×
治療一覧
医院一覧
記事一覧
WEB問診
ブランドパートナーの方へ
各種情報

WEB予約

LINE予約

WEB予約

LINE予約

STD

Trichomoniasis in Men|Asymptomatic Spread, Risks, Testing & Treatment Guide



Trichomoniasis is a sexually transmitted infection (STI) caused by the protozoan parasite Trichomonas vaginalis. It is mainly transmitted through sexual contact between men and women, but in some cases it may also spread via wet towels, bathtubs, or other non-sexual routes. Men are often asymptomatic when infected, and may unknowingly pass the infection on to their partners. When symptoms do appear, men typically experience urethral discomfort, itching, or unpleasant sensations during urination. Over-the-counter medications are not effective; treatment usually requires oral anti-protozoal drugs such as metronidazole. Left untreated, trichomoniasis can lead to urethritis or prostatitis, so early testing and treatment are recommended if you have any suspicion of exposure.

CONTENTS

  1. What Is Trichomoniasis? | An STI Caused by a Protozoan Parasite
  2. Symptoms of Trichomoniasis | Men Are Often Asymptomatic
  3. How Trichomoniasis Spreads | Non-Sexual Transmission Is Possible
  4. Incubation Period | How Many Days Before Symptoms Appear
  5. What Happens If Trichomoniasis Is Left Untreated?
  6. Testing for Trichomoniasis | A Urine Test for Men
  7. Treatment for Trichomoniasis | OTC Drugs Are Not Effective
  8. Prevention and Avoiding Reinfection (Ping-Pong Transmission)
  9. How Trichomoniasis Differs From Other STIs
  10. Trichomoniasis Testing and Treatment at Men Care Clinic
  11. Frequently Asked Questions (FAQ)

If you have any concerning symptoms, start with an STI test: Men Care Clinic provides STI testing and treatment for men at three locations – Shimbashi, Akihabara, and Omotesando (a men’s-only clinic with privacy-conscious facilities).

LINEBook an STI test or consultation

* Testing is available even without symptoms. If you suspect exposure, we recommend an early visit. * LINE messages are not a medical diagnosis. Diagnosis and prescriptions are decided by a physician at the consultation.

What Is Trichomoniasis? | An STI Caused by a Protozoan Parasite

What is trichomoniasis: an STI caused by a protozoan parasite

Trichomoniasis (also referred to as vaginal trichomoniasis) is a sexually transmitted infection caused by a tiny parasite called Trichomonas vaginalis. Unlike most other STIs, which are caused by bacteria or viruses, trichomoniasis is caused by a protozoan parasite – a key distinction.

Because the Japanese name for the disease translates literally as “vaginitis,” many people assume it only affects women. In reality, men are also infected. Trichomonas vaginalis can colonize the urogenital tract (urethra, bladder, prostate, vagina, etc.) in both sexes and cause inflammation. It is one of the most common STIs worldwide, and a steady number of cases are reported in Japan as well.

A key feature of trichomoniasis is that men often experience few or no noticeable symptoms when infected. As a result, many men assume “this doesn’t apply to me because I’m a man” or “I have no symptoms, so I’m not infected,” and unknowingly pass the infection on to their partners. Men, in particular, need to understand trichomoniasis correctly.

What Is Trichomonas vaginalis, the Parasite Behind the Infection?

Trichomoniasis is caused by Trichomonas vaginalis, a single-celled parasite about 0.1 mm in size. Invisible to the naked eye, it uses several flagella to move around and infects the mucous membranes of the urogenital tract.

What matters here is that trichomoniasis is caused by a “protozoan.” Many other STIs are caused by bacteria (such as chlamydia or gonorrhea) or viruses (such as herpes), but trichomoniasis is one of the few STIs caused by a protozoan parasite. When the pathogen is different, the effective treatment is different too. Antibiotics designed to target bacteria do not work against trichomoniasis; instead, “anti-protozoal” drugs that act on the parasite are required. This is a fundamental point of trichomoniasis treatment.

Trichomonas vaginalis is vulnerable to drying out and to high temperatures, but it can survive for some time in moist environments. This characteristic is what makes non-sexual routes of transmission – such as wet towels and bathtubs – possible.

Trichomoniasis Is an STI That Affects Men Too

It is a misconception that “trichomoniasis is a women’s disease.” Because Trichomonas vaginalis is passed back and forth between men and women through sexual contact, men are equally susceptible. In men, the parasite mainly enters the urethra, prostate, and bladder, and may cause urethritis or prostatitis.

However, men are less likely than women to develop symptoms after infection. This is thought to be because the male urethra is flushed with urine each time a man urinates, making it harder for the parasite to settle and limiting inflammation. The absence of symptoms doesn’t mean the absence of infection – the parasite can remain in the body and act as a source of infection for partners.

Beyond trichomoniasis, there are many STIs that affect men, including chlamydia, gonorrhea, mycoplasma infections, and genital herpes. Co-infection with multiple STIs is not unusual, so if trichomoniasis is suspected, it is a good idea to be tested for other STIs at the same time.

Symptoms of Trichomoniasis | Men Are Often Asymptomatic

Symptoms of trichomoniasis: men are often asymptomatic

A defining feature of trichomoniasis is that men frequently develop no symptoms even when infected. When symptoms do occur, men typically experience urethral discomfort, itching, or an unpleasant sensation during urination. Women, by contrast, may notice yellow-green frothy discharge and intense itching.

Because men often have mild symptoms or none at all, many continue their daily lives unaware that they are infected. For this reason, it is important not to rely on symptoms alone, and to get tested if you have any reason to suspect exposure. Below, we explain typical symptoms in men and in women, as well as the fact that the infection can be transmitted to partners even when no symptoms are present.

Symptoms in Men | Urethral Discomfort, Discharge, Itching, and Odor

When symptoms of trichomoniasis do appear in men, they tend to be relatively mild, and many cases pass without any clear-cut signs at all. When men do experience symptoms, the following are most common:

These symptoms are hard to tell apart from urethritis caused by chlamydia, gonorrhea, or other STIs, so self-diagnosis is risky. If you dismiss them as “just a slight discomfort, I’ll wait and see,” the infection may drag on and you may continue passing it to your partner. If anything feels off, see a healthcare provider as soon as possible.

Symptoms in Women | Yellow-Green Frothy Discharge and Itching

Women tend to develop symptoms more often than men, and the symptoms are usually more obvious. Typical symptoms in women include:

For men, the important takeaway is that if your female partner has these symptoms, there is a high chance you are also infected. When a woman complains that “my discharge is off” or “the itching is unbearable,” her male partner may well be the source of infection or also infected, even without symptoms. Both partners need to be tested and treated together.

You Can Still Pass It to a Partner While Asymptomatic

The most important point about trichomoniasis is that men can carry the parasite without symptoms and still transmit it to partners through sexual contact. The assumptions “no symptoms = no infection” and “no symptoms = no transmission” are both incorrect.

If a man harbors Trichomonas vaginalis without symptoms, a vicious cycle can develop. With no symptoms, he sees no need to be tested or treated. He passes the infection to his partner during sex. Even if she is treated, he is not – so he reinfects her. This is what is known as “ping-pong transmission,” a major reason trichomoniasis is hard to clear.

For this reason, if your partner has been diagnosed with trichomoniasis, or if you have any reason to suspect exposure, you should be tested regardless of whether you have symptoms. If men avoid testing on the grounds that they have no symptoms, the partner treatment will ultimately go to waste. Mycoplasma infection follows a similar asymptomatic course in men, so caution is needed there too.

How Trichomoniasis Spreads | Non-Sexual Transmission Is Possible

How trichomoniasis spreads: non-sexual transmission is possible

Trichomoniasis is mainly spread through sexual contact, but it may also be transmitted via wet towels, bathtubs, toilet seats, or other non-sexual routes. Because both men and women can be asymptomatic, the source of infection is often hard to pinpoint.

Most STIs almost never spread through anything other than sexual contact, but because Trichomonas vaginalis can survive for some time in moist environments, infection sometimes occurs through other routes. The phenomenon of “I have no idea how I got it” often comes back to this peculiarity. Below we explain each route in more detail.

Sexual Transmission (The Most Common Route)

The most common route for trichomoniasis is sexual contact. Direct mucous membrane contact between the genitals – vagina and urethra – allows the parasite to pass from one partner to another. The risk is higher during sexual activity without a condom.

A point to keep in mind is that the infection passes both ways – from men to women and from women to men. The notion that “trichomoniasis can’t be passed from men” is wrong; an asymptomatic male partner often becomes the source of infection for a female partner. Of course, infection from a positive woman to a man also occurs.

The probability of transmission per encounter varies, but trichomoniasis is considered a relatively contagious STI. A single sexual encounter is enough to cause infection, so the mindset of “it was only once, I’ll be fine” is dangerous. Condom use lowers the risk but doesn’t eliminate it, so if you have any reason to suspect exposure, get tested.

Can It Spread Through Shared Baths, Towels, or Toilet Seats?

“Can my family catch it through shared baths or towels?” is one of the most common questions about trichomoniasis. The short answer is that non-sexual transmission is unlikely, but not impossible.

Trichomonas vaginalis is sensitive to drying and high temperatures, but it can survive for a while in moist environments. The following routes have rarely been reported:

Because of these routes, trichomoniasis can sometimes spread within a household (between parents and children, spouses, or siblings). While the probability of non-sexual transmission is low, in the home it helps to avoid sharing towels and underwear, have the infected person bathe last, and keep toilet seats consistently clean. That said, the primary route of trichomoniasis remains sexual contact.

Can It Spread Through Kissing or Oral Sex?

“Can trichomoniasis spread through kissing?” is another common question. Because Trichomonas vaginalis mainly infects the urogenital tract (urethra, vagina, etc.), it is generally not transmitted by ordinary kissing. The oral cavity is not a typical environment for the parasite to take hold.

On the other hand, sexual contact that includes oral sex can carry a risk of transmission. Any activity that involves contact with the genitals can transmit the parasite, so “just kissing” or “only oral sex” is not necessarily safe.

If you are concerned, tell your doctor exactly what kind of sexual contact occurred and have the appropriate tests. Because different STIs have different transmission profiles, it is safer to confirm with a specialist clinic than to try to judge for yourself.

Recurrence After Treatment (Reinfection From Residual Parasites)

Trichomoniasis is a sexually transmitted infection that is prone to reinfection and recurrence even after treatment. There are two main patterns of recurrence.

The first is “ping-pong transmission” from a partner who was not treated. If you are treated but your partner isn’t, you can be reinfected during sex once you have recovered. The second pattern is recurrence due to parasites remaining in the body after the patient stops taking the medication early. The disappearance of symptoms doesn’t mean all parasites have been cleared, and stopping the medication on your own can let surviving parasites multiply again.

To prevent this kind of reinfection or recurrence, it is essential to have both partners treated at the same time and to complete the prescribed course of medication exactly as the doctor instructs. Follow-up testing to confirm cure is also an important step in making sure the infection is fully resolved.

Incubation Period | How Many Days Before Symptoms Appear

Image representing the incubation period of trichomoniasis

The incubation period for trichomoniasis is generally around 10 days (anywhere from a few days to about a month). However, because men rarely develop symptoms, the concept of an incubation period applies less neatly, and it is often difficult to pinpoint when the infection was acquired.

The incubation period is the time from infection to the onset of symptoms. For trichomoniasis, symptoms typically begin around 10 days after infection – but only when symptoms occur at all. Many men remain asymptomatic well past the typical incubation window, making it hard to identify the moment of infection.

No symptoms – or delayed symptoms – means there is a risk of unknowingly transmitting the infection to a partner the whole time. If you suspect exposure, rather than waiting for symptoms to appear, get tested after waiting a defined interval (roughly 1 to 2 weeks) from the suspected exposure for more reliable results. We cover the timing of testing in more detail in the “Testing” section below.

Also keep in mind that the parasite is in your body even during the incubation period, so the absence of symptoms is no guarantee of safety. If you fit the description of “no symptoms recently, but I have a reason to suspect exposure,” that is exactly when testing should be considered.

What Happens If Trichomoniasis Is Left Untreated?

Risks of leaving trichomoniasis untreated

If trichomoniasis is left untreated, men may develop complications such as urethritis or prostatitis, and the risk of continuing to infect a partner remains. Spontaneous resolution is rarely expected, so early testing and treatment are important.

Dismissing the infection because “the symptoms are mild” or because “men can’t catch or spread it” allows it to drag on, with consequences for both your own health and your partner. Below we cover the risks of leaving the infection untreated in men and in women, as well as its impact on other STIs.

Risks of Leaving It Untreated in Men | Urethritis, Prostatitis, Infertility

If a man leaves trichomoniasis untreated, the parasite can spread deeper from the urethra and lead to complications such as the following:

A risk that cannot be ignored is that even an asymptomatic man may continue passing the infection to his partner throughout this time. Understanding that this is an issue not only of personal health but of your partner’s health as well, please seek testing and treatment promptly if you suspect exposure.

Risks of Leaving It Untreated in Women | Pelvic Inflammation, Preterm Birth

For women, leaving trichomoniasis untreated raises even greater concerns than for men. Representative risks include:

For men, the important takeaway is that leaving your own trichomoniasis untreated also exposes your female partner to these risks. Even if your symptoms are mild, do not forget that the impact on her health may be serious.

Increased Risk of HIV and Other STIs

Another important risk of leaving trichomoniasis untreated is that it makes you more susceptible to other STIs, including HIV.

When trichomoniasis causes inflammation in the urogenital mucous membranes, the mucosal barrier function is reduced. Inflammation can damage the membrane and attract immune cells, creating an environment in which HIV and other pathogens can more easily enter the body.

In other words, leaving trichomoniasis untreated is not just a trichomoniasis problem – it increases your risk of acquiring other STIs as well. Co-infection with multiple STIs is not unusual, so if trichomoniasis is suspected, we recommend testing for gonorrhea, chlamydia, HIV, and other STIs as well. With STIs, early detection and early treatment are paramount.

Testing for Trichomoniasis | A Urine Test for Men

Trichomoniasis testing: urine test for men

Testing for trichomoniasis in men mainly uses a urine sample to check for the parasite. Women are typically tested using vaginal discharge samples. Testing is minimally invasive and can be performed even without symptoms.

Many men hesitate to get tested because they assume “the test will hurt” or “it’s embarrassing,” but testing for trichomoniasis in men is essentially just a urine collection, with very little physical burden. Below we explain testing methods for men and women, as well as the right timing for testing.

Testing in Men | Urine Test

Testing for trichomoniasis in men centers on a urine test. The urine sample is examined for the presence of the parasite or its genetic material.

Specific methods vary by clinic, but highly sensitive tests that detect parasite DNA have become more widespread in recent years. Before the test, holding off on urination for a few hours, if possible, makes the parasite easier to detect. When you go in for testing, let your doctor know when you last urinated and the timing of any sexual contact. Testing for trichomoniasis is available even without symptoms, so if you suspect exposure, consider being tested regardless of how you feel.

Testing in Women | Vaginal Swab Test

For women, testing focuses on a vaginal swab to collect discharge, which is then examined under a microscope to look for moving parasites or analyzed by culture or genetic testing.

For men, the important point is that if your female partner is diagnosed with trichomoniasis at a gynecology clinic, you need to be tested and treated as well. If only she is treated while you remain asymptomatic but infected, you will simply reinfect each other after her treatment. Don’t avoid testing because “I have no symptoms”; visiting a clinic together is the fastest route to a complete cure.

When to Get Tested (Timing After Possible Exposure)

Tests for trichomoniasis are more reliable when performed after a defined interval from the suspected exposure. Immediately after infection, the number of parasites in the body is low, and the test may miss them (a false negative).

A general guideline is to wait about 1 to 2 weeks after the possible exposure before testing. However, if you already have symptoms such as urethral discomfort, you may be tested right away.

If you are not sure when to be tested, simply tell the doctor when the suspected exposure took place and they will advise you on the best timing. Even if the result is negative because the test was done too early, you can repeat it later if symptoms persist or you remain worried. When in doubt, don’t self-diagnose – consult a clinic.

Treatment for Trichomoniasis | OTC Drugs Are Not Effective

Treatment of trichomoniasis: oral medication

Treatment for trichomoniasis is based on oral anti-protozoal drugs such as metronidazole; over-the-counter medications won’t cure it. The medication is taken for several days up to about 10 days as directed by a physician, and you should not stop on your own simply because symptoms improve.

Because trichomoniasis is caused by a protozoan parasite, antibacterial agents and the topical or anti-itch medications sold at drugstores won’t cure it. The infection must be treated with specialized drugs that target the parasite, prescribed and managed by a physician. Below we cover the specific treatment options and key precautions.

Treatment With Oral Medication (Metronidazole / Flagyl, etc.)

The first-line treatment for trichomoniasis is oral anti-protozoal medication, typified by metronidazole (brand name Flagyl and others). Drugs in the same class, such as tinidazole, may also be used. These medications act directly on the parasite and clear it from the body.

Treatment in men centers on oral medication. The physician determines the type of drug, dosage, and duration based on the patient’s condition. Dosing regimens vary, including courses lasting several days, but in every case it is essential to take the medication exactly as the doctor directs.

No anti-protozoal medications are sold over the counter – these drugs require a doctor’s prescription. Trying to self-treat with OTC products or buying medication online is risky both in terms of efficacy and safety. Always visit a clinic and obtain a prescription after a proper consultation.

Vaginal Tablets Used for Women

For women, treatment may include vaginal tablets (inserted into the vagina) alongside oral medication. The vaginal tablets act locally on parasites that have colonized the vagina.

Men do not use vaginal tablets – oral medication is the mainstay of treatment. The important point here is that even if your female partner is being treated with vaginal tablets, you still need oral treatment as a man. If only she is treated, you will reinfect her during sex once the treatment is over.

Treatments differ between men and women, but the principle of “treat both partners together” is the same. If your partner has been diagnosed with trichomoniasis, please visit a clinic yourself as well.

Will OTC or Topical Medications Cure It?

The bottom line: there are no over-the-counter medications effective against trichomoniasis. Anti-itch creams or feminine-care products sold at drugstores cannot eliminate the underlying Trichomonas vaginalis parasite.

Trying to handle the infection with OTC medications creates the following problems:

Instead of thinking “I’ll try to manage with OTC drugs” or “I’ll buy something online,” visit a clinic and get the correct prescription treatment from a doctor if you have symptoms or suspect exposure. This is ultimately the fastest and most reliable path to recovery.

Treatment Duration and Precautions (Avoid Alcohol and Sex)

The treatment course for trichomoniasis typically involves taking oral medication for several days up to about 10 days as directed by the physician. “How many days until cure” depends on the drug, dosing schedule, and individual condition, so always follow your doctor’s instructions. After treatment, we recommend a follow-up test to confirm that the parasite has been fully cleared.

During treatment, please observe the following:

Your doctor will explain detailed precautions when prescribing the medication. If you have any concerns or questions, do not hesitate to ask the doctor or pharmacist.

Concerned about trichomoniasis? Please feel free to consult with us first. (A men-only clinic offering testing and treatment in a privacy-conscious environment.)

LINEBook a testing or treatment consultation

* Testing is available even without symptoms. If you suspect exposure, we recommend an early visit. * LINE messages are not a medical diagnosis. Diagnosis and prescriptions are decided by a physician at the consultation.

Prevention and Avoiding Reinfection (Ping-Pong Transmission)

Prevention and reinfection countermeasures for trichomoniasis

To prevent reinfection with trichomoniasis, it is essential that both partners be tested and treated together. If only one of you is treated, “ping-pong transmission” recurs back and forth, so abstain from sex until the treatment is complete.

Trichomoniasis is curable with treatment, but neglecting prevention and reinfection measures can cause repeated bouts. Here we cover preventive measures you can take in daily life and key points for stopping ping-pong transmission.

Preventive Measures You Can Take Every Day

Prevention requires attention both to sexual transmission and to non-sexual routes. Daily prevention tips include:

Because trichomoniasis often progresses without symptoms, taking the mindset of “prevent and test before symptoms appear” – rather than “deal with it once symptoms appear” – is what protects both your own and your partner’s health.

The Importance of Treating Both Partners (Preventing Ping-Pong Transmission)

The single most important reinfection countermeasure for trichomoniasis is testing and treating both partners at the same time. Skip this and you fall into the vicious cycle known as “ping-pong transmission.”

Ping-pong transmission refers to a pattern in which only one partner in an infected couple receives treatment while the other remains infected, so the infection bounces back during post-treatment sex. The name comes from the way the infection ping-pongs back and forth, like in table tennis.

Key points for preventing ping-pong transmission are:

Some people find it awkward to talk to a partner about an STI, but trichomoniasis can’t be reliably cured without treating both of you. For each other’s health, it is important to be honest and get treated together.

Do not leave trichomoniasis untreated – get tested and treated early. Men’s Care Clinic offers STI testing and treatment for men at three locations: Shimbashi, Akihabara, and Omotesando (pay-as-you-go available and privacy-conscious).

LINEBook STI testing or treatment

* Testing is available even without symptoms. Visits together with a partner are also welcome. * LINE messages are not a medical diagnosis. Diagnosis and prescriptions are decided by a physician at the consultation.

How Trichomoniasis Differs From Other STIs

Differences between trichomoniasis and other commonly confused STIs

Trichomoniasis is caused by a protozoan, chlamydia and gonorrhea by bacteria, and candidiasis by a fungus – each requires a different treatment. Even when the symptoms look similar, the causes differ, so it is important to identify the cause through testing rather than self-diagnosis.

Urethral discomfort and discharge are common to STIs beyond trichomoniasis. Because different causes require different medications, assuming “this is probably trichomoniasis” and reaching for an OTC drug won’t cure it. Start by reviewing the comparison table below to see the differences.

STI Cause (Pathogen) Main Route Incubation Treatment
Trichomoniasis Trichomonas vaginalis (protozoan) Primarily sexual contact. Also via wet towels, bathtubs. About 10 days. Men often asymptomatic. Oral anti-protozoal drugs (metronidazole). No OTC.
Chlamydia Chlamydia trachomatis (bacterium) Sexual contact (genital/oral/pharyngeal) 1-3 weeks. Often mild/asymptomatic. Oral antibiotics. No OTC.
Candidiasis Candida (fungus/yeast) Can develop without sex. Not always an STI. No clear incubation; depends on health. Antifungals (topical/oral). Some OTC.
Gonorrhea Neisseria gonorrhoeae (bacterium) Sexual contact (genital/oral/pharyngeal) 2-7 days. Men: painful urination, pus. Antibiotic injection or IV. No OTC.

As the table shows, although the symptoms may look alike, the underlying pathogens and treatments are different. Accurate diagnosis requires testing at a medical facility. Detailed explanations of each disease are available via the internal links in the sections below.

Differences From Chlamydia

Chlamydia is caused by the bacterium Chlamydia trachomatis. Unlike trichomoniasis, which is caused by a “protozoan,” chlamydia is caused by a “bacterium” – a fundamental difference.

A commonality is that men with either infection are often asymptomatic or have mild symptoms, and may unknowingly transmit the infection to a partner. However, the treatments differ: chlamydia is treated with antibiotics, and trichomoniasis with anti-protozoal drugs. When the cause is different, the effective medication is different too, so identifying the cause through testing is the first step of treatment.

Chlamydia is one of the most common STIs in Japan and a frequent cause of urethritis in men. For more, see our detailed explanation of chlamydia symptoms in men. Because trichomoniasis and chlamydia are hard to tell apart by symptoms alone, we recommend testing for both when men have urethral discomfort.

Differences From Candidiasis

Candidiasis is caused by Candida, a type of fungus (yeast). Trichomoniasis is caused by a protozoan, candidiasis by a fungus – entirely different categories of pathogen.

A defining feature of candidiasis is that it is not necessarily an STI. Candida is already a normal resident of the body, and it can multiply and cause disease in response to illness, weakened immunity, or antibiotic use. In other words, candidiasis can develop without sexual contact. Trichomoniasis, by contrast, is generally acquired from outside the body through sexual contact or similar exposure.

Treatment differs as well: candidiasis is treated with antifungal medications, while trichomoniasis requires anti-protozoal drugs. Some candidiasis treatments are available OTC, but self-diagnosis is still risky. For more, see symptoms and treatment of male candidiasis. Even when itching looks similar, the cause and treatment differ between trichomoniasis and candidiasis, so testing for differential diagnosis is needed.

Differences From Gonorrhea

Gonorrhea is caused by Neisseria gonorrhoeae, a bacterium. In addition to the protozoan-versus-bacterium distinction, the way symptoms present is also markedly different.

While trichomoniasis is often asymptomatic in men, gonorrhea tends to produce relatively obvious symptoms in men. Men with gonorrhea frequently experience severe painful urination and a copious yellowish pus discharge – generally more intense symptoms than with trichomoniasis. The incubation period for gonorrhea is also shorter, with symptoms typically appearing 2 to 7 days after infection.

Gonorrhea is treated mainly with antibiotic injections or IV infusions. For more, see our detailed explanation of gonorrhea. Beyond trichomoniasis, gonorrhea, and chlamydia, several other STIs – including mycoplasma infection and genital herpes – can produce similar symptoms. Co-infection with multiple STIs is also common, so if you have urethral symptoms, don’t self-diagnose; have a comprehensive panel done at a clinic.

Trichomoniasis Testing and Treatment at Men’s Care Clinic

Men’s Care Clinic is a men’s-only clinic with three locations: Shimbashi, Akihabara, and Omotesando, providing testing and treatment for trichomoniasis and other STIs in men. Whether you “have no symptoms but suspect exposure,” whether “my partner was diagnosed,” or whether you are “worried because OTC drugs won’t work,” we offer a privacy-conscious environment where you can comfortably talk things over.

Why Patients Choose Men’s Care Clinic

Reasons Men’s Care Clinic is chosen for STI testing and treatment, including trichomoniasis, include the following:

Many men feel that going to a clinic for STI care is “embarrassing” or “hard to face,” but trichomoniasis can lead to complications and infect a partner if left alone. If you have any concerning symptoms or reasons to suspect exposure, please do not hesitate to consult with us early.

Flow of a Trichomoniasis Test and Treatment Visit

A typical visit for trichomoniasis testing and treatment at Men’s Care Clinic looks like this:

If you have a partner, we recommend that they also be tested and treated together to prevent ping-pong transmission. If you have concerns about your visit, please feel free to mention them when you book or during your consultation.

Frequently Asked Questions (FAQ)

QCan men also get trichomoniasis, and is it true many are asymptomatic?

AYes, men are also infected. Trichomonas vaginalis is passed between men and women through sexual contact, but men often have few or no noticeable symptoms when infected. Because you can still infect a partner without symptoms, it is important to get tested if you suspect exposure – regardless of symptoms. The idea that “men can’t get it” is incorrect.

QDoes trichomoniasis resolve on its own? What happens if it is left untreated?

ASpontaneous resolution is rarely expected, and treatment is generally required. If left untreated, men may develop urethritis or prostatitis and continue passing the infection to a partner. In women, untreated infection has been linked to pelvic inflammation and effects on pregnancy. Early testing and treatment are recommended.

QHow many days does treatment take?

ATreatment uses oral medication (such as metronidazole) for several days up to about 10 days, as directed by a physician. A confirmation of cure is needed after treatment, and stopping the medication on your own can cause recurrence. Parasites may remain even after symptoms subside, so always complete the full course as directed.

QDo over-the-counter medications work for trichomoniasis?

ANo, there are no effective OTC medications for trichomoniasis. Treatment requires prescription anti-protozoal medications (such as metronidazole). Anti-itch creams and other OTC products cannot eliminate the parasite. Trying to manage with OTC drugs delays treatment and lets the infection worsen and continue to spread to partners. Please see a clinic.

QCan family members be infected through shared baths or towels?

AIt is unlikely, but not impossible. Trichomonas vaginalis is sensitive to drying and high temperatures but can survive for a while in moist environments. Transmission via wet towels, bathtubs, or toilet seats has been reported. Within a household, avoiding sharing towels and underwear and adjusting the order of bathing are helpful precautions. The main route, however, remains sexual contact.

QCan it be spread by kissing or oral sex?

AOrdinary kissing is not a typical route of transmission, but sexual contact that includes oral sex can carry a risk. Trichomonas vaginalis primarily infects the urogenital tract, so the main route involves contact with the genitals. If you are concerned, consult a doctor – including about the oral cavity – and get the appropriate tests.

QCan children become infected with trichomoniasis?

AIt is rare, but mother-to-child transmission and transmission to infants through shared wet towels or bedding with an infected person have been reported. If a child shows unusual symptoms, don’t self-diagnose; visit a pediatrician or a specialist clinic. Within the household, keeping towels and underwear separate and maintaining hygiene helps with prevention.

QHow long is the incubation period for trichomoniasis?

AThe incubation period for trichomoniasis is generally around 10 days (anywhere from a few days to about a month). However, because men often remain asymptomatic, the concept of an incubation period applies less neatly, and it can be difficult to pinpoint when infection occurred. If you suspect exposure, get tested after a defined interval regardless of symptoms.

QWhy can people get infected without any obvious reason?

APossibilities include an asymptomatic partner who was infected, a past infection that was never fully treated, or non-sexual transmission via wet towels or bathtubs. Because both men and women are often asymptomatic, the source of infection can be hard to identify. Even without an obvious cause, get tested if you have symptoms.

QWhat is the difference between trichomoniasis, chlamydia, and candidiasis?

AThe cause and treatment differ. Trichomoniasis is caused by a protozoan and chlamydia by a bacterium; both are sexually transmitted and treated with antibiotics or anti-protozoal drugs. Candidiasis, on the other hand, is caused by a fungus (yeast) and can develop without sexual contact depending on physical condition, so it is not necessarily an STI. Symptoms may look similar but the medications differ, so identify the cause through testing rather than self-diagnosing.

QCan I have sex or drink alcohol during treatment?

ARefrain from sex during treatment. While the parasite remains, you risk infecting your partner or being reinfected yourself. Drinking alcohol while taking anti-protozoal drugs such as metronidazole can also cause adverse reactions, so avoid alcohol during the course and shortly before and after. Your doctor will go over detailed precautions when prescribing.

QDoes my partner need to be treated too?

AYes – your partner should also be tested and treated at the same time. If only one of you is treated and the other remains infected, ping-pong transmission will cause repeat infection after treatment. If you are diagnosed, encourage your partner to be tested too, regardless of symptoms, and complete treatment together as far as possible.

Do not leave trichomoniasis untreated – get tested and treated early. Men’s Care Clinic offers STI testing and treatment for men at three locations: Shimbashi, Akihabara, and Omotesando (pay-as-you-go available and privacy-conscious).

LINEBook STI testing or treatment

* Testing is available even without symptoms. Visits together with a partner are also welcome. * LINE messages are not a medical diagnosis. Diagnosis and prescriptions are decided by a physician at the consultation.

References


STD

関連記事

LIST OF COLUMN


2026/04/16 STD 【医師監修】クラミジアとは?男性の症状・感染経路・検査・治療を徹底解説

2026/04/04 STD 【医師監修】男性の梅毒とは?症状・感染経路・検査・治療を徹底解説

2022/11/07 STD 梅毒の進行ステージと放置リスク|第1期〜第4期の症状を医師が徹底解説【2026年最新】

2021/09/19 STD 尖圭コンジローマ|男性の症状・治療・HPVワクチンを医師が徹底解説【2026年最新】

2021/09/19 STD B型肝炎の治療と放置リスク|HBs抗原・HBVワクチン・核酸アナログ療法を医師が徹底解説【2026年最新】

2021/09/19 STD C型肝炎の治療と放置リスク|DAA療法でSVR95%超を目指す最新治療を医師が解説【2026年最新】

2021/09/19 STD 男性のトリコモナス|無症状でもうつる?放置リスクと検査・治療法

2021/05/08 STD マイコプラズマ感染症(男性)|症状・検査・治療・耐性菌対策まで医師監修で徹底解説

2021/05/05 STD 男性のヘルペス|性器・口唇の症状・治療・再発予防を医師が徹底解説【2026年最新】

2021/05/02 STD 男性の性器カンジダ症|亀頭炎・包皮炎の症状・治療・予防を医師が徹底解説【2026年最新】

2026.04.16

STD

【医師監修】クラミジアとは?男性の症状・感染経路・検査・治療を徹底解説


2026.04.04

STD

【医師監修】男性の梅毒とは?症状・感染経路・検査・治療を徹底解説


2022.11.07

STD

梅毒の進行ステージと放置リスク|第1期〜第4期の症状を医師が徹底解説【2026年最新】


2021.09.19

STD

尖圭コンジローマ|男性の症状・治療・HPVワクチンを医師が徹底解説【2026年最新】


2021.09.19

STD

B型肝炎の治療と放置リスク|HBs抗原・HBVワクチン・核酸アナログ療法を医師が徹底解説【2026年最新】


2021.09.19

STD

C型肝炎の治療と放置リスク|DAA療法でSVR95%超を目指す最新治療を医師が解説【2026年最新】


2021.09.19

STD

男性のトリコモナス|無症状でもうつる?放置リスクと検査・治療法


2021.05.08

STD

マイコプラズマ感染症(男性)|症状・検査・治療・耐性菌対策まで医師監修で徹底解説


2021.05.05

STD

男性のヘルペス|性器・口唇の症状・治療・再発予防を医師が徹底解説【2026年最新】


2021.05.02

STD

男性の性器カンジダ症|亀頭炎・包皮炎の症状・治療・予防を医師が徹底解説【2026年最新】