Can Telemedicine Treat Trichomoniasis? Testing & Treatment Pathway for Pediatric Patients

Audience: pediatric

Trichomoniasis is a common infection caused by a parasite, often spread through sexual contact. In children and adolescents, it can cause symptoms like itching, redness, or discharge in the genital area, but sometimes there are no symptoms at all. Telemedicine can help by providing education, guidance on testing, and advice on treatment options. A healthcare provider can discuss symptoms and risk factors through a video or phone visit and recommend testing, which usually requires a sample collected at a clinic or lab. Treatment typically involves medication prescribed by a healthcare professional. While telemedicine can support early steps, certain situations require in-person care. This guide explains what telemedicine can and cannot do for trichomoniasis, how to prepare for a tele-visit, and what to expect after. Remember, this information is educational and not a substitute for professional medical diagnosis or treatment.

Red flags — go in person / ER

• Severe pelvic or abdominal pain — seek emergency care immediately.
• Heavy vaginal bleeding or unusual discharge with a foul smell — see a healthcare provider promptly.
• Fever, chills, or feeling very unwell — get urgent medical attention.

What telemedicine can do

• Discussing symptoms and sexual health history.
• Providing education about trichomoniasis.
• Advising on when and where to get tested.
• Prescribing medication after confirmed diagnosis if local regulations allow.
• Answering questions about treatment and prevention.

What telemedicine cannot do

• Collecting physical samples for testing.
• Performing physical examinations.
• Managing severe or complicated cases.
• Providing emergency care.
• Diagnosing other infections that require in-person assessment.

What is Trichomoniasis?

Trichomoniasis is an infection caused by a tiny parasite called *Trichomonas vaginalis*. It spreads mainly through sexual contact. In young people, symptoms may include itching, burning, redness, or unusual discharge in the genital area. Some children and teens may not have any symptoms but can still carry the infection.

How Telemedicine Can Help

Telemedicine allows you to talk with a healthcare provider remotely using video or phone. For trichomoniasis, telemedicine can help by:

However, testing usually requires a sample collected at a clinic or lab, which means an in-person visit may be necessary.

Testing and Diagnosis

To confirm trichomoniasis, a healthcare provider needs to test a sample from the genital area. This might be a swab or urine test. Telemedicine providers can guide you on where and how to get tested safely. Early testing helps ensure proper treatment and reduces the chance of spreading the infection.

Treatment Options

Trichomoniasis is typically treated with prescribed medication, often antibiotics taken by mouth. A healthcare provider can prescribe these after diagnosis. It's important to complete the full course of medication even if symptoms improve quickly. Sexual partners should also be treated to prevent reinfection.

When to Seek In-Person Care

Some situations require a face-to-face visit, such as:

If you notice these signs, seek care promptly.

Preventing Trichomoniasis

Preventing trichomoniasis includes:

How to prepare for your tele-visit

• Find a private, quiet space for the tele-visit.
• Have a list of symptoms and questions ready.
• Know your medical history and any medications you take.
• Be prepared to discuss sexual activity honestly.
• Have access to a device with video and audio capabilities if possible.
• Ensure you have a way to receive prescriptions or follow-up instructions.

After your tele-visit

• Follow the prescribed medication schedule exactly.
• Avoid sexual contact until treatment is complete and partners are treated.
• Watch for any side effects or worsening symptoms.
• Schedule follow-up testing if recommended.
• Contact your healthcare provider if symptoms persist or return.
• Practice prevention methods to reduce risk of reinfection.

FAQs

Can telemedicine diagnose trichomoniasis?

Telemedicine providers can assess your symptoms and recommend testing, but diagnosis requires lab tests on samples collected in person.

Is trichomoniasis serious for children or teens?

While often treatable, untreated trichomoniasis can lead to complications and increase the risk of other infections. Early care is important.

Can I get treatment through telemedicine?

In many cases, if diagnosis is confirmed, telemedicine providers can prescribe medication. However, this depends on local regulations and the need for in-person testing.

How long does treatment take?

Treatment usually involves a short course of antibiotics, often a single dose or a week-long regimen. Follow your provider’s instructions carefully.

Should sexual partners be treated too?

Yes, treating all sexual partners helps prevent passing the infection back and forth.

Sources

1. Trichomoniasis — Centers for Disease Control and Prevention (CDC).
2. Trichomoniasis - Patient Information — MedlinePlus, U.S. National Library of Medicine.
3. Sexually Transmitted Diseases Treatment Guidelines, 2021 — Centers for Disease Control and Prevention (CDC).
4. Trichomoniasis — Mayo Clinic.

This telemedicine guidance is for educational purposes only and is not a substitute for in-person medical care, diagnosis, or treatment. If you have concerns about your health or symptoms, please seek care from a healthcare professional in person or through emergency services as appropriate.