How to Check Vaginal Cleanliness?

Update Date: 2024-06-17 Source: Network

Vaginal cleanliness examination utilizes microscopy to observe the cleanliness and the presence of special bacteria and cells in wet mount and stained smears of vaginal secretions. Vaginal cleanliness refers to the degree of vaginal hygiene, which is classified based on the quantity of white blood cells (pyocytes), epithelial cells, vaginal bacilli, and miscellaneous bacteria in vaginal secretions. It is an indicator for diagnosing vaginal inflammation and ovarian function in reproductive-age women.

Vaginal cleanliness can be divided into four degrees: Grade I indicates a large number of vaginal bacilli and epithelial cells, with 0-5 white blood cells per high-power field (HPF). Few or no miscellaneous bacteria are considered normal. Grade II has a moderate amount of vaginal bacilli and epithelial cells, with 10-15 white blood cells per HPF. A small amount of miscellaneous bacteria is also considered normal. Grade III has a small number of vaginal bacilli and epithelial cells, with 15-50 white blood cells per HPF. The presence of a larger number of miscellaneous bacteria suggests inflammation. Grade IV lacks vaginal bacilli, has a small number of epithelial cells, and has more than 30 white blood cells per HPF. A large number of miscellaneous bacteria are commonly seen in severe vaginitis. Cleanliness grades I and II are considered normal, while grades III and IV are abnormal.

If the vaginal cleanliness examination reveals grades III or IV, active cooperation with treatment is recommended to prevent the condition from worsening.

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