Before application of acetic acid: The cervix is covered with thick purulent discharge. The SCJ is not visible.
Cervix before application of acetic acid:
Infective vaginal discharge: Strawberry appearance of cervix Cervicitis Polyp Bleeding on contact White patch Growth Ulcer Erosion
After application of acetic acid: A large dense acetowhite area is seen occupying all four quadrants of the cervix. The lesion extends into the endocervical canal.
Cervix after application of acetic acid:
Squamocolumnar junction visibility:
Squamocolumnar junction location:
If present, description of acetowhite area:
After application of Lugolís iodine: The acetowhite area has not taken up Lugolís iodine.
Determined eligibility for ablative treatment:
Remarks: The acetowhite areas close to the external os are denser compared with the rest of the lesion and indicate the presence of high-grade disease, which is not suitable for treatment by ablative methods.