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vaginitis examination, vaginitis diagnosis

vaginitis examination, vaginitis diagnosis

Common examination of vaginitis

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Leucorrhea examinationVagina--Leucorrhea examination is right...
Vaginal palpationFemale reproductive vaginaDepartment of Gynecological Health CareVaginal palpation is done with...
Vaginal secretion smearFemale reproductive vaginaDepartment of Gynecological Health CareVaginal secretion coating...
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ColposcopyVaginaGynecologyColposcopy is...
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Vaginal cleanlinessVagina--Secreted through the vagina...
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Pathogen examinationBlood vessel other--Pathogen testing...
Gynecological examinationFemale reproductive pelvic cavity of perineumDepartment of Gynecology and MaternityThe function of gynecological examination...
TCTUterusGynecological pathology oncologyCervical TCT test...
Examination of vaginitis

(a) Gynecological examination

Through routine gynecological examination, the possible diseases were preliminarily screened, and secretion samples were taken for necessary examination.

1. Endovaginal diagnosis

Limited to women with sexual experience, the doctor gently inserts your vagina with the index finger and middle finger with gloves, touches the cervix, and presses the abdomen with the other hand at the same time, so as to check out whether the uterus is enlarged, or whether the fallopian tubes and ovaries are swollen or tumorous.

2. Rectal and abdominal double diagnosis

Separate bilateral labia majora with the middle finger and index finger of the left hand, and extend the index finger of the right hand (when it is difficult for younger children to enter the index finger, they can also use the little finger) into the anus to cooperate with the other hand of the abdomen, and touch whether there is any foreign body in the vagina, the size of the uterus and the pelvic cavity. Rectal examination can also assist in taking vaginal secretions. The method is to squeeze the posterior wall of the vagina forward with the fingers of the rectum, and suck vaginal secretions while squeezing the rectum with a sterilized glass tube in the other hand.

(B) Leucorrhea routine

Check the cleanliness of vagina for mold, trichomonas and bacteria (clue cells and pus cells).

1. pH value

When testing, pH value is often used to express pH value, which is 4.5 in normal time. When suffering from trichomonal or bacterial vaginitis, the pH value of leucorrhea rises, which can be greater than 5 ~ 6.

2. Vaginal cleanliness

Degree III: Microscopically, there are a few vaginal bacilli, a large number of pus cells and miscellaneous bacteria. Degree ⅳ: No vaginal bacilli were found under microscope, except for a few epithelial cells, which were mainly pus cells and miscellaneous bacteria. Grade III ~ IV is abnormal leucorrhea, indicating vaginal inflammation. Grade I ~ II is normal.

3. Mould and Trichomonas

After leucorrhea is treated, whether there are trichomonas or molds can be found under the microscope according to its morphology. If there are trichomonas or molds, regardless of their number, they are indicated by "". The symbol "" only indicates that the woman is infected with trichomonas or molds, but does not indicate the severity of the infection.

4. Amine test

Leucorrhea with bacterial vaginosis can emit fishy smell, which is caused by the volatilization of amines existing in leucorrhea after alkalization by potassium hydroxide.

5. Cue cells

Clue cells mean that patients with bacterial vaginitis have many bacilli condensed on the edge of vaginal epithelial cells, Clue cells are the most sensitive and specific signs of bacterial vaginosis, and clinicians can make diagnosis of bacterial vaginosis according to amine test positive and clue cells.

(3) Bacterial culture test (BV test)

Check which pathogen is infected, and provide accurate diagnosis basis for doctors.

Take vaginal secretions for smear examination, and the results will be obtained in 20 minutes, which can detect the pathogenic bacteria of bacterial vaginitis. If there is no mold or trichomonas, the cleanliness is above 3 degrees, which needs to be detected. If it is necessary to determine the distinguishing species, fermentation test and assimilation test must be carried out, and the colony morphological characteristics must be identified.

(4) Detection of mycoplasma and chlamydia

Nongonococcal vaginitis infected by mycoplasma and chlamydia can be diagnosed by testing cervical mucus. If you have sexual life, especially those who have pain in sexual intercourse, those who have lower abdomen, those who have more than 2 sexual partners, those who do not get better after continuous medication or those who have repeated problems, and those who have cervical erosion, you need to check.

(5) Drug sensitivity test

To detect which drugs pathogenic bacteria are sensitive to, targeted drugs can be used to improve the therapeutic effect.

If you are diagnosed with nongonococcal vaginitis, this test is very important to choose the antibiotics that suit you. Drug sensitivity tests: S-sensitive, M-medium sensitive and R-resistant.

(6) Electronic colposcopy

It can magnify the examination, clearly observe the vagina, cervix and other related lesions, and accurately select suspicious parts for biopsy, which is of high value for early detection and early diagnosis of cervical cancer and precancerous lesions.

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