snot-like discharge

Introduction

Introduction The normal vaginal discharge of women is thin and transparent. If the leucorrhea looks like a snot, it means that female friends may have gynecological inflammation, because this condition is more common in some gynecological inflammation, which should be paid attention to avoid long-term inflammation. Healing, further infecting other organs, causing other genital diseases, causing infertility.

Cause

Cause

There are two main types of gynecological diseases that cause vaginal discharge:

1, trichomonas vaginitis: common symptoms of vaginal discharge is purulent nasal, leucorrhea color yellow, may have an odor.

2, cervicitis, cervical erosion: common symptoms of vaginal discharge with purulent nasal discharge, often accompanied by lower abdominal pain, abdominal discomfort, backache and other symptoms.

Examine

an examination

Related inspection

Gynecological routine examination gynecological ultrasound examination vaginal gynecological routine examination gynecological examination

First, laboratory inspection

1. Determination of pH value: The application of a paper strip to measure the state value of vaginal discharge has certain value for diagnosis. The pH of normal vaginal discharge is 4.5, and the pH value of trichomoniasis and bacterial vaginal discharge increases.

2, the smell of amine: patients with too many leucorrhea should be tested for the presence of glue. First, put a drop of 100% KOH solution on the slide to mix the leucorrhea. The vaginal discharge of bacterial vaginosis can give off the smell of fish sputum. It is caused by the alkalinization and volatilization of the hydrazine present in the discharge. Occasionally, this is also the case with vaginal vaginal discharge. The normal vaginal discharge and the leucorrhea of Candida have no such amine odor.

Second, microbial culture

1. Candidiasis: About 20% of people with candidiasis are negative for KOH smear, so those with high risk of genital itching and candida infection (diabetes, long-term application of broad-spectrum antibiotics, immunosuppressants, etc.) or Patients with erythema in the vagina and KOH specimens cannot be diagnosed should be clearly diagnosed.

2, trichomoniasis: Most patients with trichomoniasis can find trichomoniasis in their vaginal discharge, but a considerable number of false negative results. Because trichomoniasis requires fresh medium to obtain stable results and is limited, culture is best limited to leucorrhea containing a large number of white blood cells, suspected trichomoniasis and microscopic examination of patients with high risk of sexual and sexually transmitted diseases.

3, vaginitis: because many asymptomatic women have more pathogenic bacteria in the vagina, such as p-streptococci, vaginal Gatnerella. Escherichia coli and other enterococci, it is difficult to determine which bacteria caused by vaginitis, so the general bacterial culture is of little value in determining the cause of vaginitis.

Diagnosis

Differential diagnosis

1, leucorrhea is milky white or light yellow, purulent, more, odor, more with abdominal pain, usually caused by chronic cervicitis or endocervitis.

2, leucorrhea yellow or yellow-green, thin foamy, or like rice bran water, grayish white, white with odor, mostly caused by vaginal trichomoniasis.

3. The vaginal discharge with gonorrhea is yellow pus.

4, the leucorrhea secreted by the amoeba protozoa infection is mostly presented as: serous or yellow viscous secretions with blood, sometimes mixed with small rotten meat (like yellow sauce).

5, leucorrhea yellow and white, most of the texture is thick, sometimes thin texture, typical milky white, like bean dregs, or like a curd-like white sheet or block, mostly due to mold infection.

6, if the vaginal discharge with blood, common in cervical polyps, side effects caused by intrauterine devices, submucosal uterine fibroids, severe chronic cervicitis.

7. In the case of fallopian tube cancer, the leucorrhea is intermittent, clear, yellow-red liquid due to tumor stimulation of the oviductal epithelial exudate and lesion tissue necrosis, and flows out from the vagina for a while.

8. When a woman suffers from cervical cancer, vaginal cancer, uterine body cancer and other diseases, the "leucorrhea" when it is secreted is mostly: leucorrhea, gold, me, rice, water, turbid and stench, sometimes mixed There is a pale pink blood and a lot of blood.

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