Leucorrhea examination is a common examination method in today's clinical medicine. The most important thing about checking leucorrhea is that it can detect health problems of women's private parts and reproductive system. Because if a woman suffers from gynecological diseases, leucorrhea is likely to be a problem. So, what diseases can be detected through leucorrhea examination? This will be introduced below! 1. pH value The pH value is often used to indicate the acidity and alkalinity in laboratory tests. The normal pH is 4.5. When suffering from trichomoniasis or bacterial vaginitis, the pH value of leucorrhea increases and may be greater than 5-6. 2. Vaginal cleanliness Grade I: A large number of vaginal epithelial cells and vaginal bacilli are seen under the microscope. Grade II: Vaginal epithelial cells, a small amount of white blood cells, some vaginal bacilli, and a small amount of miscellaneous bacteria or pus cells are seen under the microscope. Grade III: A small amount of vaginal bacilli, a large number of pus cells and miscellaneous bacteria are seen under the microscope. Grade IV: No vaginal bacilli are seen under the microscope, and except for a small amount of epithelial cells, there are mainly pus cells and miscellaneous bacteria. Grades I to II are normal, while grades III to IV are abnormal leucorrhea, indicating vaginal inflammation. 3. Amine test The leucorrhea of patients with bacterial vaginosis may have a fishy odor, which is caused by the amines in the leucorrhea being volatilized after being alkalized by potassium hydroxide. 4. Fungus and Trichomonas Inspection After the leucorrhea is processed, the presence of Trichomonas or fungi can be detected based on its morphology under a microscope. If Trichomonas or fungi are present, a "+" will be used to indicate the presence. The "+" symbol only means that the woman is infected with Trichomonas or fungi, and does not indicate the severity of the infection. 5. Clue Cells Clue cells refer to the presence of many bacilli aggregated at the edge of the vaginal epithelial cells in patients with bacterial vaginosis. In the hanging drop smear, the edges of the vaginal epithelial cells are granular or stippled, making them unclear. These are clue cells. They are the most sensitive and specific sign of bacterial vaginosis. Clinicians can make a diagnosis of bacterial vaginosis based on a positive amine test and the presence of clue cells. Therefore, routine examination of leucorrhea mainly involves checking these five items, which can determine whether fungal, trichomonas, or bacterial vaginal infections occur. It is especially necessary for women who often experience vulvar itching and odor to check this. |
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