Vaginal cleanliness can be divided into four levels, a must-read for women!

Vaginal cleanliness is a routine examination in gynecological examinations, which is generally divided into four levels. It reflects whether the vaginal environment is normal. It can be used to determine whether a woman has inflammation through vaginal secretions. It has a good effect in preventing gynecological diseases for women.

What is vaginal cleanliness?

Vaginal cleanliness is determined by examining vaginal secretion wet mounts and stained smears under a microscope to observe the cleanliness and the presence of special bacteria and cells. This can confirm the cleanliness of the vagina, determine whether the vagina is inflamed, and further diagnose the cause of the inflammation. The pH test paper shows that the acidity is unhealthy and the alkalinity is normal. Under physiological conditions, the female reproductive system has a natural protective function because of the presence of vaginal lactobacilli in the vagina, which can maintain the vagina in an acidic environment.

Criteria for determining vaginal cleanliness

Under the microscope of degree I, vaginal bacilli are the main bacteria, and a large number of epithelial cells can be seen;

Grade II has some vaginal bacilli, epithelial cells, some pus cells and miscellaneous bacteria;

Grade III: only a small amount of vaginal bacilli and epithelial cells are seen, but there are a large number of pus cells and other bacteria;

There are no vaginal bacilli under the IV degree microscope, and it is almost entirely pus cells and a large number of miscellaneous bacteria.

Cleanliness levels I to II are normal, while levels III to IV are abnormal. Most of the time, it is likely to be vaginitis. At the same time, pathogens such as bacteria, fungi or Trichomonas can often be found. When the ovaries are insufficient and estrogen levels are reduced, the vaginal epithelium proliferates poorly, glycogen decreases, and there are fewer vaginal bacteria, making it easy to be infected by miscellaneous bacteria, which can also deteriorate the cleanliness of the vagina.

Clinical significance

Examination of vaginal secretions can determine whether the vagina is inflamed and can further diagnose the cause of the inflammation. When the cleanliness reaches level III or IV, in most cases it can be diagnosed as vaginal inflammation, such as bacterial vaginitis, Trichomonas vaginitis, candidal vaginitis, etc., providing a direct basis for the treatment of inflammation. Simple increased uncleanliness is often seen in nonspecific vaginitis.

If vaginal Trichomonas is found during the examination, it can be diagnosed as Trichomonas vaginitis or Trichomonas infection. When vaginal fungi are found, it can be used as a basis for the diagnosis of candidal vaginitis. In addition, vaginal smears can be examined after special staining to reveal gonococci, Staphylococci, Escherichia coli, Streptococci, Bacillus subtilis, diphtheroids, etc., providing a basis for diagnosing related diseases.