Postmenopausal leucorrhea yellowish and smelly

Don't think that there will be no leucorrhea after menopause. Women will still have leucorrhea after menopause and no longer have menstruation, but the amount will not be large. If the leucorrhea is yellow after menopause, this symptom should be considered to be caused by bacterial infection or fungal inflammation. You still need to undergo reasonable examination and judgment to know these.

(I) pH determination

The use of paper strips to measure the state of vaginal discharge has certain value in diagnosis. The pH value of normal vaginal discharge is ≤4.5, while the pH value of discharge caused by Trichomonas and bacterial vaginosis increases.

(ii) Odor of amines

All patients with excessive vaginal discharge should be tested for the presence of glue odor. First, place a drop of 100% KOH solution on the slide and mix the leucorrhea with it. The leucorrhea of ​​bacterial vaginosis can emit a fishy odor, which is due to the presence of hydrazine in the discharge volatilizing through alkalization.

Caused by hair. This situation occasionally occurs in cases of leucorrhea caused by trichomoniasis. Normal leucorrhea and Candida leucorrhea do not have this amine smell.

1. Candidiasis

About 20% of people with candidiasis have negative KOH hanging drop smear results. Therefore, patients with vulvar itching, high-risk patients with candidal infection (diabetic patients, patients taking broad-spectrum antibiotics and immunosuppressants for a long time), or patients with vaginal erythema who cannot be diagnosed by KOH specimens should be cultured for a definitive diagnosis.

Most patients with trichomoniasis can have Trichomonas found in their leucorrhea, but a considerable number of them also get false negative results. Because Trichomonas culture requires fresh culture medium to obtain stable results and is limited, culture is best limited to patients with leucorrhea containing a large number of white blood cells, suspected trichomoniasis and confirmed by microscopic examination, and patients at high risk of sexually transmitted diseases.

3. Vaginitis is caused by the presence of a large number of pathogenic bacteria in the vagina of many asymptomatic women, such as P-Streptococcus and Gardnerella vaginalis. E. coli and other enterococci, making it difficult to identify vaginitis

Which bacteria are causing it? Therefore, general bacterial culture is of little value in determining the cause of vaginitis.