Patient's question:
Is this vaginitis? I did a routine vaginal discharge test: Leukocytes: +, Lactobacillus: +, Trichomonas: Not detected, Candida: Not detected, Gardnerella: Not detected. Is this vaginitis?Doctor's answer:
Normally, lactobacilli dominate the vaginal microbiota of healthy women, and vaginal lactobacilli play a key role in maintaining the normal vaginal flora. The glycogen in vaginal epithelium is converted into lactic acid by the action of lactobacilli, creating an acidic environment in the vagina. The following conditions may disrupt the balance of the vaginal ecosystem: ① Sex hormones: such as the decrease in estrogen levels before and after menstruation, which leads to an increase in vaginal H and promotes the growth of anaerobic bacteria. ② Certain spermicidal creams can be toxic to lactobacilli. ③ Medications: Many types of medications, such as broad-spectrum antibiotics, can completely eliminate or inhibit lactobacilli, disrupting the vaginal environment.