Читать книгу Ridley's The Vulva - Группа авторов - Страница 173

The colposcope, giving a magnification of 8–10 times, is not helpful during examination of the vulva. It provides a very small field of examination and shows up little on keratinised skin. The use of the colposcope for the investigation of cervical and vaginal lesions cannot be extrapolated to the vulva [21]. There is no place for the routine use of toluidine blue and little for acetic acid, as the confusion caused by misplaced emphasis on acetowhite tissue has been considerable, and the light reflection effect produced is non‐specific. It has been shown that 30% of women without any vulval symptoms had acetowhite areas outside the vestibule [22].

Colposcopic examination of the vestibule, vagina, and cervix may, of course, be indicated at some time for certain patients.