If discharge is frothy, yellow and offensive with vulval itch or soreness and dysuria, consider trichomoniasis. 

In all cases, obtain a sexual history.  

Offer testing for all STIs

Refer to Chalmers Centre including advice on treating contacts

Required Investigations

Review STI testing page

 

 

Antimicrobial Recommendations

Metronidazole  2g orally as a single dose

OR

Metronidazole  400mg every 12 hours orally for 7 days

In pregnancy and breast feeding: See Trichomonas in pregnancy and breast feeding