas can swallow sperm directly, resulting in reduced sperm; Trichomonas infection can release toxins and cause inflammation of the reproductive tract mucosa, changing the internal environment of the sperm, and Reduced survival time and reduced mobility; part of the trichomoniasis and several spermatozoa clumped together, causing the cohesive sperm to brake, in addition to causing the sperm motility to decline, and more importantly, lost swimming into the palace The chance of pregnancy is greatly reduced.

Trichomoniasis in men 2. Differential diagnosis:

(1) Diagnosis of Trichomonas urethritis:

Symptoms and signs Itching at the mouth of the urethra, burning pain, with frequent urination, urgency, pain, and terminal hematuria. The urethral lipstick is swollen and has a small amount of colorless and transparent thin or milky secretions. A small amount of secretion adhered to the urethral opening in the morning.

(2) Diagnosis of Trichomonas prostatitis :

Trichomonas prostatitis patients are generally more difficult to detect trichomonas in the clinic. Even if fresh urine specimens or prostate specimens are taken for microscopy, it is often necessary to repeatedly and very carefully find the trichomonas.

(3) Diagnosis of Trichomonas cystitis:

1. The incubation period of trichomoniasis cystitis is usually 4-7 days. In severe infections, itching and burning sensation in the vulva and inner thigh. Retrograde infection causes pyelonephritis with chills, low back pain, high fever, general malaise, and gastrointestinal reactions. Physical examination showed rib tenderness and throbbing pain. The symptoms and signs are the same as general bacterial urinary tract infections.

2. Pain when urinating. There is a little secretion in the urethral opening in the morning, which is serous and occasionally purulent. Trichomonas cystitis in men is inflamed by Trichomonas infection. Trichomonas can swallow sperm, which can cause infertility. In addition, Trichomonas can cause abnormal cell development and nuclear abnormalities, and the incidence of cancer has increased significantly.

Male trichomoniasis III. Inspection:

(1) Direct microscopy:

Using the hanging drop method: Male patients use urethral secretions before the first morning urination or sediment from the first morning urine for hanging drop microscopy. The secretions are mixed with normal saline on a glass slide and placed under a high-power microscope (100 × or 400 ×) for examination. If oval-shaped, flagella, and movable parasites are found, a diagnosis can be made.

(B) bladder urethroscopy:

Congestion was observed in the posterior urethra, bladder neck, and triangular area, and small red papillary polyp-like bulges were attached with a thin layer of flocculent matter.

(3) Trichomonas culture:

This method is more sensitive than direct microscopy. Incubate the culture in an anaerobic environment for at least 48 hours. If negative, culture should be continued for 7 days and checked regularly.

Male trichomoniasis IV. Principles of treatment:

People with trichomonas vaginalis are often troubled because they cannot be cured, especially male trichomoniasis urethritis is more difficult to treat because it is easy to be ignored. In addition, the selected drugs have low efficacy, insufficient dosage, and short treatment time. Difficult to cure. Urinary trichomoniasis in men must be treated systemically to achieve satisfactory results.