Version June 2024
| Section | Pattern |
| General assessment | Adequate or inadequate for the reason (eg, cervix obscured by inflammation, bleeding, scar) |
| Squamocolumnar junction visibility: completely visible, partially visible, not visible | |
| Transformation zone types 1, 2, 3 | |
| Normal colposcopic findings | Original squamous epithelium: mature, atrophic |
| Columnar epithelium, ectopy/ectropion | |
| Metaplastic squamous epithelium, nabothian cysts, crypt (gland) openings | |
| Deciduosis in pregnancy | |
| Abnormal colposcopic findings | General principles |
| Location of the lesion: inside or outside the transformation zone, location of the lesion by clock position | |
| Size of the lesion: number of cervical quadrants the lesion covers | |
| Size of the lesion as percentage of cervix | |
| Grade 1 (minor): fine mosaic; fine punctation; thin acetowhite epithelium; irregular, geographic border | |
| Grade 2 (major): sharp border, inner border sign, ridge sign, dense acetowhite epithelium, coarse mosaic, coarse punctation, rapid appearance of acetowhitening, cuffed crypt (gland) openings | |
| Nonspecific: leukoplakia (keratosis, hyperkeratosis), erosion | |
| Lugol's staining (Schiller's test): stained or nonstained | |
| Suspicious for invasion | Atypical vessels |
| Additional signs: fragile vessels, irregular surface, exophytic lesion, necrosis, ulceration (necrotic), tumor or gross neoplasm | |
| Miscellaneous findings | Congenital transformation zone, condyloma, polyp (ectocervical or endocervical), inflammation, stenosis, congenital anomaly, posttreatment consequence, endometriosis |
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