Patient's question:
A leukorrhea check—was it bacterial vaginosis or candidal vaginitis? A few days ago, I had yellowish-white,-like discharge but no odor; it wasn't itchy inside, just extremely itchy outside, so I got a leukorrhea check. The results showed cleanliness level 4, negative for Candida, negative for trichomonas, ++ white blood cells, - red blood cells, - pus cells, ++ epithelial cells, - clue cells, and a small amount of miscellaneous bacteria.Doctor's answer:
Disease Analysis: Hello, based on the patient's condition description, the main symptoms are itching and abnormal vaginal discharge. Currently, the main concerns are the etiology and further treatment measures.Guidance: 1. The objective evidence for determining whether the infection is caused by combined bacteria lies in laboratory tests. Based on the patient's test results, there is no evidence of mold, but no pathogenic bacteria were found either. 2. This situation should be judged in conjunction with clinical symptoms. From the patient's condition, it appears to be more consistent with the symptoms of candidal vulvovaginitis. 3. Although no mold was found in the tests, the results of the secretion cell examination are also relatively consistent with the manifestations of candidal vulvovaginitis. Therefore, from a diagnostic perspective, the possibility of candidal vulvovaginitis is considered higher.