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Colposcopy
Gynecology

Colposcopy

A colposcopy is a procedure in which a special instrument examines the cervix. It is typically performed following abnormal smear test results to determine if additional treatment is necessary to remove abnormal cells.

Reasons for Colposcopy

The procedure may be recommended if abnormal cells are detected during routine screening, smear results are inconclusive, unusual findings appear during examination, or symptoms such as abnormal bleeding occur. An abnormal result requires investigation to identify the underlying cause and appropriate treatment.

What to Expect

During the procedure, a speculum is used to access the vagina, similar to a standard smear test. A special microscope called a colposcope is positioned to view the cervix without touching the body. The doctor may apply a special liquid to highlight abnormal cells and may take a biopsy sample for laboratory analysis. The examination typically lasts 15-20 minutes.

Outcomes

Results determine whether additional testing or treatment is needed. Abnormal cells can often be removed during the procedure using local anesthesia, though larger areas may require surgery. Experienced gynecological specialists provide recommendations and perform necessary removal procedures.

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Frequently Asked Questions

Common Questions

Colposcopy is recommended after an abnormal cervical smear result u2014 typically moderate or high-grade dyskaryosis, persistent low-grade changes, or a positive high-risk HPV test. It is a precautionary investigation, not a sign of cancer.

A speculum is used to view the cervix through a colposcope (a magnifying camera that does not enter the body). Mild solutions (acetic acid and Lugol's iodine) are applied to highlight any abnormal areas. The procedure takes 15u201320 minutes.

Not always. If the colposcopy looks normal, biopsy may not be needed. If abnormal areas are identified, small biopsy samples are taken for laboratory analysis. A biopsy causes brief sharp discomfort u2014 most patients manage it very well.

Histology results are usually available within 2u20134 weeks. Your results are communicated clearly, along with any recommended further steps u2014 whether monitoring, treatment, or discharge back to routine screening.

Yes. Colposcopy can be safely performed in pregnancy to assess an abnormal smear. Treatment of any cervical changes is usually deferred until after delivery, as most lesions do not progress rapidly and pregnancy itself does not worsen outcomes.

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