What is it a Colposcopy?

Simply put, a colposcopy is a close-up examination of your cervix, vagina, and vulva using a specialized tool called a colposcope. Similar to using a magnifying glass to take a closer look at your cervical health.

Why might I need it?

Typically we may recommend that you have a colposcopy performed for any of the following reasons:

• Abnormal Pap Smear Results: If your recent Pap smear showed some abnormalities, a colposcopy helps us ‘see’ what’s going on.
• HPV Presence: If you’ve tested positive for HPV, particularly with higher-risk strands, a colposcopy helps us investigate any potential changes in your cervical cells.
• Persistent Symptoms: If you’ve been dealing with persistent pelvic pain or unusual bleeding, a colposcopy can be part of the detective work to understand what might be causing these symptoms.

How should I prepare?

• Timing: Ideally, it’s best to schedule your colposcopy when you’re not menstruating, as this can interfere with the results. Remember the purpose of the colposcope is to magnify the appearance of your cervix, allowing our providers to visually determine where the abnormal cells are located.
• Relax: While it’s normal to feel a bit anxious, remind yourself that this is a proactive step toward understanding and maintaining your reproductive health. Don’t worry, we’ll help you with this as well.

What should I expect?

The procedure itself is quite straightforward. Once relaxed and comfortably positioned, your provider will use an instrument called a speculum to open your vagina (See image: Speculum). This process is very similar to having a pap smear performed. They will then use the colposcope to get a magnified view of the area (See image Colposcope). Very often a solution such as acetic acid (vinegar) is applied to help further highlight any abnormalities. If any areas of concern are seen, the provider may take a tiny sample (known as a biopsy) for further examination.

What happens after a colposcopy?

Your provider will discuss any immediate findings and determine the next steps. The actual results of the biopsy will typically take 1-2 weeks to return from the lab. Whether it’s further testing or simply keeping an eye on things, our providers will tailor a personalized action plan for your unique needs. It’s important to note, If you previously had an abnormal pap smear, even if your biopsy results return as normal, it is critical that you continue to have regular check-ups in accordance with the time lines the provider outlines for you.

Still have questions?

Don’t worry, you are not alone. Remember that we are here to help and support you. Besides, having questions is a good and healthy thing! Check out our additional resources below:

• Prefer reading? Here’s an article from ACOG (The American College of Obstetricians and Gynecologists) on the matter.
• Rather watch or listen? Here’s video of Nelly herself, one of our esteemed providers, discussing the topic.
• General questions? Use the bottom of this page (live chat, email, text messages, or a phone call).
• For specific medical questions or advice, it’s always best to schedule an appointment.

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