A positive white belt test for hydrogen peroxide and leukocyte esterase indicates an imbalance of vaginal flora and the possibility of gynecological inflammation such as vaginitis and cervicitis. There are several possibilities: 1. Vaginal flora imbalance. Normally there are a certain number of pathogenic microorganisms in the vagina and they maintain a certain balance between them without causing morbidity. However, if the balance of vaginal flora is upset by excessive use of antibiotics or gynecological lotions, the pH of the vagina will change, causing the dominant pathogenic bacteria to multiply and appear positive for hydrogen peroxide. 2. Positive leukocyte esterase suggests vaginal inflammation. Leukocyte esterase is present in neutrophils and being positive suggests neutrophilia, that is, the presence of gynecological inflammation. However, it is necessary to do further pathogenic microbial testing to determine which pathogenic microorganism is causing the inflammation, and a positive result for both of these indicators requires active treatment.