Colposcopy

A colposcope is a microscope that provides a closer view of the cervix.

The colposcopic exam is similar to a regular pelvic exam and should only take a few minutes to perform.

There is no special preparation prior to the procedure, however we generally recommend that women abstain from intercourse 24 hours prior to the procedure.

Anesthesia is not required, however local anesthesia with a para cervical block of lidocaine may be utilized during the procedure.

A speculum is first placed into the vagina. Dilute acetic acid (vinegar solution) is placed in the vagina to help determine if there are any abnormal areas in the vagina and cervix. Abnormal cells and tissue may turn white when exposed to vinegar and are referred to as aceto-white lesions. The colposcopy itself is painless, however if abnormal areas are seen, then very small (2-3mm) pieces of tissue may be removed in the form of a colposcopically directed biopsy. This may lead to a small amount of pain, mild cramping and bleeding which usually rapidly resolves. This cervical tissue is then sent for laboratory evaluation. These biopsies cause no long-term damage to the cervix. Endocervical sampling may also be performed, which is a scraping from the inside of the cervix. This may also lead to mild cramping and spotting.

After the procedure there may a small amount of spotting and cramping. It is generally recommended that women abstain from intercourse for a period of time based on the numbers and types of biopsies that are performed.