What does bacterial vaginitis leucorrhea look like

Under normal circumstances, the leucorrhea produced in the vagina is white, but if there is a bacterial infection, it will appear yellowish-brown, and when the leucorrhea is abnormal, it will have an odor. Therefore, if female friends find that the leucorrhea is abnormal, they need to undergo a gynecological examination in time. For bacterial vaginosis, the main manifestations of abnormal leucorrhea are changes in leucorrhea color and an increase in the amount of leucorrhea with an odor. It is recommended that you should deal with the cause of the disease in a timely manner.

diagnosis

1. Vaginal discharge is grayish white, sticky, paste-like, uniform and non-purulent.

2. The secretion has a high amine content and a fishy smell. During sexual intercourse or after activity, the release of amines is promoted, making the odor worse. Adding 10% potassium hydroxide to the secretion can release the amine smell.

3. The pH value in vaginal secretions increases to 5.0-5.5, while the normal pH value is 3.7-4.5.

4. Clue cells can be detected in smears of vaginal secretions.

complication

Common complications include gynecological cervicitis, pelvic inflammatory disease, and often Trichomonas vaginitis. Bacterial vaginosis during pregnancy can cause adverse perinatal outcomes, such as chorioamnionitis, amniotic fluid infection, premature rupture of membranes, premature birth, and endometrial infection after cesarean section or vaginal delivery.

1. Pelvic inflammatory disease The most commonly isolated bacterial flora in the reproductive tract secretions of women with pelvic inflammatory disease are consistent with those of BV, including Bacteroides, Streptococcus, and Gardnerella vaginalis.

2. Abnormal uterine bleeding and endometritis Abnormal uterine bleeding is caused by endometritis. Abnormal uterine bleeding is caused by the abnormal response of the infected endometrium to ovarian hormones or by direct destruction of the endometrium by infection or inflammation.

3. Gynecological postoperative infection Among women who undergo surgical termination of pregnancy, the incidence of pelvic inflammatory disease in women with pregnancy complicated by BV is 3.7 times that of women without BV.

4. Cervical cancer BV, cervical intraepithelial neoplasia and genital human papillomavirus infection have the same epidemiological relationship. The anaerobic metabolism of BV produces ammonia in vaginal secretions and carcinogenic nitrite.

5. HIV-infected BV patients may increase the risk of HIV transmission. When the pH is increased, HIV's ability to survive and adhere also increases, potentially making transmission easier.

6. Infertility and miscarriage The incidence of infertility due to fallopian tube factors is increased in BV patients. In assisted reproductive treatment, the embryo implantation rate is similar between BV patients and non-BV patients, but the early pregnancy miscarriage rate is higher in BV patients than in non-BV patients.

treat

1. General treatment

Keep the vulva clean and dry and avoid scratching. Do not eat spicy foods. Change your underwear frequently and wash it with warm water. Do not mix it with other clothes to avoid cross infection.

2. Medication

(1) Metronidazole is currently considered to have reliable therapeutic effects and should be taken twice a day for 7 consecutive days.

(2) Methicillin (clomiphene) is used for 3 days.

(3) Thiamphenicol (Thiamycin) is effective against a variety of Gram-negative and Gram-positive bacteria, and has a good therapeutic effect on anaerobic bacteria, so it can also be used.

(4) Cleansiacin and ampicillin can also be used. In recent years, it has been advocated that no treatment is needed for asymptomatic people.

3. Local therapy

Topical medications can be used for treatment, such as metronidazole suppositories, once a night for 7 consecutive days.

4. Treatment of comorbidities

If other pathogens are detected, use medications targeting those pathogens to avoid the abuse of antibiotics. Pay attention to the medication for systemic conditions, and provide support and immunotherapy at the same time, and pay attention to adverse drug reactions.

5. Partner therapy

Sex partners are treated at the same time.