Colposcopy
Purpose
A colposcopy is an examination of the cervix (lowermost portion of the uterus). It is a test using an instrument called a colposcope, which magnifies the surface of the cervix 10-40 times. The test is usually performed after a positive Pap Smear to help identify the abnormality.
Preparation
The procedure can be performed any time except during your menstrual period. There is no preparation for the procedure. You may be directed to take medication such as ibuprofen prior to the procedure.
Colposcopies are performed on an outpatient basis in the doctor's office. When scheduling your test, it is important to notify your doctor if you have any cardiac conditions, such as mitral valve prolapse or a heart murmur.
Description
You are positioned on the examination table, as for a pelvic examination, and a speculum is inserted to provide a view of the cervix and vagina. In most cases, the doctor will perform a repeat pap smear. The cervix is then swabbed with a chemical solution. This solution will cause a cool tingling sensation. The tissue of the cervix is then examined through the lens of the colposcope.
If the cervix looks abnormal, the doctor may perform a biopsy by removing a small piece of the tissue from the cervix with a specially designed instrument. The tissue is then sent to the laboratory for further testing. You may feel a pinching sensation or mild cramping. There may be some slight bleeding or a dark colored vaginal discharge after the biopsy. This is normal.
This examination takes approximately 15 to 45 minutes.
After the procedure
- Do not take tub baths, douche, have intercourse, or use tampons for one-two weeks after the procedure.
- Cramping in the uterus or abdomen may be experienced. This is normal.
- You may have some slight bleeding or vaginal spotting for up to a week
- You may be told to take ibuprofen (motrin®, advil®, nuprin®) as prescribed for discomfort. If you have a sensitivity to aspirin or ibuprofen, consult your physician first.
Notify your physician if you experience any of the following symptoms:
- Severe or prolonged abdominal pain
- Continued heavy vaginal bleeding
- Foul-smelling discharge
- Persistent temperature of 100 degrees fahrenheit or greater, or chills.
