A colposcopy is a procedure a gynaecologist with a special interest in abnormal pap smears will perform on their patient if they find abnormal cells or problems during a pelvic exam or pap smear test. Dr Adam has the equipment necessary to perform a colposcopy procedure in the comfort of her consulting room in under 30 minutes. She will view the opening to your cervix and vagina through a magnifying lens called a colposcope.
Make sure to book an appointment for a colposcope when you are not menstruating. This will make it easier for your doctor to view your cervix without obstruction.
Avoid for at least 24 hours before your appointment:
-
- having sexual intercourse
-
- inserting any foreign objects such as tampons, vaginal creams and douches
Be sure to inform Dr Adam of any medications you are taking and if you are pregnant before your colposcopy. Dr Adam may also recommend taking a pain reliever at least 30 minutes before the procedure. You may want to bring a sanitary towel along to wear home after the procedure. Plan to have someone go with you to your appointment to drive you home if necessary.
Before the procedure, Dr Adam will have a consult to ensure you have a clear understanding of:
-
- why you are having this procedure
-
- possible test results and what they mean
-
- risks and benefits of doing this screening test
-
- side effects and what to expect during and after a colposcopy
-
- what would happen if you don’t have the test and what are the alternatives
1. You will be asked to relieve yourself. There is a rest/change room for Dr Adam’s patients to use in her rooms. Be sure to bring along your own gown and towel.
2. You will then move onto the exam table with your feet and legs supported as for any pelvic exam.
3. Dr Adam will then insert a speculum into your vagina to spread your vaginal walls to expose and give a clear view of your cervix.
4. Dr Adam may then apply a vinegar solution or acetic acid during which you may feel a burning sensation. This solution will cause abnormal cells to turn white, making it easier for your doctor to detect these cells. An iodine solution may also be used to coat the cervix.
5. Dr Adam will then place the colposcope, which is a microscope with a light at the end, at the opening of your vagina. The colposcope is not inserted and will not touch the inside of your vagina.
6. If there are any abnormal cells visible, Dr Adam may take a small tissue sample called a biopsy. Dr Adam will numb the area and you might feel a light pinch or cramp as the tissue is removed.
7. The tissue sample will be sent to a lab for further testing.
It may take a few days, but Dr Adam will inform you of the results once she has received them from the lab.
If you had a biopsy, it is normal to experience some mild cramping, spotting, and discharge over the next few days. You should also avoid using tampons, douches or having sex and avoid strenuous activity for at least one week after your colposcopy with biopsy.