WBC is short for white blood cell, and WBC+ in the white belt means >5 white blood cells on high magnification. If there are only white blood cells (+) in the leukorrhea, it is usually normal. However, to determine whether there is a problem with the leukocytes, it is not only based on the white blood cells, but also on the nature of the leukocytes, whether there is itching, pain, signs of congestion in the vulva, and whether there is pathogenic microbial infection, etc. If these abnormalities are not present, just WBC(+) can be followed up without doing treatment. If, in addition to leukocytes (+), there is a high vaginal cleanliness grade (AV) score, as well as mycobacteria, trichomonas or clue cells, Gardnerella, etc., this indicates inflammation and treatment is needed. In the case of mycosis vaginalis, a mycoplasma suppository is needed in the vagina. If it is trichomoniasis, both spouses need to take oral metronidazole or tinidazole at the same time. In the case of bacterial vaginitis, the sexual partner does not need to be treated, the patient takes oral metronidazole or tinidazole, and a metronidazole-based suppository can be used intravaginally. In case of anti aerobic vaginitis, i.e. AV(+), this patient needs to be treated intravaginally with clindamycin gel, or suppositories.
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