Leukocyte esterase positive in white discharge, what does cleanliness IV+ mean?

Patient's question:

No

Doctor's answer:

A positive leukocyte lipase alone does not indicate the presence of vaginitis, and your vaginal cleanliness is degree 1, which means there are no signs of vaginitis. Therefore, a positive leukocyte lipase alone does not indicate any issue, and no treatment is needed for now. It is recommended that you have a follow-up vaginal discharge test after some time.