When Do You Need a Colposcopy?

A colposcopy is a medical treatment that allows your doctor or nurse to closely inspect your cervix using a special magnifying equipment known as a colposcope. This tool resembles a pair of binoculars set on a stand and is fitted with a powerful light to illuminate the region under investigation.

A colposcopy is a diagnostic technique that offers a comprehensive image of the cervix, allowing for early diagnosis and treatment of any problems.

Why Should I Get a Colposcopy?

If your cervical screening test revealed an atypical result, such as human papillomavirus (HPV) types 16 and/or 18, or any other kind of HPV for two years in a row, or if you have symptoms such as unexplained bleeding after sex, your doctor or nurse may recommend a colposcopy. 

Most abnormal CST findings do not indicate malignancy. The colposcopy helps evaluate whether more therapy is required or if frequent monitoring is adequate.

How Should I Prepare For a Colposcopy?

The treatment does not need a hospital stay or sedation. If your period is due on the day of your visit, please contact the clinic to discuss. You may want to bring a support person with you to your appointment. It may also be beneficial to include a panty liner or pad. Bring a list of questions to assist you remember what you want to ask.

What to Expect During a Colposcopy

The treatment usually takes 5 to 15 minutes, but it might go up to 20 minutes to allow for discussion. Although the inspection may be unpleasant, it should not be painful.

You will be asked to undress from the waist down and put on a robe. Your legs will be put in leg support. A speculum, similar to the one used in a CST, is put into the vagina to get a clear view of the cervix.

The colposcope is positioned outside of the vagina to magnify the cervical region. A doctor or nurse may use a dilute acetic acid (vinegar) solution to highlight aberrant cells, which may induce a little stinging sensation.

If abnormalities are detected, the doctor or nurse may do one or two tiny biopsies. This may cause slight pain. If a biopsy is performed, you may experience a sudden, acute pinch or slight cramping.

To ensure your comfort, urge the doctor or nurse to be gentle, explain their actions, and stop at any moment. A nurse will be there to help and answer any questions you may have.

What May I Expect Following a Colposcopy?

Your experience will differ depending on whether a biopsy was conducted. You can immediately resume your usual activities following a colposcopy without biopsy. It is typical to see a little spotting for a few days.

For a colposcopy with biopsy, you may have cramping or pain for 1 to 2 days. Over-the-counter pain relievers such as paracetamol or ibuprofen can assist. You may experience vaginal bleeding or black discharge for many days. This discharge may be the result of medicines used to halt bleeding at the biopsy site.

Following a colposcopy, it is critical to monitor your healing and understand when to seek medical attention. If you have a colposcopy with a biopsy, contact your doctor or nurse if you develop significant bleeding, vaginal discharge, severe discomfort, or fever lasting longer than a week.

Avoid sexual intercourse, strenuous physical activity, and the use of tampons or menstrual cups for one to two days; instead, use sanitary pads. To limit the risk of infection, avoid swimming, bathing, and using spas for one week. Showers are fine.

When Will I Receive My Findings and Follow-Up Plan?

Colposcopy findings usually take 2-4 weeks. Your doctor or nurse will go over the results with you and discuss any future measures. If you haven't heard from your doctor or nurse in four weeks, please phone them. Depending on the biopsy results, you may require further therapy to eliminate aberrant cells. 

If the results are ambiguous, more testing may be necessary. Attending your follow-up visit is critical to ensuring appropriate treatment and management depending on your colposcopy results. If you have any concerns or strange symptoms, please contact your doctor or nurse.