Vaginal Discharge Examination Results?
, I want to ask what is meant by the results of this lab: Painting of gram-secretions from vaginal secretions – large gram-positive rods: +++ – variable gram-sized rods kcl: ++++ – gram-negative bent rods: ++ – others: – – nugent score: 6 Impression: gram staining preparations indicate changes in normal vaginal flora bacteria that are not associated with bacterial vaginosis. Progress toward the transition phase, but if clinical symptoms are supportive, retesting can be done. I did this test day 10 of the first day of menses. And 12 days before menses I tested microscopic fungi and trichomonas, the results were not found 2 things. Does this mean there is no bacterial vaginosis, gonorrhea, trichomonas, and candida ,? What is meant by the transition phase that I am entering a fertile period? Thank you
In the vagina there are bacteria that are "good", if the balance of the number of these bacteria is disrupted then the "bad" bacteria can cause infections that cause bacterial vaginosis. Bacterial vaginosis is characterized by symptoms of grayish white or greenish vaginal discharge, a characteristic fishy odor, and pain during intercourse.
Gram staining is the simplest technique for identifying types of bacteria. Nugents score is a score system used to assess the results of gram staining of vaginal fluid smears. Nugent score> = 7 indicates the presence of bacterial vaginosis. The transition phase means that your nugent score is 4-6, it cannot be categorized as bacterial vaginosis but it cannot be said to be normal (nugent score 1-3). Therefore, if there are symptoms that lead to bacterial vaginosis, the examination should be repeated to reduce errors when taking samples, making samples, or reading samples. Certain circumstances such as ovulation (fertility), sexual relations can also change the balance of the number and types of bacteria in the vagina. From other tests, fungi and trichomonas were not found to be normal. For the present situation is actually still within normal limits. If you maintain the cleanliness of your genital area properly and have safe sexual intercourse, you are less likely to get venereal infections. Further consultation, of course, you can do with obstetricians.
Thus the explanation from me, may be useful.