The Under-Recognized STD that's More Common Than You Think

The Under-Recognized STD that's More Common Than You Think

Sexually transmitted diseases (STDs) and sexually transmitted infections (STIs) such as gonorrhea, chlamydia, and HIV often take the spotlight when discussing common infections. However, amidst this focus, a frequently occurring yet seldom-discussed STD lurks in the shadows - Trichomoniasis.

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Trichomoniasis, caused by the parasite Trichomonas vaginalis, is a type of single-celled organism known as a protozoon.

In women, trichomoniasis can lead to a foul-smelling vaginal discharge, genital itching, and painful urination. Pregnant women with trichomoniasis are at a heightened risk of premature delivery, underscoring the significance of addressing this infection.

Despite its prevalence, Trichomoniasis is not considered a reportable disease, which implies that local and state health departments, along with the CDC, do not mandate reporting new cases upon diagnosis. Consequently, public health initiatives for tracking and controlling its transmission lag compared to other STIs.

Trichomoniasis, commonly referred to as "Trich," stands as the most prevalent curable STD. In 2018, the CDC estimated over two million trichomoniasis infections in the United States. Notably, only around 30% of those infected develop visible symptoms, with a higher prevalence observed in women compared to men.

Moreover, older women exhibit a higher likelihood of having contracted trichomoniasis compared to their younger counterparts.


While many women and most men with trichomoniasis remain asymptomatic initially, women may experience the following signs and symptoms:

- Foul-smelling vaginal discharge, varying in color from white to green

- Genital redness, burning, and itching

- Pain during urination or sexual intercourse

Trichomoniasis rarely manifests symptoms in men. When symptoms do arise, they might include:

- Irritation inside the penis

- Burning sensations during urination or after ejaculation

- Discharge from the penis


The parasite primarily spreads during sexual intercourse from an infected person to an uninfected person. In women, the lower genital tract, including the vulva, vagina, cervix, or urethra, is most commonly affected. In men, the inside of the penis, known as the urethra, is the usual site of infection.

Transmission occurs predominantly from a penis to a vagina, or from one vagina to another. Instances of the parasite infecting other body parts, such as the hands, mouth, or anus, are infrequent. The variability in symptom manifestation remains largely unexplained, likely influenced by factors such as age and overall health. Notably, infected individuals, even in the absence of symptoms, can still transmit the infection to others. 

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