How to Conduct a Virgin Leukorrhea Examination?

Update Date: Source: Network

It is widely believed that the health condition of vaginal discharge can reflect the overall physical health of women. When women suffer from certain gynecological diseases, vaginal discharge examination is often required. This examination is a common gynecological test, and certain tools are typically used during the process. For virgins who have not had sexual intercourse, the thought of undergoing such an examination can often be frightening.

I. How to Conduct Vaginal Discharge Examination for Virgins

Before undergoing a routine vaginal discharge examination, virgins should inform the doctor of their situation in advance without concealing any details. Instead of using a speculum to open the vagina, a cotton swab can be used directly to collect the discharge without damaging the hymen. The doctor performing the test will not enter the deep vagina for sampling but will instead collect it near the vaginal entrance, thus avoiding any harm to the hymen.

II. Vaginal Discharge Examination Items

1. Vaginal pH: The normal vaginal pH value ranges from 4 to 4.5, exhibiting a weakly acidic nature that prevents the proliferation of pathogenic bacteria within the vagina.

2. Vaginal Cleanliness: Vaginal cleanliness can be classified into four grades: Grade I: A large number of vaginal epithelial cells and vaginal bacilli are visible under a microscope. Grade II: Vaginal epithelial cells, a small number of white blood cells, some vaginal bacilli, and a few miscellaneous bacteria or pyogenic cells are visible. Grade III: Few vaginal bacilli, a large number of pyogenic cells, and miscellaneous bacteria are visible. Grade IV: No vaginal bacilli are visible, and the majority are pyogenic cells and miscellaneous bacteria, apart from a few epithelial cells. Grades I to II are considered normal, while Grades III to IV indicate abnormal vaginal discharge, suggesting the presence of vaginal inflammation.

3. Vaginal Microorganisms: Normal vaginal flora is absent. Tests typically include fungal, trichomonas, gonococcal, and other items. If any of these are present, they will be indicated as "+" (positive) on the results; otherwise, they will be "-" (negative).

4. Amine Test: Also known as the amine odor test, it is a method used to diagnose bacterial vaginal diseases. In cases of bacterial gynecological inflammation, the vaginal discharge may emit a fishy odor due to the release of ammonia gas when amines produced by anaerobic bacteria react with potassium hydroxide.

5. Clue Cells: These are the most sensitive and specific indicators of bacterial vaginitis. A positive amine test combined with the presence of clue cells can confirm the diagnosis of bacterial vaginitis.

III. Clinical Significance of Vaginal Discharge Examination

1. A vaginal pH value above 5 to 6 may indicate trichomonas or bacterial vaginitis.

2. A vaginal cleanliness grade of III to IV may suggest vaginitis.

3. A positive result for Candida or trichomonas in vaginal microorganism tests may indicate vaginitis.

4. Abnormalities in the character of vaginal discharge, such as a yellow or yellow-green color with an odor, may suggest trichomonas vaginitis. A discharge resembling bean curd residue may indicate fungal vaginitis.