Screening Study for Cervical Pre-cancer and Cancer Prevention in South African Women.

Cervical specimen obtained using speculum examination and cervical collection bush.

Vaginal speculum examination followed by application of 2% acetic acid and lugol's iodine with inspection with colposcope and punch biopsies taken of abnormal areas.

The above (see colposcopy) is followed by local anaesthetic with two dentist's ampoules of lignocaine and large loop excision using coagulation of the abnormal area (usually 2 x 3 x 1 cm).