A girl has a big pimple below

If a girl develops a large lump below her vagina, it is most likely caused by getting angry. She can improve the related symptoms through diet, but if there is no improvement after a period of treatment with diet therapy, she can only go for relevant examinations. Sometimes it is caused by bacterial vaginal disease, so she needs to test her leucorrhea index to see if there is any abnormal leucorrhea.

1. Bacterial vaginosis

(1) Vaginal discharge is milky and homogeneous with a foul odor.

(2) Vaginal pH>4.5.

(3) Amine test is positive.

(4) Clue cell positive (>20%).

A clinical diagnosis can be made if 3 of the above 4 items are positive, and the 4th item is the gold standard for diagnosis.

2. Candidal vaginitis

For women with symptoms or signs of vaginitis, the diagnosis can be confirmed by finding spores or pseudohyphae of Candida albicans in vaginal secretions. pH determination has differential significance: pH 4.5 indicates mixed infection, especially mixed infection of bacterial vaginosis.

3. Trichomonas vaginitis

(1) The diagnosis can be confirmed by finding Trichomonas in vaginal secretions. Hanging drop method (accuracy 80% to 90%); culture method (accuracy 98%).

(2) Avoid washing, applying medicine, or examining the sample 24 to 48 hours before sampling. Keep the sample warm after sampling and send it for examination promptly.

4. Senile vaginitis

The diagnosis is generally not difficult based on the history of menopause, ovarian surgery, pelvic radiotherapy or drug-induced amenorrhea and clinical manifestations, but other diseases should be excluded before diagnosis.

5. Vaginitis in young girls

Infants and young children have poor language expression ability, so collecting medical history often requires detailed questioning of the girl's mother, and also asking the mother whether she has a history of vaginitis. A preliminary diagnosis can usually be made based on symptoms and physical examination findings.

10% to 40% of patients have no clinical symptoms. Those with symptoms mainly present with increased vaginal discharge with a fishy odor, which is especially aggravated after sexual intercourse and may be accompanied by mild vulvar itching or burning sensation. Examination showed no signs of congestion or inflammation in the vaginal mucosa. The secretions were grayish white, uniform, thin, and often adhered to the vaginal wall, which could be easily wiped off.