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What is a Colposcope?

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A colposcope is a special type of microscope, which allows the doctor to examine the tissues of the cervix, vagina and vulva more clearly by magnification.

It is a procedure that uses a special instrument, a colposcope to shine a light into the vagina and obtain a magnified view of the vagina, vulva and cervix.

Colposcopy is a simple examination of the cervix with a colposcope. It lets the doctor or nurse look more closely at the changes on the cervix to decide if any treatment is needed. The procedure is done as an outpatient appointment at hospital.

The colposcope is a low-power microscope mounted on a stand, used to look at the cervix under magnification. The examination is similar to the screening test.

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Preparing for a colposcopy test:

The colposcopy examination itself takes only 15 minutes, but you should allow up to an hour for your whole visit. This will include consultation with your colposcopist about the procedure.

What happens during the test

For comfort, you may want to wear a loose skirt to your appointment. If not wearing a skirt, you will be asked to undress from the waist down and position yourself on a special couch, which will have padded support for your legs.

A nurse will be present throughout to assist you as much as you need. The doctor or specialist nurse will gently insert the speculum into your vagina, just like the initial screening test. This holds open the vaginal walls and allows a good view of the cervix. The colposcopist will look at the cervix through the colposcope (which does not touch you).

Another smear may be taken before a liquid is painted on the cervix to help show up any abnormal areas; this liquid may sting a little. A small sample of tissue (a biopsy) may be taken from an abnormal area. The biopsy may be uncomfortable but will not be painful. Further information is available in the Cervical Screening Information film.

After your examination

After your colposcopy you can usually return to work or carry on with your normal day.

What if I need treatment

The colposcopist will explain if you need any treatment. Sometimes this can be done at the time of your colposcopy or you may be asked to come back when the results of the biopsy are available. The treatment is usually simple to remove the abnormal area of cells and can be done under local anaesthetic as an outpatient. The choice of treatment used will depend on your case.

Will I need check-ups

Around six months after treatment you will usually be offered a cervical screening test again to check that your treatment has been successful. This test will be carried out at the hospital clinic.

If the result is normal/mild/borderline it will be tested for high risk HPV. If the test is negative for high risk HPV, you will be at low risk of ongoing cervical disease at that point in time. It will be important that you attend for screening again in three years.

If the cervical screening result shows moderate/severe changes, or if the high risk HPV test is positive, you will be referred for another colposcopy.

Although one in five women are invited back for another colposcopy, only a few will need further treatment. This is because it can take longer than 6 months for your immune system to clear HPV after treatment. Your hospital team will keep you under review until they are happy that you can safely return to routine screening tests.

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How is a Colposcopy Performed?

A colposcopy is a nonsurgical procedure that can be performed right in your gynecologist’s office. It typically takes about 15 minutes.

Your doctor will have you undress from the waist down and rest you feet in stirrups, similarly to a normal pelvic exam. A speculum – a long, narrow, duckbill-shaped instrument – will be inserted into your vagina, allowing your doctor to view your cervix.
Since most patients can find this procedure uncomfortable, Dr. Aliabadi always uses numbing medication on the cervix and Nitrious Oxide (aka “laughing gas”) which virtually eliminates anxiety and helps with any remaining discomfort.

The colposcope (KOLE-po-scope), a magnifying instrument, will be positioned just outside of your vulva. The doctor will shine a light through the colposcope, which will illuminate the cervix and allow your doctor to see the problem areas. Your doctor will apply a solution to the area to draw attention to anything suspicious. This may burn or tingle slightly.

Colposcopy Biopsy. Your OB-GYN may wish to take a biopsy for further testing. A sharp instrument is used to remove a tiny sample of tissue from the suspicious area. A cervical biopsy isn’t necessarily painful, but numbing agents are available. Most times it is uncomfortable and can lead to some cramping. However, a vulvar and vaginal biopsy can be painful. In these cases, the doctor will generally apply a numbing agent to the area.

Colposcopy is done in a doctor’s office. You may be referred to another health care provider or to a special clinic to have it done.

The procedure is best done when a woman is not having her menstrual period. This gives the health care provider a better view of the cervix. For at least 24 hours before the test, you should not

use tampons
use vaginal medications
have sex

As with a pelvic exam, you will lie on your back with your feet raised and placed on foot rests for support. A speculum will be used to hold apart the vaginal walls so that the inside of the vagina and the cervix can be seen. The colposcope is placed just outside the opening of your vagina.

A mild solution will be applied to your cervix and vagina with a cotton swab or cotton ball. This liquid makes abnormal areas on the cervix easier to see. You may feel a slight burning.

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