What are the methods for testing for bacterial vaginosis?

With the development of society, people's work pressure has also increased. The number of women suffering from bacterial vaginosis has increased compared with the past. This is caused by fungal infection, so the treatment is carried out by sterilization and anti-inflammatory methods. However, some people who suffer from this disease do not know how to conduct reasonable examinations, thus delaying the treatment. So, what examinations should be done when encountering bacterial vaginosis?

1. Gynecological examination:

1. Genital examination

2. Bimanual examination (vaginal and abdominal joint examination): The items that need to be examined generally include the vagina, cervix, uterus and appendages.

3. Triple examination (vaginal, rectal and abdominal examination)

Mycoplasma and Chlamydia testing: Cervical mucus testing can confirm non-gonococcal vaginitis caused by mycoplasma and Chlamydia. If you have sex, especially if you have pain during sex, abdominal distension, have more than two sexual partners, have continued medication and the condition does not improve or recurs repeatedly, or have cervical erosion, you need to be checked.

2. Routine examination of leucorrhea:

1. Vaginal pH (normal pH is 4.5)

2. Vaginal cleanliness can be divided into 4 levels (I to II are normal, III to IV are abnormal leucorrhea, indicating vaginal inflammation)

3. Check for Trichomonas or fungi. If Trichomonas or fungi are present, regardless of the quantity, they will be indicated by a "+". The "+" symbol only means that the woman is infected with Trichomonas vaginitis or candidal vaginitis, and does not indicate the severity of the infection.

4. Amine test: The leucorrhea of ​​patients with bacterial vaginosis may have a fishy odor, which is caused by the amines in the leucorrhea being alkalized by potassium hydroxide and then volatilized.

5. Clue cells: Clue cells refer to the many bacilli aggregated at the edge of the vaginal epithelial cells in patients with bacterial vaginosis. In the hanging drop smear, the edges of the vaginal epithelial cells are granular or stippled, making them unclear, which are clue cells. It is an extremely sensitive and specific sign of bacterial vaginosis. Clinicians can make a diagnosis of bacterial vaginosis based on a positive amine test and the presence of clue cells.