Colposcopy

Abnormal Pap testing is among the most common problems faced by women today. When a result showing abnormal cells is returned on your Pap test your doctor may recommend a colposcopic evaluation to further evaluate your cervix,vagina or vulva. Colposcopy may also be to visualize more closely changes that your physician is concerned about such as inflammation of the cervix, genital warts and women with a history of genital cancers.

 

The procedure will usually take 15 to 20 minutes and involve examination with a magnifying instrument called a colposcope. A vinegar or iodine solution may be used to determine areas of abnormality on the cervix or vaginal walls. These areas of abnormality will be biopsied and the material sent to the pathologist for testing. Your doctor may take one or more biopsies depending on your individual findings. Generally, cervical biopsies cause no more discomfort than cramping or pressure. Vaginal or vulvar biopsies will likely require more anesthesia.

 

Results will usually return within 1 week and your doctor will make an individualized plan with you for future care. This may involve close monitoring or further biopsy and/or treatment. You should avoid tampons, douching, and intercourse until the cervix has healed- usually 1 week. Normally you may experience some minor bleeding or spotting after the procedure. If you should have heavier bleeding, cramping or fever you should call the office immediately.