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Colposcopy

A colposcopy is a procedure that involves the gynaecologist taking a close examination of your cervix to help identify any microscopic abnormalities. This procedure differs from a generic cervical screening test (CST) or pap smear and may be recommended if you have an abnormal CST/pap smear.

 

What to expect

The colposcopy takes between 15 minutes and half an hour. A colposcopy is usually scheduled for a time when you are not having your period but this is not always possible. If you think you may be due for your period on the scheduled appointment date, please contact the clinic to advise. During the procedure, a small sample of tissue (a biopsy) may be taken from any abnormal looking areas in your cervix.

 

The procedure

  • A speculum is inserted into the vagina to enable the cervix to be visualised 

  • The doctor uses a special colposcope camera to visualise the magnified image of the cervix on a computer screen. The camera does not touch the vulva or vagina 

  • A cotton swab may be used to remove excess mucous and a weak vinegar solution is applied to the cervix. This makes areas where there are changes in the cells turn white helping the doctor to identify abnormalities.

  • Sometimes iodine solution is applied to further enhance the views of the cells on the cervix. Healthy cells are expected to take up the solution and turn brown. Please tell the doctor or nurse if you are allergic to iodine.

  • If any cell changes are detected, the doctor may take a biopsy (the removal of a tiny piece of tissue) from any areas of concern.

  • A biopsy may be felt as a pinch and there may be some associated cramping pains afterwards.

  • The tissue collected is sent to a laboratory for testing to confirm if there are any cell changes 

  • You may have some ‘spotting' for a few hours afterwards

 

After the procedure

After the procedure, you should avoid rigorous physical exercise for 72 hours, and sexual intercourse, swimming or baths (including a spa) for 1-2 days to reduce your risk of bleeding or infection

 

Your results

The laboratory sample may take up to two weeks to be reported on. Arrangements will be made with the specialist to discuss your results and further follow up or treatment as required.

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