Before application of acetic acid: Multiple nabothian cysts are visible as pearly white blisters on the ectocervix.
Cervix before application of acetic acid:
After application of acetic acid: The SCJ is fully visible. Diffuse acetowhite epithelium is seen in the TZ on the anterior lip, with tongue-shaped projections towards the external os.
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: The presence of nabothian cysts and a thin acetowhite area with tongue-shaped projections towards the external os indicates squamous metaplasia. Any acetowhite area without a distinct margin should be considered as VIA-negative.