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What is colposcopy

February 24, 2009



Colpsocopy comes to the picture, when your gynecologist says that your Pap smear results are abnormal. The fact to be kept in mind is that an abnormal Pap smear does not mean you are having cervical cancer. The more likely reasons for abnormality in Pap smear test are inflammation or some sort of vaginal infection.

A colposcope is the tool with which your gynecologist gets a closer look at your cervix. It helps in analyzing the precise reason for the abnormality in the cervical tissues. A colposcope is a large, electric microscope. It is usually placed about thirty centimetres from the vagina. The bright light placed at end of the colposcope enables the gynecologist to view the cervix clearly.

Colpsocopy is commonly done to rule out the possibility of dysphasia or cancer. It also provides evidence regarding the existence of HPV. Patients who have a history of prenatal DES exposure are also subjected to colposcopy. There is absolutely no need to worry, as colposcopy is a simple and painless procedure. It takes only less than fifteen minutes to visually exam the cervix with the help of a colposcope.

As part of colposcopy procedure, acetic acid (such as common table vinegar) is placed on the cervix. This is done in order to fill the cervical cells with water to prevent the penetration of light through them.

While the colposcopy is being done, the gynecologist focuses on those cervical areas through which the light does not pass through. Abnormal cervical changes are spotted as white areas. If a particular area appears whiter, it indicates severe cervical dysplasia.

Any irregularity in the passage of blood vessels in this area is also made evident under the colposcopical scrutiny. For further analysis, a tissue sample of the white portion is collected by the gynecologist and sent for biopsy. In some cases, cryosurgery will have to done as the next step of treatment. In certain other situations, a Cone biopsy is done for getting a better picture of the irregularity.


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