Requirements for hysteroscopy

Hysteroscopy is a common method of gynecological examination. It is usually used to separate intrauterine adhesions or to treat female miscarriage. Before hysteroscopy, women should not have sex within 24 hours and should avoid the physiological period to ensure the accuracy of the examination results. So what are the requirements for leucorrhea during hysteroscopy?

At present, hysteroscopy has been used as a routine examination and treatment for assisted reproductive technology. In addition to completing relevant preoperative examinations, it is necessary to pay close attention to the results of leucorrhea examination.

According to the requirements of gynecological surgery, normal leucorrhea examination results must be obtained within 7 days before surgery. However, in the outpatient clinic, patients often cancel hysteroscopic surgery because of abnormal leucorrhea. So, what is considered normal for vaginal discharge test results?

First of all, there is no discomfort in the vulva and vagina, such as burning, itching, etc. Secondly, there must be no hyphae, no trichomonas, no abnormal bacteria in the leucorrhea examination, the white blood cell count must be below +++, and the cleanliness must be below grade III.

Mycelium + represents fungal vaginitis, also known as candidal vaginitis; Trichomonas + represents Trichomonas vaginitis; white blood cell ++++ or cleanliness at IV degree indicates the possibility of bacterial vaginitis. These all need to be treated to make the vagina normal before surgery, otherwise the abnormal microorganisms in the vagina will infect the uterine cavity or pelvic cavity during the surgery, causing unnecessary infection.

Leucorrhea is a sticky white liquid that flows out of the vagina of women. It is a mixture of secretions from the Bartholin's glands, cervical glands, endometrium, exudate from the vaginal mucosa, and desquamated vaginal epithelial cells. Leucorrhea contains lactobacillus, lysozyme and antibodies, so it has the effect of inhibiting bacterial growth. During sexual intercourse, the amount of leucorrhea will increase, which will lubricate the vagina and facilitate sexual intercourse. Generally, the amount of leucorrhea increases during the middle of the menstrual period and becomes thin and transparent; after ovulation, the leucorrhea becomes thick, turbid and less in quantity. There is an increase in leucorrhea before menstruation and during pregnancy. Non-primate mammals appear during estrus.