How to check for vaginitis

Vaginal itching, increased leucorrhea, and yellowing are all symptoms of vaginitis, but does it mean that having these symptoms means that a woman has vaginitis? Experts remind us that this cannot be so arbitrary. Women need to know whether they have vaginitis and what type of vaginitis they have. This can only be confirmed after a series of examination steps by experts. The following are the examination steps and items for vaginitis.

1) Internal examination

For women who have had 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 center of 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 procedure is more suitable for people who have had sexual experience. Doctors generally do not do this for those who have not had sexual experience because they are worried about injuring the hymen.

2) Leucorrhea Routine

Leucorrhea is a mixture of vaginal mucosal exudate, cervical canal and endometrial gland secretions, and its composition is related to the action of estrogen. The routine laboratory test for ordinary leucorrhea has the following 5 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 converted into lactic acid after being synthesized by vaginal lactobacilli, making the vaginal secretions slightly 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 in laboratory tests to indicate the acidity and alkalinity. The normal pH value 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, local 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. 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, regardless of the number, they will be indicated by "+". The "+" symbol only indicates that the woman is infected with Trichomonas or fungi, and does not indicate the severity of the infection.

4. Amine experiment: The leucorrhea of ​​patients with bacterial vaginosis may have a fishy smell, 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 presence of many bacilli condensed 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 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.

What tests are needed to determine whether it is vaginitis? 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 vaginitis can be detected. If there is no fungus or trichomonas, and the cleanliness is above 3 degrees, it is necessary to test.

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. Most of the results on the spot are fraudulent!

5) Drug sensitivity test

If it is confirmed to be non-gonococcal vaginitis, this test is very important to choose the right antibiotic for you. Drug sensitivity test: s-sensitive, m-intermediate-sensitive, r-resistant.