A 24-year-old woman has presented to an inner city free clinic because of the copious, foul vaginal discharge that she has had in recent days
Microscopy has confirmed the presence of Trichomonas vaginalis. What are the woman's most likely treatment and prognosis?
A)
Abstinence will be required until the infection resolves, since treatments do not yet have proven efficacy.
B)
Oral antiprotozoals to the patient and sexual partners to help prevent complications.
C)
Antifungal medications are effective against the anovulation and risk of HIV that accompany the infection.
D)
Vaginal suppositories and topical ointments can provide symptom relief but cannot eradicate the microorganism.
Ans:
B
Feedback:
The treatment of choice for Trichomonas vaginalis is oral, metronidazole or tinidazole, medications that are effective against anaerobic protozoans. Antifungals are not a relevant treatment, and eradication of the infection is possible with treatment.
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