FAQ - Colposcopy

What is a colposcopy?

A colposcopy is a procedure in which a device called a "colposcope" is used to magnify the cervix. This allows your doctor to visualize abnormal areas on the outer cervix that cannot be seen otherwise. The colposcopy is done in the office, in the same fashion as a pap smear. Your doctor many apply a solution to your cervix that will cause any abnormal areas to show up more clearly with the colposcope. If your doctor sees any areas of abnormality, a sample of that area will be taken. This is called a biopsy. This is done so that the cells can be examined in the lab for more definitive diagnosis. The doctor may also do an endocervical curettage (ECC). An EEC is a sample of the inner cells of the cervix that cannot be seen with the colposcope. Based on those results, your doctor will determine if any further treatment is necessary.

Why do I need a colposcopy?

Most often, a colposcopy is done to further examine cervical cells that have shown up as abnormal on your pap smear. The results of the colposcopy will determine whether you need any further treatment or follow-up. In addition, a colposcopy can be used to evaluate growths on the cervix, cervical warts, or inflammation around the cervix.

Is there any prep I need to do prior to a colposcopy?

Although the colposcopy is not a painful procedure, may patients find it helpful to take a pain reliever such as Aleve or Ibuprofen approximately one hour prior to the colposcopy. This helps to reduce any cramping you may experience during the procedure. Additionally, you should not douche, use tampons, have sexual intercourse, or use vaginal medications at least 24 hours prior to the procedure. You should also try to schedule the appointment for a time that you are not on your menstrual period.

Is there any post-procedure instructions I show know?

You should not insert anything into the vagina for at least one week while your cervix is healing. You may have some spotting or light bleeding for a few days afterward.

Call the office immediately if you have any of the following symptoms:
  • Found-smelling vaginal discharge
  • Fever
  • Severe abdominal pain
  • Heavy vaginal bleeding (saturating 1 or more maxi-pads per 1 hour)