A colposcope is a magnification instrument that allows the provider to visually see the cervix as if it were under a microscope.  The provider uses the speculum as in a pap smear and a mild solution is applied to your cervix and vagina with a cotton swab.  This liquid makes abnormal cells easier to see.  The doctor views the cervix through the colposcope.  The colposcope can enlarge the normal view by 2-60 times, allowing the doctor to find problems not seen by the naked eye. 

A biopsy may be taken of any abnormal areas at this time.  During biopsy, a small piece of  tissue is removed with a special device.  If a biopsy was taken, it will sent to the lab for identification.  When the results come back, the provider will call you and discuss whether or not you will need further follow up or treatment.

A a colposcopy is used to evaluate

• An abnormal pap smear result
• Genital warts on the cervix
• Cervicities (an inflamed cervix)
• Benign (not cancer) growths, such as polyps
• Pain
• Bleeding
• It can also be used to check the result of treatment.

The procedure is best done when a woman is not having a period.  For at least 24 hours before the test, it is a good idea not to:

• Douche
• Use tampons
• Use vaginal medications
• Have sex

If you have a colposcopy without biopsy, you should feel fine right away.  You may a little spotting for a couple of days.  If you had colposcopy with biopsy, your vagina may feel sore for a few days and you may have some vaginal bleeding or dark discharge. 

While the cervix heals:

• Do not put anything into your vagina for at least 1 week
• Do not have sex
• Do not use tampons
• Do not douche

Call the office right away is you experience

• Heavy vaginal bleeding (using more than one sanitary pad per hour)
• Severe lower abdominal pain
• Fever
• Chills
• Bad-smelling vaginal discharge

A pap test is a good way to find changes that could become cancer.  Colposcopy will give you more information.  In most cases, abnormal results are not cancer.  Talk with your physician about the results of your colposcopy and biopsy.