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The tell-tale strawberry cervix: Clinical insights into trichomoniasis
*Corresponding author: Sonika Garg, Department of Dermatology, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India. sonikagarg911@gmail.com
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Received: ,
Accepted: ,
How to cite this article: Khan M, Dabas S, Garg S. The tell-tale strawberry cervix: Clinical insights into trichomoniasis. J Skin Sex Transm Dis. doi: 10.25259/JSSTD_7_2025
A 29-year-old female presented to the clinic with malodorous vaginal discharge and mild itching for 2 weeks. She reported no dysuria, lower abdominal pain, fever, vaginal bleeding, or dyspareunia. History of unprotected intercourse with a new partner 20 days before the onset of symptoms was present.
Vulval examination revealed grayish white frothy malodorous vaginal discharge, smearing the labia minora [Figure 1]. On per speculum examination, an erythematous cervix with punctate hemorrhagic spots, suggestive of a strawberry cervix, was observed along with frothy discharge [Figure 2]. The discharge pH was 5.2.
- Whitish-to-grayish frothy vaginal discharge (arrow).
- Erythematous cervix with punctate hemorrhagic spots: Strawberry cervix and frothy discharge (arrow).
Wet mount analysis confirmed flagellated protozoa. Routine tests, pelvic ultrasonography, and human immunodeficiency virus screening were within normal limits. A diagnosis of trichomoniasis was made.
She and her partner were treated with tablet metronidazole 500 mg orally, twice daily, for 7 days, resulting in significant improvement by the 15-day follow-up.
Ethical approval
Institutional Review Board approval is not required.
Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent.
Conflicts of interest
There are no conflicts of interest.
Use of artificial intelligence (AI)-assisted technology for manuscript preparation
The authors confirm that there was no use of artificial intelligence (AI)-assisted technology for assisting in the writing or editing of the manuscript and no images were manipulated using AI.
Financial support and sponsorship: Nil.
