Patient's question:
After being treated for trichomoniasis for a while, there are no other symptoms. The three positive results in the vaginal discharge re-examination are a bit confusing.Doctor's answer:
① Hydrogen peroxide: Hydrogen peroxide is a byproduct of lactobacilli metabolism in the vagina, and lactobacilli themselves are beneficial bacteria that can inhibit the proliferation of other opportunistic pathogens in the body. Therefore, a positive hydrogen peroxide test indicates that lactobacilli are present in the vagina, and other opportunistic pathogens will not have the chance to multiply.② Sialidase: Usually negative. A positive result suggests bacterial vaginosis.
③ Leukocyte esterase: Leukocyte esterase is a protein present on the surface of white blood cells, which are inflammatory cells! The amount of leukocyte esterase is proportional to the degree of inflammation. Normal women's vaginas are allowed to have a small amount of white blood cells, which is acceptable!
④ Based on your condition, it is recommended to perform a secretion culture to rule out the presence of other microbial infections. If none are found, local medication such as anti-anaerobic drugs can be applied. Additionally, it is important to treat both partners.