Colposcopy 


Colposcopy is a medical examination that involves a close inspection of the cervix using a colposcope—a specialised device that provides illumination and magnification. 

This procedure is commonly conducted in response to abnormal cervical smear results but may also be performed for various reasons, including persistent inadequate smear outcomes, inter-menstrual bleeding, post-coital bleeding, or an unusual appearance of the cervix.

Typically prompted by abnormal cervical smear results, colposcopy plays a vital role in identifying and addressing pre-cancerous conditions.

What is a colposcopy?

Colposcopy is most commonly recommended after abnormal cervical smear results. These abnormalities often indicate pre-cancerous changes in cervical cells. Detecting and addressing these changes early through colposcopy significantly increases the chances of successful treatment—around 90% of cases are resolved without complications.

Colposcopy procedure

The process closely resembles a routine smear test but includes the application of solutions to the cervix for a detailed examination of potential abnormalities. A speculum is inserted into the vagina to enable a detailed examination of the cervix. Various solutions, such as acetic acid (vinegar), may be applied to highlight abnormalities in the cervical skin. Abnormal results often signify the presence of pre-cancerous cells. However, early detection through colposcopy enables swift and effective treatment, significantly reducing the risk of cancer development.

Colposcopy biopsy

In some cases, a biopsy, a small tissue sample, may be taken for further analysis by a pathologist. Though the procedure may cause slight discomfort, it typically lasts around 15 minutes.

How long does a colposcopy take?

The entire procedure lasts about 15 minutes and may cause some discomfort, including stinging during solution application. Slight bleeding or discharge might occur afterward.

Preparing for Colposcopy

If you're preparing for a colposcopy, here are some tips:

  • Avoid sexual intercourse the day before the procedure.
  • Refrain from inserting anything into the vagina (tampons, medicines) 24 hours before the test.
  • Schedule the test when you are not on your period.
  • Consider wearing a panty-liner, as there might be slight bleeding or discharge.

t's important to communicate with your healthcare provider if you have any concerns or questions about the procedure.

Colposcopy during pregnancy

Colposcopy is generally safe during pregnancy. However, any biopsy and necessary treatment are often postponed until after childbirth.

Understanding abnormal results

Abnormal results from a colposcopy generally signal pre-cancerous conditions. However, it's crucial to note that when identified early, the likelihood of these cells developing into cervical cancer is very low. Timely intervention allows for quick and effective treatment, providing reassurance to patients

Make an appointment:

For women seeking assistance with the management of abnormal smear results or experiencing concerning symptoms, private colposcopy consultations are available with Mr Saurabh Phadnis at conveniently located clinics throughout London.