Colposcopy

What is a colposcopy procedure?

Colposcopy refers to an exam that, using a speculum, more closely checks the vulva, cervix, and vagina for abnormalities using a magnifying instrument to see these areas in greater detail. If any abnormalities are detected during the procedure, the doctor will remove a small sample of tissue for further investigation. The procedure is typically performed in the office and does not require any anesthesia.

Why do patients need colposcopy?

Patients who receive abnormal results on their Pap smear typically need a colposcopy to check for several issues, such as:

• The human papillomavirus (HPV) and its related issues, such as genital warts or cervical inflammation

• signs of reproductive conditions that require early intervention and treatment
• signs of cervical cancer, vaginal cancer, or vulvar cancer

Is colposcopy a safe procedure?

A colposcopy is minimally invasive and generally considered to be safe and Dr. Tchabo has considerable skill and experience in this area. A colposcopy is largely observational only, though some doctors may use a solution to better see the area.

If a tissue sample is collected for biopsy, the patient may experience cramping and bleeding during and after the procedure, which usually resolves itself within a few days and can be treated with over-the-counter medications suggested by the doctor. Some women will experience bleeding and cramping for up to a week after a biopsy is taken so it is recommended that patients restrict exercise for the first 24 hours after the procedure and to avoid sexual intercourse and the use of tampons or vaginal creams for a week.

There is a small risk of infection and patients who develop signs of an infection afterward, such as a fever, severe pain, or chills, should contact the doctor immediately.  

How should patients prepare for colposcopy?

When a colposcopy is scheduled, there are a few recommendations to ensure optimal results:

• Patients should avoid intercourse for a couple of days before their colposcopy.
• Patients should avoid using tampons and vaginal medications a couple days before the procedure.
• If possible, patients should try to schedule the colposcopy when they won’t have their period.
• With the doctor’s recommendation, an over-the-counter pain medication can be taken before the procedure.

Dr. Tchabo and his staff will supply you with all of the necessary information before and after the procedure.