Is elevated white blood cell count in routine vaginal discharge an inflammation

Elevated white blood cells in routine vaginal discharge examination may be a sign of inflammation. Leukocytosis of leucorrhea is usually associated with gynecological infectious diseases such as vaginitis, cervicitis, pelvic inflammation, and may also be caused by non infectious factors such as excessive cleaning or hormone fluctuations.

Vaginitis is a common cause of leukocytosis in leucorrhea. Bacterial vaginosis may be accompanied by grayish white secretion and fishy smell. Vulvovaginal candidiasis often shows tofu dregs like leucorrhea and severe itching, while trichomonal vaginitis shows yellow green foam like secretion. Patients with cervicitis may experience symptoms such as increased purulent vaginal discharge and bleeding after sexual intercourse, while chronic cervicitis may only present as elevated white blood cells in the vaginal discharge without significant discomfort. Patients with pelvic inflammatory disease often have systemic symptoms such as lower abdominal pain and fever, in addition to abnormal vaginal discharge. During acute attacks, the white blood cell count will significantly increase.

Among non infectious factors, frequent use of vaginal wash may disrupt the balance of bacterial flora and lead to an increase in white blood cell reactivity. Elevated estrogen levels during ovulation or pregnancy can also cause mild physiological white blood cell increase. Postmenopausal women may experience an increase in white blood cells and a decrease in secretions due to vaginal mucosal atrophy. Some women may experience transient white blood cell elevation before or after menstruation or sexual activity, which usually does not require special treatment.

It is recommended to avoid wearing tight synthetic underwear and choose pure cotton breathable material. Warm water is sufficient for daily cleaning of the external genitalia, and there is no need to use regular cleaning solution. Pay attention to cleanliness before and after sexual intercourse, and avoid sexual activity during menstruation. If symptoms such as abnormal color of vaginal discharge, odor, or itching of the external genitalia occur, seek medical attention promptly for pathogen testing. According to the examination results, it may be necessary to use drugs such as metronidazole suppositories, clotrimazole vaginal tablets, or levofloxacin tablets. The specific medication should be selected under the guidance of a doctor.