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Colposcopy or vaginal smear is a step in a woman's gynecological examination. This is an important technique to assist in finding the cause of the genital tract infections in general, so that the doctor can offer appropriate treatment.
1. What is a colposcopy?
Fresh colposcopy is a test technique that uses samples of vaginal fluid and cervical fluid during gynecological examination to determine the cause of gynecological diseases in women. Vaginal fluid samples will be used by technicians to check for the presence of bacteria, fungi, genital flagella, white blood cells, ... and abnormal cells. White blood (vaginal discharge) is a fluid secreted from the labia majora, labia minora, bartholin glands, endometrium and cervical endometrium in women. Normally, discharge is odorless and has a viscous, colorless appearance. However, when women have vaginitis, vaginal discharge will change in color and odor, causing discomfort and is a characteristic manifestation of gynecological diseases. At this time, a fresh smear of vaginal and cervical fluid will help check this condition.
2. When should colposcopy be done?
Fresh colposcopy is a simple and accurate technique. Therefore, women should go to the doctor promptly when detecting one of the abnormal symptoms in the private area as follows:
Vaginal discharge makes the vaginal area always feel wet, uncomfortable or may be mixed with blood Vaginal discharge abnormal in color (yellow, green, brown, ..) and has a fishy, sour odor. Vaginal discharge can also be white like milk residue, too thin or thick, Itching of the vagina, painful sensations during sex, bloody urination, painful urination, frequent urination Vaginal bleeding Menstrual disorders Also need to have a checkup. Fresh vaginal discharge before hysterectomy or surgical abortion to reduce the risk of postoperative infection
3. Steps to conduct a fresh cervical smear
Colposcopy will be conducted in 4 steps:
Step 1: the doctor inserts a speculum into the vagina to observe, if abnormal, will conduct a sample of vaginal discharge for analysis. 2: read the results to see if there is any fungal or bacterial infection and give appropriate treatment Step 3: in case of abnormality, the patient may be assigned additional tests such as culture, Gram stain of vaginal smear for definitive diagnosis Step 4: Depending on the type of cause, the treatment regimen will be different. Usually, there will be topical drugs combined with prescription drugs such as antibiotics Note before a vaginal examination, the patient needs to take the following measures to avoid bias in the results:
Clean the intimate area with clean water , do not use feminine hygiene solutions before the test Do not douche before the test Do not have sex before the test Contraindicated when women are menstruating, taking Vaginal pills or sex, douching for 24 hours
4. Results of colposcopy
Fresh colposcopy gives negative results (normal) when:
Vaginal discharge is normal No number of bacteria causing vaginitis or no clue cells are visible, no Clue cells are seen. Vaginal pH in the normal range (3.8-5.4) No fungus when observed Test niff: no fishy odor Abnormal results (positive) when:
Vaginal discharge has strange signs (colored) , odorous, lumpy or thick, squishy) Large numbers of non-beneficial bacteria outnumbering beneficial bacteria in the genital tract such as gram-negative bacilli, cocci, white blood cells per 100 are observed white blood cells/ 1 microfield Oval yeast can be seen, with or without mycelium Test niff shows a rotten fishy odor is a typical sign of Gradnerella See a clue cell image: it is a diagnostic sign of yin inflammation Vaginal pH over 4.5 In order to help customers detect and treat gynecological diseases early, Vinmec International General Hospital has a basic gynecological examination and screening package to help customers develop show braids Early detection of inflammatory diseases makes treatment easy and inexpensive. Screening detects gynecological cancer (cervical cancer) early even when there are no symptoms.
Basic gynecological examination and screening package for female customers, has no age limit and may have the following symptoms:
Abnormal vaginal bleeding Having menstrual problems: irregular menstrual cycle, irregular menstrual cycle Irregular vaginal discharge (smell, different color) Vaginal pain and itching Female clients have several risk factors such as poor personal hygiene, Unsafe sex, abortion,... Female customers have other symptoms such as: Abnormal vaginal discharge, itching, pain in the private area, abnormal vaginal bleeding.
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