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After normal saline |
Speculum examination |
After acetic acid |
After acetic acid with higher magnification |
After acetic acid with higher magnification |
After Lugol’s iodine |
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Nil or transparent | Thin, milky | Distinct, stearin | |
Nil or diffuse | Sharp but irregular, jagged, satellites | Sharp and even, difference in level | |
Fine, regular | Absent | Coarse or atypical vessels | |
< 5 mm | 5-15 mm or 2 quadrants | >15 mm, 3-4 quadrants, or endocervically undefined | |
Brown | Faintly or patchy yellow | Distinctly yellow |
Provisional diagnosis: | Type 1 transformation zone; normal with pregnancy-induced changes. |
Management: | Repeat colposcopy 3 months after delivery. |
Histopathology: | Not done. |
Comment: | In advanced pregnancy metaplastic changes become more prominent and metaplastic epithelium appears more dense white. |
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