What does leucorrhea cleanliness of 2 degrees mean?

Leucorrhea cleanliness of 2 degrees is within the normal range, indicating that the vaginal microecology is basically balanced and does not require special treatment. The cleanliness of leucorrhea is an indicator to evaluate the distribution of white blood cells, epithelial cells and bacteria in vaginal secretions. It is clinically divided into grades 1-4. Grade 2 may have a small number of white blood cells but no pathogenic bacterial infection.

1. Physiological changes

Estrogen levels increase during the luteal phase of the menstrual cycle or during pregnancy, which may lead to an increase in the amount of leucorrhea that appears milky white. A small number of white blood cells can be seen under the microscope, but Lactobacilli are dominant. In this case, no intervention is required. Just keep the vulva clean and dry, and avoid using alkaline lotions to rinse the vagina.

2. Mild bacterial imbalance

When antibiotics are used for a long time or the immunity is weakened, a temporary decrease in lactobacilli may occur, but the diagnostic criteria for bacterial vaginosis are not met. You can supplement vaginal probiotic preparations containing Lactobacillus, such as Dingjunsheng vaginal Lactobacillus live bacteria capsules, and reduce sugar intake to maintain an acidic environment.

3. Chlamydia colonization

Early Chlamydia trachomatis infection may only manifest as cleanliness level 2, accompanied by mild cervical mucopurulent discharge. The diagnosis needs to be confirmed through a nucleic acid amplification test. After diagnosis, azithromycin tablets or doxycycline tablets can be used for standard treatment, and sexual partners need to be checked simultaneously.

4. Early stage of cervicitis

There may be no typical symptoms in the early stages of chronic cervicitis, only abnormal cleanliness. Cervical congestion can be seen on gynecological examination, and Chinese patent medicines such as Baofukang suppository or Xiaomi suppository can be used together. Cervical cancer screening needs to be strengthened when combined with HPV infection.

5. Sampling error

Remaining menstrual blood or touching the cervix during sample collection may cause pseudoleukocytosis. It is recommended to recheck after 3 days of clean menstruation, avoid cervical mucus when collecting materials, and conduct comprehensive evaluation and testing of vaginal microecology if necessary.

You should choose breathable cotton underwear and change it daily, and avoid wearing tight chemical fiber clothing. Pay attention to cleanliness before and after intercourse, but do not douche vaginally to damage the microenvironment. If vulvar itching, odor, or abnormal color of secretions occur, routine leucorrhea, bacterial culture, and drug sensitivity testing must be performed promptly. It is recommended that regular gynecological examinations include screening for sexually transmitted diseases such as mycoplasma and chlamydia. Maintaining moderate exercise can help enhance pelvic floor muscle tone and local immunity.