Despite its prevalence, many people don’t realize they have it. That’s why exploring trichomoniasis treatment options today matters for personal health and for preventing transmission to others—and why STD testing plays such a crucial role in early detection and treatment.
What are the Trichomoniasis Treatment Options?
Trichomoniasis treatment options usually involve prescription antibiotics, most commonly metronidazole or tinidazole. These medications are effective at clearing the parasite that causes the infection. Both partners need treatment to avoid reinfection.
Treatment for trichomoniasis focuses on eliminating the Trichomonas vaginalis parasite and preventing its spread. There’s no over-the-counter cure, so visiting a healthcare provider is essential. Below, we’ll break down specific therapies and supportive measures that form part of modern trichomoniasis care.
How Does Trichomoniasis Treatment Work?
Trichomoniasis treatment primarily relies on oral antibiotics. The recommended medications are:
- Metronidazole (Flagyl) — Usually given as a single 2-gram dose or as 500 mg twice daily for seven days.
- Tinidazole (Tindamax) — Typically prescribed as a single 2-gram dose.
These drugs kill the parasite in the body. A single-dose regimen is often preferred for convenience, but a seven-day course may be used for certain cases, such as repeated infections or when initial treatment fails.
What Should You Expect During Treatment?
Before we explore further options, it’s important to understand what treatment involves.
If you’ve been prescribed antibiotics for trichomoniasis:
- Avoid alcohol during and for at least 24-72 hours after treatment, depending on the medication, to prevent severe nausea or vomiting.
- Abstain from sex until you and your partner(s) have completed treatment and are symptom-free.
- Notify and treat all recent sexual partners to prevent reinfection.
Follow-up testing may be recommended within three months, especially for women, as reinfection rates can be high.
Are There Alternatives If Standard Antibiotics Don’t Work?
While most cases respond well to first-line antibiotics, resistant trichomoniasis infections can occur. In these situations, higher doses or longer courses of metronidazole may be prescribed. If metronidazole fails, tinidazole can be used as an alternative. In rare cases, a combination of both drugs may be needed to clear the infection. For hard-to-treat cases, your healthcare provider might also consult with infectious disease specialists to ensure the most effective treatment plan.

Can Trichomoniasis Go Away Without Treatment?
Trichomoniasis does not go away on its own. Without treatment, the infection can persist for months or even years. Untreated trichomoniasis raises the risk of acquiring or transmitting other STIs, including HIV. It may also contribute to reproductive health issues such as premature birth in pregnant individuals or pelvic inflammatory disease.
What Happens If Your Partner Doesn’t Get Treated?
If your partner doesn’t get treated:
- You are highly likely to get reinfected, even after successful treatment.
- The infection can continue to spread within the community.
- Chronic health issues linked to trichomoniasis may develop.
Both you and your partner should complete treatment and wait to resume sexual activity until cleared.
How To Know Treatment Worked?
Symptoms often improve within a few days of starting antibiotics. However, since up to 70% of people with trichomoniasis have no symptoms, follow-up testing is the best way to confirm that the infection has cleared. Your provider may recommend retesting three months after treatment or sooner if symptoms persist or return.
What Supportive Care Can You Do at Home?
While antibiotics are essential, you can support your recovery through these practices:
- Stay hydrated to help your body process medications.
- Wear breathable cotton underwear to reduce irritation.
- Avoid douching or scented hygiene products, as they can disrupt vaginal flora.
- Communicate openly with partners about STI testing and prevention.
These steps help minimize discomfort and prevent further complications.
Are There Preventive Measures to Reduce the Risk of Reinfection?
Yes, preventing reinfection and protecting sexual health involves a mix of behavioral and medical strategies. These include the consistent and correct use of condoms, reducing the number of sexual partners, and undergoing regular STI screenings if sexually active. Prompt treatment of partners is also essential to break the cycle of transmission. Routine check-ups with your healthcare provider play a major role in prevention, helping to ensure early detection and timely care.
When Should You Seek Urgent Medical Care?
You should visit a medical provider promptly if you experience severe vaginal or urethral pain, notice unusual or foul-smelling discharge that worsens, or have pelvic or lower abdominal pain. It’s also important to seek care if your symptoms persist after completing treatment. Urgent care centers provide quick evaluation and treatment to help prevent complications.
Quick Tips for Managing Trichomoniasis
Here are simple, practical steps to support your recovery and prevent reinfection:

Can You Get Trichomoniasis Treatment at an Urgent Care Clinic?
Absolutely. Many people choose urgent care centers for trichomoniasis diagnosis and treatment because of the convenience and speed of service. These clinics can:
- Test for Trichomonas vaginalis and other STIs.
- Provide prescription antibiotics on-site or send to your pharmacy.
- Offer guidance on partner treatment and follow-up care.
Get Fast, Professional Care for Trichomoniasis
Centers Urgent Care is here to help if you need urgent care in New York. We provide fast, high-quality care for children and adults, including confidential STI testing and trichomoniasis treatment options tailored to your needs. Our experienced medical team ensures you receive the right diagnosis and treatment without long waits. Contact us today or visit one of our clinics for same-day care.