Trichomoniasis is a sexually transmitted infection, or STI, that can cause a foul-smelling vaginal discharge, genital itching and painful urination in women. Men can also be infected, although they usually do not experience symptoms. According to the Centers for Disease Control and Prevention, an estimated 7.4 million new cases occur each year in women and men. Complications include adverse pregnancy outcomes, infertility and pelvic inflammation. It's essential to obtain a proper diagnosis of STIs or other pelvic inflammatory conditions in order to render appropriate treatment and avoid complications. Consult with a natural medicine specialist, such as licensed naturopathic physician, before attempting home treatments.
Diet
Diet affects the body's ability to defend itself against invasive microbes, such as the Trichomonas vaganalis flagellate--the organism that causes trichomoniasis. The body has an inherent ability to protect itself against infection and fight it once it occurs, and a healthy diet can be helpful in aiding this natural immunity. According to Drs. Joseph Pizzorno, Michael Murray and Herb Joiner-Bey, naturopathic physicians and authors of "The Clinician's Handbook of Natural Medicine," an optimal diet is rich in natural fiber--from vegetables and fruits--and low in sugar and refined carbohydrates.
Nutritional Supplementation
Certain vitamins and minerals are used by the immune system to enhance its action. Supplementing these nutrients may help assure optimized immune function. Supplements that may be beneficial for trichomoniasis include the B vitamins, vitamins C, E and A, calcium, magnesium and zinc. Pregnant women should exercise caution when taking vitamin A, as high doses may cause fetal problems. Those who are deficient in iron may see benefit from supplemental iron; however, too much iron may worsen the infection. A nutritionally-trained healthcare professional can assist in prescribing and monitoring supplement dosages.
Botanical Medicines
Drs. Pizzorno, Murray and Joiner-Bey report that some botanicals show Trichomonas-fighting capabilities. The include angelica and echinacea. Goldenseal also has general antimicrobial properties. Botanical medicine may be used concurrently to optimize immune function. Herbs are available as tea, tincture, fluid extract and solid extract, and are typically dosed at three times daily.
Topical Treatment
Topical treatment, intended for females, aims to combat the Trichomonas flagellate, while restoring normal vaginal ecology. Certain substances, when used in a douche or saturated in a tampon, eliminate the infection and reduce associated pelvic inflammation. Products suggested by Dr. Pizzorno, Murray and Joiner-Bey include providone-iodine, propolis, peppermint and lavender essential oils and tea tree oil. These substances should be diluted, and treatments typically require repetition over several weeks. To restore normal vaginal ecology, in other words, to repopulate the area with friendly bacteria and prevent future infection, probiotics may be helpful. Consult with a naturopathic doctor for appropriately personalized treatment advice.
References
- Centers for Disease Control and Prevention: Trichomoniasis - CDC Fact Sheet
- MayoClinic.com: Trichomoniasis
- "The Clinician's Handbook of Natural Medicine"; Joseph E. Pizzorno, Jr., N.D. et. al.; 2002



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