How to read the results of routine leucorrhea examination

Routine examination of leucorrhea is an important item for detecting gynecological diseases in women. Leucorrhea is a common physiological characteristic of women. It is mainly a sticky white liquid flowing out of the female vagina. Once the leucorrhea is abnormal, a routine examination of leucorrhea is required. It can determine whether there are gynecological diseases such as vaginitis. However, the results of routine examination of leucorrhea are more professional. How to read it?

Routine examination of vaginal discharge is the most commonly used gynecological examination. It is a very simple and effective method to examine vaginal secretions by taking a small amount of vaginal discharge to test vaginal pH, vaginal cleanliness, vaginal red blood cells, white blood cells and epithelial cell components, vaginal microorganisms (bacilli, fungi, Trichomonas), etc., to determine whether a woman has abnormal vaginal discharge. The normal pH value of the vagina is 4.5. When suffering from trichomoniasis or bacterial vaginitis, the pH value of leucorrhea rises and can be greater than 5-6. The vaginal cleanliness is divided into grades I to IV, with I to II being normal and III to IV being abnormal. Fungi and trichomonas are represented by "+", and "+" means that the vagina is infected with trichomonas or fungi. Red and white blood cells are normally negative, and positive indicates bleeding or inflammatory infection.

Routine examination of leucorrhea usually includes examination of the acidity and alkalinity of leucorrhea, vaginal cleanliness, fungi and trichomonas, amine test, clue cells, etc.

Acidity and alkalinity of leucorrhea: expressed by pH value. The normal pH value of leucorrhea is below 4.5, which is consistent with the microenvironment of the vagina. When suffering from trichomoniasis or bacterial vaginitis, the pH value of leucorrhea generally increases and can be greater than 5-6.

Another is the cleanliness of the vagina: it is usually divided into four degrees. Grades Ⅰ to Ⅱ are normal, while grades Ⅲ to Ⅳ are abnormal leucorrhea, indicating possible diseases such as vaginal inflammation.

In addition, there are Trichomonas and fungi: under a microscope, the presence of Trichomonas or fungi can be determined based on the shape of the contents of leucorrhea.

Amine test: also known as the amine odor test. If the patient's leucorrhea amine test is positive, it means that the patient is very likely to have bacterial vaginitis, but if it is not positive, it cannot be completely ruled out.

Clue cells: The clue cell test of normal leucorrhea is negative. If a smear is made from the patient's leucorrhea and the edges of the vaginal epithelial cells are seen to be granular or stippled under a microscope, they are called clue cells. The most common cause of this condition is bacterial vaginosis.

Another situation is called vaginal microecology: a normal number of lactobacilli keeps the vaginal microecology balanced.