Positive leukocyte esterase in gynecological examination

A simple positive leukocyte esterase test does not usually cause significant vulvar discomfort and usually does not require special treatment. If it is positive for leukocyte esterase and accompanied by abnormal cleanliness, it indicates that the woman is suffering from bacterial vaginitis, miscellaneous vaginitis, cervicitis, endometritis or other diseases.1. Bacterial vaginitis: You can use Tinidazole vaginal effervescent tablets under the guidance of a doctor, together with taking metronidazole and clindamycin for treatment. Prohibit sexual intercourse and do not eat stimulating food during the treatment period. After the treatment, review closely and wait for the complete cure before having sex. 2. Miscellaneous vaginitis: you can follow the doctor’s instruction to take oral compound xanthin tablets and wash the vulva with compound Chuan Bai anti-itch lotion and then use Diazotide ointment for vaginal treatment. 3. Cervicitis: you can use ceftriaxone sodium, azithromycin and other drugs under the doctor’s instruction, and if necessary, polyp removal, as well as freezing, laser, focused ultrasound and other physical treatments. Endometritis: anti-inflammatory treatment with broad-spectrum antibiotics, such as ceftriaxone sodium, azithromycin, levofloxacin, etc., as prescribed by the doctor, and uterine drainage if necessary. If combined with BV positive or clue cells, it suggests bacterial vaginitis. If Trichomonas vaginalis is found during the examination, it suggests trichomonas vaginitis. Women are advised to go to the hospital in time for treatment to clarify the cause. It is recommended that women keep their vulva clean, wash it with warm water every day, and improve hygiene during menstruation and sexual intercourse. Pay attention to rest and get enough sleep.