Colposcopy

Colposcopy is a diagnostic procedure for the cervix and vagina by examining the mucous membrane. The procedure is performed using a colposcope, an optical device with multiple magnification that allows for a detailed examination of the mucous membrane structure and blood vessels. Binocular optics in a colposcope allow for a three-dimensional view of the image, which greatly facilitates the correct diagnosis.

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Conducting a colposcopy at the medical center "Clinic K+31"

In the medical center "Clinic K+31", one of the leading private clinics in Russia, all procedures are performed on the latest equipment by highly qualified doctors. Our specialists practice an individual approach to each patient. Positive feedback from grateful clients speaks of the highest service in performing procedures. The medical center "Clinic K+31" is your right choice.

Conducting a colposcopy at the medical center

Types of colposcopy

There are two types of colposcopy: simple and extended.

Simple Colposcopy

The procedure is performed without the use of testing drugs and is not particularly important for making a final diagnosis. Simple colposcopy examines:

  • Parameters and outlines of the cervix
  • Vessels and their location

Extended Colposcopy

Extended colposcopy is characterized by the use of a set of tests to determine the normal functioning of the mucous membrane of the cervix. An effective test for making a diagnosis is a 3% acetic acid test. It is used as the main one and has great clinical significance. Other studies are also performed:

  • Schiller test - diagnostics using Lugol's solution
  • Test with dyes
  • Adrenaline (vascular) test

General information about the procedure

Preparation for the examination

The procedure is not performed during menstruation. It is not recommended to perform the examination during the ovulatory period, in order to avoid interference in the form of a significant amount of mucus. The best time to perform such a procedure is before the onset of menstruation, or 3-4 days after its completion.

For some time before the colposcopy, it is not recommended:

  • Having sex without using a condom
  • Using vaginal suppositories, creams and tampons
  • Douching

Colposcopy Technique

The procedure is performed on a gynecological chair. Initially, a simple colposcopy is used, and then extended options. The colposcope is installed at some distance from the vulva. With the help of gynecological mirrors installed in the vaginal cavity, its visibility is increased. During the examination, the following are carefully examined using a colposcope:

  • The structure of the mucous membrane
  • The outline and size of the cervix
  • The appearance of epithelial tissues
  • Vascular pattern
  • Vaginal discharge

Next, the doctor treats the vaginal part of the cervix with acetic acid. The clinical importance of such a test is that under the influence of acid, healthy vessels narrow and become barely noticeable. Pathological ones do not change their appearance, being recently formed, because they do not have a muscle layer for contraction. The epithelium in these areas acquires a whitish color (acetowhite epithelium).

Treatment of the cervix with Lugol's solution is the next stage in the study. Flat epithelium in a normal state under the influence of an iodine-containing drug is uniformly stained in a dark brown color. The affected areas of the epithelial layer with a changed amount of glycogen become gray or mustard in color with sharply defined outlines (iodine-negative epithelium).

Colpomicroscopy can also be performed - a method based on a study under 150-fold magnification using special dyes. Colpomicroscopy is one of the most informative procedures for identifying cervical pathology, but has limitations for implementation:

  • Vaginal stenosis
  • Necrotic tissue changes
  • Cavity bleeding

At the slightest suspicion of malignant tumors in the examined cavity, the gynecologist performs a biopsy of the cervix: excision of a small area of tissue for analysis.

Duration of the procedure

The process of colposcopy takes about half an hour. If abnormalities are detected that require taking biomaterial for analysis, the duration of the study may increase. A planned cervical biopsy is done up to 10 days.

Cervical biopsy: possible complications

Cervical biopsy can provoke:

  • Bloody discharge
  • Drawing pain in the lower abdomen
  • Fever

If symptoms occur 3-4 days after the examination, an unscheduled consultation with a gynecologist is necessary to avoid the formation of an inflammatory process in the uterine cavity.

Regimen after colposcopy

If the examination did not require a cervical biopsy, then subsequent changes in the regime are not necessary. However, if tissue was collected for bioresearch, then for 5-7 days it is prohibited to:

  • Have sex life
  • Do sports and lift weights
  • Douche
  • Use intravaginal tampons, suppositories and creams
  • Take thermal procedures

Decoding the results of a cervical biopsy

The decoding of the results of the histological examination is carried out by a specialized specialist (histologist or pathologist). The obtained results are classified as follows:

Background processes

  1. Hyperplastic (hormonal)
  2. Inflammatory
  3. Post-traumatic

Pre-cancerous changes

  1. Dysplasia of varying severity
  2. Atypical leukoplakia
  3. Adenomatosis

Cervical cancer

The histological method of studying the biomaterial is of great importance for making a final diagnosis with a probability of up to 98-99%.

Indications and contraindications for colposcopy

Colposcopy is prescribed if there are indications for such a study. Disturbances in the functioning of gynecological organs require colposcopy to exclude serious diagnoses. Diagnostics are performed in the following cases:

  • Presence of cervical erosions, genital warts
  • Bloody discharge from the vulva in the intermenstrual period
  • Pain and discomfort during and without coitus
  • Detected abnormalities in cytological smears
  • Suspected oncological pathologies of the female genital organs
  • Control of treatment of gynecological diseases, etc.

The main contraindications to the colposcopy procedure:

  • The first two months after delivery
  • Recently performed gynecological operations in the uterine cavity, including surgical manipulations to terminate pregnancy
  • Individual intolerance iodine and vinegar (for extended colposcopy)
  • Inflammatory process in the uterine cavity
  • Menstruation period

The procedure is quite safe and does not harm the body, so it can be used even by pregnant women if a pathological process occurs during pregnancy.

Answers to popular questions

Doctors answered pressing questions:

What diseases can colposcopy help to detect?

The procedure allows you to detect:

  • Uterine erosion - damage to the mucous membrane
  • Cervical dysplasia - changes in epithelial cells that may signal cancer
  • Uterine cancer - timely diagnosis increases the chances of successful treatment
  • Polyps and cysts - benign formations that require removal or observation
  • Human papillomavirus (HPV) - a sexually transmitted infection
  • Inflammatory processes - colposcopy helps to assess their location and severity
  • Atrophic changes in the mucous membrane - typical for women during menopause

Can colposcopy be performed during pregnancy?

Yes, it can. The procedure is safe for both the mother and the baby. It is painless and does not require the insertion of instruments into the cervical canal, eliminating the risk of injury. If a biopsy is needed, the decision is made individually, considering the pregnancy term and the patient's condition.

Is colposcopy painful?

During the procedure, there may be slight discomfort associated with the use of a speculum. If the doctor applies solutions such as acetic acid or iodine, a brief sensation of burning or tingling may occur. These symptoms disappear immediately after the procedure and do not require intervention.

When is in-depth diagnosis necessary?

An in-depth examination of the cervix is prescribed in the following cases:
  • Abnormal smear results. If a Pap test shows atypical cells or other abnormalities, colposcopy clarifies the nature and location of changes
  • Chronic inflammatory processes. In cases of frequent recurrence or ineffective treatment, the method helps rule out or confirm more serious pathologies
  • Suspected dysplasia. Diagnosis determines the degree of dysplasia and the treatment strategy
  • HPV. The doctor identifies changes caused by the virus and assesses their severity
  • Post-treatment monitoring. For patients treated for cervical conditions, colposcopy evaluates the effectiveness and excludes recurrence
The examination is also prescribed to determine the causes of bleeding and pain after sexual intercourse.

Can colposcopy be performed during menstruation?

No, the procedure is not performed during menstruation. Blood and discharge obstruct the view and affect diagnostic accuracy. The optimal time for the procedure is between days 5 and 10 of the menstrual cycle (counting from the first day of menstruation).

Are there any restrictions after the procedure?

After the procedure without additional manipulations, you can return to daily activities immediately. If a biopsy was performed, sexual activity, tampon use, and swimming should be avoided for 7–10 days to prevent infection.

Can colposcopy be performed immediately after childbirth?

The procedure is performed no earlier than six weeks after childbirth. By this time, the cervix is fully restored.

Is preparation required for colposcopy?

Yes, for accurate results, avoid sexual intercourse, vaginal suppositories, creams, or sprays for 48 hours before the procedure. On the day of the procedure, clean the external genital area with water only, without soap or gels.

How often should colposcopy be performed?

The frequency depends on age, health status, and risk factors. Women with normal Pap smear results or cytology screenings are recommended to undergo colposcopy every 3–5 years as part of screening. If pathologies or suspected cervical dysplasia are identified, the frequency is determined by the doctor.

Can colposcopy be performed immediately after a gynecological examination?

Yes, the procedure can be performed after a standard gynecological examination. There are no restrictions for diagnostics.

Our doctors

Kappusheva
Laura Magomedovna
Deputy chief doctor in gynecology, obstetrician-gynecologist
Kamoeva
Svetlana Viktorovna
Deputy Chief Physician for Obstetrics and Gynecology, obstetrician-gynecologist
Pivovarova
Svetlana Victorovna
Head of the outpatient department, gynecologist, endocrinologist
Shevchuk
Alexei Sergeyevich
Oncogynecology consultant, obstetrician-gynecologist
Pegova
Maria Romanovna
Obstetrician-gynecologist
Smirnova
Angelica Yuryevna
Obstetrician-gynecologist, endocrinologist
Dukhina
Tatiana Alexandrovna
Obstetrician-gynecologist, ultrasound specialist
Sirotinina
Maria Vasilievna
Obstetrician-gynecologist, gynecologist-endocrinologist, ultrasound diagnostics doctor
Grishin
Igor Igorevich
Obstetrician-gynecologist
Gomov
Mikhail Alexandrovich
Consultant in oncogynecology, obstetrician-gynecologist
Kashoyan
Anna Robertovna
Obstetrician-gynecologist, ultrasound diagnostics doctor
Gumerova
Dinara Radikovna
Obstetrician-gynecologist, ultrasound doctor
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