Before application of acetic acid: The cervix appears red, is congested, and is covered with blood-mixed discharge.
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 not visible. Extensive erosion on the cervix. It is difficult to delineate 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: A congested cervix with extensive erosion and infective vaginal discharge usually indicates presence of acute cervicitis. It is better to refer such patients for further assessment, especially if she is HPV-positive. An invasive cancer or high-grade CIN cannot be ruled out.