What diseases can be detected by leucorrhea?

Whether a woman's leucorrhea is normal or not indicates whether her body is healthy. Leucorrhea examination is a routine gynecological examination. If a woman's leucorrhea is abnormal, it will not only affect her physical health, but also affect her normal work. Generally, regular examination of leucorrhea can check the pH value and cleanliness of the female vagina to determine whether the female leucorrhea is abnormal or whether there is gynecological inflammation. The following is a detailed introduction to what diseases can be detected by leucorrhea examination.

Routine examination of leucorrhea generally includes 5 items

1. Vaginal pH: The normal vaginal pH is between 4 and 4.5, which is weakly acidic and can prevent pathogenic bacteria from multiplying in the vagina. The pH of candidal vaginitis can be within this range. When suffering from trichomoniasis or bacterial vaginitis, the pH of leucorrhea increases and can be greater than 5 to 6.

2. Vaginal cleanliness: It is generally divided into four degrees. Generally, degrees I and II are normal, while degrees III and IV indicate vaginitis, that is, a large number of white blood cells or bacteria can be seen in the secretion picture.

3. Microbiological examination: There will generally be items such as fungi, Trichomonas, and Neisseria gonorrhoeae. If present, the result will be indicated as "+", if not, it will be "-".

4. Amine test: The leucorrhea of ​​patients with bacterial vaginosis may have a fishy smell, which is caused by the amines in the leucorrhea being volatilized after being alkalized with potassium hydroxide.

5. Clue cells: Clue cells are the most sensitive and specific sign of bacterial vaginosis. Clinicians can make a diagnosis of bacterial vaginosis based on a positive amine test and the presence of clue cells.

Diseases that can be diagnosed by vaginal discharge examination

Purulent leucorrhea: The leucorrhea is yellow or yellow-green in color, pus-like, and has a foul odor. It is usually caused by infection, and is common in Trichomonas vaginitis, chronic cervicitis, vaginitis, endometritis, etc.

Colorless, transparent, mucous leucorrhea: The appearance is similar to the normal leucorrhea during the ovulation period, with a large amount, and it is common after the use of estrogen drugs.

Bloody leucorrhea: If the leucorrhea is stained with blood, you should be alert to malignant tumors such as cervical cancer and uterine cancer. Benign lesions such as cervical polyps, severe chronic cervicitis, intrauterine contraceptive devices, senile vaginitis, and submucosal uterine fibroids may also have this symptom.

Yellow watery leucorrhea: mostly caused by necrosis of diseased tissue, common in cervical cancer, submucosal uterine fibroids, fallopian tube cancer, etc.

Purulent and bloody leucorrhea: a characteristic of amebic vaginitis.