Colposcopy
What is a colposcopy?
A colposcopy is an examination in which the gynaecologist uses a colposcope to look at the cervix. This is a specialised magnifying device with a light. The colposcope remains outside the body. The doctor uses it to examine the lining of the cervix and vagina, making even small changes clearly visible.
Why is this examination carried out?
A colposcopy is usually recommended when:
- a smear test shows abnormal cells
- the gynaecologist notices an abnormality during an examination
- there is unexplained bleeding, for example after sex
- further assesment of changes to the cervix is needed
How does a colposcopy work?
The procedure is similar to a standard gynaecological examination. You lie on an examination chair and the gynaecologist inserts a speculum into the vagina so the cervix can be seen. The cervix is then examined using the colposcope.
Sometimes, the gynaecologist applies a liquid to the cervix. This may cause mild discomfort for a moment. If needed, a small piece of tissue (biopsy) is taken. You may feel a brief pinching sensation.
The examination usually takes 10 to 15 minutes.
What should you watch out for after the examination?
You may have some light bleeding after a colposcopy. This is normal.
Contact your doctor if you:
- experience heavy bleeding
- develop a fever
- feel increasing abdominal pain
Results
If a tissue sample has been taken, it is analysed in the laboratory. The results are usually available within a few days to a week. Your gynaecologist will discuss the outcome with you, if needed, agree on further follow-up and treatment.
If the colposcopy shows a lesion that needs to be removed, this can be done with a cone biopsy (conisation).