A colposcopy is an exam that uses a magnifying device to view the cervix, allowing examiners to see problems that cannot be seen by the eye alone.
Why do I have to get a colposcopy?
- Many women receive a colposcopy because they had an abnormal cervical cancer screening test, such as a pap smear. A colposcopy can provide more information about the abnormal screening results.
- A colposcopy can also provide additional information regarding:
- Genital warts on the cervix
- Cervicitis, or an inflamed cervix
- Benign growths, such as polyps
- Pain
- Bleeding
Do I need to do anything before my colposcopy?
- The procedure is best done when a woman is not on her period.
- In addition, for at least 24 hours prior, you should not:
- Douche
- Use tampons
- Use vaginal medications
- Have sex
What happens during a colposcopy?
- The exam is performed in a healthcare provider’s office.
- A speculum is used to hold open the walls of the vagina to allow the colposcope, or magnifying device, to view the cervix.
- A mild solution is then applied to the cervix and vagina to view the cervix clearly. This solution may cause some discomfort or burning.
- Sometimes, if a colposcopy exam reveals abnormal areas, a biopsy of these areas may be done. A biopsy is a minor surgical procedure to remove a small piece of tissue from the cervix. It may feel like a pinch or cause cramping.
- Other times, an endocervical curettage may be performed, which takes cells from the cervical canal.
What happens after a colposcopy?
- A colposcopy without a biopsy does not require any recovery.
- A colposcopy with a biopsy may cause some discomfort or cramping for 1-2 days afterward. Over-the-counter pain medications can be helpful. There can also be vaginal bleeding or dark discharge for a few days. It is recommended to limit activity for a brief time afterward – do not have sex, do not use tampons, do not douche.
- If a biopsy or endocervical curettage is performed, these will be studied in a lab before your healthcare provider can discuss the results with you.
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