Part of UT Health San Antonio
Colposcopy
Definition
A colposcopy is a close-up exam of the cervix. It is done with a tool called the colposcope. The cervix is the lower part of the uterus.
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Reasons for Procedure
Colposcopy is usually done after one of the following:
- Abnormal pap test result
- Positive human papillomavirus (HPV) test —virus that increases risk for cancer
The exam can help to:
- Help diagnose cervical cancer or precancerous changes
- Give more information about abnormal cells found on a pap smear
- Locate where a tissue biopsy should be done
- Monitor treatment of changes of the cervix
- Allow a visual exam of the cervix, vaginal walls, or vulva
Possible Complications
Complications are rare. But, no procedure is completely free of risk. The care team will talk about possible problems. These may include:
- Bleeding
- Infection
What to Expect
Prior to Procedure
In the 24 hours before the procedure, your doctor may advise you to:
- Avoid sexual intercourse
- Avoid using medication or creams in the vagina
Anesthesia
The cervix may be numbed with a local anesthetic. It may not be needed.
Description of the Procedure
It will start like a regular pelvic exam. A device called a speculum will be inserted into the vagina. The speculum will gently spread apart the vaginal walls. The scope will be placed at the opening of the vagina. Then, the cervix will be wiped with a solution. This will make it easier to see abnormal areas. The cervix and vagina will be examined closely. A small sample of tissue may also be taken. Once the doctor is done the scope will be removed. Then the speculum will be closed and removed.
How Long Will It Take?
About 5 to 10 minutes
How Much Will It Hurt?
It is usually painless. You may feel a slight pinch and mild cramping if a sample is removed.
Post-procedure Care
The area will need to heal for about a week if a sample was removed. This may need sanitary pads for a few days and avoid sex or tampon use.
The doctor will talk about next steps which may include other tests or treatment.
Call Your Doctor
Contact your doctor if your recovery is not progressing as expected or you develop complications, such as:
- Heavy bleeding
- Fever, chills
- Severe pain
- Bad-smelling vaginal discharge
If you think you have an emergency, call for emergency medical services right away.
RESOURCES
American Congress of Obstetricians and Gynecologists
http://www.acog.org
Family Doctor—American Academy of Family Physicians
http://familydoctor.org
CANADIAN RESOURCES
The Society of Obstetricians and Gynaecologists of Canada
http://www.sogc.org
Women's Health Matters
http://www.womenshealthmatters.ca
REFERENCES:
American Congress of Obstetrics and Gynecology. Practice Bulletin No. 140: management of abnormal cervical cancer screening test results and cervical cancer precursors. Obstet Gynecol. 2013;122(6):1338-1367.
Cervical cancer—colposcopy. American Academy of Family Physicians Family Doctor website. Available at: http://familydoctor.org/familydoctor/en/diseases-conditions/cervical-cancer/diagnosis-tests/colposcopy.html. Accessed December 13, 2020.
Colposcopy. American Congress of Obstetricians and Gynecologists website. Available at: http://www.acog.org/~/media/For%20Patients/faq135.pdf?dmc=1&ts=20121219T1514556583. Accessed December 13, 2020.
Last reviewed November 2020 by EBSCO Medical Review Board Beverly Siegal, MD, FACOG Last Updated: 12/13/2020