Gynecological cleanliness ⅳ means that vaginal cleanliness is 4 degrees, and vaginal cleanliness is graded, generally into four levels. Specific instructions are as follows: 1. i degree, belongs to the normal cleanliness, representing a large number of vaginal bacilli and epithelial cells, white blood cell field of view is clean and free of miscellaneous bacteria. 2. ii degree, that the vaginal secretion is still normal. Vaginal bacilli and epithelial cells are of medium grade, with a few leukocytes and stray bacteria. 3. ⅲdegree, suggests a milder vaginal inflammation. The number of vaginal bacilli and squamous epithelium is low, with more stray bacteria and leukocytes. 4. ⅳ degree, representing relatively severe vaginal inflammation, such as mycosis vaginalis, trichomonas vaginalis, etc. The vaginal bacilli are no longer present. Vaginal bacilli no longer exist, only a small number of epithelial cells, white blood cells and stray bacteria are more numerous. So once you find gynecological cleanliness ⅳ after examination, it means that the vaginal inflammation is more serious and you should actively cooperate with the doctor for treatment. At the same time in the treatment period, ban smoking and alcohol, drink a lot of water, appropriate exercise, maintain good habits, eliminate unclean sex.