Trichomal vaginitis is a sexually transmitted disease caused by a single celled parasitic organism called a trachoma. This infection causes no serious problems and is easily treated during pregnancy.
Symptoms of trichomal vaginitis include a malodorous vaginal discharge which varies in color from frothy white-gray to greenish-yellow. Other symptoms include a constant itching and burning sensation and swelling in the vaginal area. In some women there are no symptoms of trichomal vaginitis.
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Trichomal vaginitis affects up to fifteen percent (3 in 20) women. It is most commonly transmitted through sexual intercourse. In rare instances the infection can be contracted through communal bathing or the shared use of wet towels or bathing suits.
There is no evidence that a trichomal vaginitis infection causes any problems during pregnancy. There are concerns that infections such as trichomal vaginitis lead to an increase n preterm labor. There is as yet insufficient evidence that effective treatment of the infection has reduced the incidence of preterm labor.
Trichomal vaginitis is easily treated during pregnancy with metronidazole. The drug may be used either orally or vaginally during pregnancy. While studies have shown metronidazole to be safe for use at any time during pregnancy, some doctors suggest that it only be prescribed after the first trimester.
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