What is a Colposcopy?

A colposcopy is an examination that is scheduled after a patient’s pap smear result comes back abnormal. It takes approximately 10-15 minutes and is done in the office.

After inserting a vaginal speculum, the physician visualizes the cervix using a colposcope. A colposcope is a large electronic microscope, which magnifies the cervix.

The physician will wipe the cervix with an acetic acid (vinegar) solution with large cotton swabs. This solution clears away any mucus or discharge, which can distort the clear view of the cervical tissue and causes abnormal cells to stand out against normal cells.

The physician visualizes the cervix with the colposcope and locates any areas of irregularity, which may be causing the abnormal results. A biopsy or a “small pinch” of tissue is taken and sent to the laboratory for further examination. The physician may decide to take one biopsy or several, depending on the areas of abnormality present.

Afterwards, the physician may apply Monsel’s solution to the biopsy sites. This solution looks like mustard and has the consistency of peanut butter. This is applied to the cervix to help control bleeding. You might experience a “coffee grounds” -like discharge during the next day or two.

This procedure is relatively painless, however, you may feel a small pinch with the biopsies and menstrual-type cramping during the ECC. There is no prep needed. You can take two Advil an hour before the procedure if you wish. All normal activities can be done immediately afterwards with no restrictions. You should wait 24 hours after the procedure to have intercourse.

Further treatment may be necessary and dependant upon the pathology results.

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