Infection · UKMLA & AKT
Trichomonas vaginalis
A free high-yield preview for the UKMLA Applied Knowledge Test, covering how to recognise this condition. The full SA Note notes add investigations, management and complications, with practice questions on this topic.
Key high-yield points
- Discharge - frothy, yellow-green, offensive; raised pH (>4.5)
- Vulval itching and irritation - local inflammatory response
- Dysuria - urethral colonisation present in up to 90% of women
- Strawberry cervix (colpitis macularis) - punctate haemorrhagic spots; visible to naked eye in ~2% but pathognomonic when present
Strawberry cervix = Trichomonas vaginalis. It is NOT a feature of bacterial vaginosis - a direct and repeated exam question.
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