Bacterial vaginosis related examination methods

The detection method of bacterial vaginosis is worthy of attention. Bacterial vaginosis is a common gynecological disease. The occurrence of this disease has really brought a lot of torture to everyone and seriously endangered everyone's body and mind. In order to understand this disease as soon as possible and help everyone find a suitable treatment method, everyone needs to consult the advice of relevant experts correctly. Experts will develop a treatment method suitable for everyone.

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 trichomonas or bacterial vaginosis, 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.

Experts say that 30 to 50 degrees is normal, and 50 to 50 degrees is abnormal vaginal discharge, indicating bacterial vaginosis.

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 is no fungus or trichomonas, and the cleanliness is above 3 degrees, it needs to be tested.

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 if you have pain during intercourse, abdominal distension, have more than two sexual partners, have persistent 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 results on the spot are deceptive!

Everyone must pay attention to the detection methods of bacterial vaginosis, because the occurrence of bacterial vaginosis really brings considerable harm to everyone, seriously damaging everyone's careful health and physical health. In order to effectively reduce the occurrence of disease hazards, everyone needs to correctly understand the treatment methods of the disease, because correct treatment of the disease can maximize the guarantee of everyone's health.