Routine Screening v Pap Smears A pap smear is a screening test the is typically performed at an yearly gynecology exam. Pap smears look for changes in the cervix linked with the person papilloma virus (HPV). HPV can reason genital warts and cervicitis (inflammation of the cervix). In rarely cases, infection through HPV can lead come cervical cancer.

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Pathologists analyze cervical cells from the pap smear and report the results as negative (no abnormalities), mild, moderate, or serious cellular changes. If the cells show mild changes, the laboratory will run an additional test trying to find the presence of HPV. If the cervical cells have mild changes and also HPV is detected, or if the changes are middle or severe, a procedure called a colposcopy is encourage to diagnose the gravity of the condition. Colposcopy may additionally be provided to investigate abnormalities that the vagina and also vulva.

Preparing for a Colposcopy prior to your colposcopy procedure, carry out not put anything in the vagina (creams, douches, tampons) and also abstain native intercourse because that 24 hours. You might leave in contraceptive gadgets like the Nuvaring, however you may be inquiry to remove it before the procedure. Quality bleeding might make it an overwhelming to collect adequate samples, so if you are bleeding ~ above the job of her appointment, call the office come reschedule. If you space taking any type of medication to prevent blood clots (aspirin, warfarin, heparin, plavix), notify your health care provider in advance. These drugs may boost bleeding with the procedure. Since some patients might experience cramping during the colposcopy, you may take Motrin/Ibuprofen 400-800 mg prior to the appointment. We also recommend the you eat before your appointment to prevent feeling lightheaded or dizzy.


The Colposcopy Procedure A colposcopy procedure is composed of 2 parts: a physical test and, if necessary, biopsies that abnormal cervical tissue. As with in a regular pelvic exam, the provider will certainly insert a speculum come visualize the cervix. They will certainly then use an acetic acid systems (vinegar) to the cervix. Next, the provider will use an instrument called a colposcope to magnify cell on the cervix. The acetic acid systems reacts with components of abnormal cells, and also when perceived with the colposcope, will highlight abnormal areas. The provider may choose to biopsy any kind of abnormalities for this reason a pathologist have the right to examine the organization sample. The biopsy can reason a pinching sensation. Usually, the provider will additionally sample the inside cervix because this area can not be regarded using the colposcope. This can reason moderate cramping, comparable to menstrual cramps. After ~ the procedure, the provider will avoid the bleeding v ferric subsulfate, a yellow fluid bandage, or silver nitrate. The colposcopy generally lasts around fifteen minutes.


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After the Colposcopy

You might experience vaginal bleeding after the colposcopy, particularly if the provider performs biopsies. If the liquid bandage equipment is used, you may experience brown-yellow discharge that may resemble gauze, tissue, or coffee grounds. It is necessary to note that this form of discharge is normal and nothing is left in the vagina. The discharge will fix in a few days. Any kind of cramping experienced during the colposcopy will settle in a couple of minutes. Many women have the right to return to your normal tasks immediately after the procedure.

Do not put anything in the vagina (creams, douches, tampons) and abstain native intercourse for 48 hrs after the procedure.

If a biopsy is performed, the outcomes are typically available ten come fourteen days following the procedure. Follow-up depends on the results of the biopsy. Most women deserve to return for evaluation in four to six months. HPV is no a lifelong infection; usually, the virus is cleared by her immune system.

When come Seek help After a Colposcopy call your clinician if friend experience any type of of the complying with after the procedure:

•Heavy vaginal bleeding (soaking with a pad in an hour for two hours in a row) •Vaginal bleeding for much more than 7 days •A heat or cold storage •Foul smelling quality discharge (keep in mental black/brown or coffee-ground discharge is normal for the first few days).

Colposcopy throughout Pregnancy If girlfriend think you might be pregnant, inform your healthcare provider. Colposcopy is safe during pregnancy, yet biopsies room usually no performed.

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Additional Information Please call our office if you have any kind of questions about the procedure or your results. The American College because that Colposcopy and also Cervical Pathology (www.asccp.org) and also the American conference of Obstetrics and Gynecology (www.acog.org) may provide helpful information.