What tests are needed for Bartholinitis?

What examinations are needed for Bartholinitis? The examination and diagnosis of Bartholinitis is of great reference significance for accurate treatment. Let us learn about the examination methods for Bartholinitis.

For women who have sexual experience, obstetricians and gynecologists will use internal examination, that is, ask the female patient to lie on the examination table, take off her underwear, and then put her feet on a special bracket. The doctor will then use the gloved index and middle fingers to gently insert into your vagina and touch the cervix. At the same time, the doctor will use the other hand to press the abdomen to check whether the uterus is enlarged, or whether the fallopian tubes and ovaries are enlarged or have tumors. This step is more suitable for people who have sexual experience. Doctors generally do not do this for those who have no sexual experience because they are worried about hurting the hymen.

Leucorrhea routine

Leucorrhea is a mixture of vaginal mucosal exudate, cervical canal and endometrial gland secretions, and its formation is related to the action of estrogen. The general leucorrhea routine test list has the following 6 test items:

1. pH value After puberty, due to the stimulation of ovarian sex hormones, the mucosal epithelial cells contain abundant animal starch, which is decomposed by vaginal lactobacilli into lactic acid, so that the vaginal secretions are weakly acidic, which can prevent pathogenic bacteria from multiplying in the vagina. This is the self-cleaning function of the vagina. The pH value is often used to indicate the acidity and alkalinity in laboratory tests. The normal pH is 4.5. When suffering from trichomonas or bacterial vaginitis, the pH value of leucorrhea increases and can be greater than 5-6.

2. Vaginal cleanliness can be divided into 4 levels:

Degree: A large number of vaginal epithelial cells and vaginal bacilli were seen under the microscope.

Degree: Under the microscope, vaginal epithelial cells, a small amount of white blood cells, some vaginal bacilli, and a small amount of miscellaneous bacteria or pus cells can be seen.

Degree: Under the microscope, there are a small amount of vaginal bacilli, a large number of pus cells and miscellaneous bacteria.

Degree: No vaginal bacilli were seen under the microscope, and except for a small amount of epithelial cells, there were mainly pus cells and miscellaneous bacteria.

Note: ～ degrees is normal, ～ degrees is abnormal leucorrhea, indicating vaginal inflammation.

3. Fungus and Trichomonas After the leucorrhea is processed, the presence of Trichomonas or fungi can be detected based on its morphology under a microscope. If Trichomonas or fungi are present, regardless of the number, they will be indicated by a "+". The "+" symbol only means that the woman is infected with Trichomonas or fungi, 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 volatilized after being alkalized by potassium hydroxide.

Bacterial culture test (BV test)

Take vaginal secretions for smear examination, the results will be available in 20 minutes, and the pathogenic bacteria of bacterial vaginitis can be detected. If there is no fungus or trichomonas, and the cleanliness is above 3 degrees, it needs to be tested.

Mycoplasma and Chlamydia Detection

Taking cervical mucus for testing can confirm non-gonococcal vaginitis caused by mycoplasma and chlamydia infection. If you have sex, especially if you have pain during intercourse, abdominal distension, have more than two sexual partners, have continuous medication that does not improve or recurs, or have cervical erosion, you need to be checked. Virgins are generally not infected and do not need to be checked. Most of the results on the spot are scams!

Antimicrobial susceptibility testing

If you are diagnosed with non-gonococcal vaginitis, this test is very important to choose the antibiotic that is suitable for you. Drug sensitivity test: S-sensitive M-intermediate-sensitive R-resistant

Bartholinitis is very harmful. It is caused by insufficient cleaning of the vulva by women. Women must pay attention to hygiene, especially washing the vulva frequently to reduce the chance of illness. If you are sick, you must treat it in time.