A high leukorrhea pH may have a vaginal dysbiosis, a micro-ecological imbalance, or vaginitis. The normal vaginal pH is 4-4.5, which is an acidic environment. If the pH is >4.5, it becomes a weakly acidic environment. In some people, it is even higher, pH >7, which is an alkaline environment, and vaginitis may be present. An increase in the pH of the leukorrhea should not only be limited to the pH issue, but should also be checked for other signs of inflammation. Lactobacillus bacteria play a major role in the vagina and maintain an acidic vaginal environment. With low levels of lactobacilli, the pH level will rise. If there is no other co-infection, it is a micro-ecological imbalance in the vagina. Lactobacillus capsules or bitter ginseng gel can be used to restore the vaginal environment. If it is vaginitis, the type of vaginitis needs to be clarified before treating it accordingly. Mycosis fungoides and a special type of vaginitis, anti aerobic vaginitis, can be treated with suppositories that inhibit mycobacteria, such as nifurtimox, clotrimazole suppositories, or suppositories or effervescent tablets that inhibit mycobacteria; trichomoniasis and bacterial vaginitis both require oral metronidazole or tinidazole, and can also be treated vaginally with metronidazole suppositories; in elderly patients with atrophic vaginitis In elderly patients with atrophic vaginitis, the pH can also be increased, mainly due to the decrease of estrogen level, and estriol ointment is mostly used topically. All the above drugs should be used under the guidance of a medical professional. It is important not to douche the vagina but to wash the vulva only. The number of intercourse should not be too many, otherwise it may lead to vaginal dysbiosis. It is also important to pay attention to the hygiene of the vulva. A rise in pH level can lead to different types of vaginitis, which should be dealt with in different categories.