What to do if a woman has a fishy smell below

Cervicitis is a very common gynecological disease nowadays, and most patients are married women. If you have this disease, your lower body will have a strong fishy odor, which is very inconvenient in work and life. First of all, you must go to the hospital for a cervical examination to observe whether there are symptoms of erosion. Do not change sexual partners frequently, otherwise viral infection and transmission will occur. Be sure to change into clean underwear every day to keep your body healthy.

1. Acute cervicitis

(1) Gynecological examination may reveal cervical congestion, redness and swelling, accompanied by cervical mucosal edema and ectropion. The cervix is ​​obviously tender. There is purulent discharge from the cervix.

(2) White blood cell test: Check the white blood cells in the endocervical secretions or vaginal secretions. In patients with acute cervicitis, the neutrophil count in the endocervical purulent secretions is greater than 30/high-power field of view, and the white blood cell count in the vaginal secretions is greater than 10/high-power field of view.

(3) Pathogen detection: Perform cervical secretion smear or bacterial culture to find pathogenic bacteria. When chlamydial infection is suspected, an enzyme-linked immunosorbent assay (ELISA) can be performed to detect Chlamydia trachomatis antigen.

2. Chronic cervicitis

(1) Gynecological examination may reveal that the cervix is ​​eroded and bleeds easily when touched. There may be yellow discharge covering the cervical opening or flowing out of the cervical opening, and there may be cervical tenderness. It may also manifest as cervical polyps, cervical gland cysts or cervical hypertrophy.

(2) Colposcopy: When cervicitis persists, there is contact bleeding, or the Pap smear is grade 2 or above, a colposcopy can be performed to detect possible precancerous lesions (such as cervical intraepithelial neoplasia) or early cervical cancer as early as possible.

(3) Pathogen detection: Cervical secretion smear or bacterial culture can detect pathogenic bacteria. Cervical cell smear can also detect gonococci, Trichomonas, and fungi. If necessary, chlamydia, mycoplasma, and human papillomavirus tests should be performed.

(4) Cervical smear and cervical biopsy Chronic cervicitis should be routinely examined by cervical smear cytology to differentiate it from cervical precancerous lesions, cervical cancer, cervical tuberculosis and other diseases. The most accurate examination method is to take tissue from more obvious cervical erosion ulcers or deeper lesions for pathological examination. In case of acute inflammation of the vulva and vagina, or during menstruation or pregnancy, the procedure should be postponed.