Secretion cleanliness 3

The index of vaginal secretion cleanliness is the key to whether the vagina is normal. Generally, the pH value of vaginal secretion cleanliness is 3, which is slightly acidic, and the normal pH value is around 4. As long as we perform vaginal care, it can be alleviated. Under physiological conditions, there are some bacteria in vaginal secretions. These bacteria are the main reason why the secretions are acidic and also determine the degree of vaginal infection.

Vaginal cleanliness is determined by examining vaginal secretion wet mounts and stained smears under a microscope to observe the cleanliness and the presence of special bacteria and cells. This can confirm the cleanliness of the vagina, determine whether the vagina is inflamed, and further diagnose the cause of the inflammation. The pH test paper shows that the acidity is unhealthy and the alkalinity is normal. Under physiological conditions, the female reproductive system has a natural protective function because of the presence of vaginal lactobacilli in the vagina, which can maintain the vagina in an acidic environment. Therefore, it is more suitable to use a feminine care solution with Ph4 weak acid formula for daily cleaning of private parts.

The criteria for determining vaginal cleanliness are annotated as follows:

Under the microscope of degree I, vaginal bacilli are the main bacteria, and a large number of epithelial cells can be seen;

Grade II has some vaginal bacilli, epithelial cells, some pus cells and miscellaneous bacteria;

Grade III: only a small amount of vaginal bacilli and epithelial cells are seen, but there are a large number of pus cells and other bacteria;

There are no vaginal bacilli under the IV degree microscope, and it is almost entirely pus cells and a large number of miscellaneous bacteria.

Cleanliness levels I to II are normal, while levels III to IV are abnormal. Most of the time, it is likely to be vaginitis. At the same time, pathogens such as bacteria, fungi or Trichomonas can often be found. When the ovaries are insufficient and estrogen levels are reduced, the vaginal epithelium proliferates poorly, glycogen decreases, and there are fewer vaginal bacteria, making it easy to be infected by miscellaneous bacteria, which can also deteriorate the cleanliness of the vagina.

Inspection requirements

Before testing: the slides should be clean and the NS should be fresh;

During the inspection: the smear should be uniform and the observation standard;

After the test: the degree of consistency with the clinical disease.

Inspection and evaluation

Commonly used, simple and easy to use, but with low positive rate, poor repeatability, and easy to miss

Clinical significance

Examination of vaginal secretions can determine whether the vagina is inflamed and can further diagnose the cause of the inflammation. When the cleanliness reaches level III or IV, in most cases it can be diagnosed as vaginal inflammation, such as bacterial vaginitis, Trichomonas vaginitis, candidal vaginitis, etc., providing a direct basis for the treatment of inflammation. Simple increased uncleanliness is often seen in nonspecific vaginitis.

If vaginal Trichomonas is found during the examination, it can be diagnosed as Trichomonas vaginitis or Trichomonas infection. When vaginal fungi are found, it can be used as a basis for the diagnosis of candidal vaginitis. In addition, vaginal smears can be examined with special stains to detect gonococci, Staphylococci, Escherichia coli, Streptococci, Bacillus subtilis, diphtheroids, etc., providing a basis for diagnosing related diseases.