<prompt> Strawberry vagina is seen in :Candida albicansH. vaginalisSyphilisTrichomonas vaginalis  <response>: Trichomonas vaginalis Trichomonas vaginalis is : A sexually transmitted disease STD and most common vaginal infectiondeg. Caused by flagellated parasitedeg Trichomonas Vaginalisdeg. Raised pH 5.5 - 6.5 at the time of menstruation ors its ingress into the vagina.deg Can occur in pregnancy. It is associated with gonococcal infection.deg Diagnosis : Profuse frothydeg, thin, creamy or slightly greendeg in colour, malodorous discharge is characteristic of trichomonas infection. pH 5deg Patients complain of pruritisdeg and urinary symptoms like dysuria, increased urinary frequency. 0E : Multiple small punctate strawberry spots are seen on vaginal walls and poio vaginalis of cervix called as is Strawberry Vaginadeg or Colpitis Macularis Angry looking vaginadeg. Lab diagnosis is by wet mountdeg : - Motile trichomonads are diagnostic.deg - TLC DLC show increased leucocytes in bacterial vaainosis leucocytes are decreased .11gtiold standard for diagnosis.deg Treatment : - Drug of choice : Metronidazoledeg 2g orally single dose or 500mg twice daily for 7 days or single dose i.e., 1 gm metronidazole orally. - Sexual paner should be treated simultaneously.deg - Alternative drugs are Tinidazole Ornidazole Poly oxyethylene suppository. - In pregnancy metronidazole shouldiaaavoided during 15 trimester.deg - Vinegar douche, Trichofuran suppository and betadine gel can be used in pregnancy.deg 