Before application of acetic acid: A few red patches are visible on the posterior lip, giving rise to strawberry appearance of the cervix.
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: A thin acetowhite area with irregular margins and attached to the SCJ is seen on the anterior lip (at the 10Ė12 oíclock position). The multiple scattered white dots on the posterior lip are due to cervicitis.
Cervix after application of acetic acid:
Squamocolumnar junction visibility:
Squamocolumnar junction location:
If present, description of acetowhite area:
Determined eligibility for ablative treatment:
Remarks: The thin acetowhite areas are due to squamous metaplasia. On VIA, it is often difficult to distinguish between metaplasia and low-grade precancers. It is better to overcall than to miss a lesion.