Pap smears should be taken for women during pregnancy planning, during the first trimester of pregnancy, and also at the onset of the third trimester of pregnancy.
What does vaginal cleanliness mean
The so-called Doderlein sticks, or vaginal bacilli, live in the vagina. This is the norm for a flora smear, because vaginal bacilli are constantly in the vagina of every he althy woman. Due to the influence of the waste products of vaginal bacilli, lactic acid is formed, as a result of which an acidic environment is present in this organ. A he althy woman with a clean vagina does not have any discharge and does not have any irritation or anxiety. Lactic acid does not create a negative effect on these bacilli and mucous membranes, but it has the ability to destroy pathogenic microorganisms, due to which the vagina is self-cleansing. During gynecological diseases and induring menopause, lactic acid is produced in a smaller amount, so the environment in the vagina can change from acidic to alkaline, and this is the reason for the development of pathogenic flora.
Smear Clarity Scores
A cleanliness smear determines the presence of epithelial cells and leukocytes, the number of pathogenic microbes and vaginal bacilli, as well as the level of cleanliness of the vagina. It should be noted that 24 hours before the procedure, it is necessary to completely exclude sexual intercourse, douching, as well as the use of vaginal creams and suppositories. No need to urinate for about a couple of hours before taking a swab.
Deciphering the value of the purity of the smear
First degree cleanliness smear
This is the optimal swab for cleanliness. Ideally, every woman should have such a smear. The first degree means that there are only Doderlein sticks and epithelial cells in the vagina. The environment in the vagina is acidic.
Second grade cleanliness smear
Smear of the second degree is characterized by the content of a smaller number of Doderlein sticks (vaginal bacilli), the presence of comma variabile bacteria and single leukocytes, as well as a large number of epithelial cells. The environment in the vagina is acidic. Such a smear for the degree of purity is considered normal, but one should not refuse the doctor's recommendations and the prescribed treatment.
Third grade cleanliness smear
The smear has a small number of vaginal bacilli, contains many cocci and pathogenic bacteria, and a large number ofleukocytes. Such a smear for the degree of purity has a slightly alkaline reaction, a woman may experience itching, discharge, etc. The third degree of a smear for purity requires treatment by a gynecologist, as the indicators indicate the presence of inflammatory processes.
Fourth grade cleanliness smear
A smear of the fourth degree of purity indicates the neglected state of the vaginal environment, the absence of vaginal bacilli and the presence of all kinds of pathogenic microorganisms (cocci, Trichomonas, etc.). Also in the smear there is a large number of leukocytes, characteristic of inflammation and the pathological process. Grade 4 smear cleanliness requires serious medical treatment.
Every woman should have a vaginal smear 1-2 times a year. Do not forget that the purity of the smear directly depends on the quality of water in reservoirs, the intensity of sexual activity, the cleanliness of partners, etc. Therefore, it is worth spending a little time and money for analysis in order to be calm and subsequently have beautiful and he althy children.
