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Vinegar screening is done by applying vinegar on a cotton swab to the cervix, and if the spot turns white within 60 seconds, it means there are pre-cancerous changes in the tissue.
A trained specialist (colposcopist) positions the colposcope to examine your cervix, vagina and vulva for the presence of suspicious areas of tissue that might indicate cancer. Colposcopy (kol-POS-kuh-pee) is a procedure to closely examine your cervix, vagina and vulva for signs of disease.
The technique of wiping the cervix with vinegar (acetic acid) and then inspecting it visually can be used to detect most cases of cervical cancer and precancer, according to a study carried out in Zimbabwe (Lancet 1999;353:869-73).
Normal result About 4 in 10 colposcopy results are normal. This means no cell changes (abnormal cells) were found in your cervix during colposcopy or biopsy. You can have a normal colposcopy result even if you had an abnormal cervical screening result. This is because cervical screening does not diagnose cell changes.
The colposcope is like a microscope on a stand, and it does not touch you. The provider will apply a solution called acetic acid (vinegar) to your cervix. This solution helps to highlight any abnormal areas, making them easier to see with the colposcope.
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Colposcopy is used to follow up abnormal cervical cancer screening tests (eg, Pap smear, human papillomavirus [HPV] testing) or abnormal areas seen on the cervix, vagina, or vulva. Your Pap smear may be abnormal if you have cervical precancer or cancer, often caused by HPV infection of the cervix.
The colposcope is a binocular microscope that allows magnification and illumination of the cervix. By applying various stains to the cervix, abnormalities can be identified. These include benign, precancerous, and malignant changes. Its primary use is to evaluate abnormal cervical cytology as an aid to diagnosis.
The colposcopic findings should be documented using the nomenclature of the International Federation of Cervical Pathology and Colposcopy (2011 IFCPC nomenclature):... Total score 0\u20134: normal/CIN1. Total score 5\u20136: CIN2/CIN3. Total score 7\u201310: CIN3/cancer.
Your doctor can use a colposcopy to diagnose cervical cancer, genital warts, vaginal cancer, and vulvar cancer, as well. Once your doctor gets the results from your colposcopy, they'll know whether or not you need further tests.
The colposcope magnifies the appearance of the cervix (figure 1). Acetic acid or vinegar is placed on the cervix and vagina to stain the cells and to allow the clinician to better see where the abnormal cells are located and the size of any abnormal areas.

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