Under physiological conditions, the female reproductive system has a natural protective function because of the presence of vaginal bacteria in the vagina, which keeps the vagina in an acidic environment. If vaginal trichomoniasis is found during the examination, it can be diagnosed as trichomonas vaginitis or trichomoniasis infection. It can be used as a diagnostic basis for fungal vaginitis when vaginal mold is found. In addition, vaginal smears can be found after special staining, Staphylococcus aureus, Escherichia coli, Streptococcus, Bacillus subtilis, diphtheria-like bacilli, etc., to provide a basis for diagnosis-related diseases.

Basic Information

Specialist classification: gynecological examination classification: vaginal secretion examination

Applicable gender: whether women are fasting: not fasting

Analysis results:

Below normal:

Normal value:
no

Above normal:

negative:
I degree vaginal bacteria and epithelial cells, white blood cells 0-5/HPF, no or very few bacteria. II degree moderate vaginal bacteria and epithelial cells, white blood cells 10-15/HPF, a small amount of bacteria is also normal.

Positive:
A small amount of vaginal bacilli and epithelial cells, white blood cells 15-50/HPF, more bacteria suggest inflammation. IV degree without vaginal bacteria, a small amount of epithelial cells, white blood cells > 30 / HPF, a large number of bacteria. More common in severe vaginitis.

Tips: Wash the vulva with clean water in advance of the day before the inspection. Normal value

I degree vaginal bacteria and epithelial cells, white blood cells 0-5/HPF, no or very few bacteria.

II degree moderate vaginal bacteria and epithelial cells, white blood cells 10-15/HPF, a small amount of bacteria is also normal.

A small amount of vaginal bacilli and epithelial cells, white blood cells 15-50/HPF, more bacteria suggest inflammation.

IV degree without vaginal bacteria, a small amount of epithelial cells, white blood cells > 30 / HPF, a large number of bacteria. More common in severe vaginitis.

Cleanliness of 1 degree or II degree can be regarded as normal, and III or IV degree is abnormal.

Clinical significance

The vaginal secretion test can determine whether there is inflammation in the vagina, and can further diagnose the cause of inflammation. When the cleanliness reaches III or IV degree, it can be diagnosed as vaginal inflammation in many cases, such as bacterial vaginitis, trichomonas vaginitis, fungal vaginitis, etc., providing a direct basis for the treatment of inflammation. Simple increase in uncleanness is more common in non-specific vaginitis.

If vaginal trichomoniasis is found during the examination, it can be diagnosed as trichomonas vaginitis or trichomoniasis infection. It can be used as a diagnostic basis for fungal vaginitis when vaginal mold is found. In addition, vaginal smears can be found after special staining, Staphylococcus aureus, Escherichia coli, Streptococcus, Bacillus subtilis, diphtheria-like bacilli, etc., to provide a basis for diagnosis-related diseases.

Positive results may be diseases: bacterial vaginosis, fungal vaginitis, interstitial cystitis, localized vulvitis and desquametic vaginitis syndrome, candida vaginitis, acute vaginitis, precautions

Disinfected scrapers used for the material, straws or cotton swabs should be clean and dry, free of any chemicals or lubricants. When taking secretions, the vaginal speculum should not be lubricated (if necessary, it can be lubricated with saline) to avoid affecting the test results.

Inspection process

Take vaginal secretions, smear with saline, high-poweroscopy, according to the number of white blood cells (or pus), epithelial cells, bacilli, cocci, divided into I ~ IV degrees.

Not suitable for the crowd

Menstrual women should not be tested.

Adverse reactions and risks

May cause vaginal infections.