The Schiller problem, also known as cervical visual inspection, is a procedure that involves applying a modern solution (Lugol) to the entire inner area of the vagina and uterus, this solution reacts with cells from the dye region, when coffee application appears, it is said that the result is normal.
In cases where the solution cannot color specific areas, this means that there is some alteration, so a biopsy of these areas will be taken to diagnose what might happen.
- This test is done on all sexually active women as a routine exam and in those who have a symptom such as painful.
- I run away from bleeding after sex.
- This problem can detect early cancer damage from uterine cells.
- But uterine cancer is often found in cities with limited resources.
The test may also be done immediately during a biopsy so that it can be clearer where it should be removed for testing.
Possible results of the Schiller problem are positive or negative
Schiller’s positive problem means that cellular alterations have been found in the internal area of the vagina, suggesting the presence of benign alterations such as a misplaced IUD, inflammation, condyloma, syphilis, HPV, including uterine cancer. When the Schiller problem is positive, the gynecologist will request a Pap test to obtain clearer and more specific results.
Another example of this is the presence of acetic acid, from which the same principle of coloration of the vagina and uterus is used, in which case the area should turn white; in places where the target is most evident, this means that there are signs of cells This problem is especially indicated in women who have an iodine allergy and cannot solve Schiller’s problem.
The problem of negative Schiller means that the solution used to verify changes in cells in the vagina and uterine cells covered the entire expected area and did not alter pathological changes in these regions.
Schiller’s problem is indicated in sexually active women and is requested by the gynecologist when certain gynecological patients, such as HPV, syphilis, inflammation of the vagina, are suspected, for example, this problem could also detect uterine cancer early.
Schiller’s positivity does not necessarily indicate the presence of neoplastic lesions, so it is important that other complementary tests, such as Pap smears, are performed to confirm the diagnosis.