Tips for routine examination of bacterial vaginosis

Gynecological diseases have always been a threat to women's health. However, among the many gynecological diseases, bacterial vaginosis is the most serious disease. The occurrence of bacterial vaginosis seriously affects the work and life of female friends. Therefore, we must not ignore the harm caused by bacterial vaginosis to everyone, and we must actively check and treat it. Here I will introduce to you the examination items of bacterial vaginosis:

1. Gynecological palpation

1. Intravaginal examination: This is limited to women with sexual experience. The doctor gently inserts his gloved index and middle fingers into your vagina and touches the cervix. At the same time, he uses the other hand to press the abdomen to check whether the uterus is enlarged, or whether the fallopian tubes or ovaries are enlarged or have tumors.

2. Rectal and abdominal bimanual examination: Use the left middle finger and index finger to separate the labia majora on both sides, and use the right index finger to insert the small finger into the anus and abdomen. If it is difficult for a child to insert the index finger, the little finger can be inserted into the anus and abdomen. The other hand can cooperate with each other to feel whether there is any foreign body in the vagina, the size of the uterus and the condition of the pelvic cavity. Rectal examination can also help to collect vaginal secretions. The method is to use the rectal finger to press the posterior wall of the vagina forward, and use the other hand to hold a sterilized glass tube to squeeze the rectum and suck the vaginal secretions.

2. Leucorrhea Routine

1. pH value: pH value is often used to indicate acidity and alkalinity in laboratory tests. The normal pH is 4.5. When suffering from trichomoniasis or bacterial vaginosis, the pH value of leucorrhea increases and may be greater than 5-6.

2. Vaginal cleanliness: Grade III: A small amount of vaginal bacilli are seen under the microscope, with a large amount of pus cells and miscellaneous bacteria. Grade IV: No vaginal bacilli are seen under the microscope, and except for a small amount of epithelial cells, there are mainly pus cells and miscellaneous bacteria. Grades III to IV are abnormal leucorrhea, indicating bacterial vaginosis. Grades I to II are normal.

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 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. These are clue cells. They are the most 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.

3. Bacterial culture test BV test: Take vaginal secretions for smear test, the result will be available in 20 minutes, and the pathogenic bacteria of bacterial vaginosis can be detected. If there is no mold or trichomonas, and the cleanliness is above 3 degrees, it needs to be tested. If it is necessary to determine the type, fermentation test and assimilation test must be carried out, and the colony morphology characteristics must be identified.

4. Mycoplasma and Chlamydia Detection: Cervical mucus testing can confirm non-gonococcal bacterial vaginosis caused by mycoplasma and Chlamydia infection. If you have sex, especially those who have pain during intercourse, lower abdominal distension, have more than two sexual partners, those who have not improved with continuous medication or have recurrent episodes, and those with cervical erosion, you need to be checked.

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

The above article is the examination items for bacterial vaginosis that I will introduce to you today. Through the detailed introduction of the above content, you should have some understanding of the examination items for bacterial vaginosis. In daily life, you must establish good living habits and avoid unclean sexual intercourse. If you feel uncomfortable, go to a regular hospital for examination and treatment in time. I hope my reply can help you.