What is a gynecological disease with positive leukocyte enzyme

A positive white blood cell enzyme usually indicates gynecological inflammation, which may be related to bacterial vaginosis, trichomonas vaginitis, vulvovaginal candidiasis, cervicitis, or pelvic inflammatory disease. The main influencing factors include imbalance of vaginal flora, pathogen infection, changes in hormone levels, weakened immunity, and poor hygiene habits.

1. Bacterial vaginosis:

Excessive reproduction of Gardnerella vaginalis leading to an imbalance in the microbiota is a common cause, manifested as a thin, grayish white secretion with a fishy odor. Diagnosis requires a positive amine test and clue cell examination. Treatment can use metronidazole or clindamycin, while avoiding damage to the microenvironment caused by vaginal lavage.

2. Trichomonas vaginitis:

It is caused by trichomonas vaginalis infection, and the typical symptom is yellow green foam secretion with vulva pruritus. Detecting trichomonas through a microscope can confirm the diagnosis, and partners need to receive synchronous treatment. Sexual activity should be avoided during treatment, and nitroimidazole drugs such as tinidazole should be chosen.

3. Vulvar vaginal candidiasis:

caused by excessive proliferation of Candida albicans, characterized by soybean residue like discharge and severe itching. Diabetes or the use of antibiotics are common inducements. Antifungal drugs such as clotrimazole suppository should be used for treatment, and the vulva should be kept dry and breathable.

4. Cervicitis:

Chlamydia trachomatis or Neisseria gonorrhoeae infection is the main cause, manifested as bleeding or purulent discharge after sexual intercourse. Cervical secretion testing can identify pathogens, and treatment should be based on drug sensitivity results to choose antibiotics such as azithromycin or doxycycline.

5. Pelvic inflammatory disease:

Upward infection can cause inflammation of the endometrium or fallopian tubes, accompanied by lower abdominal pain and fever. Ultrasound examination shows pelvic fluid accumulation, and in severe cases, intravenous injection of ceftriaxone combined with doxycycline is necessary. Failure to treat in a timely manner may lead to infertility.

Cotton underwear should be chosen for daily use and replaced daily, avoiding the use of scented washes to clean the external genitalia. Regular daily routine and supplementation of probiotics can help maintain the balance of vaginal microbiota, and changing sanitary pads frequently during menstruation. When abnormal secretions persist for more than 3 days or accompanied by abdominal pain and fever, timely gynecological examination, routine vaginal discharge, and pathogen culture should be performed. During the treatment period, bathing and swimming are prohibited, and white blood cell enzyme indicators need to be rechecked after completing the course of treatment. Maintain moderate exercise to enhance immunity, and pay attention to reducing the intake of high sugar foods in diet to lower the risk of fungal infections.