How to check leucorrhea during pregnancy

Although there is no menstruation after pregnancy, the belly starts to grow bigger day by day, and even leucorrhea is secreted from the vagina from time to time. Although there is no menstruation, the leucorrhea can also make people very anxious, because the lower body is wet when the leucorrhea is secreted, and during pregnancy, you can't wash casually or squat, so you can only let the leucorrhea invade our body. How can pregnant women do routine leucorrhea checks?

Normal value

Vaginal pH: Normal vaginal pH is between 4 and 4.5. Vaginal cleanliness levels I-II are normal. Microbiological examination was negative. Amine test was negative. Clue cell examination was negative.

Clinical significance

Abnormal results: Vaginal pH: The normal vaginal pH is between 4 and 4.5, which is weakly acidic and can prevent pathogenic bacteria from multiplying in the vagina. The pH of candidal vaginitis can be within this range. When suffering from trichomoniasis or bacterial vaginitis, the pH of leucorrhea increases and can be greater than 5-6.

Vaginal cleanliness: It is generally divided into four degrees. Generally, degrees I and II are normal, while degrees III and IV indicate vaginitis, that is, a large number of white blood cells or bacteria can be seen in the secretion picture. Microbiological examination: generally there will be items such as fungi, Trichomonas, and Neisseria gonorrhoeae. If there are any, the result will be indicated as "+".

Amine test: The leucorrhea of ​​patients with bacterial vaginosis may have a fishy odor, which is caused by the amines present in the leucorrhea being volatilized after being alkalized with potassium hydroxide. Clue cells: Clue cells are the most sensitive and specific sign of bacterial vaginosis. Clinicians can make a diagnosis of bacterial vaginosis based on a positive amine test and the presence of clue cells. People who need to be checked: women with colorless paste-like leucorrhea, bean curd-like leucorrhea, foamy leucorrhea, purulent leucorrhea, and watery leucorrhea.

Precautions

Unsuitable group: women during menstruation.

Pre-examination taboos:

First, gynecological examinations should be conducted away from the menstrual period, and it is best to choose the period between the end of menstruation and before ovulation to undergo a gynecological examination. Second, do not have sex the night before a routine gynecological examination, because the man’s semen and the spermicide on the condom may appear in the test sample the next day and interfere with the doctor’s judgment.

Third, do not use any vaginal medications the night before a gynecological examination. Any medications for treating vaginal infections or lubricants will affect the test samples, cover abnormal cells, and affect the test results. The leucorrhea sample should be sent for examination immediately after being collected by the gynecologist without delay.

Fourth, you should take a shower the night before the examination. You should not wash the inside of the vagina within 24 hours before the examination, because this will wash away abnormal secretions and some potential cancer cells that may be detected through biopsy, affecting the doctor's correct diagnosis.

Requirements during the examination: Relax during the examination. The examination may cause physical and mental burden, so you should face it positively and actively cooperate with the examination. On the day of the gynecological examination, wear clothes that are convenient for the examination. A skirt of moderate length is a better choice.