Trichomoniasis in Men: Old Issues and New Data

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Background and ObjectivesTrichomoniasis is common among sexually active women, but its importance as a cause of morbidity among sexually active men remains uncertain.Study DesignThe article outlines areas of controversy and presents pertinent new data from case-control and natural history studies.Results: Trichomonas vaginaliswas documented in 11% of 447 men at risk for a sexually transmitted disease. Although 54% of infected men complained of urethral discharge, the discharge was only mild or moderately severe. Elimination of Trichomonas vaginalis was associated with resolution of urethritis.Conclusions: Trichomonas vaginalisis an important consideration in sexually active men with urethral symptoms or inflammation but with little or no evidence of discharge on physical examination.

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