What are the routine examination items for leucorrhea

Routine examination of leucorrhea is one of the important items in gynecological examination. It is clinically used to check whether women's leucorrhea is normal and to determine whether they have gynecological diseases such as vaginitis, cervicitis, uterine fibroids, etc. Recently, some female friends have consulted online, saying that their leucorrhea is not normal, so they want to go to the hospital for routine leucorrhea examination, so that they can feel at ease. But before doing so, they also want to clarify one thing, that is, what are the routine leucorrhea examination items? Let me give you a brief introduction below.

1. pH value. After puberty, due to the stimulation of ovarian sex hormones, the mucosal epithelial cells contain rich animal starch, which is decomposed by vaginal lactobacilli into lactic acid, making the vaginal secretions weakly acidic, which can prevent pathogenic bacteria from multiplying in the vagina. This is the self-cleaning function of the vagina. The pH value is often used to indicate the acidity and alkalinity in laboratory tests. The normal pH is 4.5. When suffering from trichomoniasis or bacterial vaginitis, the pH value of leucorrhea increases and may be greater than 5-6.

2. Vaginal cleanliness can be divided into 4 levels:

3. Fungus and Trichomonas: After the leucorrhea is processed, the presence of Trichomonas or fungi can be detected based on its morphology under a microscope. If Trichomonas or fungi are present, regardless of the number, they will be indicated by a "+". The "+" symbol only means that the woman is infected with Trichomonas or fungi, and does not indicate the severity of the infection.

4. Amine test: The leucorrhea of ​​patients with bacterial vaginosis may have a fishy odor, which is caused by the amines in the leucorrhea being volatilized after being alkalized with potassium hydroxide.

5. Clue cells: Clue cells refer to the many bacilli aggregated at the edge of the vaginal epithelial cells in patients with bacterial vaginosis. In the hanging drop smear, the edges of the vaginal epithelial cells are granular or stippled, making them unclear. These are clue cells. They 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.

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