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Trichomoniasis is a common STI that is caused by infection with a protozoan parasite called Trichomonas vaginalis. [70] Trichomoniasis affects both women and men, but symptoms are more common in women. [71] Most patients are treated with an antibiotic called metronidazole, which is very effective. [72]
Treatment is typically with a catheter either through the urethra or lower abdomen. [1] [3] Other treatments may include medication to decrease the size of the prostate, urethral dilation, a urethral stent, or surgery. [1] Males are more often affected than females. [1] In males over the age of 40 about 6 per 1,000 are affected a year. [1]
Complications in females include pelvic inflammatory disease and in males include inflammation of the epididymis. [1] Many of those infected, however, have no symptoms. [1] If untreated, gonorrhea can spread to joints or heart valves. [1] [2] Gonorrhea affects about 0.8% of women and 0.6% of men. [6] An estimated 33 to 106 million new cases ...
Traditionally, the bacterium was thought to move attached to spermatozoa, but this hypothesis did not explain female to male transmission of the disease. A recent study suggests that rather than "surf" on wiggling sperm , N. gonorrhoeae bacteria use pili to anchor onto proteins in the sperm and move through coital liquid.
Chlamydia is known as the "silent epidemic", as at least 70% of genital C. trachomatis infections in women (and 50% in men) are asymptomatic at the time of diagnosis, [15] and can linger for months or years before being discovered.
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