What are the symptoms of trichomonas infection in men?

Symptoms of male infection with trichomonas mainly include urethral discomfort, abnormal secretions, etc. Common symptoms include burning pain during urination, redness and swelling of the urethral orifice, and increased secretions in the morning. Trichomonas infection is mainly spread through sexual contact and requires prompt medical diagnosis and treatment.

1. Burning pain during urination:

After trichomonas invades the urethra, it can easily cause inflammation of the urethral mucosa, resulting in a burning or stinging sensation during urination. Symptoms are particularly noticeable when urinating for the first time in the morning and may be accompanied by frequent urination and urgency. Some patients mistake it for a regular urinary tract infection, but trichomonas infection discharge is usually thinner and smellier.

2. Urethral secretions:

The typical manifestation is a small amount of thin secretion from the urethral opening in the morning, which is white or yellow-green in color. The discharge is small but persistent and may dry out and form a scab. Unlike gonorrhea, the secretions of trichomonal urethritis are mostly foamy and have a more pronounced odor.

3. Redness and swelling of urethral orifice:

Congestion and edema may occur at the urethral opening and glans, accompanied by mild itching or burning sensation. The inflammatory reaction may lead to an increase in smegma, and in severe cases, balanitis may occur. Examination shows annular congestion of the urethral orifice mucosa, but ulcers are less common.

4. Perineal discomfort:

Some patients report a feeling of swelling or dull pain in the perineum, and the symptoms worsen after sitting for a long time. Trichomonas may retrogradely infect the prostate, causing radiating pain in the perineum. This discomfort often occurs intermittently and is not directly related to urinary behavior.

5. Asymptomatic carriage:

About 30% of infected men have no obvious clinical symptoms, but trichomonas can still be detected in semen or prostatic fluid. Such carriers are contagious and can be passed to their partners through sexual contact. Laboratory testing is the only way to confirm asymptomatic infection.

Patients with trichomonas infection should avoid spicy food and drink more water to promote urination and flush the urethra. It is necessary to strictly abstain from alcohol during treatment, as alcohol will aggravate the symptoms of urethral mucosal irritation. It is recommended to wear loose cotton underwear to keep the perineum dry and avoid strenuous exercise to reduce friction. Sexual partners need to be checked and treated simultaneously, and using condoms can reduce the risk of repeated infections. You can eat cranberries, yogurt, etc. in moderation on a daily basis to regulate the microenvironment of the urinary system, but food cannot replace drug treatment. If systemic symptoms such as testicular swelling and pain or fever occur, it may indicate complications and require immediate medical attention.