What is secretion cleanliness?

What is secretion cleanliness? Secretion cleanliness is the level of cleanliness of female vaginal secretions. What kind of indicators can explain women's physiological health? The cleanliness of secretions is divided into different levels, and different levels reflect different problems. Which level of secretion cleanliness is normal? The following will introduce the specific levels of secretion cleanliness.

Under physiological conditions, the female reproductive system has a natural protective function, namely self-purification. The cleanliness test of vaginal secretions is to take a smear of vaginal secretions and observe the epithelial cells, vaginal bacilli, white blood cells and other bacteria in it under a microscope to divide the cleanliness. It can be used as an indicator to judge vaginal inflammation and ovarian secretion function during the reproductive period.

Grading of vaginal discharge cleanliness.

Grade I: pH is 4.0-4.5, epithelial cells fill the entire field of view, white blood cells are 0-5/high-power field of view, there are many lactobacilli, and no cocci.

Grade II: pH is 4.0-4.5, epithelial cells are 1/2 field of view, white blood cells are 5-15/high-power field of view, there are few lactobacilli and cocci.

Grade III: pH is 5.0-6.0, with few epithelial cells, 15-30 white blood cells/high-power field, few lactobacilli and many cocci.

Grade IV: pH is 6.0-7.2, epithelial cells are 0 (none), white blood cells are >30/high-power field, lactobacilli are absent, and cocci are abundant.

Cleanliness inspection

Add physiological saline to vaginal secretions to make a smear, and examine it under a high-power microscope. The cleanliness level is mainly determined by the number of white blood cells, epithelial cells, vaginal bacilli and miscellaneous bacteria, as shown above. When ovarian function is insufficient, estrogen is reduced, and vaginal epithelial hyperplasia is poor, a decrease in vaginal bacilli can be seen, making it more susceptible to infection by miscellaneous bacteria. If the cleanliness is poor and no pathogenic microorganisms are found, it is nonspecific pyelitis. When the cleanliness level is III to IV, pathogenic microorganisms can often be found at the same time, indicating the presence of vaginitis caused by infection.

General characteristics examination shows that normal vaginal discharge is white, thin and paste-like, generally odorless. The amount is related to the level of estrogen and the congestion of the reproductive organs. Near ovulation, the amount of leucorrhea is large, clear, transparent, and thin like egg white. 2-3 days after ovulation, the leucorrhea becomes turbid and sticky, with a small amount, and the amount increases again before menstruation. The amount of leucorrhea during pregnancy is more.

Abnormal leucorrhea may manifest as changes in color, quality, and quantity:

1. Large amounts of unencapsulated transparent, sticky leucorrhea are common after the use of estrogen drugs and in ovarian granulosa cell tumors.

2. Purulent leucorrhea: yellow or yellow-green with a foul odor, mostly caused by Trichomonas or purulent bacterial infection; foamy purulent leucorrhea is common in Trichomonas vaginitis; other purulent leucorrhea are seen in chronic cervicitis, senile vaginitis, endometritis, uterine pyometra, vaginal foreign bodies, etc.

3. Tofu-like leucorrhea: It is tofu-like or curd-like small pieces, which is unique to Candida vaginitis and is often accompanied by vulvar itching

4. Bloody leucorrhea: mixed with blood, the amount of blood is uncertain, and it has a special odor. This type of leucorrhea should alert you to the possibility of malignant tumors, such as cervical cancer, uterine body cancer, etc. Sometimes blood can be seen in the leucorrhea due to side effects caused by certain cervical polyps, submucous uterine fibroids, senile vaginitis, severe chronic cervicitis and intrauterine contraceptive devices.

5. Yellow watery leucorrhea: caused by degeneration and necrosis of diseased tissue. It often occurs in submucosal uterine fibroids, cervical cancer, uterine body cancer, fallopian tube cancer, etc.

The cleanliness of secretions is something that female friends need to care about and understand. Many friends have a vague concept of the cleanliness of secretions, so they don’t know much about their own health. The above content has been introduced to everyone, and I hope it can bring some help to everyone’s health.