Objective To assess the standardization of essential elements in colposcopy report by analyzing their descriptive consistency, and to provide a basis for improving the quality of colposcopy.

Methods The data of colposcopy reports from various medical institutions were collected and analyzed for the standardization of essential elements described in the reports.

Results A total of 159 colposcopy reports were collected from 159 medical institutions across 17 provinces in China, with 88.1% of the reports documenting the indications for colposcopy. Among the 81 reports (50.9%) that provided complete descriptions of squamocolumnar junction and transformation zone types, 70 (86.4%) showed consistency between the two descriptions. Biopsy sampling situation was described in 137 reports (86.2%), among which 60.6% (83/137) involved multiple-site biopsies of abnormal areas observed during colposcopy. Furthermore, 57.9% (92/159) of the colposcopy reports included clear recommendations for further management.

Conclusion Currently, the standardization of colposcopy reports in medical institutions remains inadequate. Further standardized training for colposcopy physicians to enhance quality control of colposcopy should be strengthened.