Before application of acetic acid: Red velvety columnar epithelium is seen around the external os. A nabothian cyst is present at the 7 oíclock position.
Cervix before application of acetic acid:
After application of acetic acid: Thin acetowhite areas with indistinct margins are seen on the posterior lip. White patches are also seen on the columnar epithelium on the anterior lip.
Cervix after application of acetic acid:
Squamocolumnar junction visibility:
Squamocolumnar junction location:
If present, description of acetowhite area:
Determined eligibility for ablative treatment (if HPV-positive):
Histopathology: Not done
Remarks: Transparent acetowhite areas with indistinct margins are suggestive of squamous metaplasia. The appearance may be confusing. When in doubt, a diagnosis of VIA-positive should be given, so that the woman can be further evaluated or treated.