What does "gynecological lactobacillus 3+" mean?

Nov 14, 2025 Source: Cainiu Health
Dr. Zhang Lu
Introduction
In general, a "3+" result for gynecological Lactobacillus usually indicates a large number of Lactobacillus in the vagina during a gynecological examination, showing a strongly positive reaction. It is recommended to wear breathable cotton underwear, change them frequently, and wash them separately from other clothes. Clean the external genital area with warm water only, and avoid frequent use of feminine hygiene products or douching the inside of the vagina.

In general, a "Lactobacillus 3+" result in gynecological testing typically indicates a large quantity of lactobacilli in the vagina during a gynecological examination, showing a strongly positive reaction. Detailed analysis is as follows:

A Lactobacillus 3+ result in a gynecological test suggests that the amount of lactobacilli in the vagina is sufficient and within the normal range. Lactobacilli are the primary beneficial bacteria in the vagina; they break down glycogen from vaginal epithelial cells to produce lactic acid, helping maintain an acidic vaginal environment, inhibit the growth and reproduction of harmful bacteria, support a balanced vaginal microbiota, and reduce the risk of infection. A 3+ result indicates good vaginal self-cleaning ability and stable microbial flora, usually without obvious signs of inflammation, reflecting a healthy vaginal condition.

It is important to wear cotton, breathable underwear, change it frequently, and wash it separately rather than mixing with other clothes. Clean the external genital area with warm water only—avoid frequent use of feminine hygiene products or douching, which may disrupt the acidic environment maintained by lactobacilli. Maintain proper hygiene of the external genitalia for both partners before and after sexual intercourse to minimize the introduction of external bacteria. If symptoms such as vulvar itching or abnormal vaginal discharge occur later, seek medical attention promptly for re-evaluation and monitoring of changes in the microbial balance.

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