Colposcopy
Colposcopy is used to closely assess the skin structure where there is concern of abnormalities. It essentially is performed using a magnifying instrument (colposcope) looking for surface changes that may indicate areas of abnormality. It looks for alterations in the pattern of blood vessels in the skin or thickened areas that may suggest the development of pre-cancerous or cancer cells. Usually vinegar (this is what I use) or iodine is used in conjunction. They stain areas that may be abnormal and help to pinpoint where a biopsy should be taken.
Should there be areas of interest, then a biopsy can be taken of it and sent for testing. Further treatment can then be planned once the results are known.
Should there be areas of interest, then a biopsy can be taken of it and sent for testing. Further treatment can then be planned once the results are known.
I use colposcopy for the following:
- Pap smear abnormality
- High risk HPV
- Bleeding with intercourse
- Vulval pain
- Vulval abnormalities like lichen sclerosis
It is performed in my Rooms on outpatient basis. No anaesthesia is required and the procedure usually takes about 15 minutes. It is generally painless although if a biopsy is taken, then a pinch like sensation may be experienced. Following this, bleeding may persist for a few days. Usually it is light and may vary from spotting to a light loss. There is no limitation on activity or driving. Sex within the first 3-4 days post biopsy may however trigger heavier bleeding and is best avoided. The use of tampons is acceptable.