Vaginal ultrasound is not able to determine the presence of cervical cancer because it can only determine the presence of nuchal cysts in the cervix, hyperplasia in the uterine cavity, fibroids in the uterus, cysts in the adnexa bilaterally, and even fluid in the pelvis. Vaginal ultrasound can only see the above mentioned problems, the presence of cervical cancer cannot be determined by imaging. Therefore, cervical TCT and HPV cancer screening are needed to initially determine if HPV infection is present. When infection is present, colposcopic biopsy is needed for tissue analysis to determine if there is a predisposition to cervical cancer. When high grade lesions are present, a cervical conization is performed to determine if there are any cancerous changes. It is not possible to confirm the diagnosis with just one test, as there is a certain degree of error, so a series of tests must be performed to confirm the diagnosis.