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Colposcopy

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It is a diagnostic procedure in which a physician uses a colposcope, a magnifying microscope, to examine a woman’s cervix and vagina for abnormal-appearing areas. This is frequently done after a PAP test shows abnormal cell growth. A biopsy may be taken for further study.

If a diagnostic biopsy is done, there may be dark vaginal discharge afterwards. Your provider applied Monsel’s solution to help stop the bleeding; this mixes with blood to yield the dark discharge. There may also be some spotting for a few days afterward.
You should not have sex or put a tampon or anything in the vagina for a week following the biopsy because of the risk of infections.

The colposcope is placed outside the body and never touches the skin. The cervix and vagina are swabbed with dilute acetic acid (vinegar) and are observed. Any abnormal areas will turn white in color instead of the normal pink color. These abnormal areas can also be identified by irregular pattern of the associated blood vessels.

If the results are not normal, they may be:

  • Precancerous tissue changes (cervical dysplasia)
  • Cervical Warts/HPV (human papilloma virus)
  • Cancer

A number of treatment plans exist to treat the abnormal area once it is identified. Your provider will discuss these alternatives with you.


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