Why consider all three together?
- All three are
- Curable
- Symptoms
- Often none; overlapping when present
- Diagnosed by
- Urine or swab testing
- Partners
- Should be treated at the same time
These three infections spread the same way, can occur at the same time and often cause the same symptoms, or none at all. Treating one while missing another means symptoms return and partners stay at risk.
All three are curable, but each needs a different medicine. Testing shows which ones are present so treatment can cover the right infections.
How the three compare
| Feature | Trichomoniasis | Chlamydia | Gonorrhea |
|---|---|---|---|
| Caused by | A parasite | Bacteria | Bacteria |
| No symptoms | Most people | Most people | Many people, especially women |
| Typical discharge | Frothy, yellow-green, with odor | Clear or cloudy | Yellow or green |
NoteSymptoms alone can't tell these apart. Testing is the reliable way to know which infections need treatment.
Symptoms to watch for
Any of the three can cause:
- Unusual discharge from the vagina or penis
- Burning or pain when urinating
- Genital itching or irritation
- Bleeding between periods or after sex
- Pelvic or lower belly pain
Get seen promptly if you have
These can signal a complication that needs in-person care:
- Pelvic pain with fever
- Testicular pain or swelling
- Joint pain or a rash after a possible exposure
How treatment works
Treatment is matched to the infections found, or likely, following current guidelines. Partners need treatment too, or reinfection is likely.
After treatment
- Wait to have sex until treatment for every infection found is complete, for you and your partners
- Get retested about 3 months after treatment
- Contact a provider if symptoms continue
Is this visit right for you?
This visit is a good fit if you:
- May have been exposed to more than one STI
- Have positive results for one or more of these infections
- Have symptoms and want all three considered
Get in-person care if you:
- Have pelvic pain with fever, or testicular swelling
- Have joint pain or a rash after exposure
How PulseCareMD can help
One PulseCareMD visit lets a licensed provider review your exposure, symptoms or results and plan testing and treatment for all three infections, including partner care. Your visit fee covers the consultation.
Share your situation
Answer private questions about symptoms, exposure and any results.
A provider reviews it
A licensed provider considers all three infections together. Many visits are reviewed within 2–3 hours.
Get one plan for all three
Testing guidance, treatment and partner advice in one visit.
Frequently asked questions
When to get emergency care
Go to the nearest emergency room if you have:
- Severe pelvic or abdominal pain with fever
- Sudden, severe testicular pain
- Fever with joint pain and a rash

