First, in examines ??In regarding will have the natural experience’s female, gynecologist will use examines, also will be please the female patient do lie down on the inspection skid, must take off the underpants, will then step the foot on a specific support, doctor will use again is bringing glove’s index finger and the middle finger, will insert your vagina gently, the touching cervix place, simultaneously will use other hand to hold back the abdomen, whether there is can inspect the womb to increase, perhaps oviduct, ovary whether there is tumescent or tumor phenomenon. This step regarding already had the natural experience’s person to be quite appropriate, because the natural experience’s person has not had the wound to hymen’s scruples, doctor will not do generally.
??Second, leucorrhea convention
??The leucorrhea is the vagina mucous membrane exudation, the cervix of the uterus tube and blend compositions and so on endometrium gland secretion, it forms with the estrogen function concerns. The common leucorrhea convention lab test report has the following 6 examination project:
??1st, after pH value puberty, as a result of the ovary sex hormone’s stimulation, enables in the mucous epithelium cell to include the rich glycogen, after vagina bacillus decomposition turns the lactic acid, so that the vagina autocoid substance assumes the low-acid, may prevent the pathogenic bacteria to reproduce in the vagina, this is vagina’s automatic depuration function. The chemical examination often uses the pH value to express the potential of hydrogen, is normal when pH is 4. 5th, contracts the infusorium or when the bacterial vaginitis the leucorrhea pH value rise, may be bigger than 5~6.
??2nd, the vagina cleanliness may divide into 4 levels:
???: Under the microscope sees the massive vagina epithelial cell and the massive vagina bacillus.
???: Under the mirror sees has the vagina epithelial cell, the few white blood cells, have the part of vagina bacillus, may have the little mixed fungus or the pus cell.
???: Under the mirror sees has the few vagina bacillus, has the massive pus cell and the mixed fungus.
???: Under the mirror has not seen the vagina bacillus, eliminates the few epidermis extracellular is mainly the pus cell and the mixed fungus.
??Note:?~?Is normal,?~?Is the unusual leucorrhea, indicates the vagina inflammation.
??3rd, mold and infusorium leucorrhea after processing whether there is can act according to its shape under the microscope to discover the infusorium or the mold, if existence infusorium or mold no matter how much its quantity does use “+” to indicate that “+” this mark only explained this woman infected the infusorium or the mold, does not explain its infection the order of severity.
??4th, amine experiment: Contracts the bacterial vaginopathy’s leucorrhea to be possible to send out the fish fishy smell, it is by exists in the leucorrhea the amine after potassium hydroxide alkalize volatilizes is the result.
??5th, clue cell: The clue cell is refers to the bacterial vaginitis patient to have many bacilli to condense in the vagina epithelial cell edge, in the hanging drop smear saw that the vagina epithelial cell edge assumes granulated or stipples the shape to cause slurred is the clue cell, it is the bacterial vaginopathy’s most sensitive most special symptom, clinician and has the clue cell according to the amine experiment masculine gender then to make the bacterial vaginopathy’s diagnosis.
??Third, bacilliculture inspection (BV examination)
??Takes the vagina secretion to make the smear inspection, 20 minutes results, may examine the bacterial vaginitis’s pathogenic bacteria. If does not have the mold, the infusorium, the cleanliness is above 3 degrees, needs to examine.
??Fourth, mycoplasma chlamydia examination
??Takes the cervix of the uterus mucus examination, may diagnose the mycoplasma chlamydia infection non-gonococcus vaginitis. If has the sex life, specially the sexual intercourse ache, the lower abdomen falling bulge, some 2 above sexual partners, continually the medication does not change for the better or repeatedly the outbreak, the cervical erosion, needs to inspect. The maiden will not infect generally, does not need to inspect, will have the result many to deceive people on the scene!
??Fifth, medicine sensitive experiment
??If diagnoses for the non-gonococcus vaginitis, this experiment is very important, chooses suits your antibiotic, the medicine experiments sensitively: S- is sensitive, in M- sensitive, R- bears the medicine.
