Itchy and small bumps on the vulva during menstruation

As a woman, you can't escape those days every month. During those days, not only did I feel uncomfortable and couldn't work hard, get cold, or eat spicy food, I was also prone to getting sick. It is common to have itchy and small bumps on the vulva during menstruation. You need to clean the vulva every day and maintain hygiene during menstruation. At the same time, avoid eating spicy and irritating foods to avoid making the condition worse. Usually this is caused by gynecological inflammation. What examinations are performed for gynecological inflammation?

1. Vulva

Purpose of examination: Check whether the skin of the vulva is smooth, whether the color is normal, and whether there are ulcers, dermatitis, growths, and hypopigmentation. Normal vulva: pubic hair points downward in a triangular distribution, labia majora are pigmented, labia minora are slightly red, clitoris length is <2.5cm, and the mucosa around the urethral opening is light pink. A speculum is then used to further examine the vagina and cervix.

2. Vagina

Purpose of examination: To check whether the surface of the vaginal mucosa is smooth, whether the texture is normal, whether there are bleeding spots, and whether the properties and odor of vaginal discharge are normal. Normal vagina: The vaginal wall mucosa is light pink in color, with wrinkles, no ulcers, growths, cysts, or congenital malformations. The secretions are egg white-like or white paste-like, without fishy odor and in small amounts, but increase during ovulation and pregnancy. If your vaginal discharge is to be examined, your doctor will take a sample at this time.

3. Cervix

Purpose of examination: To observe whether there are any tumors, ulcers, erosions, or polyps on the cervix, whether the cervix is ​​normal in size, whether the surface is smooth, whether the texture is too hard, and whether there is uterine prolapse. Normal cervix: bulges around the periphery and a hole in the middle. The shape of the navel for non-pregnant women is round, while that for pregnant women is "I"-shaped, tough, flesh-red, and has a smooth surface. If you want to do a cervical cancer smear test, your doctor will take a specimen at this time.

4. Uterus and appendages

Purpose of examination: To understand the location of the uterine fundus, whether it is active, and its texture. If the uterus is enlarged, too hard, or has an uneven surface, these are abnormal phenomena and further examination is required. Normal uterus: inverted pear-shaped, 5 to 6 cm long, 4 to 5 cm wide, and 3 to 4 cm thick. Most are in an anteriorly tilted and anteflexed position, with a medium hard texture and good mobility. The ovaries and fallopian tubes are collectively called "appendages". They are movable and feel slightly sore and swollen when touched. Normal fallopian tubes cannot be palpated.

The doctor takes out the speculum, puts on a pair of very thin rubber gloves, applies Vaseline, and slowly inserts one or two fingers into the vagina. The other hand is placed on the lower abdomen and presses down hard. This is an examination of the uterus and appendages. You will feel pain when your fingers touch the bottom of the uterus, but it will not last long, about 1 minute.

5. Leucorrhea examination

Vaginal secretions are smeared and observed under a microscope to determine the cleanliness of the vagina based on the number of vaginal bacilli, white blood cells (WBC) and miscellaneous bacteria.