IVA Examination for Early Detection of Cervical Cancer - Medic Quotes
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Thursday, June 6, 2019

IVA Examination for Early Detection of Cervical Cancer

Cancer of the cervix or cervical cancer ranks second in the most common cancer sequence in Indonesia. Early detection of cervical cancer through IVA (Visual Acetic Acid Inspection) examination is considered to help save many women because it is relatively easy to do and results are quickly obtained.
IVA examination is done by dripping acetic acid (vinegar acid) on the surface of the cervix. This technique is considered affordable, easy, only requires a simple tool, and the results can be immediately obtained.

IVA Examination Method

To do this test, you can visit a hospital, clinic or health center. IVA examination is carried out with the following steps:

  • You will be asked to lie down with your legs open ( lithotomy ).
  • The doctor will insert a speculum or duck drop into the vagina. This tool serves to hold the vagina mouth open so that the neck and mouth of the uterus can be seen.
  • Then the doctor will dip the lump of cotton (like a cotton bud ) into a solution of acetic acid (vinegar acid) levels of 3-5%.
  • Clumps of cotton moistened with acetic acid will be applied slowly to the surface of your cervical tissue.
  • The doctor will wait for 1 minute to assess the reaction that appears, usually in the form of discoloration in the area of the cervix that has been applied to acetic acid.

Healthy cervical tissue will not experience discoloration after applying acetic acid. But if there are abnormal cells in the cervix, white spots will appear on the surface of the cervix. This can indicate the presence of tumor cells or cancer cells in the cervix.

As a follow-up, the doctor will refer you to the obstetrician and gynecologist for further examination. Especially if you experience complaints, such as vaginal bleeding and suspicious vaginal discharge.

IVA Examination Requirements

In order for the results to be accurate, IVA examinations should only be carried out by women who:

  • Have had intimate relationships
  • Not having sex for 24 hours before the examination
  • Not menstruating

If you fulfill all three conditions, you can undergo IVA examinations on a regular basis as recommended by your doctor, or at least every 3-5 years. This is done to detect cervical cancer early because the symptoms of early-stage cervical cancer are often unclear. Symptoms generally only appear at an advanced stage.

IVA examination is highly recommended for women who are at risk of cervical cancer, for example, women with a history of cervical cancer in families (descendants), have more than one sexual partner, or have had a sexually transmitted infection.

Level of Accuracy of IVA Examination

In general, the accuracy of the IVA examination is indeed lower than other tests for cervical cancer, which is only 61%. Pap smear examination has an accuracy rate of around 80%, and a colposcopy examination is around 75%.
Even so, IVA examinations are considered efficient, quite accurate, and can be done at the puskesmas.

IVA examination is the easiest way to detect cervical cancer early, especially if you are in a location far from health facilities with adequate facilities and infrastructure. To get the correct advice, you can consult a doctor further.

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