How to check for abnormal vaginal discharge

The reason why leucorrhea has problems must not only look at the superficial phenomenon, but also know that the relationship behind the abnormal leucorrhea is complicated, and it is very likely that gynecological inflammation is secretly doing mischief, and the head and feet are temporarily exposed through abnormal leucorrhoea.Therefore, in order to accurately find out the real culprit of abnormal vaginal discharge and even gynecological inflammation, gynecological examination is indispensable.

1. Physical examination

The physical examination is performed sequentially from the outside to the inside, with the vulva, urethra, paraurethral glands, and Bartholin's glands examined first, followed by the vaginal speculum and cervix. Helpvaginitis、Cervicitisof the inspection.

2. Experimental examination

1. Vaginal pH value test: the normal pH value is about 4.5. The inside of the vagina is weakly acidic, which is the self-cleaning effect of the vagina and can prevent the multiplication of pathogenic bacteria. If you have trichomoniasis or bacterialvaginitis, the pH value rises, which can be greater than 5~6.

2. Vaginal cleanliness: I.~II. degree indicates that the female vagina is normal. Grade III.~IV is abnormal vaginal discharge, indicating inflammation of the vagina.

3. Microbial culture: after the leucorrhoea is treated, it can be found under the microscope whether there is trichomoniasis or mold, such as the presence of trichomoniasis or mold is represented by "+", if there is no infection, it is shown as "-". This symbol only indicates that you have been infected with trichomoniasis or mold, not the severity of the infection.

4. Amine experiment: first put a drop of 100% KOH solution on the slide, mix the leucorrhea with it, the leucorrhea of bacterial vaginosis can emit a fishy odor, while normal leucorrhea and Candida leucorrhea do not have this amine odor.

5. Clue cells: Many bacteria condense around the vaginal epithelial cells, making its edges blurred, which is the clue cells, which are the most sensitive and specific signs of bacterial vaginosis.

3. B-ultrasound examination

It is helpful to check whether the uterus, cervix, appendages, ovaries and other important reproductive organs are diseased through ultrasoundCervicitis、AdnexitisendometritisUterine fibroidsof the inspection.