What can be found by checking the routine of vaginal discharge

Checking vaginal discharge routine can usually detect vaginal cleanliness, pathogen infection, vaginal pH value, clue cells, and fungal trichomonas. Routine vaginal discharge examination is a basic gynecological examination that helps evaluate the health status of the female reproductive tract by analyzing vaginal secretions.

1. Vaginal cleanliness:

cleanliness is one of the core indicators of vaginal discharge routine, reflecting the balance of vaginal flora. The examination results are usually divided into grades I to IV, with grades I and II belonging to the normal range, indicating a healthy vaginal environment; Grades III and IV suggest the possibility of microbial dysbiosis or inflammation. Abnormal cleanliness may be related to personal hygiene habits, frequent use of cleaning solutions, or overuse of antibiotics. If the cleanliness is grade III or IV, it is recommended to clean the external genitalia with warm water daily, avoid rinsing the inside of the vagina, wear cotton breathable underwear, and reduce the use of gynecological detergents. Doctors may recommend using medications such as metronidazole suppositories or clindamycin ointment for local conditioning based on accompanying symptoms such as itching and odor.

2. Pathogen infection:

White discharge routine can detect specific pathogens such as trichomonas, fungi (Candida), etc. Trichomonas infection often causes leucorrhea to appear yellow green foam, accompanied by obvious pruritus of vulva and frequent urination; Fungal infection manifests as white discharge resembling tofu residue or curd, accompanied by severe itching. Trichomonas vaginitis may be related to unclean sexual contact or cross infection in public baths, usually manifested as increased vaginal discharge and burning pain in the external genitalia. Mycotic vaginitis is often associated with long-term use of antibiotics, diabetes or decreased immunity. Symptoms include redness and swelling of the vulva and viscous leucorrhea. The treatment of trichomonas infection requires the use of metronidazole tablets orally or tinidazole suppositories according to medical advice; Fungal infections can be treated with clotrimazole vaginal tablets or antifungal suppositories, while also paying attention to co treatment with partners to prevent recurrence.

3. Vaginal pH value:

The normal vaginal pH value is between 3.8-4.5, which is weakly acidic and helps to inhibit the growth of harmful bacteria. The routine measurement of vaginal discharge can determine the pH value. If the pH value increases by more than 4.5, it often indicates an imbalance of vaginal flora, which may be caused by bacterial vaginosis or trichomonas infection. Abnormal pH values may be related to frequent sexual activity, use of alkaline washes, or fluctuations in hormone levels. Patients may have no obvious symptoms or only feel thin and fishy discharge. Daily maintenance of an acidic environment can be achieved by avoiding excessive cleaning and supplementing with lactic acid bacteria. If bacterial vaginosis is confirmed, the doctor may recommend using metronidazole vaginal gel or clindamycin cream, and adjusting the diet to reduce the intake of sweets.

4. Clue cells:

Clue cells are a key basis for diagnosing bacterial vaginosis. If clue cells are found in routine vaginal discharge, it usually indicates excessive proliferation of anaerobic bacteria such as Gardnerella vaginalis in the vagina. The main manifestations of bacterial vaginosis are increased and thin vaginal discharge accompanied by a distinct fishy odor, especially after sexual intercourse, but most patients do not feel obvious itching. This disease may be related to multiple sexual partners, frequent vaginal flushing, or long-term use of intrauterine devices. In terms of treatment, doctors often prescribe metronidazole tablets orally or metronidazole vaginal effervescent tablets. At the same time, it is recommended that partners pay attention to personal hygiene, avoid sexual activity during treatment, and undergo regular follow-up to confirm the disappearance of clue cells.

5. Mold and Trichomonas:

White discharge routine can directly observe mold spores and hyphae under a microscope, as well as live trichomonas, which is direct evidence for diagnosing specific vaginitis. The typical symptoms of fungal infection (vulvovaginal candidiasis) are severe itching of the external genitalia, white curd like discharge, and in severe cases, skin cracking of the external genitalia; Trichomonas infection is characterized by leucorrhea, yellow green foam, vulva burning pain and urinalgia. Mould infection is often induced by long-term use of antibiotics, pregnancy or diabetes; Trichomonas infection is mainly transmitted through sexual contact. The treatment of fungal infections can use clotrimazole suppositories or miconazole ointment; Trichomonas infection requires oral administration of metronidazole tablets or metronidazole tablets, while sexual partners need to receive synchronous treatment. Pay attention to keeping the external genitalia dry in daily life, avoid wearing tight synthetic underwear, and eat less high sugar foods to prevent recurrence. After routine vaginal discharge examination, it is recommended to keep the external genitalia clean and dry, wash with warm water once a day, and avoid using soap or disinfectant to rinse the vagina. Choose cotton and loose underwear and change them daily. It is best to air dry them in the sun after cleaning. Reduce the intake of spicy, greasy, and high sugar foods in diet, and eat more fresh vegetables, fruits, and yogurt rich in probiotics. If the test results are abnormal, follow the doctor's advice to complete the entire medication process and do not stop taking the medication on your own. At the same time, pay attention to regular sleep and exercise to enhance immunity, avoid unclean sexual behavior, and regularly undergo gynecological examinations, which can help detect and deal with problems early.