In the vagina healthy women there is usually a small amount of discharge of white or slightly yellowish. They are formed from otorgada cells of the vaginal epithelium, leucocytes (in small quantities) and microorganisms, and the liquid part of vaginal contents is formed due to extravasation of blood vessels podpisannogo layer of the vaginal walls. In addition, before menstruation to them mixed with a small amount of mucus from the cervix. If mucus spent a lot of this is already in the pathological condition of the cervix (the Cathars, erosion). The secret of the vagina has an acidic reaction, turning the blue litmus paper in red.
The presence of the vagina bacteria to distinguish four purity vaginal contents.
The first degree of purity (usually virgins and in healthy pregnant women): under the microscope in a smear can be seen entirely alone vaginal sticks and cell squamous epithelium; other bacteria and white blood cells do not.
Second degree: vaginal wand though prevails, but along with it meets cocci and leukocytes.
Third degree: vaginal sticks even less dominated by cocci, many leukocytes.
Fourth degree: vaginal Bacillus not at all; epithelial cells isolated, many kokkov, caught streptococci and other bacteria, the mass of cells (Fig. 62).
As above mentioned, acid reaction vaginal secretions due to the content of lactic acid in the presence of which the bacteria cannot grow. As lactic acid is formed in the result of activity of bacteria, vaginal sticks Doderlein, it is possible to conclude that the bacteria that are present at the first and second grades vaginal secretions, not only harmless, but even useful. The third and fourth purity indicate a pathological condition of the sexual apparatus. Reaction vaginal secretions may be weak acid, and often alkaline.
Inflammatory processes in the number of allocations increased, they leave spots on clothes and cause the patient a number of concerns (itching, burning and so on). The increase in secret due to inflammatory exudation in the hyperemia of the pelvic organs. The study of secretions is aimed at the detection of the pathogen.