Mrs M visited the local health centre with a three-week history of unusual vaginal discharge. She described the discharge as thick, yellowish, and foul-smelling. The discharge was accompanied by itching, burning during urination, and discomfort during intercourse. Mrs M also reported a mild, intermittent lower abdominal pain. Initially, she did not seek medical attention, hoping the symptoms would resolve on their own.

Mrs M has had no significant medical history apart from routine pregnancies and deliveries. She had no prior history of sexually transmitted infections (STIs) and had not been treated for similar symptoms in the past.

Mrs M lives with her husband and children in a rural community with limited access to healthcare. Her husband works as a small-scale farmer, and the family’s income is modest. Although she is educated, Mrs M faces societal pressure that discourages open discussions about sexual health. Mrs M and her husband do not consistently use contraception. Her husband occasionally travels for work, and she is concerned about the possibility of him having other sexual partners.

Mrs M revealed that her symptoms began shortly after her husband returned from a trip to a neighbouring town. She was hesitant to seek medical care due to the stigma associated with vaginal issues and concerns about her husband's reaction if an STI was diagnosed. After her symptoms worsened, she confided in a female relative, who advised her to seek medical help.

Mrs M appeared well but was visibly anxious. She had no fever (temperature 36.8°C), and her vital signs were within normal limits.

Examination revealed erythema and excoriation of the vulva, with thick, yellowish discharge present in the vaginal canal. The cervix appeared inflamed, but there were no obvious lesions. There was mild tenderness on palpation of the lower abdomen.

- Vaginal Swab: Positive for *Trichomonas vaginalis on microscopy.

- Urine Test: No signs of urinary tract infection.

- HIV Test: Negative.

- Pap Smear: No evidence of cervical dysplasia or malignancy.

- Trichomoniasis

- Vulvovaginitis

Mrs M was prescribed metronidazole to treat the trichomoniasis and advised to abstain from sexual intercourse until she and her husband had both completed treatments. She was also given counselling on sexual health, the importance of partner treatment, and consistent condom use to prevent future infections. Follow-up was scheduled for two weeks later to assess treatment efficacy and provide further support.

At the follow-up visit, Mrs M reported significant improvement in her symptoms, with the discharge and itching resolved. She also shared that her husband had completed his course of treatment, and they were considering using condoms regularly to prevent future infections. Mrs M expressed relief at being able to address her health concerns and committed to more open communication with her husband regarding sexual health.