UNAIDED VISUAL INSPECTION OF THE CERVIX

(Lifted from the Geneva Foundation for Medical Education and Research)

Unaided Visual Inspection of the Cervix

“Clinical Downstaging”

Picture Atlas

Saloney Nazeer

WHO Collaborating Centre in Education and Research in Human Reproduction

Click over the pictures to enlarge

Normal cervix, acetic acid pool visible at 6 o’clock. No medical intervention required.
Call for re-screening according to established policy.
 MI3.jpg (31542 octets)
Postmenopausal cervix No medical intervention required.

Call for re-screening, if 35 years or above, according to established policy.

MI4.jpg (35933 octets)
Ectopy (erythroplasia): normal physiological change seen during pregnancy and puerperium No medical intervention required.

Call for re-screening, if 35 years or above, according to established policy.

MI10.jpg (35437 octets)
Abnormal cervix Take swab for culture and send to laboratory (if facilities available).

Refer the patient to the Primary Health Clinic.

MI17.jpg (43728 octets) MI9.jpg (32703 octets)
Cervicitis Take swab for culture and send to laboratory (if facilities available).

Refer the patient to the Primary Health Clinic.

MI5.jpg (39616 octets) MI6.jpg (40182 octets)
Nabothian follicles (chronic cervicitis) Take swab for culture and send to laboratory (if facilities available).

Refer the patient to the Primary Health Clinic.

MI7.jpg (35220 octets)
Cervical polyp (benign) No medical intervention required.

Call for re-screening, if 35 years or above, according to established policy.

MI8.jpg (32582 octets)
Cervical cancer Refer the patient to the Oncology Centre. MI18.jpg (46720 octets) MI19.jpg (41348 octets)
MI13.jpg (52128 octets) 
MI12.jpg (48228 octets)
MI14.jpg (50039 octets) 
MI15.jpg (49126 octets)