Private Trichomoniasis test

Testing for Trichomoniasis

Trichomoniasis is an STI caused by the parasite Trichomonas vaginalis. It is typically transmitted through sexual activity, particularly during vulva-to-vulva or penis-to-vagina contact. Although less common, the infection can occasionally affect other areas of the body, such as the anus, mouth or hands.

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How is trichomoniasis tested?

Testing for trichomoniasis involves detecting the Trichomonas vaginalis parasite in a sample of urine or genital fluid. A medical practitioner may recommend testing if you have recently completed treatment for trichomoniasis, are experiencing symptoms, or are at higher risk of infection.

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Purpose of Trichomoniasis Testing

The primary goal of trichomoniasis testing is to identify infections caused by Trichomonas vaginalis. Tests may be used for the following purposes:

Diagnosis

This is conducted to determine what causes specific symptoms. While most individuals with trichomoniasis are asymptomatic, around 30% may experience symptoms that overlap with other STIs.

Screening for infection

Screening aims to detect infection in individuals without symptoms. It is generally recommended for women and people with a vagina who are at high risk to get infected.

Monitoring after treatment

After completing treatment for trichomoniasis, follow-up tests are essential. Many individuals get infected again by partners who haven't been treated for the infection, making post-treatment testing a key step in preventing recurrence.

What is the aim of the test?

The test aims to identify evidence of Trichomonas vaginalis. The choice of test depends on factors such as the patient's anatomy and the resources available.

Common Testing Methods:

  • Nucleic acid amplification test (NAAT) Considered the most reliable method, NAAT detects the parasite's genetic material (DNA or RNA) in a urine sample or fluid swab. Although more time-consuming than microscopic examination, NAAT is highly accurate and can be used for individuals of all genders.
  • Rapid antigen testing This quick testing method detects parasite-specific antigens in vaginal fluid. Results are typically available within ten to fifteen minutes, making it a practical option in clinical settings.
  • Culture tests Culture testing involves growing the parasite in a laboratory to confirm its presence. This method is often used if initial tests, such as NAAT, yield negative results. Cultures can also be employed for drug susceptibility tests in cases where infections resist standard treatments. Results typically take three to seven days.
  • Wet-mount microscopy This is a commonly used method for detecting trichomoniasis in individuals with a vagina or women. A sample of vaginal fluid is examined under a microscope to detect the parasite. This method provides rapid results, allowing for immediate treatment if the parasite is identified.

When should you consider testing?

To determine the need for trichomoniasis testing, a healthcare provider will evaluate your symptoms and conduct a physical examination. Testing may be appropriate if you are experiencing symptoms, belong to a high-risk group, or have recently completed treatment for trichomoniasis.

Trichomoniasis symptoms:

For Individuals with a Vagina:

  • Bleeding after sexual intercourse
  • Vaginal irritation or redness
  • Pain during or after urination
  • Vaginal discharge with an unusual odour or colour

Symptoms may appear within five to 28 days of infection. However, many cases remain asymptomatic or develop gradually over time.

For Individuals with a Penis:

  • Cloudy urine
  • Penile irritation
  • Urethral discharge
  • Testicular pain
  • Burning during urination or ejaculation

Screening recommendations

Routine screening for trichomoniasis is advised for sexually active women and individuals with a vagina who fall into certain high-risk categories, including:

  • You have a history of STIs
  • Having multiple or new sexual partners
  • Residing in areas with high prevalence rates, such as correctional facilities
  • Being diagnosed with HIV

Screening is not generally recommended for men or individuals with a penis unless symptoms or other indicators are present.

Monitoring patients after Treatment for Trichomoniasis

After receiving treatment for trichomoniasis, it is important to monitor patients to ensure they do not become infected again by a partner who hasn't been treated. Individuals with a vagina and women may experience reinfection, so it is recommended to undergo retesting after 18 weeks of treatment completion or sooner if any symptoms reappear.

The timing and frequency of the test can vary based on individual circumstances, so it is essential to consult with a healthcare provider for tailored advice regarding further tests.

Testing Procedure

Getting ready for your test

There are no specific preparations to take prior to the test. However, if performing the test at home, it's important to follow the provided instructions carefully. In some cases, a medical doctor might perform a physical examination to look for signs of trichomoniasis before the sample is taken.

The test process

The initial procedure in trichomoniasis testing usually involves collecting a sample, which is then examined under a microscope. The sample may be obtained from the penis or vagina using a swab or small brush. Once collected, the sample is viewed under a microscope to check for the presence of Trichomonas vaginalis, which is the parasite. While the procedure may be slightly uncomfortable, it is very fast.

If you need to give a sample of your urine, you may be instructed on how to give a sample that will be good enough to be used. This involves using a cleansing wipe to clean your genital area, then urinating in the toilet before placing the collection container under your urine stream. Once enough urine has been collected, you can return the sample container to the medical practitioner.

The trichomoniasis test carries no significant risks or side effects, and patients can resume their normal activities after the test.

Collecting the test result

The test results can take several days or may be ready within a few minutes, depending on the type of test performed. Cultures that allow the parasite to grow in the lab usually take longer.

Your healthcare provider will inform you of the test result during a follow-up appointment or by phone. They might also be made available through your online medical record or health portal.

Understanding the result of your test

The test results will be reported as either negative or positive, indicating whether the parasite Trichomonas vaginalis was found in the sample. Culture tests can accurately detect an active infection in 70 to 85% of patients, although this can vary depending on the sample type.

If your initial wet-mount microscopy test is negative, additional testing may be needed to confirm the result. This might involve using a NAAT test or other methods for a more accurate diagnosis.

A positive result generally means you have trichomoniasis. If this is the case, your medical practitioner may recommend further testing for other sexually transmitted infections (STIs), such as HIV, syphilis, gonorrhoea, and chlamydia. If you test positive, your sexual partner(s) should also be tested and treated.

It's essential to avoid sexual activity until both you and your partner(s) have completed treatment, which typically lasts around seven days. Follow-up testing is recommended to ensure that you have not been infected again, and this is generally done 2 weeks to 18 weeks after your treatment has been completed.

Many people find it helpful to ask their medical practitioner questions that are important concerning their test results, including:

  • What should I tell my sexual partners about my test result?
  • What are the results of my trichomoniasis test?
  • How often should I be tested for trichomoniasis or other STIs?
  • Are any follow-up tests necessary based on my results?
  • What type of test was performed?

Schedule an appointment

Book an appointment at our Health Screening Clinic today to take control of your sexual health. Early detection and treatment of trichomoniasis are crucial for your health and the well-being of your partners. Schedule an appointment today!

Frequently Asked Questions

The price of the test varies based on several factors, including when the test is carried out and who orders It. If a healthcare provider orders it, the cost may be covered by your health insurance provider. However, even with insurance, additional expenses such as deductibles or copays may exist. If you don't have insurance, you will need to pay for the test from your pocket. This could include the trichomoniasis test itself, the exam fee and the medical practitioner fee.

Trichomoniasis testing at home is available, allowing you to test for the infection in your home. A self-collection kit lets you collect a sample, which you then send to a laboratory for analysis.

These at-home tests use either nucleic acid probe technology or nucleic acid amplification testing to detect the presence of Trichomonas vaginalis in a sample of vaginal swabs or urine. Irrespective of your at-home test results, it is essential to follow up with your healthcare provider for confirmation and further discussion of the result.

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