What are the routine examination items for leucorrhea

It generally includes five items: testing the pH value in the vagina, checking the cleanliness of leucorrhea with test reagents, checking whether there are trichomonas or fungi in the secretions under a high-power microscope, amine test (usually for smelly secretions), and vaginal examination of squamous epithelial cells to cooperate with the bacteria in the vaginal examination. Use these five tests to help diagnose women's reproductive problems. If any of these five items fails, you need to be careful. You should pay attention to your lifestyle on a daily basis and it is best to receive treatment under the advice of a doctor.

The secretion is a transparent and sticky liquid that flows out of the vagina of women. It is a mixture of secretions from the Bartholin's glands, cervical ducts, uterine walls, leaked fluid from the vaginal mucosa, and fallen squamous epithelial cells in the vagina. Women's normal leucorrhea is milky white, flocculent, highly viscous, does not adhere to the vaginal wall, and is mostly accumulated in the posterior fornix of the vagina, without any fishy odor.

Routine examination of leucorrhea is a common gynecological examination. The main examination contents include vaginal pH, leucorrhea cleanliness, vaginal microbial species, etc. It is used to determine whether a woman has abnormal leucorrhea. It is an examination related to women's physical health.

Routine examination of leucorrhea Examination contents

1. Vaginal pH

The normal vaginal pH value is 4-4.5, which is acidic and can prevent pathogens from multiplying in the female vagina.

2. Leucorrhea cleanliness

The cleanliness of leucorrhea can be divided into 4 levels: Level I: Many squamous epithelial cells and vaginal bacilli can be seen under a microscope. Grade II: Microscopically, there are squamous epithelial cells in the vagina, a small white blood cell count, some vaginal bacilli, and a small amount of fungi or pus balls. Grade III: A small amount of vaginal bacilli, many pus balls and fungi are seen under the microscope. Grade IV: No vaginal bacilli are seen under the microscope, and except for a small amount of squamous epithelial cells, the main bacteria are pus balls and fungi. Grades I to II are normal, while grades III to IV indicate abnormal secretions, indicating vaginal inflammation.

3. Vaginal microbial species

Everything is normal: None. Generally, bacteria, Trichomonas, Chlamydia and other items will appear. If they are present, they will be marked as “ ” (positive) on the result, and if not, they will be marked as “-” (negative).

4. Amine test is also known as amine odor test

It is a way to diagnose the symptoms of bacterial vaginitis. Suffering from bacterial gynecological inflammation, the secretions may have a fishy odor, because the amines produced by Pseudomonas aeruginosa release nitrogen dioxide when they meet ferric chloride solution.

5. Gardnerella

It is the most sensitive and specific clinical symptom of bacterial vaginitis. The diagnosis of bacterial vaginitis can be made based on a positive amine test and the presence of Gardnerella.