{"id":58076,"date":"2026-03-12T14:23:54","date_gmt":"2026-03-12T14:23:54","guid":{"rendered":"https:\/\/www.mediconanet.pt\/?p=58076"},"modified":"2026-03-16T09:27:49","modified_gmt":"2026-03-16T09:27:49","slug":"tricomoniase-e-saude-da-mulher","status":"publish","type":"post","link":"https:\/\/www.mediconanet.pt\/en\/tricomoniase-e-saude-da-mulher\/","title":{"rendered":"Tricomon\u00edase e Sa\u00fade da Mulher: Vaginite, Gravidez e Rastreio"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"58076\" class=\"elementor elementor-58076\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-570cfe3 e-flex e-con-boxed e-con e-parent\" data-id=\"570cfe3\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1761780 elementor-widget elementor-widget-text-editor\" data-id=\"1761780\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h2><b>Introdu\u00e7\u00e3o<\/b><\/h2><p><span style=\"font-weight: 400;\">A <strong>tricomon\u00edase<\/strong> \u00e9 a causa mais frequente de vaginite de origem infecciosa trat\u00e1vel a n\u00edvel mundial, afetando desproporcionalmente as mulheres em idade reprodutiva. A Organiza\u00e7\u00e3o Mundial de Sa\u00fade (OMS) estima que as mulheres representam a maioria dos 156 milh\u00f5es de novos casos anuais de tricomon\u00edase, com consequ\u00eancias significativas para a sa\u00fade reprodutiva e obst\u00e9trica.<\/span><\/p><p><span style=\"font-weight: 400;\">Apesar da sua preval\u00eancia, recebe menos aten\u00e7\u00e3o medi\u00e1tica e cient\u00edfica do que outras infe\u00e7\u00f5es sexualmente transmiss\u00edveis (ISTs), sendo frequentemente descrita como uma &#8220;IST negligenciada&#8221;. O impacto na sa\u00fade vaginal, na fertilidade e nos desfechos obst\u00e9tricos justifica uma abordagem cl\u00ednica mais atenta e proativa.<\/span><\/p><h2><b>Tricomon\u00edase e Sa\u00fade Vaginal<\/b><\/h2><p><span style=\"font-weight: 400;\">A infe\u00e7\u00e3o por Trichomonas vaginalis perturba o equil\u00edbrio do microbioma vaginal, reduzindo os lactobacilos protetores e elevando o pH vaginal. Esta altera\u00e7\u00e3o facilita a coinfec\u00e7\u00e3o com vaginose bacteriana e outras ISTs, criando um ciclo de vulnerabilidade na sa\u00fade vaginal.<\/span><\/p><p><span style=\"font-weight: 400;\">O corrimento t\u00edpico da <strong>tricomon\u00edase<\/strong> \u2014 espumoso, amarelo-esverdeado e com odor f\u00e9tido \u2014 resulta da resposta inflamat\u00f3ria intensa provocada pelo protozo\u00e1rio. A colpite macular (&#8220;colo em morango&#8221;), vis\u00edvel \u00e0 colposcopia em 2 a 5 % dos casos, \u00e9 um achado patognom\u00f3nico, embora pouco sens\u00edvel.<\/span><\/p><p><span style=\"font-weight: 400;\">A Sociedade Portuguesa de Ginecologia recomenda a pesquisa de Trichomonas vaginalis no diagn\u00f3stico diferencial de vaginites, especialmente quando o corrimento \u00e9 refrat\u00e1rio ao tratamento emp\u00edrico para candid\u00edase ou vaginose bacteriana. O American College of Obstetricians and Gynecologists (ACOG) refor\u00e7a que se deve atentar\u00a0considerada em todas as mulheres com sintomas vaginais persistentes.<\/span><\/p><h2><b>Tricomon\u00edase na Gravidez<\/b><\/h2><p><span style=\"font-weight: 400;\">A <strong>tricomon\u00edase<\/strong> durante a gravidez est\u00e1 associada a complica\u00e7\u00f5es obst\u00e9tricas significativas, incluindo rotura prematura de membranas, parto pr\u00e9-termo, corioamnionite e baixo peso ao nascer. Uma meta-an\u00e1lise publicada na revista Obstetrics &amp; Gynecology confirmou um risco 1,4 vezes superior de parto pr\u00e9-termo em gr\u00e1vidas com tricomon\u00edase.<\/span><\/p><p><span style=\"font-weight: 400;\">O rastreio universal na gravidez n\u00e3o \u00e9 atualmente recomendado na Europa, embora o Centers for Disease Control and Prevention (CDC) recomende rastreio em gr\u00e1vidas VIH-positivas e considere o rastreio em gr\u00e1vidas de alto risco.<\/span><\/p><p><span style=\"font-weight: 400;\">O tratamento da <strong>tricomon\u00edase<\/strong> na gravidez com metronidazol \u00e9 considerado seguro em todos os trimestres pelo CDC, embora alguns autores prefiram adiar o tratamento de infe\u00e7\u00f5es assintom\u00e1ticas para ap\u00f3s o primeiro trimestre. A resolu\u00e7\u00e3o da infe\u00e7\u00e3o antes do parto \u00e9 importante para prevenir a transmiss\u00e3o neonatal e reduzir o risco de complica\u00e7\u00f5es obst\u00e9tricas.<\/span><\/p><h2><b>Rastreio e Diagn\u00f3stico na Mulher<\/b><\/h2><p><span style=\"font-weight: 400;\">O diagn\u00f3stico da <strong>tricomon\u00edase<\/strong> na mulher pode ser realizado durante o exame ginecol\u00f3gico, com colheita de exsudado vaginal para teste NAAT (m\u00e9todo de refer\u00eancia), exame microsc\u00f3pico a fresco ou teste r\u00e1pido point-of-care.<\/span><\/p><p><span style=\"font-weight: 400;\">O teste NAAT para Trichomonas vaginalis est\u00e1 dispon\u00edvel como parte de pain\u00e9is de diagn\u00f3stico molecular de vaginites (pain\u00e9is multiplex) que detetam simultaneamente <strong>tricomon\u00edase<\/strong>, candid\u00edase e vaginose bacteriana. A British Association for Sexual Health and HIV (BASHH) recomenda o uso de NAAT para o diagn\u00f3stico definitivo.<\/span><\/p><p><span style=\"font-weight: 400;\">O rastreio oportun\u00edstico de <strong>tricomon\u00edase<\/strong> \u00e9 recomendado em mulheres com ISTs diagnosticadas, mulheres VIH-positivas, mulheres com m\u00faltiplos parceiros sexuais e mulheres em contexto de deten\u00e7\u00e3o. A Dire\u00e7\u00e3o-Geral da Sa\u00fade (DGS) de Portugal integra a <strong>tricomon\u00edase<\/strong> nas orienta\u00e7\u00f5es para gest\u00e3o sindr\u00f3mmica de corrimento vaginal.<\/span><\/p><p><i><span style=\"font-weight: 400;\">Na <strong>M\u00e9dico na Net<\/strong>, a <strong>equipa cl\u00ednica<\/strong> oferece diagn\u00f3stico especializado de <a href=\"https:\/\/www.mediconanet.pt\/produto\/tricomoniase\/\"><strong>tricomon\u00edase<\/strong> <\/a>e outras causas de vaginite, com tratamento personalizado e aconselhamento sobre preven\u00e7\u00e3o e sa\u00fade vaginal.<\/span><\/i><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-375973d elementor-widget elementor-widget-image\" data-id=\"375973d\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/03\/wpimage-id893sizeSlugfulllinkDestinationnone-figure-classwp-block-image-size-fullimg-srchttpscomprarcbdonline.ptwp-contentuploads202603unnamed-3.jpg-altFrasco-de-vidro-transparente-c-9.jpg\" title=\"Consulta m\u00e9dica online para diagn\u00f3stico e tratamento da tricomon\u00edase\" alt=\"Paciente em consulta m\u00e9dica online com m\u00e9dico no computador para diagn\u00f3stico e esclarecimento sobre tricomon\u00edase\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1545e08 e-flex e-con-boxed e-con e-parent\" data-id=\"1545e08\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-9ad30cf e-con-full e-flex e-con e-child\" data-id=\"9ad30cf\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-66e4f21 e-con-full e-flex e-con e-child\" data-id=\"66e4f21\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c44ae3e elementor-widget elementor-widget-heading\" data-id=\"c44ae3e\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Perguntas frequentes (FAQ)<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-439b5c3 elementor-widget elementor-widget-n-accordion\" data-id=\"439b5c3\" data-element_type=\"widget\" data-settings=\"{&quot;default_state&quot;:&quot;all_collapsed&quot;,&quot;max_items_expended&quot;:&quot;one&quot;,&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:400,&quot;sizes&quot;:[]}}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-7080\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-7080\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> A tricomon\u00edase pode ser confundida com candid\u00edase? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7080\" class=\"elementor-element elementor-element-d801294 e-con-full e-flex e-con e-child\" data-id=\"d801294\" data-element_type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7080\" class=\"elementor-element elementor-element-67dd609 e-flex e-con-boxed e-con e-child\" data-id=\"67dd609\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2204be5 elementor-widget elementor-widget-text-editor\" data-id=\"2204be5\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Sim. Os sintomas de <strong>tricomon\u00edase<\/strong>, candid\u00edase e vaginose bacteriana podem sobrepor-se. O diagn\u00f3stico laboratorial \u00e9 essencial para distinguir estas condi\u00e7\u00f5es e garantir tratamento adequado.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-7081\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"2\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-7081\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> A tricomon\u00edase afeta a fertilidade feminina? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7081\" class=\"elementor-element elementor-element-f07e3ff e-con-full e-flex e-con e-child\" data-id=\"f07e3ff\" data-element_type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7081\" class=\"elementor-element elementor-element-ba0d7df e-flex e-con-boxed e-con e-child\" data-id=\"ba0d7df\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-bd0918d elementor-widget elementor-widget-text-editor\" data-id=\"bd0918d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Sim. Pode contribuir para inflama\u00e7\u00e3o p\u00e9lvica e altera\u00e7\u00e3o do microbioma vaginal, potencialmente afetando a fertilidade. O tratamento atempado previne estas consequ\u00eancias.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-7082\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"3\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-7082\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Devo fazer rastreio de tricomon\u00edase na gravidez? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7082\" class=\"elementor-element elementor-element-1948aa2 e-con-full e-flex e-con e-child\" data-id=\"1948aa2\" data-element_type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7082\" class=\"elementor-element elementor-element-44203e4 e-flex e-con-boxed e-con e-child\" data-id=\"44203e4\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-90363e4 elementor-widget elementor-widget-text-editor\" data-id=\"90363e4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">O rastreio \u00e9 recomendado para gr\u00e1vidas VIH-positivas e gr\u00e1vidas com fatores de risco. A decis\u00e3o deve ser individualizada com o obstetra, considerando o perfil de risco.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-7083\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"4\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-7083\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> O tratamento com metronidazol \u00e9 seguro na gravidez? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7083\" class=\"elementor-element elementor-element-e6b82d0 e-con-full e-flex e-con e-child\" data-id=\"e6b82d0\" data-element_type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7083\" class=\"elementor-element elementor-element-ff98332 e-flex e-con-boxed e-con e-child\" data-id=\"ff98332\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b745fb3 elementor-widget elementor-widget-text-editor\" data-id=\"b745fb3\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Sim. O CDC considera o metronidazol seguro em todos os trimestres da gravidez para o tratamento. Os benef\u00edcios do tratamento superam os riscos potenciais.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-7084\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"5\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-7084\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> A tricomon\u00edase pode causar cancro cervical? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7084\" class=\"elementor-element elementor-element-7547615 e-con-full e-flex e-con e-child\" data-id=\"7547615\" data-element_type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7084\" class=\"elementor-element elementor-element-8c9a957 e-flex e-con-boxed e-con e-child\" data-id=\"8c9a957\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2f07efa elementor-widget elementor-widget-text-editor\" data-id=\"2f07efa\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Alguns estudos sugerem associa\u00e7\u00e3o entre <strong>tricomon\u00edase<\/strong> e risco aumentado de neoplasia cervical, possivelmente mediada pela coinfe\u00e7\u00e3o com HPV. Contudo, a rela\u00e7\u00e3o causal n\u00e3o est\u00e1 estabelecida.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<script type=\"application\/ld+json\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@type\":\"FAQPage\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"A tricomon\\u00edase pode ser confundida com candid\\u00edase?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Sim. Os sintomas de tricomon\\u00edase, candid\\u00edase e vaginose bacteriana podem sobrepor-se. O diagn\\u00f3stico laboratorial \\u00e9 essencial para distinguir estas condi\\u00e7\\u00f5es e garantir tratamento adequado.\"}},{\"@type\":\"Question\",\"name\":\"A tricomon\\u00edase afeta a fertilidade feminina?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Sim. Pode contribuir para inflama\\u00e7\\u00e3o p\\u00e9lvica e altera\\u00e7\\u00e3o do microbioma vaginal, potencialmente afetando a fertilidade. O tratamento atempado previne estas consequ\\u00eancias.\"}},{\"@type\":\"Question\",\"name\":\"Devo fazer rastreio de tricomon\\u00edase na gravidez?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"O rastreio \\u00e9 recomendado para gr\\u00e1vidas VIH-positivas e gr\\u00e1vidas com fatores de risco. A decis\\u00e3o deve ser individualizada com o obstetra, considerando o perfil de risco.\"}},{\"@type\":\"Question\",\"name\":\"O tratamento com metronidazol \\u00e9 seguro na gravidez?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Sim. O CDC considera o metronidazol seguro em todos os trimestres da gravidez para o tratamento. Os benef\\u00edcios do tratamento superam os riscos potenciais.\"}},{\"@type\":\"Question\",\"name\":\"A tricomon\\u00edase pode causar cancro cervical?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Alguns estudos sugerem associa\\u00e7\\u00e3o entre tricomon\\u00edase e risco aumentado de neoplasia cervical, possivelmente mediada pela coinfe\\u00e7\\u00e3o com HPV. Contudo, a rela\\u00e7\\u00e3o causal n\\u00e3o est\\u00e1 estabelecida.\"}}]}<\/script>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-02d7fba e-flex e-con-boxed e-con e-parent\" data-id=\"02d7fba\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ca91313 elementor-widget elementor-widget-text-editor\" data-id=\"ca91313\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h2><b>Conclus\u00e3o<\/b><\/h2><p><span style=\"font-weight: 400;\">A<strong> tricomon\u00edase<\/strong> \u00e9 uma IST frequente e subestimada com impacto significativo na sa\u00fade vaginal e obst\u00e9trica das mulheres. O diagn\u00f3stico laboratorial preciso, o rastreio em popula\u00e7\u00f5es de risco e o tratamento atempado s\u00e3o essenciais para proteger a sa\u00fade reprodutiva e prevenir complica\u00e7\u00f5es a si associadas.<\/span><\/p><h2><b>Refer\u00eancias<\/b><\/h2><p><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/24622901\/\" rel=\"dofollow noopener\" target=\"_blank\">Trichomonas vaginalis as a cause of perinatal morbidity: a systematic review and meta-analysis \u2014 Obstetrics &amp; Gynecology<\/a><\/p><p><a href=\"https:\/\/www.acog.org\/clinical\/clinical-guidance\/practice-bulletin\/articles\/2020\/07\/vaginitis-in-nonpregnant-patients\" rel=\"dofollow noopener\" target=\"_blank\">Vaginitis in Nonpregnant Patients (Practice Bulletin) \u2014 American College of Obstetricians and Gynecologists (ACOG)<\/a><\/p><p><a href=\"https:\/\/www.bashh.org\/resources\/71\/trichomonas_vaginalis_2023\/\" rel=\"dofollow noopener\" target=\"_blank\">UK National Guideline on the Management of Trichomonas vaginalis \u2014 British Association for Sexual Health and HIV (BASHH)<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Introdu\u00e7\u00e3o A tricomon\u00edase \u00e9 a causa mais frequente de vaginite de origem infecciosa trat\u00e1vel a n\u00edvel mundial, afetando desproporcionalmente as mulheres em idade reprodutiva. A Organiza\u00e7\u00e3o Mundial de Sa\u00fade (OMS) estima que as mulheres representam a maioria dos 156 milh\u00f5es de novos casos anuais de tricomon\u00edase, com consequ\u00eancias significativas para a sa\u00fade reprodutiva e obst\u00e9trica. [&hellip;]<\/p>\n","protected":false},"author":13102,"featured_media":58231,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[59],"tags":[],"class_list":["post-58076","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saude-sexual"],"jetpack_featured_media_url":"https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/03\/wpimage-id893sizeSlugfulllinkDestinationnone-figure-classwp-block-image-size-fullimg-srchttpscomprarcbdonline.ptwp-contentuploads202603unnamed-3.jpg-altFrasco-de-vidro-transparente-c-19.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/posts\/58076","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/users\/13102"}],"replies":[{"embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/comments?post=58076"}],"version-history":[{"count":10,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/posts\/58076\/revisions"}],"predecessor-version":[{"id":58111,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/posts\/58076\/revisions\/58111"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/media\/58231"}],"wp:attachment":[{"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/media?parent=58076"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/categories?post=58076"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/tags?post=58076"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}