Being asked to return after a cervical screening test can be unsettling. Colposcopy gives your provider a more detailed view of the cervix, the lower part of the uterus. It may be recommended after an abnormal Pap or HPV result, or to investigate a visible change or symptoms.
You lie on an exam table, and a speculum gently holds the vaginal walls apart, as it does during a Pap test. A magnifying instrument called a colposcope stays outside your body. A solution applied to the cervix helps make areas of concern easier to see.
If needed, your provider takes a small tissue sample, called a biopsy, for a laboratory to examine.
Ask the office for preparation instructions, including whether to avoid vaginal medicines, tampons or vaginal sex beforehand. If your period starts before the visit, call to check whether to keep the appointment.
Discuss any concerns about discomfort in advance. Ask what pain relief is appropriate for you and tell your provider about medications, allergies and any possibility of pregnancy.
Light bleeding or discharge can occur, particularly after a biopsy. Follow the instructions you receive about activity, vaginal sex and tampon use. Contact your care team if you develop heavy bleeding, fever, chills or severe abdominal pain.
Before leaving, ask when to expect results and whom to contact if you have not heard back. The findings determine whether you need further testing, monitoring or treatment.
No. A referral for colposcopy is not a cancer diagnosis. The exam helps clarify a screening result or another finding so your provider can decide whether monitoring or treatment is needed.
Not always. Your provider may take a small tissue sample if an area needs further testing. Ask what they are looking for and how the result will guide your care.
Tell your provider if you are pregnant or might be pregnant before the appointment. Colposcopy can be performed during pregnancy. Pregnancy increases the risk of bleeding after a biopsy, so discuss any proposed sampling and follow-up with your provider.
