Definition
Colposcopy is the process of examining the cervix, vulva, vagina and anus with the colposcope device, which is a microscope-like system that allows magnification.
When Is Colposcopy Performed?
Colposcopy is performed for further examination of abnormal cervical cancer screening results. Colposcopic examination may be required when the presence of high-risk HPV is detected in the smear abnormalities performed for cervical cancer screening or in the HPV test. In addition, in the presence of a lesion in the cervix that can be seen with the naked eye, in the presence of abnormal epithelium, colposcopy is performed for the purpose of biopsy.
A number of chemical substances such as acetic acid or lugol are used to make the abnormal tissue visible during colposcopy. After administration of these substances, normal cervical tissue and abnormal tissues give different responses. The treatment plan is determined according to the results of the biopsies taken from these regions under the guidance of colposcopy.
Colposcope device
It basically consists of colposcope, binocular lens system, white light source and green filter. . A camera can be connected to the system in order to digitize the images. Lesions that cannot be seen with the naked eye can be seen by obtaining images magnified 3-30 times with the help of colposcope.
What are the Risks of Colposcopy Procedure?
Colposcopy is basically an examination and diagnosis. Since it is an intermediary, there is no significant risk in the transaction. It is performed in the gynecological examination position and usually takes about 10-20 minutes. If a biopsy is taken, minor bleeding at the biopsy site is controlled with sponge pressure, electrocautery, or Monsel solution. Serious names due to biopsy are not usually seen.
Can Colposcopy Be Performed During Pregnancy?
Yes, colposcopy can be performed during pregnancy. However, since the cervix is more bleeding, enlarged and the glandular epithelium is hypertrophic in pregnant women, the interpretation of colposcopic findings requires high experience. In addition, if a biopsy is taken, the amount of bleeding may be higher compared to people who are not pregnant.
The biopsy method that should not be done during pregnancy is the cervical canal It is the endocervical curettage procedure, which is taken by scraping the inside of the inner cavity. Endocervical curettage should not be performed on people who are known to be pregnant.
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