Can a vaginal discharge examination detect cervicitis?

Jun 12, 2024 Source: Cainiu Health
Disease description:

Recently, I've been experiencing vaginal bleeding during intercourse with my husband, so I'm worried that I might have cervicitis. I'm planning to go to the hospital for a vaginal discharge examination. Can cervicitis be detected through a vaginal discharge test?

Doctor's answer (1)
Dr. Zhao Xiaodong
Vaginal discharge examination plays an auxiliary role in the diagnosis of cervicitis, but cannot directly detect cervicitis. 1. Examination content: Vaginal discharge examination primarily assesses vaginal epithelial cells, white blood cells, and leukocyte esterase, helping to identify specific infections such as trichomoniasis or fungal infections, as well as the cleanliness level of the vagina. This is relatively accurate for diagnosing vaginitis. 2. Diagnosis of cervicitis: Confirming cervicitis requires additional examinations, including gynecological examination, cervical smear test, and pathogen detection. During a gynecological exam, the physician examines the appearance of the cervix for signs of inflammation such as congestion, edema, or purulent discharge. 3. Comprehensive evaluation: Although vaginal discharge examination cannot directly diagnose cervicitis, it can provide clues about cervical health. The final diagnosis still depends on a comprehensive assessment integrating the patient's symptoms, physical signs, and results from other tests.