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leisegang colposcope Why We Use it

What is leisegang colposcope?

leisegang colposcope

WHAT IS A leisegang colposcope?-A leisegang 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 leisegang colposcope?

DEAR DOCTOR K:

I had an abnormal Pap smear. Now my doctor wants me to have a leisegang colposcope. What can I expect during this procedure?

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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 leisegang colposcope.

leisegang colposcope 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 leisegang colposcope. This is a portable instrument with a light and magnifying glass.

leisegang colposcope 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 leisegang colposcope, 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 leisegang 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 leisegang colposcope, 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.

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How is the procedure performed colcopcope?

leisegang leisegang colposcope 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

douche
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 leisegang 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.

HOW WILL THE leisegang colposcope BE DONE?

New patient leisegang colposcope appointments can take 30-45 minutes. This includes a consultation with your doctor, the
leisegang colposcope procedure itself similar to having a smear test and takes approximately 15 minutes.
• After your initial consultation with your specialist, you will be asked to lie on a raised bed with your legs up in
legs rests
• The leisegang colposcope will be put near the opening to your vagina. It will not touch your body. Your doctor will insert
a speculum in the same way as when you had your smear test. This makes it easier for the doctor to see your
cervix through the leisegang colposcope.
• A cotton swab may be used to remove excess mucous and a weak vinegar solution is applied to the cervix.
This makes areas that there are changes in the cells turn white helping the doctor to identify abnormalities.
• Iodine may be applied to view the cervix. During this examination healthy cells turn brown.
• If your doctor needs to take a biopsy – this will be the removal of some small tissue samples from the areas
that look abnormal. The removal of the tissue may be felt as a sharp pinch. The tissue collected is sent to a
laboratory for testing to confirm the diagnosis.

leisegang colposcope

Why leisegang colposcope?

why do I need leisegang colposcope?-Been told you need a leisegang colposcope? That’s good! leisegang colposcope is a really good way of getting more information which may help prevent serious gynaecological conditions. Think of it as being an early warning system or part of a comprehensive plan for excellence in women’s health. It may feel a bit undignified (like most gynaecological procedures) but it is not recommended unnecessarily. If it has been recommended that you have a leisegang colposcope, don’t put your head in the sand, just come and see us at Clinic 66. We will make it as hassle free as possible. leisegang colposcope involves using a powerful microscope to take a really close look at the cervix. This is because there may be some abnormalities which cannot be seen with the naked eye. leisegang colposcope is usually used to look at the cervix after an abnormal pap smear but can be used to check anything unusual around the vulva or in the vagina.

Women who have had unexplained bleeding after sex or in-between periods may be recommended to have a leisegang colposcope. This is because there may be treatable abnormalities in the cervix such as pre cancerous changes.

Having an abnormal pap smear/test doesn’t mean that a woman has cancer, however leisegang colposcope may be recommended in order to exclude a sinister cause for the abnormality. The gynaecologist may use acetic acid or Lugols solution (iodine) to help certain cells stand out more under the colposcope. It is common for a biopsy to be taken during leisegang colposcope i.e. a tiny fragment of tissue removed and sent to the lab for further analysis. This is because a pap smear is not accurate enough to determine what, if any, treatment is required.

leisegang colposcope may also be used as a checking test, for instance after pre cancerous cells have been removed, and thus making sure that the treatment was successful.

leisegang colposcope can easily be performed as an awake procedure as it’s like having a pap test though you’ll be examined by the doctor, for a longer time. Or, if you prefer, at Clinic 66, you can have a leisegang colposcope under sedation (light anaesthetic) so you can feel very relaxed and comfortable.

If you have been told that you should have a leisegang colposcope, you can ring and refer yourself today to Clinic 66, or get your GP to refer you with a letter.

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