Before application of acetic acid: Atrophic cervix of a woman with uterovaginal prolapse. On the posterior lip there is a raw red area with sharp margins (a decubitus ulcer).
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. No acetowhite area on the ectocervix.
Cervix after application of acetic acid:
Squamocolumnar junction visibility:
Squamocolumnar junction location:
Determined eligibility for ablative treatment (if HPV-positive):
Histopathology: Not done
Remarks: The sharply defined raw, smooth area on the posterior lip is a decubitus ulcer, which can be seen in women with long-standing uterovaginal prolapse. The woman should be referred to an appropriate centre for treatment of genital prolapse.