Red flags & when to go in person for Trichomoniasis - Testing & Treatment Pathway

Audience: pediatric

Trichomoniasis is a common infection caused by a parasite that affects the urinary and genital areas. In children and adolescents, it may cause symptoms like itching, redness, or unusual discharge. Telemedicine can help provide education, initial advice, and guidance on testing and treatment options. However, some symptoms and situations require an in-person visit to a healthcare provider for proper care. This guide explains when to seek in-person care, what signs to watch for, and how telemedicine can support you. Remember, this information is educational and not a substitute for professional medical diagnosis or treatment.

Red flags — go in person / ER

• Severe lower abdominal or genital pain requiring urgent evaluation
• Heavy or foul-smelling vaginal or penile discharge with fever or chills
• Signs of allergic reaction to medications such as rash, swelling, or difficulty breathing

What telemedicine can do

• Providing education about trichomoniasis
• Discussing symptoms and medical history
• Advising on testing options and locations
• Prescribing medication when appropriate
• Answering follow-up questions after treatment

What telemedicine cannot do

• Performing physical examinations
• Collecting laboratory samples for diagnosis
• Managing severe or complicated symptoms
• Treating allergic reactions or emergencies
• Providing care for symptoms that worsen or do not improve

What is Trichomoniasis?

Trichomoniasis is an infection caused by a tiny parasite called *Trichomonas vaginalis*. It spreads mostly through sexual contact. In young people, it can cause symptoms like itching, burning, redness, or unusual discharge from the genital area. Some people may not have any symptoms but can still spread the infection to others.

When to Use Telemedicine for Trichomoniasis

Telemedicine can be useful for:

Telemedicine is a convenient way to get information and support without visiting a clinic in person.

Red Flags: When to Seek In-Person Care

Certain signs mean you should see a healthcare provider in person right away:

If any of these happen, it is important to get evaluated in person to avoid complications.

Preparing for a Telemedicine Visit

To get the most from your telemedicine appointment:

This preparation helps your healthcare provider give you the best advice.

Aftercare and Follow-Up

After your telemedicine visit:

Proper follow-up helps ensure the infection is fully treated.

How to prepare for your tele-visit

• Find a private, quiet space for your telemedicine visit
• Prepare a list of symptoms and questions
• Have your medical history and current medications ready
• Ensure your device has a working camera and microphone
• Be ready to discuss any allergies or previous treatments

After your tele-visit

• Take all prescribed medication as directed
• Avoid sexual activity until treatment is complete and symptoms resolve
• Monitor symptoms closely for improvement or worsening
• Contact healthcare provider if symptoms persist or new symptoms develop
• Schedule an in-person visit if advised by your provider

FAQs

Can trichomoniasis be cured with medication?

Yes, trichomoniasis is usually treated successfully with prescribed antibiotics or antiparasitic medications. It is important to take the full course as directed by your healthcare provider.

Is it safe to use telemedicine for trichomoniasis concerns?

Telemedicine is a safe and convenient way to get information, discuss symptoms, and receive prescriptions when appropriate. However, some symptoms require in-person care, so be sure to follow your provider's advice.

How can trichomoniasis be prevented?

Preventing trichomoniasis includes practicing safe sex by using condoms, limiting the number of sexual partners, and having open communication with partners about sexual health.

What should I do if my symptoms do not improve after treatment?

If symptoms continue or worsen after treatment, you should see a healthcare provider in person for further evaluation and possible additional treatment.

Sources

1. Trichomoniasis — Centers for Disease Control and Prevention (CDC).
2. Trichomoniasis - MedlinePlus — U.S. National Library of Medicine.
3. Trichomoniasis — Mayo Clinic.
4. Trichomoniasis: Diagnosis and Treatment — Merck Manuals Consumer Version.

This telemedicine guidance is for educational purposes only and is not a substitute for professional medical diagnosis or treatment. If you have serious symptoms or concerns, please seek in-person medical care promptly.