Colposcopy

Gynaecologist - colposcopy

Colposcopy involves examining the vaginal disc of the cervix, the lower part of the cervix, and the vagina and vulva through a special device. The examination is performed using a colposcope. It is a microscope with a magnification of 5 to 50 times. It helps obtain a three-dimensional image of the area being examined. In addition, the colposcope is equipped with various filters that make it easier for the doctor to assess the examined sites.

Colposcopy is performed on a gynaecological chair. First, the doctor inserts a vaginal speculum to view the cervix, and then brings the colposcope's lens closer to the vagina (but does not insert it inside) and examines the cervix, also paying attention to the discharge. Then the cervix is cleaned with saline (0.9% NaCl solution) to remove mucus and the cervical epithelium and its vessels are assessed. To facilitate the observation of possible changes in vascularization, filters are used in the colposcope. The next step is to clean the cervix with 3% acetic acid, which will help view any previously unseen pathological changes in the epithelium. To be sure, the cervix is then rinsed with potassium iodide, which helps confirm any previously observed changes or no changes. The entire test takes several minutes.

There are some rules that you must follow before your colposcopy to get reliable results. You should refrain from having sex, vaginal irrigation, using vaginal medications, or undergoing a gynaecological examination for several days before the examination, as these may cause difficulties in correctly assessing the area being examined. In addition, the test should not be performed during menstruation. Before the test, inform your doctor about any allergies to iodine or bleeding tendencies (if any).