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5 Things Successful 4 biopsies colposcopy Never Do

4 biopsies colposcopy

What is a 4 biopsies colposcopy?

What is a 4 biopsies colposcopy?

DEAR DOCTOR K:

I had an abnormal Pap smear. Now my doctor wants me to have a 4 biopsies colposcopy. What can I expect during this procedure?
DEAR READER:

Pap smears help determine if you might have cancer, or a precancerous condition, of your cervix. When a Pap smear raises such suspicions, the next step is a 4 biopsies colposcopy.

Colposcopy is generally safe and painless. It takes about 15 to 30 minutes and doesn’t require anesthesia. During the procedure, your doctor examines your vagina and cervix using a colposcope. This is a portable instrument with a light and magnifying glass.

Colposcopy basically accomplishes three things. First, it lets your doctor look directly at your cervix. Second, the light and magnifying glass let the doctor see things that the naked eye cannot. Third, it lets the doctor remove any suspicious-looking tissue.

Your doctor may ask you not to take aspirin for a week before the 4 biopsies colposcopy, so that that you won’t have excessive bleeding if tissue is removed. Don’t douche or use vaginal creams or medications the day before the procedure, since that can make it harder for the doctor to get a good look at your cervix.

It’s important to let your doctor know if you may be pregnant. Also, tell your doctor about all of the medications you take. Finally, don’t schedule the procedure to occur when you are likely to be having your monthly period. Obviously, menstrual bleeding also can obscure the doctor’s view.

Before the procedure, you will remove your clothing from the waist down. You’ll be given a cloth to cover your waist and legs. Then you will lie on your back on an examination table with your legs spread, your knees bent and your heels placed in two stirrups.

Your doctor will insert a lubricated instrument called a speculum into your vagina. This holds the vaginal walls open. In some cases, your cervix and vagina may be rinsed with a vinegar solution or iodine stain to make abnormal areas easier for the doctor to see. The vinegar tends to turn any precancerous tissues white.

Next, your doctor will look through the colposcope to examine your cervix and vagina.

If the doctor sees any areas that look like they might be a precancerous condition, or cancer itself, the doctor will remove a small piece of the tissue (called a biopsy). The doctor may use a local anesthetic to numb the biopsy area. But you may experience some mild cramping or a little discomfort.

Any tissue removed during the procedure will be sent to a specialist (a pathologist) for examination. The tissue is treated with special chemicals and stains, and then examined under a microscope. The specialist will notify your doctor if any cancerous or precancerous changes are discovered.

Following your 4 biopsies colposcopy, you can return to your normal activities right away. It is a simple procedure, and if it discovers a precancerous condition, that condition can be treated and cancer prevented.

4 biopsies colposcopy

What should I expect during recovery offter 4 biopsies colposcopy?

 What should I expect during recovery offter 4 biopsies colposcopy?

If you have a colposcopy without a biopsy, you should feel fine right away. You can do the things you normally do. You may have a little spotting for a couple of days.

If you have a colposcopy with a biopsy, you may have pain and discomfort for 1 or 2 days. Over-the-counter pain medications can be helpful. You may have some vaginal bleeding. You also may have a dark discharge for a few days. This may occur from medication used to help stop bleeding at the biopsy site. You may need to wear a sanitary pad until the discharge stops.

Your health care provider may suggest you limit your activity for a brief time. While the cervix heals, you will be told not to put anything into your vagina for a short time:

Do not have sex.
Do not use tampons.
Do not douche.

Call your health care provider right away if you have any of these problems:

Heavy vaginal bleeding (using more than one sanitary pad per hour)
Severe lower abdominal pain
Fever
Chills

Glossary

Biopsy: A minor surgical procedure to remove a small piece of tissue that is then examined under a microscope in a laboratory.

Cervix: The lower, narrow end of the uterus at the top of the vagina.

Polyps: Benign (noncancerous) growths that develop from tissue lining an organ, such as that lining the inside of the uterus.

Speculum: An instrument used to hold open the walls of the vagina.

Vagina: A tube-like structure surrounded by muscles leading from the uterus to the outside of the body.

If you have further questions, contact your obstetrician–gynecologist.

FAQ135: Designed as an aid to patients, this document sets forth current information and opinions related to women’s health. The information does not dictate an exclusive course of treatment or procedure to be followed and should not be construed as excluding other acceptable methods of practice. Variations, taking into account the needs of the individual patient, resources, and limitations unique to the institution or type of practice, may be appropriate.

4 biopsies colposcopy

When is 4 biopsies colposcopy performed?

When is 4 biopsies colposcopy performed?

Colposcopy is performed in one of two circumstances: to examine the cervix either when the result of a Pap smear is abnormal, or when the cervix looks abnormal during the collection of a Pap smear. Even if a Pap smear result is normal, 4 biopsies colposcopy is ordered when the cervix appears visibly abnormal to the clinician performing the Pap smear. The purpose of the 4 biopsies colposcopy is to determine what is causing the abnormal looking cervix or the abnormal Pap smear so that appropriate treatment can be given.

4 biopsies colposcopy


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