How to do a health check on female vaginal discharge?

Now with the increasing pressure of life, many female friends have become strong women, because now many of them are forced to work to make a living. It may be because of the high pressure of work and the lack of attention to their health. This will increase the chance of women getting gynecological inflammation. So what kind of examinations should be done on women's vaginal secretions?

The examination is carried out from outside to inside. First, the vulva, urethra, paraurethral glands and Bartholin's glands are inspected visually, and then the vaginal wall and cervix are observed through a vaginal speculum.

1. Visual examination of the vulva

See helps to identify vaginitis. Erythema and small collar fissures around the vulva and anus may be caused by candidiasis, and vulvar edema may be caused by trichomoniasis. The vulva of patients with Trichomonas vaginitis or cervicitis is often contaminated with a large amount of purulent vaginal discharge, while in bacterial vaginosis, only accumulated vaginal discharge is seen at the vaginal opening.

2. Appearance of vaginal discharge

Various pathological vaginal discharges have different specific characteristics that can provide diagnostic clues.

⒈ Physiological leucorrhea has the following characteristics: homogeneity, flocculence, high efficacy and accumulation in the sagging part of the vagina.

⒉ Bacterial vaginal clear discharge is gray, homogeneous, and has low timbre. It is often evenly attached to the surface of the vaginal mucosa on the anterior or lateral wall of the vagina. It is easy to wipe off and there is no obvious change in the vaginal mucosa.

⒊ The leucorrhea caused by Trichomonas vaginitis is yellow or even yellow-green, obviously purulent, and often foamy.

⒋ The leucorrhea of ​​candidiasis is white, highly thick, and cheesy or tofu-like, attached to the vaginal wall. Sometimes it resembles white thrush-like patches. There may also be very little leucorrhea or it may be similar to normal leucorrhea, but the vaginal wall appears as white spots.

3. Cervical secretions

The cervix has a clear fluid-like discharge before ovulation, which becomes thicker during the luteal phase.

⒈ Cervicitis: If there is purulent cervical discharge at any stage of the menstrual cycle, the possibility of cervicitis should be considered. During the examination, the vaginal discharge outside the cervical opening should be wiped clean, and cervicitis can be diagnosed if there is purulent discharge in the endocervical canal lining. At this time, the columnar surface of the endocervical lining becomes erythematous and more brittle, and wiping with a cotton swab often causes bleeding.

⒉ Chlamydial cervicitis In chlamydial cervicitis, the columnar epithelium often hypertrophies and protrudes from the squamous epithelium.

⒊ Malaria-related viral cervicitis often causes ulcerative or necrotic lesions in the columnar epithelium.

⒋ Gonorrheal cervicitis causes yellow, thick fluid or plugging in the cervical canal, which overflows into the vagina and causes vaginitis. It squeezes the urethra, paraurethral glands or Bartholin's glands, often causing purulent discharge.

Above we have introduced some examinations that need to be done on female vaginal secretions. If vulvar itching or abnormal leucorrhea occurs, the above methods should be used for examination. These methods can effectively check what the problem is, so that the problem can be discovered early and then treated to avoid more serious complications.