What is a colposcopy?
Colposcopy is the viewing or studying of the cervix and vagina with the use of a magnifying instrument known as the colposcope.
Why is a colposcopy indicated?
Every patient is different, but colposcopy is generally indicated for the evaluation of those women with abnormal pap smears. Abnormal pap smears are those containing atypical cells. Colposcopy helps to identify the appropriate site(s) for a biopsy (tissue sampling) and indicates the location of diseased tissue.
What are the advantages of having a colposcopy?
Combined with information gained from biopsy results, colposcopy influences the treatment choice. By utilizing colposcopy, conservative therapy can be an option with confidence. Colposcopy greatly assists your doctor in diagnosing and treating disease, and thus hopefully prevents the continuance of an invasive cancer and preserves a cosmetic appearance as well as functional anatomy.
Where is the colposcopy done?
Colposcopy is performed in the physician’s office.
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What must I do before the colposcopy is performed?
We encourage you to watch our video on colposcopy which will be shown to you the day of the procedure and to ask any questions you may have. We also ask that you, on a full stomach, take some type of nonsteriodal medication (such as Advil or Aleve) right before coming to our office. If you have stomach ulcers, renal disease, or an allergy to the nonsteriodal medication, take Tylenol. DO NOT TAKE ASPIRIN.
How long will it take to have the colposcopy done?
The actual procedure along with the biopsy takes approximately 15 minutes. Time for video viewing, preparation, and post procedure instructions will be added to this. Plan on being in the office for approximately one hour.
What is done during the colposcopy?
A speculum is placed in the vagina; then the cervix, vagina, and vulva are viewed. Some type of staining agent - such as acetic acid (similar to table vinegar) - is applied to the cervix to aid in depicting abnormal cells. A video camera is attached to the colposcope. This allows for the taking of pictures and gives the patient the opportunity to view the procedure. A cervical biopsy and possible endocervical biopsy are taken. They generally cause little discomfort since the cervix has few pain receptors. These samples are sent to pathology for evaluation.
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Will I need to miss work or school?
Most patients have minimal discomfort associated with this procedure and are able to return to normal activities immediately. A light vaginal flow may occur post-procedure. Avoid tampon use and sexual intercourse for 2 weeks. Call the office if you experience any of the following:
- Temperature of 100.5F or higher
- Abdominal pain
- Bleeding heavier than a period
An appt will be made on the procedure day for a 2 week follow up. The pathology results will be discussed as well as a plan of treatment.
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