Colposcopy is a procedure by which both preinvasive and invasive lesions of the cervix, vagina and vulva are diagnosed.

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
 vascular pattern – Vascular pattern
 Schiller’s 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