The purpose of this document is review new colposcopy terminology and its implementation for diagnosis, treatment, and research. This document has been expanded to include terminology of both cervix and vagina. The current nomenclature committee is the first that presents and International Federation of Cervical Pathology and Colposcopy (IFCPC) terminology dedicated to colposcopy of the vagina. Various human papillomas virus (HPV) lesions and intraepithelial neoplasia may occur in the vagina as a primary lesion or in continuum with cervical intraepithelial neoplasia. The popular terms “satisfactory colposcopy” and “unsatisfactory colposcopy” have been replaced. The colposcopic examination should be assessed for three variables: 1) adequate or inadequate, with the reason given; 2) squamo-columnar junction visibility; 3) transformation zone type. Other additions were the localization of the lesion to either inside or outside the transformation zone and determinants of size as well as location of cervical lesions. Two new signs are included in the terminology – the “inner border sign” and “ridge sign”.Read More