What do the four degrees of cleanliness in a gynecological examination mean? During a gynecological examination, there will be a cleanliness inspection result in the routine examination of leucorrhea, which is divided into one, two, three and four degrees. What does four degrees mean? Is it okay or is there something wrong? 1 What does the fourth degree of cleanliness in gynecological examination mean? The fourth degree of gynecological examination cleanliness indicates vaginitis. If other indicators such as Trichomonas, fungi, and bacterial vaginal infections are all negative (if Trichomonas or fungi are present, " " is used to indicate it.), the secretions should be further examined, and secretion shaping should be done when necessary to identify pathogens such as Chlamydia, Mycoplasma, Chlamydia, etc. Only then can effective treatment be given for the specific pathogens. 2 Routine inspection of leucorrhea Cleanliness classification The female secretions are stained with acid-fast dye and observed under a microscope. The cleanliness of the vaginal discharge is judged by the number of vaginal bacilli, white blood cells (WBC) and fungi. There are 4 levels: Grade I: There are a lot of vaginal lactobacilli and squamous epithelial cells, no fungi, white blood cell count, and clear vision, indicating normal secretions. Grade II: A moderate amount of vaginal bacilli and squamous epithelial cells, a small amount of white blood cells and fungi, still belongs to normal female secretions. Grade III: A small amount of vaginal lactobacilli and squamous epithelium, but a relatively high count of fungi and white blood cells, indicating a relatively mild case of Trichomonas vaginitis. Grade IV: No vaginal bacilli, only a small amount of squamous epithelial cells, a large number of white blood cells and fungi. Remind that there are relatively severe Trichomonas vaginitis, such as candidal vaginitis and candidal vaginitis. Grades Ⅰ to Ⅱ are normal, and grades Ⅲ to Ⅳ indicate abnormal secretions, indicating Trichomonas vaginitis. 3 How to treat Trichomonas vaginitis 1. Keep the vulva clean and dry. Personal items such as underwear and towels should be boiled for 5 to 10 minutes to eliminate bacteria. 2. Observe the medication reactions, such as gastrointestinal reactions, headache, rash, leukopenia, etc. It is not suitable to take the medicine internally before 12 weeks of pregnancy and during breastfeeding. 3. If the patient has candidal vaginitis, the patient should have a follow-up check for Trichomonas after the menstrual period is over, and a negative result for 3 consecutive months is considered a cure. Before recovery, avoid going to public places such as swimming pools and bathrooms; the husband of a married person should also be checked for Trichomonas infection, and both parties should be treated together if necessary. 4. Patients with vaginitis should have regular follow-up visits after treatment. 5. Clear your concerns and seek medical attention immediately. 6. Keep the vulva clean during the treatment period and prohibit sexual intercourse. Keep showering, changing underwear every day, and using squat toilets. 7. The husband can carry out targeted treatment at the same time. 8. When the vulva is itchy, do not scratch it hard or rub it with boiling water to avoid burns. 9. Avoid spicy and fatty foods to prevent dampness and heat generation, and avoid alcohol and smoking. It is advisable to eat light-flavored foods, fruits, vegetables, etc. Eat millet soup, buckwheat porridge, mung bean porridge and barley porridge often. |
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