Single morphology - Trophozoite

Pear shaped

Anterior end has four flagella

One flagellum Runs along the side of the body called as undulating membrane

Jerky locomotory

Axostyle is extended from the body like sharp pointed knife
Tears the vaginal portion of host and enter into host

After it enter into the habitat ,they starts multiply by binary fission

Trophozoite in vagina gets excreted through urine

Incubation period 4 - 28 days

Vaginal pH of more than 4.5 facilities infection

Binding to the vaginal epithelium by various metabolic enzymes

Vulvovaginitis

Colpitis malcularis

dysuria and lower abdominal pain

Discharge may be frothy and yellowish green color

Undulating membrane supported by a rod like structure called costa

Pruritis and pain during coitus

Vaginal discharge is scanty, mixed with mucus

Pyosalpinx , endometriosis , infertility, low birth rate

Sometimes respiratory distress

Association of increased HIV transmission and cervical dysplasia

Microscopy - wet count (jerky motility)

Samples - vaginal ,urethral discharge, urine sediment

Giemsa stain

Acridine orange fluorescent stain

Trussell and Johnson

Cysteine peptone liver yeast maltose media

Metronidazole