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Facing a colposcopy can bring up questions and concerns. We strive to make the process as comfortable and reassuring as possible with our personalized care and support.

What is a Colposcopy?

A colposcopy is an outpatient procedure that examines your cervix, vagina and vulva for irregularities and signs of disease. It's similar to a Pap test but gives your doctor better visibility by using an instrument called a colposcope. This tool magnifies the area, making it easier to spot abnormalities that might need further investigation.

Your doctor might recommend a colposcopy if you have abnormal Pap test results, abnormal pelvic exam results, a positive human papillomavirus (HPV) test or symptoms like unexplained bleeding or pain. During the procedure, your doctor might also perform a biopsy, which involves taking a small tissue sample from your cervix. This sample is sent to a lab for further testing to determine if any abnormal cells need treatment.

How a Colposcopy Works

A colposcopy uses a colposcope, a device with a light and a magnifying lens that allows your doctor to see your cervix and surrounding areas in detail. You’ll lie back on an exam table, like during a regular Well-woman exam. Your doctor will gently insert a speculum into your vagina to hold it open, then apply a solution to your cervix. This solution helps highlight any abnormal cells by changing color. 

The procedure typically takes about 10 to 20 minutes. During the colposcopy, your doctor might take a biopsy if they see any unusual areas.

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Doctor using Colposcopy instrument

What to Expect Before and After a Colposcopy 

Avoid using tampons, douching or having intercourse for 24 hours before your colposcopy appointment. Schedule your colposcopy in between periods, as this can make the exam easier. 

After a colposcopy, it’s normal to experience spotting or light bleeding for a few days, especially if a biopsy was taken. You might also have some mild cramping. Over-the-counter pain relievers can help with any discomfort. Your doctor will tell you when to expect the biopsy results and whether any follow-up is needed. After your procedure, you can contact your care team with any questions or concerns.

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