This document discusses colposcopy, which is a procedure that visually examines the cervix under magnification to detect abnormal areas and potentially take biopsies. Key points include: - Colposcopy allows 10-20x magnification to detect abnormalities, while colpomicroscopy provides 100-300x magnification. - It was invented in 1927 by German physician Hans Hinselmann. - It is used to examine abnormalities found in pap smears or physical exams of the vagina or vulva and guide biopsies. - During the procedure, acetic acid is applied to detect white lesions and iodine is used to find pale, negative areas. Features like vessels, mosaicism, and margins are examined.

1. Dr.Chaduvula Suresh Babu
Professor
Department of OBGYN
GIMSR
Visakhapatnam, AP, India

2.  It’s a procedure by which cervix is visualised
to detect abnormal areas and also biopsy
would be taken as and when required
 Magnification – 10-20 times
 Colpomicroscope – 100-300 times

3.  Sir Hans Hinselmann – Germany – 1927
 Included in Integrated Cervical Cancer
Screening Program

7.  Abnormal Pap Smear – CIN 1 with positive
HPV
 Pap smear positive for malignant cells
 Pap smear suspicious of malignancy
 Abnormal Vaginal area
 Abnormal Vulval area
 To locate abnormal areas and to take a
Biopsy
 Preoperative assessment of early cancer
cervix

8.  Cauterisation
 LASER therapy
 LEEP procedure
 LLEEP procedure
 Conization
 Cryotherapy
 Follow-up for CIN treated cases

9.  Proliferative phase
 No vaginal examination
 Cusco's speculum
 Lower magnification
 Saline application
 3-5% Acetic acid – Aceto-white areas - VIA
 Green light filter
 Schiller Iodine – pale, negative areas - VILI

10.  Aceto-white area
 Schiller’s or Lugol’s negative area
 Surface
 Contour
 Margin
 Mosaicism
 Punctation
 Abnormal vessels
 Inter-capillary distance

15.  Satisfactory – Squamo-columnar jt. is seen
 Unsatisfactory – Squamo-columnar jt. Is not
seen
 Aceto-white lesions
 Iodine negative lesions
 Abnormal vessels
 Mosaicism, punctations, raised areas

33.  CIN II & III – Local Ablative procedures
 Need regular follow-up

34.  1. Bivalent Cervarix vaccine – for 16&18
 2. Quadrivalent Gardasil – for 6,11,16 & 18
 3. Nonavelent Gardasil 9 – for
6,11,16,18,31,33, 45,52 & 58

35. Thank You All