Colposcopy

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An endoscopy facility is a specialized medical unit equipped to perform endoscopic procedures—minimally invasive diagnostic or therapeutic examinations using an endoscope, a flexible tube with a camera and light.

Colposcopy is a diagnostic procedure used to closely examine the cervix, vagina, and vulva for signs of disease, especially after an abnormal Pap smear. It uses a special magnifying instrument called a colposcope.

🔍 Purpose of Colposcopy

  • Investigate abnormal Pap test results
  • Detect precancerous changes or cervical cancer
  • Examine genital warts, inflammation, or unexplained bleeding
  • Guide biopsies from suspicious areas

🔬 How It Works

  1. The patient lies on an exam table like during a pelvic exam.
  2. A speculum is inserted to open the vaginal walls.
  3. The colposcope (which stays outside the body) is positioned to view the cervix.
  4. The doctor may apply a vinegar (acetic acid) solution or iodine to highlight abnormal cells.
  5. If needed, a small tissue biopsy is taken for lab analysis.

📅 When is Colposcopy Done?

  • After abnormal Pap smear or HPV test
  • Presence of HPV (human papillomavirus)
  • Symptoms like bleeding after intercourse, pelvic pain, or visible lesions

📈 Findings in Colposcopy

  • Normal: Smooth, pink tissue
  • Abnormal: White patches, irregular blood vessels, or lesions that may indicate:
    • Cervical intraepithelial neoplasia (CIN)
    • Genital warts
    • Cervical cancer

⏱️ Duration

  • The procedure typically takes 10–20 minutes.
  • Biopsy results usually take a few days to a week.

🩺 Post-Procedure Care

  • Mild cramping or spotting may occur
  • Avoid tampons, douching, and intercourse for 24–48 hours (or as advised)
  • Watch for signs of infection (fever, heavy bleeding, foul discharge)

Advantages

  • Quick, in-clinic procedure
  • Highly accurate for detecting early cell changes
  • Can be done without anesthesia
  • Allows targeted biopsy of suspicious areas

⚠️ Risks (Low)

  • Mild discomfort or cramping
  • Light bleeding or discharge
  • Rarely, infection or heavy bleeding from biopsy site
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