Inflammatory symptoms in 18-year-old girls

Girls have entered puberty at the age of 18. At this time, their bodies have developed more comprehensively and they are also susceptible to many gynecological problems. If an 18-year-old girl has inflammation, it will usually manifest in menstruation and leucorrhea. In addition, she will feel itchy and painful, and accompanied by an odor.

Disease screening

What tests are needed for gynecological inflammation?

1. Routine examination of leucorrhea: Through five tests of vaginal pH value, cleanliness, microorganisms, amine test, and clue cells, it is determined whether a woman has abnormal leucorrhea.

2. Routine gynecological examination: Gynecologists perform vaginal examination and bimanual examination to make a comprehensive assessment of the patient's gynecological condition.

3.BV: Bacterial vaginosis test

4. Electronic digital colposcopy: It is widely used in the diagnosis of lower reproductive tract diseases. It can magnify the vulva, cervix, vagina and other lower reproductive tracts by 40 to 50 times and detect certain tiny lesions that cannot be seen by the naked eye.

5. Breast palpation: The examination is applied to diseases such as breast lobular hyperplasia, inflammation, cysts, fibroids and breast cancer.

6. Infrared breast examination: It can effectively prevent and treat breast diseases, and prevent disease deterioration and cancer.

7. Abdominal color Doppler ultrasound: detects almost all organs in the abdominal cavity, including the female uterus and ovaries, which helps determine whether there are gynecological diseases such as fibroids, cysts, pelvic effusion, and checks whether there is gynecological inflammation.

8. Breast color Doppler ultrasound: (bilateral breast + axilla) can effectively prevent and treat breast diseases.

9. Urinalysis: It is of great value in screening the urinary system and diabetes, and often provides important clues to the nature of the pathological process.

Disease identification

Gynecological inflammation is easily confused with the disease

1. Trichomonas vaginitis: severe vulvar itching, vulvar discharge is foamy rather than pasty, and has no fishy odor. Microscopic examination shows an increase in leukocytosis and active Trichomonas can be seen.

2. Candidal vaginitis: It may also be accompanied by obvious itching of the vulva. The vaginal discharge is thicker white or yellowish-white curd-like or tofu-like. The vaginal wall is often congested, and microscopic examination shows an increase in leukocytosis. Candida spores and hyphae can be found and cultured.

3. Gonococcal cervicitis: When gonococcal cervicitis occurs, the cervix is ​​obviously congested, and a large amount of yellow viscous purulent secretions can be seen in the cervical opening and vagina. Patients often have urinary tract irritation symptoms, and microscopic examination shows the presence of Gram-negative diplococci in the epithelial cells.

4. Sexual psychological abnormalities or venereal disease hypochondriasis: Patients often have a history of unclean sexual life or know that their spouse has a history of transmitted diseases, and they feel discomfort in the vulva, such as varying degrees of itching and pain and insect bites, but there are no abnormalities in vaginal secretions, no clue cells or occasional ones, and no other pathogens are detected.

5. Vulvar pruritus: There may be a history of unclean sexual life and conscious vulvar pruritus, but no abnormal secretions and no pathogens are detected. The disease is mainly related to mental factors and individual quality. It is a skin disease rather than a sexually transmitted disease.