How to check abnormal leucorrhea and what is the order of examination?

Abnormal leucorrhea is a common disease among women. Such a disease has serious harm to women's health. If women do not actively cooperate with the treatment, it will induce other diseases in the female body. Therefore, women should pay attention to abnormal leucorrhea, which will be helpful to their health. So what is the order of leucorrhea examination? Many people don't know much about it.

The order of checking leucorrhea must also be followed as stipulated. The following is a detailed introduction so that women will know what to do when checking leucorrhea, and it will not cause any harm to their health.

The order of leucorrhea inspection:

(A) Visual examination of the vulva can help identify vaginitis.

Erythema and small collar fissures around the vulva and anus may be caused by candidiasis; 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 bacterial vaginosis only sees accumulated vaginal discharge at the vaginal opening.

(ii) Observe the appearance of vaginal discharge.

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

1. Physiological leucorrhea: It has the characteristics of white color, homogeneity, flocculence, high efficacy and accumulation in the sagging part of the vagina.

2. Bacterial vaginal fluid: The leucorrhea is gray, homogeneous, and has low volume. 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.

3. Trichomonas vaginitis: The leucorrhea is yellow or even yellow-green, obviously purulent, and often foamy.

4. Candidiasis: The leucorrhea is white, highly viscous, cheesy or tofu-like, and adheres 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.

(iii) Observe cervical secretions.

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

1. Cervicitis: The possibility of cervicitis should be considered if there is purulent cervical discharge at any stage of the menstrual cycle. During the examination, the vaginal discharge outside the cervical opening should be wiped clean, and cervicitis can be diagnosed if purulent secretions are observed in the endocervical canal. At this time, the columnar epithelium of the endocervical canal is erythematous and more brittle, and wiping it often causes bleeding.

2. Chlamydial cervicitis: When chlamydial cervicitis occurs, the columnar epithelium often hypertrophies and protrudes above the squamous epithelium.

3. Malaria-related viral cervicitis: Ulcerative or necrotic lesions often appear in the columnar epithelium.

4. Gonorrheal cervicitis: Yellow mucus or fluid plug appears in the cervical canal, overflowing into the vagina and causing vaginitis, squeezing the urethra, paraurethral glands or Bartholin's glands, often with purulent discharge.

Through the above introduction, we have a good understanding of the order of leucorrhea examination. Therefore, when these problems occur, we should go to the hospital for examination in time. However, it takes some time to treat such diseases, so women should be patient when treating it.