Symptoms of clitoritis

Clitoritis is a type of vaginitis. It is caused by the spread of vaginal inflammation to the local area, which leads to clitoritis, vulvitis, and inflammation of the hair follicles. The symptoms of clitoritis are secretions, which are often accompanied by a fishy smell, and may even cause pain during urination. It may also cause urethral congestion and vaginal bleeding.

Symptoms and signs

Clinical manifestations

The typical clinical symptoms of this disease are a significant increase in abnormal vaginal secretions, which are thin, homogeneous or thin, pasty, grayish white, grayish yellow or milky yellow, with a special fishy odor. Since alkaline prostatic fluid can cause the release of amines, the odor worsens during or after sexual intercourse. The vaginal pH increases during menstruation, so the odor may also worsen during or after menstruation. Patients have discomfort in the vulva, including varying degrees of vulvar itching, which is generally not time-sensitive. However, the itching is more obvious at rest and when in a tense state. There is also varying degrees of external burning sensation. Some patients experience dyspareunia, and a very small number of patients experience lower abdominal pain, difficulty in intercourse and abnormal urination. The vaginal mucosal epithelium has no obvious congestion when the disease occurs.

This disease can often be combined with other vaginal sexually transmitted diseases, so its clinical manifestations may vary due to the influence of complications. For example, when combined with gonococcal infection, vaginal discharge may show obvious purulent properties, and urinary tract irritation symptoms such as dysuria and dysuria may occur; when combined with Trichomonas infection, foamy vaginal discharge may appear, and the itching may be aggravated and extremely itchy; when combined with Candida infection, vaginal discharge may appear curd-like or tofu-like.

diagnosis

1. Vaginal discharge is grayish white, very sticky, even like paste, and uniform, but it is not purulent discharge, and the amount is uncertain.

Second, the secretion has a particularly high amine content, so it has a fishy smell. During sexual intercourse or after activity, the smell is often aggravated due to the release of amines. Adding 10% potassium hydroxide to the secretion can also release the amine smell.

Third, the pH value in vaginal secretions increases, with a pH range of 5.0-5.5, while the normal pH is 4.5-4.7.

Fourth, clue cells can be detected in the wet smear of vaginal secretions.

Among the above four criteria, the diagnosis can be confirmed if three or more are met, and the fourth is emphasized as a necessary diagnostic criterion.