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Atlas of visual inspection of the cervix with acetic acid for screening, triage, and assessment for treatment

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VIA-negative cases                                                                            Click to return to the atlas
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  • Case: 9

  • Age: 39

  • 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 close to the external os. The ectocervix is covered by mature squamous epithelium. No acetowhite area.

  • Cervix after application of acetic acid:
    • Squamocolumnar junction visibility:  
    • Squamocolumnar junction location:  
    • Acetowhite area:  

  • VIA category:  

  • Determined eligibility for ablative treatment (if HPV-positive):  

  • Histopathology: Not done

  • Remarks: VIA can be performed during menstruation if the bleeding is not excessive. However, treatment is best avoided during menstruation.





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