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What is colposcope?

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WHAT IS A COLPOSCOPE?-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.

What is a colposcopy?-A colposcopy is a type of cervical cancer test. It lets your doctor or nurse get a close-up look at your cervix — the opening to your uterus. It’s used to find abnormal cells in your cervix.

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What happens during a colposcopy and biopsy?-You’ll lie down on an exam table like you would for a pelvic exam. The doctor or nurse will put a speculum into your vagina and open it. This separates the walls of your vagina so they can get a really good look at your cervix.

They’ll wash your cervix with a vinegar-like solution. This makes it easier to see abnormal cells. Next they’ll look at your cervix through a colposcope — an instrument that looks like binoculars on a stand with a bright light. The colposcope doesn’t touch you or go inside you.

If your doctor or nurse sees something that doesn’t look normal, they’ll do a biopsy. This means they’ll take a tiny sample of tissue and send it to a lab.

There are 2 types of biopsies: One takes tissue from outside your cervix. The other takes tissue from inside the opening of your cervix. Sometimes you need more than one biopsy.

A colposcopy and biopsy only takes about 5-10 minutes.

Does it hurt?

A colposcopy is nearly pain-free. You might feel pressure when the speculum goes in. It might also sting or burn a little when they wash your cervix with the vinegar-like solution.

If you get a biopsy, you might have some discomfort. Most people describe it feeling like a sharp pinch or a period cramp. You might have a little spotting, bleeding, or dark discharge from your vagina for a few days after a biopsy.
What should I know before my appointment?

You don’t have to do much to prepare for a colposcopy. Here are 2 things you can do to make things easier:

Schedule your colposcopy for when you won’t have your period. That makes it easier to see the cervix.

Don’t douche, use tampons, put medicine in your vagina, or have vaginal sex for at least 24 hours before your appointment.

Where can I get a colposcopy?

You can get a colposcopy at your doctor or nurse’s office, some community health clinics, or your local Planned Parenthood health center.

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How colposcope work?

What Is a Colposcopy?-When doctors want to do a careful evaluation of an abnormal Pap test, they usually recommend a colposcopy. This complicated word really means a fairly simple procedure — examining the cervix in detail with a pair of high-tech binoculars. The whole thing usually takes less than 10 minutes.

1. Getting ready

First, the doctor or nurse will talk to you about your Pap results, explain the procedure, and get your consent. They’ll want to know if you’re pregnant, because it makes a difference in the procedures they do.

Next the doctor will put in a speculum, just like for a Pap test, and then bring the colposcope into place. The colposcope might look pretty intimidating, but it stays outside of you, so don’t worry.

2. The white-spot test

A vinegar solution is applied to the cervix using large Q-tips. Most people don’t feel this part at all, but occasionally someone will feel mild stinging.

The vinegar will turn the abnormal areas of the cervix white. This can take up to three minutes to take full effect, and it’s kind of boring until that happens. You just have to wait.

Once the vinegar has done its work, the doctor will carefully look at each area of the cervix. A cervix looks like a donut from this angle. There might need to be a little pushing and pulling using small Q-tips while we try to see as far as we can down the donut hole.
3. Taking a sample

If an area of whiteness is found, the doctor will use a small instrument to take a speck of it for testing. This is known as a biopsy. There may be more than one area. Biopsies can pinch or pull, but they are over in a second. Most people don’t feel too much pain with them. The small pieces will be put into containers to send to the pathologist to evaluate.

Next, the doctor will usually take a sampling from down inside the cervix. This is generally done with four swipes of a small, sharp instrument, or with a mascara-brush-type wand.

This part can cramp, but it’s very important to make sure there are no abnormalities beyond where we can see. This part is not usually done in pregnancy.
4. Finishing up

If the biopsies stirred up any bleeding, pressure will be held over the areas. It may be necessary to use medication to stop the bleeding.

One method, silver nitrate, leaves dark ashes behind. These may fall out later into your underwear, looking like cigarette ashes. Another medication, Monsel’s solution, is a thick, amber-colored liquid that may also fall out later in dark chunks. Many women will wear a pad for a few days afterwards, just in case.

Then the speculum is removed, and it’s all over!

My advice to women is to find out how long it will be before the results are in, and call the office if you haven’t heard in a reasonable amount of time. Your doctor will make a plan with you then, based on the biopsy results. If the results are consistent with low-grade changes or less, the plan will probably be to repeat the Pap in six months.

One other thing to consider is the HPV vaccine. You may think it’s too late to get it if you have already been infected with one kind of HPV. But since the vaccine protects against several strains, it may be worth getting anyway.

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How to get the colposcope price?

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Who should colposcopy undergo and expected results?

The most common reasons why colposcopy is performed include:

The presence of abnormal cells as confirmed by a cervical screening sample, regardless if these cells are cancerous or not
The patient is diagnosed with human papillomavirus or HPV, a leading cause of abnormal cell changes leading to cervical cancer
Inconclusive cervical screening tests
Certain symptoms raising suspicions of an unhealthy cervix, including vaginal bleeding and cervical inflammation

The colposcopist will be able to tell right away if there are abnormalities, so there is no need to wait for the results of the test. However, if a biopsy is performed after the colposcopy, the results may take about four weeks. Based on statistics, 40% of patients who were required to undergo colposcopy obtained abnormal results. However, an abnormal result does not necessarily mean that the patient has cervical cancer, but the presence of the abnormal cells point to an increased risk of cancer especially if the abnormality is not treated right away. A colposcopy, however, may be able to diagnose a cervical cancer; in such cases, the patient is quickly referred to a cancer specialist.

Normal results mean that the cervix is healthy and the patient has a low risk of developing cervical cancer. Regardless of the results, women are encouraged to undergo cervical screening test every three to five years as a preventative measure.

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