Leukocytes 35 40. Why leukocytes increase in gynecological smears and what is considered normal

An important indicator of women's health is the rate of leukocytes in the cervix. It is determined by taking a smear at a gynecologist's appointment. In a healthy state, the level of leukocytes in a smear is no more than 20. If the norm is exceeded, then an inflammatory process develops in the woman's body, namely in the genitourinary system, which must be identified and treated.

Indicators of leukocytes in a smear and pathology of exceeding the norm

To determine the condition of the genital organs and the system as a whole, sometimes it is enough to take a smear. An increase in leukocytes in it will immediately cause anxiety, since their excessive number means the presence of inflammatory processes in the neck and other organs, the causes of which must be established and eliminated.

If a woman is healthy, this can be seen from the indicators. In the normal state, leukocytes should not exceed the following norms:

  • in the cervix no more than 15, in extreme cases - 20;
  • in the urethra, their number should not exceed 5;
  • the allowable rate in the vagina is 10.

A significant increase in leukocytes can indicate a disease of the cervix and not only. The more they deviate from the norm, the more aggressive the disease is and the faster it is necessary to find its causes, prescribe treatment. Advanced cases are difficult to treat and entail great complications.

The main diseases indicated by an increase in the level of leukocytes in the cervix:

  • inflammatory state of the endometrium;
  • infectious diseases of the urinary tract;
  • inflammatory processes in the ovaries and uterine tubes;
  • the presence of microbial imbalance in the intestine or vagina;
  • diseases caused by infections that are transmitted by sexual intercourse;
  • malignant neoplasms in the genital organs;
  • changes in the cervical canal, its inflammatory state.

Interesting video:

To determine the state of the reproductive system of a woman, it is enough to take a smear on the flora and the treatment will depend on the results.

The main symptoms of changes in the level of leukocytes that are contained in the cervix:

  1. Change in secretions. They become curdled and smell unpleasant.
  2. Frequent need to go to the toilet, difficult urination and almost no stool.
  3. Prolonged pain in the pelvis.
  4. Itching and burning in the genitals.
  5. Violation of the cycle of menstruation.

The rate of increase in the rate of leukocytes that are present in the cervix indicates many diseases of the genitourinary system, for example, inflammation of the cervical canal (). If this disease is not detected in time, it provokes cervical erosion and leads to infertility. Inflammation of the cervical canal with an increased content of leukocytes in the neck occurs with the following symptoms: periodic pain in the lower abdomen, which becomes more frequent over time; discomfort during intimate relationships, burning in the genitals, as well as itching.

Note! The process of inflammation usually originates in the vagina and gradually moves towards the cervix. The causes of infection may be poor personal hygiene. This should be especially monitored.

Exceeding the norm of leukocytes in a smear in the absence of infection

Diseases of the genitourinary system in women occur in different ways. It happens that leukocytes are elevated, but there is no infection in the body. Despite this, an examination by a gynecologist and the surrender of all necessary analyzes are a mandatory procedure. Since, an increase in leukocytes without special reasons cannot occur. A change in the indicator indicates the presence of pathologies.

A slight increase in white blood cells may indicate discomfort that is present in the cervix and in the vagina. If their number is small and the norm is slightly exceeded, there is no reason to worry. This is quite acceptable. If the level of leukocytes in the neck has gone far beyond the limits, it is worth starting treatment immediately.

It is worth noting that it often happens when leukocytes are elevated in a general blood test, and a smear shows that they are normal in the cervix. Definitely, there is an inflammatory process in the body and it is urgent to carry out further diagnostics.

Treatment with an increased content of leukocytes in a smear

Before starting treatment, after the diagnosis, a woman is still assigned a number of tests, with the help of which the doctor can accurately determine a particular disease. At this time, it is imperative to undergo an ultrasound scan of the organs located in the small pelvis, pass tests, and bacterial culture is also carried out. All these procedures are necessary in order to identify as accurately as possible the causes of the increased content of leukocytes and not to prescribe unnecessary drugs in the treatment. For example, if the case is in thrush, then in no case should antibiotics be used. They will only harm the body of a woman. In this case, medications that provoke an increase in the activity of the body's resistance to viral infections will help more.

Treatments for elevated white blood cells:

  • antiseptic preparations;
  • antibiotics;
  • products containing bifidobacteria.

Also, the vagina is treated with antiseptic substances. It is an integral part of anti-inflammatory therapy.

During the treatment of elevated leukocytes in the cervix, a woman is credited with means to strengthen immune system and essential vitamins. It is recommended at this time to take special drugs that will help rid the body of toxins so as not to poison it. side effect many antibiotics.

Important! An excess of white blood cells in the cervix is ​​a very serious sign of negative changes and inflammatory processes in the genitourinary system of a woman. They can also indicate pathologies such as: dysfunction of both ovaries, hormonal failure, pregnancy failures.

It must be remembered that the level of white blood cells in the neck of the reproductive organ helps to identify inflammation of the cervical canal, as well as the endometrium (the functional layer of the uterus). If these diseases are not treated in time, they provoke a change in the walls of the uterus, its cervix and other diseases, as well as pathologies of adjacent organs. Therefore, even a slight deviation from the norm should not be ignored. Timely detection of a particular disease contributes to its successful treatment and can save you from unwanted problems in the future. Do not be indifferent to yourself and your health. Diseases do not sleep and this must be remembered.

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White blood cells are special cells of the immune system designed to protect the body from infections. When a virus appears, leukocytes begin to multiply actively in order to defend themselves. Naturally, this increase is immediately displayed in blood tests, and, of course, in a smear. For physicians, the signal for treatment is the presence of more than 15 units of leukocytes in a smear in the field of view. This means that a woman develops an infectious-inflammatory disease. If the number of leukocytes literally rolls over, then the lady has problems with genitourinary system. It could be inflammation. Bladder, kidney or reproductive organs.

What do white blood cells say in a smear

Leukocytes can be detected in a smear and are normal. But in this case, there won't be many of them. If the value goes beyond the norm, most likely, the lady develops an infectious inflammatory disease - vaginitis, bacterial vaginosis, thrush, colpitis, etc. Moreover, the more leukocytes in the smear, the more acute the course of the disease.

Symptoms that may accompany increased amount leukocytes in a smear, the following:
- frequent urination, which can be quite painful;
- burning sensation in the vagina;
- unpleasant ;
- problems with the menstrual cycle (for example, failure);
- dense whitish discharge.

Causes in a gynecological smear can be various problems. This is vaginal dysbacteriosis, and various sexually transmitted infections, and E. coli, as well as oncological diseases genitals.

What to do with elevated leukocytes

First of all, in order to reduce the number of leukocytes in a smear, it is necessary to treat the cause that causes such a pathology. Treatment must be prescribed by an observant gynecologist. Sometimes a urologist is also involved in drawing up a treatment regimen.

In parallel, you can try to reduce the discomfort that causes a particular disease. To do this, sanitation is usually prescribed to restore the microflora of the vagina. You can conduct a course both with the help of medications and herbs - chamomile, nettle, St. John's wort, etc. Naturally, such treatment can be used only in consultation with the doctor.

You can also do warm baths. The water temperature should be at least 45 degrees, because heat helps fight inflammatory diseases.

Often used to reduce leukocytes in a smear, special candles.


Often, it is the elevated leukocytes in a smear in women that indicate some kind of malfunction in the body, it requires finding out the cause of this condition, and, of course, treatment. It is important to remember that no self-treatment will help to cope with the problem, and sometimes it can lead to negative consequences.

Leukocytes are white blood cells that protect the body from all types of harmful agents (bacteria, viruses, etc.). That is, the main function of leukocytes is the implementation of the protection of the body, both specific, for example, from a certain type of microorganisms, and nonspecific or general.


The concentration of leukocytes increases in areas of inflammation, where they capture and digest foreign agents. In the case of a large accumulation of pathogenic agents, white blood cells increase significantly in size and begin to break down. The process of destruction of leukocytes is accompanied by a local inflammatory reaction: edema and hyperemia of the damaged area, an increase in local temperature.

A swab for flora, as already mentioned, is taken from a woman at each visit. antenatal clinic, that is, every six months, if the patient has complaints, as well as after a long course of antibiotics, when planning a pregnancy, during the period of gestation and after childbirth. During pregnancy, a smear for microflora (in the absence of complaints) is examined three times: upon registration, before maternity leave (30 weeks) and at 36 weeks.

In order for the results of a smear on the flora to be reliable, it is necessary to prepare in advance for the test:

  • for 1 - 2 days to exclude sexual contact;
  • douching is not allowed 2 days before the visit to the doctor;
  • it is forbidden to use candles, tablets and creams at least a day in advance;
  • a smear is not taken during menstruation, since menstruation changes the composition of the smear;
  • 2-3 hours before visiting the gynecologist, refrain from urinating;
  • should be washed on the eve of the reception, with warm water without soap.

If a woman is preparing for a preventive examination, then it is advisable to schedule a visit to the gynecologist in the first days after menstruation or before they begin.


In a gynecological smear, the composition of the microflora of the contents of the urethra, vagina and cervix is ​​determined.

The material is taken with sterile disposable instruments. A swab is taken from the urethra with a bacteriological loop or a Volkmann spoon, from the vagina (posterior fornix) with a sterile gauze swab, and from the cervix with an Eyre spatula.

Symbols are indicated on the slides:

  • U - smear taken from the urethra;
  • C - smear from the cervix;
  • V - smear from the vagina.

After the glasses are dry, they are sent to the laboratory for analysis. Laboratory assistants stain smears with special dyes (according to Gram), then examine them under a microscope. During the analysis, leukocytes and various opportunistic and pathogenic bacteria are counted, which are stained in different colors.

The data that is indicated in the smear analysis:


The rate of leukocytes depends on the place from which the smear was taken. Their content is normally small. In the urethra, the number of leukocytes is 0 - 5 - 10, in the vagina their concentration corresponds to 0 - 10 - 15, and in the cervical canal from 0 to 30.

During pregnancy, the content of leukocytes increases slightly and can range from 15 to 20 (in the vagina) in the field of view.

The squamous epithelium lines the vagina, urethra and cervical canal. In normal smears, the number of epithelial cells ranges from 5 to 10. With the disappearance of the epithelium (0 cells in the field of view), they speak of atrophy of the mucous membrane, and in the case of an increase in epithelial cells, inflammation.

Normal smears are characterized by a large content of them in the vagina, while they are absent in the cervix and urethra. With a decrease in the number of lactic acid bacteria, they speak of bacterial vaginosis.

Mushrooms of the genus Candida are normally absent at all three points of swab sampling, but their single presence in the vagina is allowed. An increase in yeast-like fungi indicates thrush.

They are conglomerates of squamous epithelial cells and bacteria - gardnerella. Normally absent, the presence of such cells is a sign of gardnerellosis or bacterial vaginosis.

Refers to anaerobic (living without air) gram-negative bacteria, often found in mixed infections, such as thrush and bacterial vaginosis or trichomoniasis and chlamydia. If these bacteria are detected in a smear, an extended analysis for sexual infections is indicated.


Degrees of purity of the vaginal smear

When talking about gynecological smears, they mean not only smears taken from the cervical canal, urethra and vagina, but also a separate type of smear that determines the degree of cleanliness of the vagina. The material is taken from the walls of the vagina and dried on a separate glass. There are 4 degrees of purity, but only degrees 1 and 2 are normal:

  • 1 degree - leukocytes 0 - 5

Considered ideal. The number of leukocytes is small, the microflora is mainly (up to 95%) represented by lactic acid bacteria, epithelial cells are few.

  • 2 degree - leukocytes 5 - 10

It also refers to the norm, but in a smear it is determined in a small amount of conditionally pathogenic microorganisms(cocci or single yeast fungi). Lactobacilli prevail, leukocytes and mucus are moderate, epithelial cells are normal.

  • 3 degree - more than 10 (up to 50)

The content of leukocytes increases, a lot of mucus and epithelium is determined. The concentration of Doderlein sticks decreases due to an increase in opportunistic flora.

  • Grade 4 - leukocytes entirely (cannot be counted)

Against the background of a huge number of leukocytes (the term “completely” is indicated in the description of the smear), pathogenic microorganisms (gonococci, Trichomonas) are determined. Doderlein's sticks are not determined, there are a lot of mucus and epithelial cells (a consequence of the inflammatory process).

When identifying 3 and 4 degrees of purity of the vaginal smear, it is necessary to establish the cause of the inflammation and treat it.

If the leukocytes in a smear in women are increased, then the causes can be both reproductive diseases and malfunctions of others. internal organs and systems. Inflammation comes first among the causes of an increase in leukocytes in urogenital smears:

  • inflammatory process in the cervical canal or cervicitis;
  • development of inflammation in the appendages (tubes and ovaries) or salpingo-oophoritis;
  • inflammation of the uterine mucosa - endometritis;
  • inflammatory process in the vagina - colpitis or vaginitis;
  • the development of inflammation in the urethra - urethritis;
  • malignant tumors of the genital organs (destruction of healthy tissues is accompanied by inflammation);
  • intestinal and/or vaginal dysbacteriosis;
  • infections that are sexually transmitted (both sexually transmitted diseases and latent sexual infections).

Why do leukocytes increase in a smear? Pathogenic microorganisms are involved in the development of the inflammatory process, which are difficult to detect in the usual way - by examining a urogenital smear, or activated representatives of the opportunistic flora. To detect pathogens of latent sexual infections, they resort to a more complex examination - the PCR method (examination of blood, urine, secretions from the genital organs).

With a detailed study in smears or blood, the following can be detected:

  • chlamydia;
  • mycoplasma and ureaplasma;
  • gonococci (see symptoms of gonorrhea);
  • Koch's stick (the causative agent of tuberculosis);
  • pale treponema (the causative agent of syphilis);
  • Donovan bodies (causative agents of inguinal granuloma);
  • trichomonas (see symptoms of trichomoniasis);
  • amoeba;
  • cytomegalovirus;
  • human papillomavirus (cause of cervical cancer);
  • immunodeficiency virus;
  • genital herpes viruses;
  • mushrooms of the genus Candida (thrush);
  • actinomycete fungi.

Bacterial vaginosis or vaginal dysbiosis

Under certain conditions, conditionally pathogenic flora is activated and the growth of lactic acid bacteria is suppressed:


  • disruptions in hormonal status (puberty or decline in reproductive function - pre- and menopause, pregnancy and spontaneous abortion, endocrine diseases);
  • weakening of local and general immunity (hypothermia, antibiotic therapy);
  • severe stress and overwork;
  • microtrauma of the vagina due to intense sex;
  • radiotherapy, chemotherapy;
  • the use of spermicides in the form of ointments and suppositories;
  • oral sex;
  • a large number of sexual partners;
  • excessive enforcement of the rules intimate hygiene, passion for douching;
  • the entrance to the vagina deformed by scars (anatomical features, pathological childbirth, surgical interventions);
  • imbalance of the intestinal microflora (dysbacteriosis);
  • foreign bodies in the vagina (tampons).

Irritation of the vulva and vagina

  • neglect of intimate hygiene;
  • temperature changes (hypothermia and overheating);
  • mechanical injury (tight, synthetic underwear, thongs, rough sex, etc.);
  • chemical burns (douching with acids and other drugs);
  • common diseases (diabetes mellitus, pathology of the urinary system and others).

In addition, elevated leukocytes in urogenital smears can be observed within 24 hours after intercourse or for 7 to 10 days after the installation of an intrauterine device. If the cause of the increase in the content of leukocytes in smears cannot be established, a more thorough and detailed examination should be carried out, including for the detection of malignant tumors of the reproductive system.

Causes of an increase in leukocytes in pregnant women

Some increase in the level of leukocytes in a smear during pregnancy is considered normal. The normal content of white blood cells in vaginal smears corresponds to 15 - 20 per field of view.

Elevated white blood cells in pregnant women in a smear are explained by physiological factors:

  • Firstly, during the period of gestation, the hormonal balance is restructured, progesterone and estrogens are produced in large quantities. Under the influence of estrogens, Doderlein sticks begin to actively multiply, which create an acidic environment in the vagina and prevent the reproduction of opportunistic and pathogenic flora, but contribute to the accumulation of leukocytes.
  • Secondly, expectant mothers have reduced immunity, which prevents the rejection of the embryo as a foreign body. Due to weakened immunity, pathogenic bacteria easily penetrate the vagina or a latent infection is activated, which explains the increase in leukocytes in gynecological smears (a protective reaction during inflammation).

Often a very high concentration of white blood cells in smears (50 - 100 or leukocytes entirely in the field of view) is detected, which, as a rule, is noted with thrush (urogenital candidiasis). In such cases, in addition to a large number of leukocytes, fungi of the genus Candida and mycelium in the form of white threads are found in the smear.

An excess of white blood cells in expectant mothers requires a thorough examination and appropriate treatment. The infectious process from the vagina can go to the cervix and cervical canal, penetrate the uterine cavity, which will lead to infection of the amniotic fluid and the fetus and end in miscarriage or premature birth.

An increased level of leukocytes in secretions from the cervical and urethra and vagina often accompanies diseases of the urinary and reproductive organs of a woman:

  • frequent and painful urination - a sign of cystitis or urethritis;
  • false urge to defecate indicate intestinal dysbacteriosis;
  • discharge with an unpleasant odor, accompanied by itching and burning, may indicate vaginitis, cervicitis or inflammation of the uterus and inflammation of the appendages;
  • purulent, foamy discharge or cheesy discharge are observed with vaginitis of a specific etiology (thrush, gonorrhea, trichomoniasis);
  • pain during intercourse is possible with pathology of the cervix, uterus or appendages;
  • violation menstrual cycle in combination with an increase in leukocytes, it makes one think of inflammation of the appendages.

Before you begin to deal with an increased level of white blood cells in smears, it is necessary to establish the cause of this phenomenon. It often happens that the content of leukocytes in a gynecological smear is high, although there is no activation and growth of opportunistic flora and, moreover, specific pathogens. What to do in such a case?

The gynecologist will recommend taking smears again, choosing the most successful day of the menstrual cycle and recommending that you properly prepare for the test (exclude sexual intercourse, taking medication, douching). If, upon re-smearing, leukocytes again have a high rate, an extended examination is performed:

When sowing vaginal and cervical secretions on nutrient media, colonies of pathogenic and opportunistic microorganisms often grow. The pathogen is identified and its sensitivity to certain antibiotics is determined, which is necessary for further treatment.

The method is highly accurate and almost 100% reveals latent sexual infections, which may not manifest themselves clinically, but lead to irreversible consequences (infertility).

In this case, preference is given to ultrasound performed by a transvaginal sensor. Possible cause elevated leukocytes in the analyzes, in addition to inflammation of the uterus and appendages, there can be various tumor-like formations (ovarian cysts, uterine fibroids or sarcoma, uterine polyps, etc.).

Examination of the cervix under multiple magnification helps to diagnose diseases that are not visible to the naked eye, but are the cause of elevated leukocytes in the tests (leukoplakia, cervical dysplasia or cancer in the initial stage).

Appointed after the above examination. For example, consulting an endocrinologist and prescribing appropriate therapy to them will help normalize the level of leukocytes in diabetes, pathology thyroid gland or being overweight. A nephrologist will identify a disease of the urinary system (pyelonephritis, cystitis) and prescribe anti-inflammatory therapy (antibiotics, nitrofurans). The allergist will advise you to exclude irritating factors (synthetic underwear, the use of intimate sprays, deodorants and various lubricants). The neurologist will prescribe sedatives and drugs to eliminate neurosis, which can also cause an increase in leukocytes.

Anti-inflammatory treatment is prescribed only if an infection is detected. How to treat, the doctor decides, depending on the results of the tests. Anti-inflammatory therapy includes:

  • local treatment;
  • general treatment;
  • restoration of normal microflora of the vagina.

Candles:

  • at the same time, suppositories with an anti-inflammatory effect (hexicon, polygynax, betadine and others, see all anti-inflammatory suppositories in gynecology) are locally prescribed.
  • if a diagnosis of urogenital candidiasis is made, it is recommended to use suppositories with an antifungal effect (clotrimazole, pimafucin, livarol, see all suppositories for thrush). Suppositories are administered one to two times a day for 10 to 14 days.
  • with an unstarted inflammatory process, treatment is limited to this.

Treatment of latent genital infections

In case of detection viral infection, sexually transmitted diseases or hidden genital infections, systemic antibiotic therapy or antiviral drugs are prescribed. Choice medicinal product depends on the etiology of colpitis and / or cervicitis.

The final stage of therapy is the restoration of the normal microflora of the vagina (an increase in the content of lactic acid bacteria). For this purpose, the following are assigned:

  • vaginal suppositories or tampons with probiotics (lactobacterin, bifidobacterin, acylact, colibacterin and others).
  • the course of treatment with probiotics is long and is 2 to 4 weeks.

Question:
What threatens the high content of leukocytes in the analyzes?

If a high level of white blood cells in the tests is due to an inflammatory process, then refusal to treat is fraught with infertility, ectopic pregnancy, the development of adhesive disease of the small pelvis, uterine fibroids, endometriosis, menstrual irregularities, and even the occurrence of malignant tumors of the genital organs.

Question:
I am pregnant and passed a smear, which identified elevated leukocytes. Why is it dangerous?

A high content of white blood cells in smears during pregnancy is dangerous for premature termination of pregnancy (miscarriage or premature birth), intrauterine infection of the fetus, the development of chorioamnionitis (inflammation of the water and placenta), rupture of the birth canal during childbirth and the development of purulent-septic diseases in the postpartum period. Therefore, expectant mothers should carefully follow the recommendations of the doctor and carry out the prescribed or treatment with an increase in the content of leukocytes in the analyzes.

Question:
Is it possible to have sex with elevated leukocytes in smear tests?

If a specific infection is not detected (gonorrhea, chlamydia, genital herpes and other diseases), then sex is not contraindicated.

Question:
Can I get pregnant with elevated leukocytes in smears?

Yes, it is quite possible to get pregnant, but it is advisable to undergo preliminary treatment, since often a high white blood cell count in the analyzes indicates an inflammatory process in the genitals.

Question:
Is it possible to reduce the content of leukocytes in the analyzes using only folk methods treatment?

You should not engage in self-medication, including treatment only with traditional medicine with a “bad” result of a smear analysis. Only a doctor can identify the cause of "bad smears" and prescribe the appropriate treatment. Reduce leukocytes in analyzes only with the help of traditional medicine is not possible, as it is often necessary to treat with antibiotics or antiviral drugs or treatment of concomitant diseases.

Anna Sozinova

zdravotvet.ru

Before deciding what is elevated white blood cells in a smear in women, the causes of their appearance and ways to reduce them, it is necessary to understand some medical and anatomical terms.

Leukocytes are colorless blood cells that differ in appearance and the functional purpose of the human cellular blood structure. The main functional purpose of leukocytes is to protect the body from internal and external pathogenic agents. Mandatory testing of the general state of the microflora in a woman's body during a gynecological examination is a laboratory test, or a smear from the vagina, according to the results of which, it is possible to determine an increased number of leukocytes in a smear or, conversely, their normal number.

The reasons a woman has an increased number of leukocytes in a laboratory study can be very different, ranging from physiological changes in the body, for example, associated with pregnancy, and ending with diseases caused by infectious and / or viral pathogens. Here are just some of the possible causal factors that determine elevated white blood cells in a smear:

  1. Result of bacterial infection:
  • chlamydia;
  • gonorrhea;
  • tuberculosis of the female genital tract;
  • syphilis;
  • inguinal granuloma;
  • urogenital mycoplasmosis.

A viral infection can cause an increase in leukocytes

  1. Protozoal infection, for example, trichomoniasis, caused by an infectious vaginal pathogen - Trichomonas.
  2. Viral infection:
  • cytomegalovirus;
  • papillomavirus;
  • genital herpes.
  1. Fungal infections:
  • actimicytes;
  • candidiasis, or thrush and others.

Among other reasons that determine elevated leukocytes in a smear in women are:

  • bacterial vaginosis, or vaginal dysbacteriosis;
  • irritation of the organ of the reproductive system as a result of mechanical, thermal or chemical damage, violation of general sanitary and hygienic standards, as well as in some somatic conditions of the body, for example, diabetes, diseases urinary tract, kidney disease, hepatitis and other pathological conditions;
  • allergic to dosage forms in vaginal douching, lubricants, and in some cases on male sperm.

irritation of the organ of the reproductive system as a result of mechanical, thermal or chemical damage can cause an increase in leukocytes

As you can see, the palette of various causal factors that determine that the leukocytes in the smear are elevated is quite extensive.

The norm of leukocytes in a smear

Vaginal microflora is determined by special laboratory testing. When deciphering the analysis for a smear, leukocytes, the norm for women of which is no more than 15 units, it is most convenient to use a special table that allows you to give a more informative picture of the general state of the microflora of the female genital organ. For convenience, use the following notation:

  • C - smear from the mucous membrane of the uterine cervical canal;
  • V - a smear taken from the mucous membrane of the female vagina;
  • U - a smear that determines the condition of the mucous membrane of the urethra, or urethra.

Vaginal microflora, determined by special laboratory testing

Leukocytes in a smear, the norm in women (table for example):

A lot of leukocytes in a smear, that is, an excess of 15 units, indicates the presence of inflammatory processes in the vagina associated with a violation of its microflora. This symptomatic sign needs to be investigated further, through a more thorough diagnosis. A slight deviation from the norm can be observed during the premenstrual cycle. A separate category is pregnant women.

A gynecological smear is a mandatory procedure when examining the physiological state of a woman during pregnancy. It can be definitely said that in a laboratory study, leukocytes in a smear during pregnancy are determined with a significant change in their functional tasks. Immune protection at this time in a woman is weakened, and, accordingly, the protective reactions of the body are minimized, which is a hidden threat in front of various infectious lesions of the body. The permissible concentration of leukocytes in a smear of a pregnant woman should not exceed 20 units. If, after a laboratory examination, it is determined that there are a lot of leukocytes in a smear, what does this mean and how to proceed in the future? Depending on the physiological state of the woman, taking into account all individual characteristics and contraindications, the observing gynecologist determines the causes of this condition and selects the appropriate method for further treatment. If leukocytes are found entirely in a smear of a pregnant woman, then a special additional examination for a polymerase chain reaction (PCR) will be required, which will determine the presence of infectious pathogens with maximum accuracy.

Elevated leukocytes in a smear during pregnancy

A gynecological vaginal smear was taken, leukocytes were increased, what does this mean for a woman, and how to react in the future? First of all, you should not panic, but surrender to the hands of qualified specialists who will conduct an adequate diagnosis and select the appropriate treatment. There are various therapeutic approaches to this clinical problem. At the initial stage, it is determined general state the health of a woman, or the duration of her pregnancy, the sensitivity and reaction of microorganisms to drugs, and so on.

With thrush, the use of antifungal medical agents is effective. Preference is given to the following pharmacological combinations:

  • sertaconazole;
  • nystatin;
  • pimafucin and others.

If gonorrhea is diagnosed, then pharmacological preparations antibacterial action, such as:

  • erythromycin;
  • cefixime;
  • ceftriaxone;
  • azithromycin and other drugs.

With thrush, the use of antifungal agents of medical influence is effective

Syphilis in women is a particularly complex disease that is most dangerous during pregnancy. The main "fighters" with the disease are pharmacological agents from the penicillin group. For pregnant women, the treatment of syphilis is provided by the method of specific therapy, which takes place in several stages.

Antiviral drug combinations have proven themselves well in the treatment of genital herpes.

In addition to official medical treatment, with a decrease in the number of leukocytes in a smear, traditional medicine does an excellent job. All of the recipes below folk treatment can be carried out at home, in consultation with the attending physician. The only limitation is the reaction of the woman's body to one or another remedy in terms of allergic indicators, since everything folk recipes based on the use of various medicinal herbs and fees.

Recipe number 1. Two tablespoons of dry chamomile are poured into 500 ml of water and brought to a boil. Douching of the vagina, you can start at a temperature of herbal decoction no more than 37ºС. This method of treatment can be compared with a solution of furacilin prescribed by a doctor as a prophylaxis. The entire treatment procedure is recommended to be carried out twice a day, in the morning and in the evening before going to bed.

Chamomile decoction

Recipe number 2. In absolutely equal proportions, bee honey and aloe juice are mixed. Having moistened a cotton swab in such a solution, it is necessary to further introduce it into the vagina. Experience suggests that after 5-7 days of daily two-time treatment, the number of leukocytes at the second examination is significantly reduced.

  • chamomile (dry);
  • St. John's wort;
  • oak bark (pharmacy);
  • red root;
  • nettle.

All prepared medicinal components are taken in equal proportions, one tablespoon each, and poured with boiling water in an amount of 500 ml. The entire broth is cooled to an acceptable temperature for the body and the douching procedure can begin. After two weeks of daily treatment (once a day), some improvement in the state of the microflora is noticeable in laboratory testing.

Recipe number 4. An excellent preventive measure will be brewed lime blossom tea. It will take one tablespoon of medicinal raw materials per glass of boiling water. After filtering, it is recommended to drink this tea at least 2-3 times a day.

Recipe number 5. You can reduce the number of leukocytes with the help of oats. To do this, you need two tablespoons of unpeeled oats and two cups of boiling water. After insisting for 15 minutes, the remedy is ready. It remains only to strain the broth and drink ½ cup 3 times a day. The course of treatment is designed for at least 30-40 days, after which it is recommended to undergo a second examination.

Reduce the number of leukocytes, you can use oats

Recipe number 6. Normalize the level of leukocytes, will help herbal collection, which includes:

  • strawberries - 2 tablespoons;
  • nettle leaves - 30 g;
  • rose hips - 50 g;
  • nettle leaves - 50 g.

All ingredients are crushed, poured with half a liter of boiling water, and infused for 1.5 hours. After straining, take half a glass 3 times a day. The course of treatment is 2-3 weeks.

You can also boost your immunity with the help of some foods:

  • natural honey;
  • citrus fruits (lemon, grapefruit and others);
  • blackcurrant, raspberries, apples, mountain ash, cranberries, blueberries;
  • wheat germ, peppers, cabbage, tomatoes, beets.

However, it is worth warning that it is unlikely that it will be possible to reduce the number of leukocytes only with the help of folk remedies. It is worth giving preference to traditional methods of official medicine, which will provide adequate treatment, with appropriate diagnosis and general clinical condition female patients.

Boost your immunity with honey

The following measures can be attributed to preventive measures that contribute to a decrease in the quantitative composition of leukocytes in a vaginal smear:

  • elimination of promiscuity;
  • observance of sanitary and hygienic standards of the hostel;
  • regular visits to a gynecologist for a preventive examination;
  • a healthy lifestyle and an appropriate balanced diet.

When performing all preventive actions, one should not forget about the mental state. Avoid stressful situations and nervous breakdowns.

Take care of yourself and be always healthy!

AntiRodinka.ru

Leukocytes (white immune blood cells) are the blood elements of the immune system. Their main task is to ensure the protection of the body and the fight against all kinds of harmful microorganisms, bacteria, microbes and viruses.

They form in the space of the bone marrow and lymph nodes, but can freely move through the walls of blood vessels and move to places where potential danger appears. They exhibit antitoxic and antimicrobial activity.

So why women can have a lot of leukocytes in a gynecological smear - we will tell you the main causes and treatment features in our article!

The process of destruction of foreign and dangerous elements by leukocytes is called phagocytosis. They capture and absorb "enemies", after which they themselves die.

What are leukocytes in a smear in women? Their main functions are:

  • The production of antibodies to fight external and internal "enemies".
  • Normalization of metabolic processes and supply of tissues with the necessary enzymes and substances.
  • Purification of the body - the elimination of pathogens and dead cells of leukocytes.

An increase in white blood cells in a smear in women is a sign of an inflammatory process in the body.

You can find out their level by passing tests:

  • smear on flora;
  • Blood test;
  • Analysis of urine.

Women are most often assigned to take a smear for flora.

Such a study allows you to identify diseases of the urinary tract, kidneys or bladder; makes it possible to recognize the presence of an inflammatory process in the urogenital region.

Material for research is taken:

  • From the wall of the vagina;
  • From the mucous surface of the cervix;
  • From the mucous membrane of the urethra.

Normal indicators of the level of immune cells in a smear are:

  • From the vagina - no more than 10.
  • From the urethra - no more than 5.
  • From the cervix - no more than 15.

Table of the norm of leukocytes in a smear in women and other analysis indicators:

During the study, it is necessary to take into account some features:

  • The number of white blood cells (leukocytes) increases after sexual contact; increased rates are kept for 24 hours after the act.
  • An increased level is also observed during the installation of an intrauterine contraceptive device.
  • Microtrauma of the vaginal walls also contribute to an increase in performance.

The main reasons for the increase in the number of leukocytes in a smear in women are:

  1. Sexual infections transmitted directly during sexual intercourse (STIs):
  2. Bacterial vaginosis. This disease is better known as vaginal dysbacteriosis. Occurs when the number of pathogenic microorganisms in the vaginal flora increases. Prerequisites for the development of the disease may be hormonal disorders, a decrease in local immunity, or the use of vaginal suppositories.
  3. Allergic reaction to intimate gels and lubricants or douches.
  4. Oncological diseases of the reproductive system.

Increased content of white immune cells in a smear indicates the presence of the following diseases:

  • Colpitis is an inflammatory process of the mucous tissues of the vagina.
  • Cervicitis is an inflammatory process of the cervical canal.
  • Endometritis is an inflammatory process of the mucous surface of the uterus.
  • Adnexitis is an inflammatory process of the ovaries and fallopian tubes.
  • Urethritis is an inflammation of the urethra.
  • Dysbacteriosis of the intestine or vagina.
  • Oncology of the organs of the reproductive system.

Note: The cause of an increased level of leukocytes in a smear in women can be prolonged stressful situations or depression.

Signs that indicate an increase in the level of leukocytes and the development of the inflammatory process of the urinary system are:

  • painful nature of urination;
  • the appearance of false urge to urinate;
  • discharge of an unusual nature;
  • pungent odor of secretions from the genitals;
  • burning sensation and itching inside the genitals;
  • failure of the cycle of menstruation;
  • problems with conceiving a baby;
  • discomfort during intercourse.

The manifestation of such symptoms is an occasion to take a smear on the flora and check the condition of the body.

The inflammatory process can proceed without pronounced symptoms, so it is important to listen to the slightest deviations.

On the pages of our site you will also find out what the norm of ESR in the blood of women should be! We suggest that you familiarize yourself with the table of indicators for ladies of different ages.

You will learn about the causes of high bilirubin in the blood in women, and what diseases can be discussed with elevated rates, in this article.

What to do if the level of platelets in women is below normal? We will tell about the functions of these cells in our body and the features of the treatment of deviations here.

During pregnancy, a smear for flora is mandatory, both during registration and before childbirth.

Indicators within the acceptable range are: 10 - 20 units in the field of observation. And an increased amount indicates the development of inflammation.

Many diseases are often exacerbated during pregnancy. who did not show their presence in any way before conception.

There is a change in the hormonal background, immune defenses are reduced and often pregnant women develop thrush or candidiasis. If an elevated level of white blood cells is detected, further examination is necessary to determine the exact cause of the inflammatory or infectious process.

The causes of increased leukocytes in a smear in women may be:

  • Sexually transmitted diseases (ureaplasmosis, syphilis, gonorrhea and others).
  • Thrush.
  • Vaginosis.
  • Colpitis.

Any inflammatory or infectious process poses a serious danger during the bearing of a child, so it is imperative to carry out treatment.

Doctors often prescribe a drug to strengthen local immunity:

  • Echinocea
  • Immunal
  • Eleutherococcus
  • Ginseng.

For the treatment of vaginosis prescribe:

  • Bifidumbacterin
  • Laktovit
  • Lactofiltrum.

Leukocytes instantly react to the slightest deviations or changes in how the body works. Therefore, their level often rises for physiological reasons. These include the postpartum period.

During childbirth, a woman loses a lot of blood.

To prevent complications, immune white cells are prepared in advance for such a situation and accumulate in large numbers in the uterus.

It is with this that the increase in the number of their indicators in the smear after childbirth is connected.

Their number increases during the onset of delivery and during the recovery period. Indicators are normalized 4-5 days after birth.

If the elevated level of immune cells lasts more than 5 days and has serious deviations from the norm, this indicates the development of complications after childbirth and the presence of inflammation in the uterine cavity, kidneys or urinary system.

In such cases, you should immediately consult a doctor.

A chronic and frequent increase in the level of white blood cells in the body can lead to serious complications. Possible risks include:

  • The onset of infertility.
  • Ectopic pregnancy.
  • The appearance of erosion.
  • Manifestation of mastopathy.
  • Abnormalities in the functioning of the bladder or kidneys.
  • Violation of the ovaries.
  • The formation of adhesions and fibroids.

If an elevated level of leukocytes in a smear is detected, it is imperative to contact a qualified doctor:

  • Gynecologist
  • Dermatovenereologist
  • Infectionist.

The doctor chooses the method of treatment based on laboratory tests. To establish an accurate diagnosis, additional diagnostics are prescribed.


The most commonly prescribed types of diagnostic procedures are:

  • Seeding for flora
  • smear on flora
  • ELISA (enzymatic immunoassay)
  • Test for antibodies in the blood
  • Biopsy
  • PCR (polymerase chain reaction)
  • UAC ( general analysis blood)
  • OAM (general urinalysis)
  • Abdominal ultrasound.

As already noted, an increase in the number of white immune cells can occur due to an inflammatory or infectious disease. The treatment carried out in the presence of inflammation or infection is diverse.

Treatment of the inflammatory process is carried out according to the following scheme:

  • Application antiseptics. The vagina is regularly washed with antiseptics "Miramistin", "Chlorhexidine", "Potassium permanganate".
  • Are used antibacterial drugs. Most often, "Genferon", "Pimafutsin", "Terzhinan", "Viferon" are prescribed.
  • For the treatment of candidiasis, Fluconazole and Flucostat are used.

Treatment of the infectious process is carried out according to the following scheme:

  • Intravenous use antibacterial agents: "Ornidazole", "Metronidazole" and "Ciprinol".
  • The appointment of drugs for the prevention of vaginal dysbacteriosis: Bifidumbacterin, Laktovit and Laktofiltrum.

Note: It is strictly forbidden to self-medicate using antibacterial agents. They are prescribed only by a competent doctor, taking into account the severity of the disease and the condition of the patient's body.

Folk methods involve the use of homemade herbal decoctions for douching and ingestion. They can be prepared according to the following recipes:

  • Pour one dessert spoon of dry chamomile grass (can be replaced with nettle, calendula, St. John's wort) to glasses of boiled water. Bring to a boil over low heat, remove from heat and leave for half an hour. Strain. Use for vaginal douching.
  • Can be douched with baking soda. To prepare the solution, use half a small spoon of baking soda. It is diluted with a glass of warm water.
  • Useful and decoction of St. John's wort for oral administration. One dessert spoon of St. John's wort is poured into a glass of water and boiled for a quarter of an hour. Filter and take 1/4 cup three times a day.
  • From a decoction of dry laurel leaves, you can prepare a therapeutic bath. 20 grams of grass is bred in a full bucket of water. In this decoction, a sitz bath is performed.

At each visit to the gynecologist during the examination, tests are necessarily taken from the urogenital tract, regardless of whether the woman has complaints or not. A smear on the flora displays not only beneficial, opportunistic and pathogenic bacteria, but also leukocytes.

Often, it is the elevated leukocytes in a smear in women that indicate some kind of malfunction in the body, it requires finding out the cause of this condition, and, of course, treatment. It is important to remember that no self-treatment will help to cope with the problem, and sometimes it can lead to negative consequences.

Briefly about leukocytes

Leukocytes are white blood cells that protect the body from all types of harmful agents (bacteria, viruses, etc.). That is, the main function of leukocytes is the implementation of the protection of the body, both specific, for example, from a certain type of microorganisms, and nonspecific or general.

The concentration of leukocytes increases in areas of inflammation, where they capture and digest foreign agents. In the case of a large accumulation of pathogenic agents, white blood cells increase significantly in size and begin to break down. The process of destruction of leukocytes is accompanied by a local inflammatory reaction: edema and hyperemia of the damaged area, an increase in local temperature.

smear on flora

A swab for flora, as already mentioned, is taken from a woman at every visit to the antenatal clinic, that is, every six months, if the patient has complaints, and also after a long course of antibiotics, when planning a pregnancy, during the period of gestation and after childbirth. During pregnancy, a smear for microflora (in the absence of complaints) is examined three times: upon registration, before maternity leave (30 weeks) and at 36 weeks.

Preparation for the delivery of the analysis

In order for the results of a smear on the flora to be reliable, it is necessary to prepare in advance for the test:

  • for 1 - 2 days to exclude sexual contact;
  • douching is not allowed 2 days before the visit to the doctor;
  • it is forbidden to use candles, tablets and creams at least a day in advance;
  • a smear is not taken during menstruation, since menstruation changes the composition of the smear;
  • 2-3 hours before visiting the gynecologist, refrain from urinating;
  • should be washed on the eve of the reception, with warm water without soap.

If a woman is preparing for a preventive examination, then it is advisable to schedule a visit to the gynecologist in the first days after menstruation or before they begin.

Sampling and testing procedure

In a gynecological smear, the composition of the microflora of the contents of the urethra, vagina and cervix is ​​determined.

The material is taken with sterile disposable instruments. A swab is taken from the urethra with a bacteriological loop or a Volkmann spoon, from the vagina (posterior fornix) with a sterile gauze swab, and from the cervix with an Eyre spatula.

Symbols are indicated on the slides:

  • U - smear taken from the urethra;
  • C - smear from the cervix;
  • V - smear from the vagina.

After the glasses are dry, they are sent to the laboratory for analysis. Laboratory assistants stain smears with special dyes (according to Gram), then examine them under a microscope. During the analysis, leukocytes and various opportunistic and pathogenic bacteria are counted, which are stained in different colors.

Deciphering smear analysis

The data that is indicated in the smear analysis:

Leukocytes

The rate of leukocytes depends on the place from which the smear was taken. Their content is normally small. In the urethra, the number of leukocytes is 0 - 5 - 10, in the vagina their concentration corresponds to 0 - 10 - 15, and in the cervical canal from 0 to 30.

During pregnancy, the content of leukocytes increases slightly and can range from 15 to 20 (in the vagina) in the field of view.

squamous epithelium

The squamous epithelium lines the vagina, urethra and cervical canal. In normal smears, the number of epithelial cells ranges from 5 to 10. With the disappearance of the epithelium (0 cells in the field of view), they speak of atrophy of the mucous membrane, and in the case of an increase in epithelial cells, inflammation.

Slime

Lactobacilli or Doderlein sticks

Normal smears are characterized by a large content of them in the vagina, while they are absent in the cervix and urethra. With a decrease in the number of lactic acid bacteria, they speak of.

Yeast

Mushrooms of the genus Candida are normally absent at all three points of swab sampling, but their single presence in the vagina is allowed. An increase in yeast-like fungi indicates thrush.

"Key" cells

They are conglomerates of squamous epithelial cells and bacteria - gardnerella. Normally absent, the presence of such cells is a sign of gardnerellosis or bacterial vaginosis.

Leptothrix

Refers to anaerobic (living without air) gram-negative bacteria, often found in mixed infections, such as thrush and bacterial vaginosis or trichomoniasis and chlamydia. If these bacteria are detected in a smear, an extended analysis for sexual infections is indicated.

Other

  • Mobilunkus - also refers to anaerobic microorganisms and is present in candidiasis or bacterial vaginosis.
  • Trichomonas - refers to the simplest, normally they are absent in the smear.
  • Gonococci - cause a sexually transmitted disease - gonorrhea, respectively, are normally absent.
  • coli- normally observed in a single number in a smear from the vagina. With an increase in the concentration of bacteria, bacterial vaginosis and neglect of personal hygiene are possible.
  • Cocci - in gynecological smears are divided into gram-positive - stained blue and gram-negative - do not stain and remain pink. Gram-positive cocci include opportunistic bacteria: streptococci, staphylococci and enterococci, which are normally contained in smears in single quantities. With an increase in their concentration, they speak of nonspecific vaginitis (colpitis).

Degrees of purity of the vaginal smear

When talking about gynecological smears, they mean not only smears taken from the cervical canal, urethra and vagina, but also a separate type of smear that determines the degree of cleanliness of the vagina. The material is taken from the walls of the vagina and dried on a separate glass. There are 4 degrees of purity, but only degrees 1 and 2 are normal:

  • 1 degree - leukocytes 0 - 5

Considered ideal. The number of leukocytes is small, the microflora is mainly (up to 95%) represented by lactic acid bacteria, epithelial cells are few.

  • 2 degree - leukocytes 5 - 10

It also refers to the norm, but in a smear opportunistic microorganisms (cocci or single yeast fungi) are determined in a small amount. Lactobacilli prevail, leukocytes and mucus are moderate, epithelial cells are normal.

  • 3 degree - more than 10 (up to 50)

The content of leukocytes increases, a lot of mucus and epithelium is determined. The concentration of Doderlein sticks decreases due to an increase in opportunistic flora.

  • 4 degree - leukocytes completely (not countable)

Against the background of a huge number of leukocytes (the term “completely” is indicated in the description of the smear), pathogenic microorganisms (gonococci, Trichomonas) are determined. Doderlein's sticks are not determined, there are a lot of mucus and epithelial cells (a consequence of the inflammatory process).

When identifying 3 and 4 degrees of purity of the vaginal smear, it is necessary to establish the cause of the inflammation and treat it.

Causes of an increase in the content of leukocytes in a smear

If the leukocytes in a smear in women are increased, then the causes can be both diseases of the reproductive sphere, and malfunctions in the work of other internal organs and systems. Inflammation comes first among the causes of an increase in leukocytes in urogenital smears:

  • inflammatory process in the cervical canal or;
  • development of inflammation in the appendages (tubes and ovaries) or salpingo-oophoritis;
  • inflammation of the uterine mucosa - endometritis;
  • inflammatory process in the vagina - colpitis or vaginitis;
  • the development of inflammation in the urethra - urethritis;
  • malignant tumors of the genital organs (destruction of healthy tissues is accompanied by inflammation);
  • intestinal and/or vaginal dysbacteriosis;
  • infections that are sexually transmitted (both sexually transmitted diseases and latent sexual infections).

Pathogenic microorganisms - the culprits of inflammation

Why do leukocytes increase in a smear? Pathogenic microorganisms are involved in the development of the inflammatory process, which are difficult to detect in the usual way - by examining a urogenital smear, or activated representatives of the opportunistic flora. To detect pathogens of latent sexual infections, they resort to a more complex examination - the PCR method (examination of blood, urine, secretions from the genital organs).

With a detailed study in smears or blood, the following can be detected:

  • mycoplasma and ureaplasma;
  • gonococci (see);
  • Koch's stick (the causative agent of tuberculosis);
  • pale treponema (pathogen);
  • Donovan bodies (causative agents of inguinal granuloma);
  • trichomonas (see);
  • amoeba;
  • human papillomavirus (cause);
  • immunodeficiency virus;
  • viruses;
  • mushrooms of the genus Candida ();
  • actinomycete fungi.

Other causes of an increase in white blood cells

Bacterial vaginosis or vaginal dysbiosis

Under certain conditions, conditionally pathogenic flora is activated and the growth of lactic acid bacteria is suppressed:

  • disruptions in hormonal status (puberty or decline in reproductive function - pre- and menopause, pregnancy and spontaneous abortion, endocrine diseases);
  • weakening of local and general immunity (hypothermia, antibiotic therapy);
  • severe stress and overwork;
  • microtrauma of the vagina due to intense sex;
  • radiotherapy, chemotherapy;
  • the use of spermicides in the form of ointments and suppositories;
  • oral sex;
  • a large number of sexual partners;
  • excessive adherence to the rules of intimate hygiene, passion for douching;
  • the entrance to the vagina deformed by scars (anatomical features, pathological childbirth, surgical interventions);
  • imbalance of the intestinal microflora (dysbacteriosis);
  • foreign bodies in the vagina (tampons).

Allergy

  • allergic to medications and herbs;
  • intolerance to lubricants (gels, ointments);
  • partner's sperm intolerance.

Irritation of the vulva and vagina

  • neglect of intimate hygiene;
  • temperature changes (hypothermia and overheating);
  • mechanical injury (tight, synthetic underwear, thongs, rough sex, etc.);
  • chemical burns (douching with acids and other drugs);
  • common diseases (diabetes mellitus, pathology of the urinary system and others).

In addition, elevated leukocytes in urogenital smears can be observed within 24 hours after intercourse or for 7 to 10 days after the installation of an intrauterine device. If the cause of the increase in the content of leukocytes in smears cannot be established, a more thorough and detailed examination should be carried out, including for the detection of malignant tumors of the reproductive system.

Causes of an increase in leukocytes in pregnant women

Some increase in the level of leukocytes in a smear during pregnancy is considered normal. The normal content of white blood cells in vaginal smears corresponds to 15 - 20 per field of view.

Elevated leukocytes in pregnant women in a smear are explained by physiological factors:

  • Firstly, during the period of gestation, the hormonal balance is restructured, progesterone and estrogens are produced in large quantities. Under the influence of estrogens, Doderlein sticks begin to actively multiply, which create an acidic environment in the vagina and prevent the reproduction of opportunistic and pathogenic flora, but contribute to the accumulation of leukocytes.
  • Secondly, expectant mothers have reduced immunity, which prevents the rejection of the embryo as a foreign body. Due to weakened immunity, pathogenic bacteria easily penetrate the vagina or a latent infection is activated, which explains the increase in leukocytes in gynecological smears (a protective reaction during inflammation).

Often a very high concentration of white blood cells in smears (50 - 100 or leukocytes entirely in the field of view) is detected, which, as a rule, is noted with thrush (urogenital candidiasis). In such cases, in addition to a large number of leukocytes, fungi of the genus Candida and mycelium in the form of white threads are found in the smear.

An excess of white blood cells in expectant mothers requires a thorough examination and appropriate treatment. The infectious process from the vagina can go to the cervix and cervical canal, penetrate the uterine cavity, which will lead to infection of the amniotic fluid and the fetus and end in miscarriage or premature birth.

Clinical manifestations

An increased level of leukocytes in secretions from the cervical and urethra and vagina often accompanies diseases of the urinary and reproductive organs of a woman:

  • frequent and painful urination - a sign or;
  • false urge to defecate indicate intestinal dysbacteriosis;
  • discharge with an unpleasant odor, accompanied by itching and burning, may indicate vaginitis, cervicitis, or inflammation of the uterus and;
  • purulent, foamy discharge or cheesy discharge are observed with vaginitis of a specific etiology (thrush, gonorrhea, trichomoniasis);
  • possible with pathology of the cervix, uterus or appendages;
  • in combination with an increase in leukocytes, it makes one think of inflammation of the appendages.

Diagnosis that determines the direction of treatment

Before you begin to deal with an increased level of white blood cells in smears, it is necessary to establish the cause of this phenomenon. It often happens that the content of leukocytes in a gynecological smear is high, although there is no activation and growth of opportunistic flora and, moreover, specific pathogens. What to do in such a case?

The gynecologist will recommend taking smears again, choosing the most successful day of the menstrual cycle and recommending that you properly prepare for the test (exclude sexual intercourse, taking medication, douching). If, upon re-smearing, leukocytes again have a high rate, an extended examination is performed:

A smear from the cervical canal and vagina on the tank. sowing

When sowing vaginal and cervical secretions on nutrient media, colonies of pathogenic and opportunistic microorganisms often grow. The pathogen is identified and its sensitivity to certain antibiotics is determined, which is necessary for further treatment.

PCR for latent sexually transmitted infections

The method is highly accurate and almost 100% reveals latent sexual infections, which may not manifest themselves clinically, but lead to irreversible consequences (infertility).

Ultrasound of the pelvic organs

In this case, preference is given to ultrasound performed by a transvaginal sensor. A possible cause of elevated leukocytes in the analyzes, in addition to inflammation of the uterus and appendages, can be various tumor-like formations (ovarian cysts, uterine fibroids or sarcoma, uterine polyps, etc.).

Colposcopy

Examination of the cervix under multiple magnification helps to diagnose diseases that are not visible to the naked eye, but are the cause of elevated leukocytes in the tests (leukoplakia, cervical dysplasia or cancer in the initial stage).

Consultations of related specialists

Appointed after the above examination. For example, consulting an endocrinologist and prescribing appropriate therapy to them will help normalize the level of leukocytes in diabetes mellitus, thyroid disease, or overweight. A nephrologist will identify a disease of the urinary system (pyelonephritis, cystitis) and prescribe anti-inflammatory therapy (antibiotics, nitrofurans). The allergist will advise you to exclude irritating factors (synthetic underwear, the use of intimate sprays, deodorants and various lubricants). The neurologist will prescribe sedatives and drugs to eliminate neurosis, which can also cause an increase in leukocytes.

Anti-inflammatory treatment

Anti-inflammatory treatment is prescribed only if an infection is detected. How to treat, the doctor decides, depending on the results of the tests. Anti-inflammatory therapy includes:

  • local treatment;
  • general treatment;
  • restoration of normal microflora of the vagina.

Local treatment consists in the appointment of douching:

  • the course is short and lasts no more than 4 - 5 days
  • drugs (solutions of potassium permanganate, chlorhexidine, miramistin)
  • herbs (chamomile, sage, coltsfoot, calendula, St. John's wort). Cm. .

Candles:

  • at the same time, candles with anti-inflammatory action are locally prescribed (hexicon, polygynax, betadine and others, see).
  • if a diagnosis of urogenital candidiasis is made, it is recommended to use suppositories with an antifungal effect (clotrimazole, pimafucin, livarol, see). Suppositories are administered one to two times a day for 10 to 14 days.
  • with an unstarted inflammatory process, treatment is limited to this.

Treatment of latent genital infections

If a viral infection, sexually transmitted diseases or latent genital infections are detected, systemic antibiotic therapy or antiviral drugs are prescribed. The choice of drug depends on the etiology of colpitis and / or cervicitis.

Restoration of the microflora

The final stage of therapy is the restoration of the normal microflora of the vagina (an increase in the content of lactic acid bacteria). For this purpose, the following are assigned:

  • vaginal suppositories or tampons with probiotics (lactobacterin, bifidobacterin, acylact, colibacterin and others).

    A high content of white blood cells in smears during pregnancy is dangerous for premature termination of pregnancy (miscarriage or premature birth), intrauterine infection of the fetus, the development of chorioamnionitis (inflammation of the water and placenta), rupture of the birth canal during childbirth and the development of purulent-septic diseases in the postpartum period. Therefore, expectant mothers should carefully follow the recommendations of the doctor and carry out the prescribed or treatment with an increase in the content of leukocytes in the analyzes.

    Question:
    Is it possible to have sex with elevated leukocytes in smear tests?

    If a specific infection is not detected (gonorrhea, chlamydia, genital herpes and other diseases), then sex is not contraindicated.

    Question:
    Can I get pregnant with elevated leukocytes in smears?

    Yes, it is quite possible to get pregnant, but it is advisable to undergo preliminary treatment, since often a high white blood cell count in the analyzes indicates an inflammatory process in the genitals.

    Question:
    Is it possible to reduce the content of leukocytes in the analyzes using only traditional methods of treatment?

    You should not engage in self-medication, including treatment only with traditional medicine with a “bad” result of a smear analysis. Only a doctor can identify the cause of "bad smears" and prescribe the appropriate treatment. It is impossible to reduce leukocytes in tests only with the help of traditional medicine, since it is often necessary to treat with antibiotics or antiviral drugs, or to treat concomitant diseases.

Inflammations that lead to a change in the number of leukocytes are caused by various pathogens and causes.

Not always pathogens inflammatory diseases transmitted through sexual contact. For example, with dysbacteriosis, it is necessary, first of all, to restore the vaginal microbiocenosis. And antibiotic treatment, which helped your friend achieve a normal white blood cell count in a smear, can only hurt in case of dysbacteriosis.

If sexually transmitted infections are detected, a course of systemic antibiotics is prescribed. The choice of drug is based on the origin of urethritis or vaginitis, as well as the sensitivity of the pathogen.

The most popular antibiotics for elevated leukocytes in a smear are Doxycycline, Azithromycin, Josamycin and fluoroquinolones, belonging to the third and fourth generation, active against chlamydia, ureaplasma, mycoplasma, cocci and mixed infections. The drugs of choice are Doxycycline and macrolides, fluoroquinolones are used for Mycobacterium tuberculosis.

Homeopathy

Homeopathic doctors have long treated with their own means even such serious diseases as syphilis and gonorrhea, however, getting rid of their mass distribution came with the advent of antibiotics. Therefore, if sexually transmitted infections are diagnosed, it is worth resorting to modern diagnostics and the achievements of official medicine.

Nevertheless, complex homeopathic preparations can be introduced into therapeutic schemes, which will help to recover quickly and avoid complications.

For example, drops Ginikochel used as part of a therapeutic complex for patients with inflammatory processes in the uterus, appendages, vagina, including those caused by sexual infections. Their multicomponent composition has a beneficial effect on the female genital area and contributes to the normalization of hormonal levels.

Metal palladium (Palladium metallicum) - diseases of the uterus and ovary (especially the right), accompanied by pain and discharge;

Honey bee venom (Apis mellifica) - absent or too heavy menstruation, dysfunctional uterine bleeding, accompanied by pain, swelling and severe weakness;

Ammonium bromide (Ammonium bromatum) - effective for inflammation of the appendages and its complications;

Aurum iodatum (Aurum jodatum) - has a beneficial effect on the endocrine organs;

Indian cobra venom (Naja tripudians) - diseases predominantly of the left ovary, dysmenorrhea, pain, consequences of gynecological operations;

Common hornet (Vespa crabro) - ulcers and erosion of the cervix, lesions of the left ovary;

Platinum metal (Platinum metallicum) - infertility, cysts and tumors, bleeding, vaginismus;

Yellow chamelirium (Chamaelirium luteum) - menstrual irregularities, normalization of the production of female sex hormones, prevents spontaneous abortion;

Tiger lily (Lilium lancifolium) - pain in the ovaries, a feeling of prolapse of the genitals, depression, irritability, haste;

Viburnum opulus (Viburnum opulus) - menstrual disorders, infertility, pain in the uterus;

Sweet clover (Melilotus officinalis) - discharge from the genitals with pain and sore sensations in the lumbar region.

The drug is prescribed to patients older than 18 years of age, used with caution in patients with pathologies of the liver and thyroid gland, after traumatic brain injury. Take 10 drops dissolved in half a glass of water three times a day, holding in the mouth.

In the treatment of inflammatory gynecological diseases, to increase the effectiveness, they combine the reception with Traumeel S drops, in case of menstrual disorders - with the homeopathic antispasmodic Spascuprel.

Heel's complex homeopathic preparations can be included in medical treatment regimens. They can make a worthy alternative to synthetic hormones and normalize the hormonal background during the period of changes in its status.

Drops mulimen stimulate the activation of natural immunity, due to which the restoration of disturbed neurohormonal functions occurs female body. His pharmacological properties determined by the action of the ingredients.

Abraham tree (Agnus castus) - has a beneficial effect and normalizes the work of the pituitary-ovarian axis, in addition eliminates spasms smooth muscle, migraine-like pain and improves mood;

Cimicifuga (Cimicifuga) - complements the antispasmodic and antidepressant effect of the previous component;

Jasmine evergreen (Gelsemium) - corrects defects in sexual development of adolescence;

St. John's wort (Hypericum) - relieves inflammation, regulates the central and autonomic nervous system corrects endocrine disorders;

Stinging nettle (Urtica) - has a hemostatic effect in dysfunctional uterine hemorrhages, relieves itching and swelling in the primary and secondary female genital organs;

The contents of the bag of black cuttlefish (Sepia) - eliminates systemic symptoms of exhaustion, both physical and nervous;

Substance from the intestines of the sperm whale (Ambra grisea) - stops signs of insufficiency of female sex hormones;

Hahnemann's calcium carbonate (Calcium carbonicum Hahnemanni) and potassium carbonate (Kalium carbonicum) - eliminates anxiety, apathy and improves mood;

No contraindications and undesirable consequences of the intake have been identified, it is compatible with any medication.

Drip 15-20 drops under the tongue three to five times a day 30 minutes before meals or 60 minutes later. Swallow, holding in the mouth. It is allowed to dilute a single portion in a small amount of water (one or two tablespoons) or a daily one - in a glass, drinking evenly throughout the day.

homeopathic remedy injections Ovarium compositum can be prescribed for elevated leukocytes in a smear.

It contains two dozen components of various origins - organ, plant, mineral, as well as substances that catalyze their action, aimed at regulating the hormonal status in disorders of the hypothalamic-pituitary-ovarian axis. The drug improves the nutrition and drainage of the tissues of the female genital organs; normalizes metabolic processes in diseases of the pelvic organs. It has a moderate calming and anti-inflammatory effect. It is also used in case of detection of tumors, both benign and malignant.

The number and duration of the course of injections is prescribed by the doctor. It is allowed to use the contents of the ampoule as a drinking solution, diluting it in a small amount of water (a tablespoon). Swallow, holding in the mouth for a while.