Before application of acetic acid: Polyps are seen on the posterior lip and one is close to the SCJ. Nabothian cysts are present at the 11 oíclock and 6 oíclock positions.
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: The SCJ is fully visible. No acetowhite area in the TZ. The polyp is still visible and is partially hiding the TZ.
Cervix after application of acetic acid:
Squamocolumnar junction visibility:
Squamocolumnar junction location:
Determined eligibility for ablative treatment (if HPV-positive):
Histopathology: Not done
Remarks: Polyps or nabothian cysts located close to the external os may interfere with complete visualization of the SCJ. Gentle manipulation with a small cotton swab (soaked in acetic acid) often helps to visualize the SCJ fully. Ablative treatment can be performed only after removal of the polyp.