A weak positive leukocyte esterase test is not serious. A weak positive test only indicates the presence of leukocytes in the leukocytes, leukocyte esterase is a specific enzyme for leukocytes, which means there is inflammation. It is best to choose the right medication according to the test results. Different types of vaginitis are treated with different medications, if it is mycotic, use antifungal medication, if it is bacterial, use metronidazole and other medications. It is best not to use alkaline lotion to wash the vagina, as it can cause dysbiosis and lead to vaginitis. It is recommended not to have sex too often, to change clothes, and to wash and disinfect clothes in time.