The colposcope is then used for a magnified view of the cervix, which includes visualization with the use of a red-free filter . This is usually performed with either a large cotton swab or squirt bottle. However, you should understand that the acetic acid is mild and will not burn or harm your vagina. However, the fluid may feel cool. In addition to the cervix, careful examination of the vagina, and vaginal fornices are performed with the colposcope .
Visualization is accomplished with and without the red-free filter .
Reapplication of acetic acid may be necessary. The examination will include visualization of normal findings such as the original squamous epithelium , columnar epithelium and the transformation zone . Determination of adequacy of the exam includes complete visualization of the transformation zone . The use of an endocervical speculum may be necessary for this purpose. Any abnormal patterns are identified and noted.