Colposcopy

If you recently had an abnormal Liquid-Based Cytology (Pap) test result as a follow-up to another high-risk HPV type or if high-risk HPV types 16 and/or 18 and/or 45 were found, a health care provider may recommend a colposcopy.

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What is colposcopy?

A colposcopy is a procedure that looks at any abnormal areas on your cervix and vagina. A specialist (colposcopist) will use a magnifying tool called a colposcope, which looks like a pair of binoculars on a stand. A colposcope allows the specialist to get a close-up look at your cervix.

Who needs a colposcopy?

A colposcopy is usually recommended if: 

• Your cervix screening sample found a high-risk type of human papillomavirus (HPV) – HPV 16 and/or 18 and/or 45.
• You have a HPV infection that hasn’t gone away after 12 months. 
• Your Liquid-Based Cytology (Pap) test was completed as a follow-up for a high-risk HPV type and showed cells on your cervix that don’t look normal. 

How should I prepare for my colposcopy?

• Try to schedule it when you’re not on your period. 
• The procedure doesn’t require a hospital stay, sedation, freezing or pain medication. 
• Bring a list of questions to help you remember everything you want to ask.
• If you have questions, talk to a primary care provider before your appointment.

What happens during the colposcopy?

1. The exam starts off much like a Liquid-Based Cytology (Pap) test: a specialist will use an instrument called a speculum to gently spread the vaginal walls to get a better look at the cervix.
2. They will place a special magnifying tool, called a colposcope, at the opening of your vagina. The colposcope doesn’t go inside you. The specialist will look through the lens to see your cervix, as if using binoculars.
3. Vinegar or iodine solution may be applied to the cervix to help see any abnormal areas. You may feel a mild burning or tingling sensation.
4. If any areas look abnormal, the specialist may take a small sample of tissue (biopsy) from the cervix for more testing. 

The exam takes about 5 to 10 minutes. You may go home right after it is done. 

What happens after the colposcopy?

You can go about your normal activities afterward. If a biopsy was taken, you might experience mild spotting for 1 to 2 days. If a tampon was used to prevent spotting, make sure it’s removed 3 hours after insertion. If spotting continues, you can use another tampon or pad as needed.

Colposcopy Results

When will I get my results?

Your colposcopy results will be available within 2-4 weeks and a doctor will review them with you as well as discuss any next steps. Please call your health care provider if you do not hear from them after four weeks.

Frequently Asked Questions

Does this mean I have cancer?

No, very few people with an abnormal Liquid-Based Cytology (Pap) test result or high-risk HPV have cancer or pre-cancerous cells. But it’s important to go to any follow-up appointments recommended for you. Attending appointments can prevent cervical cancer from developing.

Is a colposcopy procedure painful?

If a biopsy is taken, you may feel a pinch or have some cramping, but it should go away quickly. 

If you’re nervous about the pain or feel pain during the procedure, let the specialist know. They will do their best to make you more comfortable or stop the procedure if you say so.

What are the risks of having a colposcopy?

The risks of complications from colposcopy are small. In rare cases, a biopsy can cause an infection or bleeding. There’s a small chance it can miss abnormalities, which is why follow up visits and tests are important.
 

We acknowledge and thank BC Cancer Care and the Provincial Health Services Authority (PHSA) for providing permission to use their content and videos.