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Can a man get rid of trichomoniasis without treatment?

Trichomoniasis is a sexually transmitted infection (STI) caused by a microscopic parasite called Trichomonas vaginalis. It is one of the most common curable STIs, affecting both men and women. While it may be tempting to hope that trichomoniasis will go away on its own without treatment, this is unlikely to happen. In this article, we will explore the importance of treating trichomoniasis and the available treatment options. We will also discuss the potential risks of not seeking treatment and how to prevent trichomoniasis in the first place.

Overview of Trichomoniasis

Trichomoniasis is primarily spread through sexual contact with an infected individual. It can be transmitted through vaginal or anal intercourse. In some cases, it can even be spread through sharing sex toys. The symptoms of trichomoniasis may vary between men and women. In women, common symptoms include vaginal itching, burning, and a frothy, yellow-green vaginal discharge. Men, on the other hand, may experience irritation or inflammation of the urethra, discomfort during urination or ejaculation, and a milky discharge from the penis. However, it is important to note that some infected individuals may not show any symptoms at all, which increases the likelihood of unknowingly transmitting the infection to others.

Treatment Options for Trichomoniasis

Fortunately, trichomoniasis can be effectively treated with antibiotics. The most commonly prescribed antibiotic for trichomoniasis is metronidazole. It is typically taken as oral tablets or capsules, usually twice a day for 5 to 7 days. Another antibiotic option is tinidazole, which is also taken orally. The recommended dosage and duration of treatment may vary depending on the severity of the infection and a healthcare provider’s assessment. It is essential to strictly adhere to the prescribed treatment course in order to effectively eliminate the infection.


Metronidazole has been widely used and proven to be effective against trichomoniasis. However, like any medication, it may have potential side effects. These can include nausea, vomiting, diarrhea, and a metallic taste in the mouth. In some cases, individuals may also experience an allergic reaction to metronidazole. It is important to consult a healthcare professional if any severe side effects are experienced during treatment.


Tinidazole is an alternative antibiotic for the treatment of trichomoniasis. It is commonly prescribed as a single oral dose, making it a convenient option for some individuals. While the side effects of tinidazole are generally similar to those of metronidazole, it is worth noting that tinidazole has a longer half-life, meaning it stays in the body for a longer period of time. This may result in a delayed clearance of the medication from the system.

Importance of Completing the Full Course of Treatment

Completing the full course of treatment is crucial when it comes to trichomoniasis. Even if symptoms improve or disappear before the treatment is complete, it is important to continue taking the medication as prescribed. This ensures that all traces of the infection are eradicated, reducing the risk of re-infection or the development of antibiotic resistance. If the medication is not taken as directed or the full course is not completed, there is a higher chance that the infection may persist or recur.

Partner Notification and Treatment

When one partner is diagnosed with trichomoniasis, it is important for both individuals in the sexual partnership to seek testing and treatment. Even if symptoms are not present in one partner, they could still be carrying the infection and transmitting it to others. Both partners should be treated simultaneously to prevent reinfection and further transmission of the infection.

Can Trichomoniasis Go Away Without Treatment?

While some may hope that trichomoniasis will go away on its own without treatment, this is unlikely to happen. Unlike other STIs, such as chlamydia or gonorrhea, which can sometimes resolve on their own, trichomoniasis requires treatment with antibiotics to completely eliminate the infection. Left untreated, trichomoniasis can persist for months or even years, leading to long-term complications.

Long-Term Complications of Untreated Trichomoniasis

Untreated trichomoniasis can result in a range of complications. In women, it can increase the risk of developing other STIs, such as HIV, as well as pelvic inflammatory disease (PID). PID is a serious infection of the reproductive organs that can lead to infertility and chronic pelvic pain. In men, untreated trichomoniasis can also contribute to the development of urinary tract infections and prostate issues.

Risks of Not Treating Trichomoniasis

Choosing not to seek treatment for trichomoniasis can have several negative consequences. One of the primary risks is the continued transmission of the infection to sexual partners. Since trichomoniasis can be present without symptoms, infected individuals may unknowingly pass the infection to others. This perpetuates the spread of the disease within communities and puts individuals at risk for developing related health problems.

Increased Risk of Transmission to Sexual Partners

The ongoing transmission of trichomoniasis to sexual partners can create a web of infections. Without treatment, the infection can continue to spread, leading to increased rates of trichomoniasis within the population. Additionally, without proper treatment, the risk of transmitting other STIs, including HIV, is also heightened.

Potential Impact on Fertility

In women, untreated trichomoniasis can significantly impact fertility. The infection can cause inflammation and scarring of the reproductive organs, leading to conditions such as tubal blockages and infertility. It is important for individuals planning to conceive or those experiencing difficulties in getting pregnant to seek prompt treatment for trichomoniasis.

Association with Other Health Problems

Aside from its impact on fertility and the risk of developing other STIs, trichomoniasis has been associated with other health problems. Studies have found links between trichomoniasis and an increased risk of preterm birth, low birth weight infants, and an elevated risk of cervical cancer. Seeking treatment for trichomoniasis is not only important for personal health, but also for the prevention of potential complications.

Prevention of Trichomoniasis

Preventing trichomoniasis relies on maintaining safe sex practices and regular testing and screening. Using latex condoms correctly and consistently during sexual activity can significantly reduce the risk of acquiring trichomoniasis. It is also important to limit the number of sexual partners and choose partners who have been tested for STIs. Regular STI testing, including testing for trichomoniasis, is crucial for early detection and prompt treatment.


Trichomoniasis is a common STI that requires treatment to be effectively eliminated. While it may be tempting to hope that the infection will go away without treatment, this is unlikely to happen. Seeking timely treatment is crucial to prevent long-term complications, reduce the risk of transmission to sexual partners, and protect overall health. By practicing safe sex and getting regularly tested for STIs, individuals can take proactive steps in preventing trichomoniasis and other sexual infections. Remember, it’s always better to be safe and seek treatment if necessary.


  1. STD Facts – Trichomoniasis
  2. Trichomoniasis: Causes, Symptoms, Testing & Treatment
  3. Trichomoniasis – Treatment
  4. Trichomoniasis in Men: Everything You Need to Know
  5. Can Men Get Trichomoniasis?