Positive leukocyte esterase hydrogen peroxide in gynecological examination indicates the presence of inflammation in the vagina, suggesting an imbalance of the flora in the vagina, and that the patient may be suffering from an infectious disease such as bacterial vaginitis. Leukocyte esterase is a common test in the routine leukorrhea test. Positive leukocyte esterase hydrogen peroxide indicates the presence of inflammatory reaction in the vagina, suggesting that there is an imbalance of the flora in the vagina, and that the patient may be suffering from bacterial vaginitis. If the patient has an elevated leukocyte count in the vagina, it suggests that there is an infection in the vagina. If you have a positive leukocyte esterase hydroperoxide test and a significantly higher white blood cell count, it is recommended that you seek medical attention and follow the doctor’s instructions for targeted treatment.