![Colposcopy is usually done at a doctor's office or clinic, and it typically takes 10 to 20 minutes.](https://images.medicinenet.com/images/article/main_image/colposcopy-1.jpg?output-quality=75)
A colposcopy is a simple procedure that tests for the presence of
- Cervical cancer (cancer of the cervix).
- Vulval cancer (cancer of the vulva).
- Vaginal cancer (cancer of the vagina).
- Genital warts.
- Cervicitis (inflammation of the cervix).
It is most commonly advised after
- Your Pap smear test shows abnormal findings.
- You test positive for human papillomavirus (HPV).
Your doctor may ask you to do a colposcopy more than once. This is usually done to monitor the results of treatment, such as cancer therapy.
How to prepare before colposcopy?
You should schedule your colposcopy appointment only before or after your periods (never when you are menstruating).
You just need to take a few simple precautions for 2 days before the colposcopy procedure:
- Do not have sex (vaginal intercourse)
- Do not use tampons
- Do not use vaginal creams
- Do not take an over the counter pain medication
Also, let your doctor know
Certain conditions, such as acute cervicitis (inflammation of the cervix), can cause extreme pain during colposcopy. Hence, the doctor will treat these conditions before going for the procedure.
How is a colposcopy performed?
Colposcopy is usually done at a doctor's office or clinic, and it typically takes 10 to 20 minutes.
Usually, the procedure is not very painful, so it may not need any pain medication or anesthesia. Comfort-wise, it is usually similar to a Pap test.
You are asked to lie on your back with your feet supported on the sides in the same way when you have a Pap test or a pelvic exam.
The doctor will then insert a special instrument (speculum) into your vagina that helps in expanding (dilating) the vaginal opening.
A long tube with a camera (colposcope) is mounted just near to your vulva in such a way that it lights the entire path from inside the vagina up to the cervix. This allows the doctor to visualize your vagina, vulva, and cervix. The doctor then clears the area of mucus or other discharge.
The doctor may apply a solution containing acetic acid or vinegar to your cervix, which may cause a mild burning sensation. This solution highlights the abnormal regions in and around the cervix.
If the doctor finds suspicious areas in the vagina, vulva, or the cervix, they remove a small piece (biopsy) and send it to the laboratory for examination under a microscope. The biopsy results show if the abnormality is due to inflammation, infection, or is precancerous.
![](https://images.medicinenet.com/images/quiz/human-body/human-body-s1.jpg)
QUESTION
What percentage of the human body is water? See AnswerWhat to expect after a colposcopy?
It is normal to see some vaginal spotting (slight bleeding) for the next 2 days and cramping for a few hours after colposcopy. If the doctor has performed a biopsy, you may additionally
- Feel pain at the vagina or vulva for 2 days
- Get a brown or black discharge from your vagina
You can use a pad to soak the bloody discharge. However, do not use tampons and douching for a few days or until your doctor gives a nod.
This is a minor procedure, and the recovery period is very short. You can resume all your routine activities right from the same day as the colposcopy. If you also had a biopsy during colposcopy, you just need to avoid vaginal intercourse for a few days to a week (or until your doctor instructs you to).
A colposcopy is not used to get rid of HPV since it is just a simple procedure to diagnose conditions, such as cervical cancer.
When to call the doctor after the colposcopy?
Usually, colposcopy is a relatively safe procedure with minimal risks. However, you should call your doctor if you experience any of the following symptoms:
- Heavy vaginal bleeding (more than you experience during your periods)
- Severe lower abdominal pain
- Fever
- Chills
How long does it take to get the results of a colposcopy?
Usually, the doctor or nurse will tell you the results of the colposcopy right away, but to get the results of the biopsy, you will have to wait for 1-2 weeks.
If the biopsy shows precancerous changes, the doctor will ask you to repeat the Pap test at regular intervals. These changes may go away on their own. If they do not, your doctor will refer you to a gynecological oncologist, who is a doctor specialized in treating cancers of the women’s reproductive system. To treat the precancerous lesions, the gynecological oncologist will discuss various options. Amongst which the most common ones are
- Loop electrosurgical excision procedure (LEEP): This procedure uses an electric current to remove the abnormal area.
- Cone biopsy/conization: The removal of the area that contains abnormal or precancerous cells.
- Hysterectomy: The removal of the entire uterus in severe cases.
Colposcopy: How to Prepare and What to Know. Available at: https://www.cancer.net/blog/2019-06/colposcopy-how-prepare-and-what-know
Colposcopy Frequently Asked Questions: Special Procedures. Available at: https://www.acog.org/en/Patient%20Resources/FAQs/Special%20Procedures/Colposcopy
Colposcopy. Available at: https://www.uptodate.com/contents/colposcopy
Top What Does a Colposcopy Test Is for? Related Articles
Byfavo (remimazolam)
Byfavo (remimazolam) is a benzodiazepine administered by injection to sedate adults who have to undergo minor surgical procedures lasting 30 minutes or less.Can a Woman Give a Man HPV?
Human papillomavirus (HPV) is a type of virus that is different from human immunodeficiency virus (HIV) and herpes virus (HSV). It is the most common cause of sexually transmitted disease (STD) in the United States. Yes, human papillomavirus (HPV) can be transmitted from a woman to man and vice versa.Can You Get Rid of HPV Once You Have It?
Human papillomavirus (HPV) is a type of virus that is different from human immunodeficiency virus (HIV) and herpes virus (HSV). It is the most common cause of sexually transmitted diseases (STDs) in the United States. In most cases, human papillomavirus (HPV) infections can go away on their own.Colposcopy
During a colposcopy procedure, the vulva, vaginal walls, and uterine cervix is examined to detect abnormalities that may suggest diseases. Tests performed during colposcopy include acetic acid wash, color filter, or biopsy of the cervix. Treatments for cervical abnormalities include:- carbon dioxide laser photoablation,
- cryocautery,
- LOOP (LEEP),
- cold knife cone biopsy, or
- hysterectomy.
Common Medical Abbreviations & Terms
Doctors, pharmacists, and other health-care professionals use abbreviations, acronyms, and other terminology for instructions and information in regard to a patient's health condition, prescription drugs they are to take, or medical procedures that have been ordered. There is no approved this list of common medical abbreviations, acronyms, and terminology used by doctors and other health- care professionals. You can use this list of medical abbreviations and acronyms written by our doctors the next time you can't understand what is on your prescription package, blood test results, or medical procedure orders. Examples include:
- ANED: Alive no evidence of disease. The patient arrived in the ER alive with no evidence of disease.
- ARF: Acute renal (kidney) failure
- cap: Capsule.
- CPAP: Continuous positive airway pressure. A treatment for sleep apnea.
- DJD: Degenerative joint disease. Another term for osteoarthritis.
- DM: Diabetes mellitus. Type 1 and type 2 diabetes
- HA: Headache
- IBD: Inflammatory bowel disease. A name for two disorders of the gastrointestinal (BI) tract, Crohn's disease and ulcerative colitis
- JT: Joint
- N/V: Nausea or vomiting.
- p.o.: By mouth. From the Latin terminology per os.
- q.i.d.: Four times daily. As in taking a medicine four times daily.
- RA: Rheumatoid arthritis
- SOB: Shortness of breath.
- T: Temperature. Temperature is recorded as part of the physical examination. It is one of the "vital signs."
Genital Warts Pictures
A wart in the moist skin of the genitals or around the anus. See a picture of Genital Warts (HPV) and learn more about the health topic.Genital Warts in Men (HPV)
The HPV virus (genital warts) in men can cause health problems. Genital warts are confined primarily to the moist skin of the genitals or around the anus. Genital warts are caused by the human papillomaviruses (HPVs), which are transmitted through sexual contact.Genital Warts (HPV) Infection in Women
Genital warts is a sexually transmitted infection (STI) caused by the human papillomavirus (HPV). Warts look like raised, flesh-colored lumps. Learn about symptoms, transmission, and treatment.HPV in Men: Symptoms, Causes, Tests, Treatment
Human papillomavirus (HPV) is a sexually transmitted virus that infects half of the young adults aged 15-24 years each year in the United States. In general, genital (penis, scrotum) HPV infection has increased significantly over the past decades. HPV infection is caused when the HPV gets transmitted from an infected person to a healthy person through oral, vaginal, or anal sex.HPV (Human Papillomavirus) Infection
HPV or human papillomavirus is a group of viruses that infect human mucous membranes and skin. HPV is highly contagious. Learn about symptoms, diagnosis, and vaccines.STDs Facts Slideshow
Sexually transmitted infections like chlamydia and genital herpes are common STDs. Think you might have an STD? You’re not alone. Find pictures of herpes, gonorrhea, and more. Learn how venereal disease can harm your health, and how to tell your partner if you have an STD.What Causes Human Papillomavirus Infection (HPV)?
Human papillomavirus (HPV) is the most common viral infection that is transmitted through sexual activity. People can get an HPV infection by having vaginal, anal or oral sex with someone infected with the virus. HPV infections often resolve without treatment and do not cause any health problems. A persistent HPV infection though may lead to warts, cancer of the mouth and throat, and cervical cancer.