Leucorrhea cleanliness 5

Leucorrhea has a great impact on women's physical health, because the production of leucorrhea is closely related to the health of female reproductive organs. The white color under normal circumstances is milky white, odorless, and not much in quantity. The presence of disease can cause an increase in the amount of vaginal discharge and obvious changes in color and odor. Therefore, in medicine, the health of leucorrhea is divided according to its cleanliness. Let’s take a look at what is going on with leucorrhea cleanliness level 5?

Considering that it is a case of Trichomonas vaginitis, metronidazole can be used for the initial treatment. If systemic medication cannot be tolerated, local medication can be used. Metronidazole effervescent tablets can be placed vaginally and the sexual partner can be treated at the same time. Sexual intercourse is prohibited during treatment.

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.

Microbiological examination

(A) Protozoa The main protozoa that cause vaginal infection are Trichomonas vaginalis, which can cause trichomoniasis. The patient has burning pain and itching in the vulva, and the vaginal discharge is purulent or foamy. When the discharge is observed under a low-power microscope using the saline hanging drop method, the worm body can be seen moving in a wavy or spiral shape, pushing the surrounding white blood cells or epithelial cells. Under a high-power microscope, the body of the worm can be seen to be 8-45um in size, with a wide neck and an inverted pear-shaped tail tip. It is 2-3 times the size of a white blood cell. There are four anterior flagella at the neck end of the worm body, one posterior flagellum at the rear end, and a motor membrane on the side of the body for movement. At this time, the cleanliness of vaginal secretions is level III or IV. The suitable temperature for the growth and reproduction of Trichomonas vaginalis is 25-42 degrees Celsius, so attention should be paid to keeping warm during the inspection so that the activity of Trichomonas vaginalis can be observed. The detection of Trichomonas in vaginal secretions is the basis for the diagnosis of Trichomonas vaginitis. When amebic trophozoites are seen in vaginal secretions, it indicates amebic vaginitis.

(ii) Fungi Vaginal fungi sometimes exist in the vagina without causing any harm, but they are more likely to develop when the vagina's resistance is reduced. The diagnosis of fungal vaginitis is based on the presence of fungi. Vaginal fungi are mostly white Candida, and vaginal cilia and actinomycetes are occasionally seen.