Version June 2024
| Comprehensive colposcopy practice | Minimum colposcopy practice | |
| Precolposcopy evaluation | Evaluate and document at least the following:
| Evaluate and document at least the following:
|
| Obtain informed consent. | Obtain informed consent. | |
| Examination | Examine vulva and vagina grossly. | Examine vulva and vagina grossly. |
| Examine the cervix with multiple magnifications after application of 3 to 5% acetic acid. | Examine the cervix with magnification after application of 3 to 5% acetic acid. | |
| Examine cervix with both white light and a red-free (blue or green) filter. | ||
| Examine upper vagina with magnification. | ||
| Documentation | Document findings using a diagram or photograph, annotated if possible. Findings should be imported into electronic medical record. | Document findings at least in text format. |
| Document cervix visibility (fully/not fully visualized). | ||
| Document SCJ visibility (fully/not fully visualized) and whether cervical manipulation is needed to completely visualize the SCJ (eg, using an applicator stick or endocervical speculum). | Document SCJ visibility (fully/not fully visualized). | |
Document colposcopic findings:
| Document colposcopic findings:
| |
| Document a colposcopic impression (benign-normal/low-grade/high-grade/cancer). | Document a colposcopic impression (benign-normal/low-grade/high-grade/cancer). | |
| Biopsy | If biopsies are indicated, take biopsies at the SCJ and document their location. | If biopsies are indicated, take biopsies at the SCJ. |
| Document whether endocervical sampling performed and method: curette versus brush or both. | Document whether endocervical sampling performed. | |
| Postprocedure | Document how patient will be notified of results and management plan. | Make arrangements to notify patient of results. |
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