Snapshot A 45-year-old woman presents to an urgent care clinic for green foul-smelling vaginal discharge for the past few days. She reports that she has had unprotected sex with one new sexual partner, but she wasn’t worried about sexually transmitted diseases. She has not had any fevers or chills but has had dysuria and dyspareunia. She also noticed postcoital bleeding yesterday. Pelvic exam shows green foul-smelling vaginal discharge and an erythematous vulva. The vaginal pH is 5.5 and a wet mount shows motile trichomonads. She is started on metronidazole. Introduction Sexually transmitted diseases caused by protozoa include login to view 1 more bullet Classification login to view 5 more bullets Epidemiology login to view 7 more bullets Pathogenesis login to view 2 more bullets Associated conditions login to view 2 more bullets Prognosis login to view 2 more bullets Presentation Symptoms login to view 4 more bullets Physical exam login to view 3 more bullets Studies Labs login to view 5 more bullets Making the diagnosis login to view 1 more bullet Differential Vulvovaginal candidiasis login to view 3 more bullets Bacterial vaginosis login to view 5 more bullets Treatment Management approach login to view 1 more bullet Conservative login to view 3 more bullets Medical login to view 6 more bullets Complications Premature rupture of membranes Prematurity of fetus