Colposcopy Q&A

Q: What is a colposcopy/vulvoscopy?

This is a special type of diagnostic examination used for women, and less frequently for men. The colposcope aids the naked eye by magnifying the cervix (opening to the uterus), vagina, vulva, and anus. Colposcopy is done in much the same way as a gynecologic exam. The only difference is that Dr. Swor uses the magnification of the colposcope and some special stains to see tissue abnormalities. It is rare to actually find cancer present because pap and regular exams work so well.

Q: When do you need this testing?

When we suspect that there may be a problem related to your cervix, vaginal walls, vulva, or anal area based on your exam. Usually there is a report of abnormal findings from your pap test, or we may have seen signs of infection, inflammation, a sore, or a growth during your exam. If you have an abnormal pap smear, using the colposcope enables Dr. Swor to examine, in great detail, each part of your cervix, and look for areas with abnormal-appearing cells.

Q: What if there are any abnormal areas seen?

If there is a visible abnormal spot, then we will do a tiny biopsy for tissue testing. This will help confirm the diagnosis made by Dr. Swor at the visit.

Q: Is it painful?

The colposcope does not touch your body and therefore is not painful. If the physician decides to perform a biopsy, you may feel a small pinch. You will be told ahead of time if a biopsy is to be done. This procedure may be necessary to find out if there is any disease below or at the surface of your cervix.

Q: Is there any vaginal bleeding after a biopsy?

There is a small amount of bleeding following a biopsy. Nevertheless, this will stop in a few minutes in most cases, with some gentle pressure. A few patients may continue to have a small amount of bleeding afterwards.

POST COLPOSCOPY INSTRUCTIONS

1. You may also have scant to mild bleeding or a blackish discharge for a few days.
**USE REGUAR KOTEX PADS, NOT TAMPONS, DURING THIS TIME**

2. For discomfort use Tylenol or Advil as directed on the package.

3. Some research suggests that Folic Acid (1-5 mg) daily and Vitamin C (1000-2000 mg) twice daily may be helpful for cellular repair, immune system and dysplasia-related problems..

4. A protective gel is now available that may be used as a lubricant for sexual activity. Divine 9/Carragel has scientific evidence suggesting that it may block HPV viral transmission. This may protect you and your partner(s).

5. If you smoke, know that it can increase the risk of cervical cancer and suppress your immune system.

6. Your should not douche, use tampons or have sexual intercourse for 2-3 days
following this procedure, if the biopsy is done. Condoms should be used until otherwise advised to reduce infection risk.

7. If you have problems or questions, please do not hesitate to call the office at (941) 330-8885.

** BE ADVISED THAT WE WILL CALL YOU WITH THE BIOPSY RESULTS
ONCE WE RECEIVE THEM FROM THE PATHOLOGIST **