What are the examination items for vaginitis

Patient's question:

I often feel itchy outside the vulva, and it also feels very painful inside the vagina. During hot weather, there is also a strong odor, and the amount of leukorrhea is much more than usual. I often feel my waist and knees are sore. I searched online and it might be vaginitis. I want to ask how vaginitis is carefully checked?

Doctor's answer:

Vaginitis is generally diagnosed through a routine vaginal discharge examination. Normal, healthy women's vaginas have natural protective functions against pathogens due to anatomical characteristics, such as the closure of the vaginal orifice, close contact between the anterior and posterior vaginal walls, fibrosis and keratinization of vaginal epithelial cells under the influence of estrogen, and the maintenance of a balanced pH. These factors inhibit the adaptation of alkaline-recovering pathogens, leading to vaginal inflammation. It is recommended to first visit a regular hospital for a gynecological examination and vaginal discharge testing to confirm the cause. After identifying the pathogen, symptomatic local and regular treatment should be administered.

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