What is a colposcopy?
Colposcopy is a procedure that uses a special microscope (called a colposcope) to investigate the lower female genital tract, including the vulva, vagina, and to closely examine the cervix (the opening to the uterus, or womb).
The colposcope magnifies the image of the outer portion of the cervix, allowing the doctor to have a clearer view. Sometimes, a small tissue sample (biopsy) is taken for further study. The tissue samples will be sent for histological examination, aiding the doctor in determining the appropriate treatment for any issues found. If cervical cancer is detected early or if there are pre-cancerous cell changes, it can be treated and almost always cured. In cases of pre-cancers and early cancers of the cervix, sometimes the removal of a part of the cervix may be the sole treatment required.
Why would a woman need a colposcopy?
Colposcopy is usually performed when a woman has an abnormal cervical screening test (CST). (Pap tests are regularly done to screen for cervical cancer). Other reasons for a colposcopy may include when the cervix, vagina, or vulva appears abnormal during a pelvic exam.
Procedure
During a colposcopy, you will lie on an examination table similar to a regular pelvic exam. The doctor uses an instrument called a speculum to widen the vaginal walls. They then place the colposcope, a microscope-like device with a light at the end, at the vaginal opening. The colposcope does not enter the vagina. The doctor examines the vagina to identify any problematic areas on the cervix or in the vagina. If any areas are concerning, a small tissue sample (biopsy) may be taken. This might cause slight pressure, a pinch, or a cramp. The tissue is then sent to a lab for further analysis.
Post-procedure
Most women feel fine after a colposcopy. You might feel a little lightheaded, and if a biopsy was taken, you might have some light bleeding.
Risks of colposcopy
There is a very slight risk of infection during a colposcopy. You might experience mild pain and cramping during the procedure and light bleeding afterward, especially if a biopsy is performed. If you experience heavy bleeding, fever, or severe pain after the procedure, it’s advisable to contact our clinic immediately.
Our commitment to excellence
Our Coastal Women’s Health team is dedicated to providing the best medical care. We conduct focused obstetric and surgical audits to ensure we maintain the highest standard, which our patients rightfully deserve.
Vulvoscopy
What is a vulvoscopy?
Vulvoscopy is an examination of the vulvar skin, labia, and perineum using a special microscope called a colposcope. A weak solution of Acetic Acid (vinegar) is applied to the vulva, enabling your doctor to observe any cell changes.
Why is vulvoscopy performed?
Vulvoscopy may be recommended for:
- Vulva pain or soreness
- Any abnormal skin lesions or whitening
- Vulva pain during sexual intercourse
- Itching/Burning
How is vulvoscopy performed?
Vulvoscopy involves using a colposcope to magnify the vulvar skin area, making any abnormalities more visible. If any abnormalities are detected, a small biopsy will be taken under local anaesthesia for examination of any abnormal cells.
A vulvoscopy determines if treatment is necessary and specifies the nature of any abnormality.
Your doctor will explain the procedure in detail prior to your appointment, giving you the chance to ask questions.
What should I expect from these procedures?
After the procedure, you may experience some pain and bleeding for a few days, though it should not significantly affect your daily activities. If a biopsy is performed, you might experience a small amount of brown vaginal discharge. It is recommended to refrain from sex until the bleeding has stopped.