Trichomonas vaginalis
DGRefHelp - NHS Dumfries & Galloway
Warning
- Trichomonas Vaginalis is associated with preterm birth delivery and low birth weight.
- TV infection at delivery may predispose to maternal postpartum sepsis.
- Screening of asymptomatic individuals for TV infection in pregnancy is currently not recommended.
- Recommended treatment is 400 mg oral metronidazole twice daily for 7 days in preference to the use of short high-dose regimens which are not recommended during pregnancy.
- Metronidazole can be used in all stages of pregnancy and during breast feeding.
- Symptomatic patients should be treated at diagnosis.
- Metronidazole enters breast milk and may affect its taste. The manufacturers recommend avoiding high doses if breastfeeding.
- Tinidazole use of tinidazole in the first trimester is contraindicated.