<s>[INST] hi iam 73 yrs old i have ichiy pinus on my head ican not have sex with my wife when i have it it gets to ichy i get up from bed 3/4 times to the badroom i read on the comptuor i might havetrichomoniasis it say to get from my doctor tinidazole what do u say is that 4 me i realy dont have a doctor [/INST] Hello I can understand your concernLooking at your history this could be related to STI or UTI in my opinion you should consult your GP doctor for examination and a battery of tests like blood for hemoglobin CBC liver and thyroid function test, urine for culture and sensitivity test you may require a course of antibiotics depending upon the clinical findings and lab report shave plenty of fluids maintain good hygiene multivitamins supplements Hope. This help please fell free to ask for. More clarification I will happily answer you I am Chat Doctor best wishes </s>