Patient's question:
I am a 32-year-old woman. Recently, when washing my underwear, I have been finding a lot of curd-like discharge on them, and it smells very bad. I also feel that my private area is always damp and a bit itchy, and my lower abdomen is uncomfortable. Could you please tell me: How is vulvitis usually diagnosed?Doctor's answer:
Vaginitis generally requires the following detailed examinations:1. Routine gynecological examination: This primarily involves checking for inflammation, tumors, or changes in the skin of the external genitalia, as well as assessing the size, texture, and position of the uterus, the size and shape of the ovaries, and any tenderness or pain in the pelvic area.
2. Mycoplasma and Chlamydia tests: These tests detect how women may contract Mycoplasma and Chlamydia, which can lead to vaginitis, cervicitis, and other gynecological infections.
3. Electron colposcopy: This magnifies the external genitalia, vagina, and cervix by 4-50 times, allowing the detection of subtle inflammation that may not be visible to the naked eye. It is of great value in the early detection and diagnosis of malignant inflammation of the vagina and cervix.
4. Routine vaginal discharge examination: This primarily tests for vaginitis and identifies the causative pathogens, such as fungi or trichomonas. It also determines the qualitative cleanliness and pH value of the vagina.