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Before application of acetic acid: The cervix is covered with menstrual blood.
Cervix before application of acetic acid:
After application of acetic acid: Acetic acid helps to clean the menstrual blood. The SCJ is fully visible at the external os. Thin milky white areas with irregular margins are present outside the TZ at the 7 oíclock position.
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: VIA can be satisfactorily performed during menstruation if there is not much bleeding. Acetowhite areas located away from the SCJ should be considered as VIA-negative.