Colposcopy

Colposcopy is an office procedure performed by your doctor to evaluate the exact meaning of an abnormal pap smear from the cervix. It can also be used to more accurately evaluate abnormalities of the vagina, vulva or external genital area.

Why is a colposcopy recommended?

Colposcopy is usually recommended if you've had abnormal Pap smears, or if an abnormality on your cervix was identified during your pelvic exam.

Is there anything I should do before the procedure?

Be sure to schedule the colposcopy appointment on a day when you're not having your menstrual period. In preparation for the procedure, avoid sexual intercourse and do not use any medications in your vagina the night before your appointment.

What happens during the procedure?

You will lie on an examination table, just as you would for a Pap smear. Your doctor will insert a speculum into the vagina to hold it open, just like the procedure for obtaining a pap smear. Then, a vinegar and water solution will be applied to the cervix to make the abnormal areas more visible. You may feel a slight tingling sensation at this time.

Next, your doctor will use an instrument called a colposcope, which provides magnification, to evaluate the cervix. With your permission your doctor then may decide to biopsy your cervix and endocervical canal to evaluate any areas in question. Some medication may be applied if there is bleeding from the biopsy.

Colposcopy takes between 15 to 30 minutes and is performed in your doctor's office.

After the procedure, you may experience light bleeding or mild cramping from the biopsy which can last for several hours.

It is best to avoid sexual intercourse for a period of one to two weeks following a colposcopy procedure. For most patients, it is safe to return to work and resume other activities such as driving and exercising as soon as you feel able.