Colposcopy Exams
When a Pap smear, HPV test, or pelvic exam shows something unusual, a closer look is important. At Marina OB/GYN, our skilled providers perform in-office colposcopy to examine the cervix, vagina, and vulva in detail and identify any changes early, when they are most treatable.
Book OnlineWhat Is a Colposcopy?
A colposcopy is a simple diagnostic exam that uses a colposcope, a lighted magnifying instrument that stays outside your body, to closely examine the cervix, vagina, and vulva. It is most often recommended after an abnormal Pap smear or a positive high-risk HPV test, but it may also be used to evaluate genital warts, inflammation, or unusual bleeding.
How to Prepare
For a day or two before your appointment, avoid vaginal intercourse, tampons, and vaginal medications or douching. Try to schedule your colposcopy when you are not on your period.
What to Expect During the Procedure
You lie on the exam table with your feet in stirrups, just as you would for a Pap test. Your provider places a speculum and uses the colposcope to view the cervix and vagina. A mild solution is applied to highlight abnormal cells. If any areas look suspicious, a small biopsy is taken for lab analysis. The exam itself often takes less than five minutes, and most women feel only mild discomfort similar to a Pap smear.
After Your Colposcopy
If a biopsy was taken, you may have light bleeding, dark discharge, or tenderness for a day or two. Avoid tampons, intercourse, and douching for about a week, or as your provider instructs. You’ll have a follow-up appointment, in person or by telehealth, to review your results and any next steps. At minimum, a repeat Pap smear is typically recommended in 6 to 12 months.
What Happens if Abnormal Cells Are Found?
Mild changes often resolve on their own and are monitored with repeat testing. Higher-grade or persistent changes can be removed in the office with cryotherapy or other treatments, preventing them from developing into cervical cancer.
Protecting Your Cervical Health
Routine screening, the HPV vaccine, and safe-sex practices, including condoms and the right birth control, all help protect your cervical health. If you need surgery for other gynecologic concerns, our team offers robotic surgery and hysterectomy. Explore conditions we treat and our OB/GYN services.
Colposcopy FAQs
Why do I need a colposcopy?
A colposcopy is usually recommended after an abnormal Pap smear or positive high-risk HPV test to examine the cervix more closely.
Does a colposcopy hurt?
Most women feel mild discomfort similar to a Pap smear. A biopsy may cause a brief pinch or cramp.
How long does a colposcopy take?
The exam itself often takes less than five minutes.
Can I have a colposcopy during my period?
It’s best to schedule your colposcopy when you are not menstruating for the clearest view.
What should I avoid after a colposcopy?
Avoid tampons, intercourse, and douching for about a week after a biopsy.
When will I get my results?
Your provider will review your results with you at a follow-up visit, in person or by telehealth.
What if abnormal cells are found?
Mild changes are often monitored. Persistent or higher-grade changes can be treated with cryotherapy.