Colposcopyis a gynecological subprogram to closely canvass the cervix , vagina and vulva for any signs of dysplastic changes . It is performed with the help of a special legal instrument known as a colposcope . Colposcope , which is a large electric microscope resembling field glasses offer a magnified and illuminated view of these structures .
Why Colposcopy is Performed?
Colposcopy is usually done after an abnormal teat test resolution or when the neck is abnormal looking at the prison term of Pap smear collection even though the Pap smear result is damaging . It can also be do if one experiences post - copulatory bleeding or visible abnormal growth on cervix , vagina or vulva .
The patient should inform the MD whether she is pregnant or not before getting colposcopy done , should avoid get it done at the metre of her periods . She should void tampon , douching , sexual intercourse or any vaginal suppository 1 to 2 days prior to the procedure .
It is used to name unnatural or precancerous changes in the uterine cervix , vagina or vulva , genital verruca and cervicitis ( inflammation of the cervix ) . Colposcopy need peculiar tests include acetic acid wash , color filter use and biopsy ( sample ) of the tissue .
How is Colposcopy Done?
Colposcopy is perform in a doctor ’s office and usually aim about 10 to 20 minutes . It is done in the same manner a pelvic examination or Pap smirch is performed . The patient will lie on the exam table with feet resting in the stirrups . A speculum is inserted into the vagina to open it up for better profile . The colposcope will be localise a few inch away from the vulva and the vaginal walls and cervix will be magnified and illuminated for examination . After examining the cervix , acetic pane is used to wash aside any mucous secretion from the cervix uteri so that the unnatural cells are defile white . Iodine solution can also be used for normal cellular telephone to sully chocolate-brown and abnormal cell will be in demarcation to the normal cells that facilitates the exam . Blue or green color filter can also be used to play up abnormal capillary inside the unnatural cells . Finally , biopsy is done to remove a small part of the abnormal tissue paper . look on the site , the biopsy can be taken either from cervix uteri or the vagina . The biopsy sample will be sent for further interrogation . After biopsy a topical chemical will be applied to annul bleed .
What to Expect After Colposcopy?
After colposcopy , the vagina may feel sore for a day or two . If biopsy is done then light bleeding or discern may be remark . The mortal should utilize a pad , pantie - liner or a tampon , unless the doctor or nanny tells otherwise . If biopsy is perform then vaginal sexuality should be avoided for a few twenty-four hours to help the biopsy land site heal quicker . If no biopsy was performed then normal activity can be carried out after colposcopy let in intimate intercourse .
If one is fraught , it is safe to get colposcopy , but it is better avoided during pregnancy and deferred for a posterior date as in gestation there is a greater chance of heavy bleeding due to increase blood supply in the cervix .
Risks of Colposcopy
Generally , colposcopy is a safe procedure with very few risk . There are rarified complications during biopsy procedure including big hemorrhage , contagion or pelvic nuisance . If one notices heavy bleeding or fever / chills or severeabdominal painthen one should call a doctor immediately .
Colposcopy Results
Colposcopy results could be normal or abnormal . If they are normal additional testing will be done or observe up mamilla smear will be apprize . If the biopsy result is unnatural then further intervention mode will be opted depending upon the dysplastic ( pre - cancerous ) tissue change or cancer progression .
generally the handling can be sort into two types :
Ablation or Destruction of the tissue paper : This includes CO2 laser photoablation and cryocautery .
Resection or Removal of the tissue paper : This let in LEEP ( loop electrosurgical ablation procedure ) , cold knife conization and hysterectomy . LEEP is the most democratic treatment for precancerous dysplasia . Most of the typesetter’s case ofcervical cancerand knockout cases of dysplasia are treated with hysterectomy .
Both type of treatments cure about 90 % of dysplasia and 10 % have recurrence of abnormality after treatment .
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