Is first-degree or second-degree vaginal discharge cleanliness better?

Nov 14, 2025 Source: Cainiu Health
Dr. Zhang Lu
Introduction
In general, vaginal discharge cleanliness grading is an indicator used to assess the cleanliness of vaginal secretions. It is primarily determined by microscopic examination of components in the vaginal discharge, such as white blood cells, epithelial cells, and bacteria. The distinction between degree I and degree II cleanliness should be evaluated based on specific test results and clinical significance. If abnormal symptoms occur, timely medical consultation is recommended.

Generally, vaginal discharge cleanliness grading is an indicator used to assess the cleanliness of vaginal secretions. It is primarily determined by microscopic examination of components in vaginal discharge such as white blood cells, epithelial cells, and bacteria. The distinction between grade I and grade II cleanliness should be evaluated based on specific test results and clinical significance. If abnormal symptoms occur, timely medical consultation is recommended. Detailed analysis is as follows:

When vaginal discharge cleanliness is grade I, a large number of lactobacilli and epithelial cells are observed under the microscope, with no or very few miscellaneous bacteria and white blood cells. This indicates a well-balanced vaginal environment without obvious signs of inflammation. In such cases, no special treatment is required; routine hygiene practices are sufficient and there is no adverse impact on reproductive health.

When vaginal discharge cleanliness is grade II, a moderate amount of lactobacilli and epithelial cells are seen microscopically, along with a small number of miscellaneous bacteria and white blood cells. There may be mild microbial imbalance, but if no noticeable discomfort is present, medication is usually not necessary and can be regulated through daily care. However, if symptoms such as vulvar itching or foul-smelling discharge occur, this may indicate mild inflammation, requiring further medical evaluation rather than relying solely on routine hygiene measures.

In daily life, it is important to frequently change cotton underwear and wash the external genital area with warm water, avoiding frequent use of cleansing products. Both partners should maintain good genital hygiene before and after sexual intercourse to reduce opportunities for bacterial growth. Maintaining regular sleep patterns, a balanced diet, and enhancing overall immunity can help preserve normal vaginal flora balance.