Do I need medication for routine cleanliness level II of vaginal discharge

Routine cleanliness level II of vaginal discharge usually does not require medication. Cleanliness level II belongs to the normal range or mild inflammation. If there are no obvious symptoms, observation can be carried out first. If accompanied by symptoms such as itching and odor, medication should be taken according to medical advice. The cleanliness of vaginal discharge is divided into grades I-IV, with grade II indicating the presence of a small amount of white blood cells or miscellaneous bacteria in the vaginal environment, but the proportion of epithelial cells is still high, belonging to the physiological fluctuation category. Commonly seen before and after menstruation, during ovulation, or with mild dysbiosis, it may be related to factors such as disrupted sleep patterns, weakened immunity, and excessive cleaning. At this time, keep the external genitalia dry and breathable, choose cotton underwear and change it daily, avoid using alkaline detergents to wash the vagina, and in most cases, it can recover on its own. When the second degree cleanliness is combined with redness and swelling of the external genitalia, tofu residue like discharge, or fishy odor, it may indicate candidiasis, trichomonas, or bacterial vaginitis. Diagnosis through pathogen testing is required before medication can be administered, such as clotrimazole vaginal tablets for treating candidal infections, metronidazole suppositories for bacterial vaginosis, and oral tinidazole for trichomonas vaginitis. Blindly using antibiotics may disrupt the normal balance of the microbiota and worsen symptoms.

It is recommended to strengthen monitoring when the second degree cleanliness occurs in pregnancy, diabetes patients or those who use immunosuppressants for a long time. Moderate intake of fermented dairy products containing lactic acid bacteria is recommended in daily life. Pay attention to cleanliness before and after sexual intercourse, and avoid frequent use of pads. If the symptoms persist for more than two weeks or recur, special pathogen testing such as mycoplasma and chlamydia is required.