Colposcopy

Frequently Asked Questions Expand All

• What is colposcopy?

  Colposcopy is a way of looking at the cervix through a special magnifying device called a colposcope. It shines a light into the vagina and onto the cervix. A colposcope can greatly enlarge the normal view. This exam allows an obstetrician–gynecologist (ob-gyn) to find problems that cannot be seen by the eye alone.

• Why is colposcopy done?

  Colposcopy is done when results of cervical cancer screening tests show abnormal changes in the cells of the cervix. Colposcopy provides more information about the abnormal cells. Colposcopy also may be used to further assess other problems, including

  • genital warts on the cervix

  • cervicitis (an inflamed cervix)

  • benign (not cancer) growths, such as polyps

  • pain

  • bleeding

  Sometimes colposcopy may need to be done more than once. It also can be used to check the result of a treatment.

• How is the procedure performed?

  Colposcopy is typically is done in your ob-gyn’s office.

  The procedure is best done when a woman is not having her period. This gives the ob-gyn a better view of the cervix. For at least 24 hours before the test, you should not

  • douche

  • use tampons

  • use vaginal medications

  • have sex

  As with a pelvic exam, you will lie on your back with your feet raised and placed on foot rests for support. A speculum will be used to hold apart the vaginal walls so that the inside of the vagina and the cervix can be seen. The colposcope is placed just outside the opening of your vagina.

  A mild solution will be applied to your cervix and vagina with a cotton swab or cotton ball. This liquid makes abnormal areas on the cervix easier to see. You may feel a slight burning.

• When is a biopsy done during colposcopy?

  During colposcopy, your ob-gyn may see abnormal areas. A biopsy of these areas may be done. During a biopsy, a small piece of tissue is removed from the cervix. The sample is removed with a special device.

  Cells also may be taken from the canal of the cervix. A special device is used to collect the cells. This is called endocervical curettage.

• What should I expect during recovery?

  If you have a colposcopy without a biopsy, you should feel fine right away. You can do the things you normally do. You may have a little spotting for a couple of days.

  If you have a colposcopy with a biopsy, you may have pain and discomfort for 1 or 2 days. Over-the-counter pain medications can be helpful. You may have some vaginal bleeding. You also may have a dark discharge for a few days. This may occur from medication used to help stop bleeding at the biopsy site. You may need to wear a sanitary pad until the discharge stops.

  Your ob-gyn may suggest you limit your activity for a brief time. While the cervix heals, you will be told not to put anything into your vagina for a short time. Follow these guidelines:

  • Do not have sex.

  • Do not use tampons.

  • Do not douche.

• When should I call my ob-gyn?

  Call your ob-gyn right away if you have any of these problems:

  • Heavy vaginal bleeding (using more than one sanitary pad per hour)

  • Severe lower abdominal pain

  • Fever

  • Chills

• Glossary

  Biopsy: A minor surgical procedure to remove a small piece of tissue. This tissue is examined under a microscope in a laboratory.

  Cervical Cancer: A type of cancer that is in the cervix, the opening to the uterus at the top of the vagina.

  Cervix: The lower, narrow end of the uterus at the top of the vagina.

  Colposcope: A special magnifying instrument used to examine the cervix, vagina, and vulva.

  Colposcopy: Viewing of the cervix, vulva, or vagina under magnification with an instrument called a colposcope.

  Obstetrician–Gynecologist (Ob-Gyn): A doctor with special training and education in women's health.

  Pelvic Exam: A physical examination of a woman's pelvic organs.

  Polyps: Abnormal tissue growths that can develop on the inside of an organ.

  Speculum: An instrument used to hold open the walls of the vagina.

  Vagina: A tube-like structure surrounded by muscles. The vagina leads from the uterus to the outside of the body.