Clinical examination of bacterial vaginosis

Women need to pay attention to some conditioning methods for private parts and take reasonable care of their bodies to avoid causing more impacts. Many women will experience increased menstrual flow, and it will also cause abdominal pain and increased leucorrhea. Then, you should be alert to some common diseases. What are the common diagnosis methods for bacterial vaginosis?

1. Internal examination

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.

2. 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 or 5. When suffering from trichomoniasis or bacterial vaginosis, the pH value of leucorrhea increases and can be greater than 5 to 6.

2. Vaginal cleanliness: can be divided into 4 levels:

Grade I: A large number of vaginal epithelial cells and vaginal bacilli are seen under the microscope.

Grade II: Vaginal epithelial cells, a small amount of white blood cells, some vaginal bacilli, and a small amount of miscellaneous bacteria or pus cells are seen under the microscope.

Grade III: A small amount of vaginal bacilli, a large number of pus cells and miscellaneous bacteria are seen under the microscope.

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.

Experts say that degrees I to II are normal, while degrees III to IV are abnormal leucorrhea, indicating vaginal inflammation.

3. Fungi 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, they will be indicated by "" regardless of their quantity. The symbol "" only indicates 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 examination, the results will be available in 20 minutes, and the pathogenic bacteria of bacterial vaginosis can be detected. If there are no molds or trichomonas, and the cleanliness is above 3 degrees, it needs to be tested.

4. 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. Experts remind that most of the results on the spot are deceptive!

5. Drug sensitivity test

If it is confirmed as non-gonococcal vaginitis, this experiment is very important to choose the antibiotic that is suitable for you, drug sensitivity test: S-sensitive, M-intermediate-sensitive, R-resistant.

I hope everyone pays attention to these diagnostic methods. And pay attention to conditioning methods to avoid increasing leucorrhea, and pay attention to regular examinations, effectively regulate the body, and choose professional treatment plans. In order to avoid causing more impact, everyone needs to pay attention to their own life matters and pay attention to a reasonable diet.