Diagnosis of vaginitis requires a medical examination and pathogen testing

Diagnosis of vaginitis includes two aspects: determining whether the subject has vaginitis and identifying the pathogenic bacteria of vaginitis. Diagnosis is mainly carried out through the following examinations.

1. Internal medicine consultation

The examinee lies flat on her back, takes off her underwear, and straddles her feet on a specific stand. The doctor gently inserts the gloved index and middle fingers into the examinee's vagina to touch the cervix, and uses the other hand to press the abdomen to find out whether the uterus is enlarged or the fallopian tubes and ovaries are enlarged. This is a primary routine examination item for vaginitis. It should be noted that this examination item is suitable for women with sexual experience. For women without sexual experience, it should be used with caution because digital examination may damage the hymen.

2. Pathogen detection

(1) Bacterial culture test: Take the subject's vaginal secretions for smear examination to determine the pathogenic bacteria of bacterial vaginitis. If the subject is free of fungal or Trichomonas infection and the vaginal cleanliness is above 3 degrees, this test must be performed.

(2) Mycoplasma and Chlamydia testing: The cervical mucus of the examinee is taken for smear examination, which can clearly diagnose non-gonococcal vaginitis caused by mycoplasma and chlamydia. Five categories of women need to undergo this examination, namely women who experience pain during sexual intercourse; women who have a feeling of heaviness in the lower abdomen; women who have more than two sexual partners; women who have no obvious effect on continuous anti-inflammatory treatment or whose condition recurs; and women with cervical erosion.