Colposcopy is a simple test that detects preclinical forms of cervical cancer - then the cure rate is 100 percent! Colposcopy involves examining the surface of the cervix, the bottom of the cervix, and the vagina and vulva using a device called a colposcope.

Colposcopycan also be used to collect a tissue sample, determine what procedure should be performed oncervix , vagina and vulva, and assessing whether the entire lesion has been removed during the procedure.

Colposcopy: preparation for the examination

Usually, a cytology must be performed before the examination - it increases the diagnostic sensitivity. For a few (up to 7) days before the examination, you should not have sexual intercourse, vaginal irrigation or undergo a gynecological examination, as this may adversely affect the assessment of the colposcopic picture. Colposcopy is not performed during your period.

Colposcopy: the course of the examination

For this painless examination, you lie down in the gynecological chair. The doctor will insert a self-holding speculum to visualize the vaginal part of the cervix. If it is difficult to see the neck, the person holding the speculum may be used. Then the doctor inserts a special speculum (so-called optical tube) into the vagina.

The doctor examines the vaginal shield before removing the cervical mucus. The nature of this discharge allows preliminary conclusions about the biology of the vagina and the causes of, for example, vaginal discharge. The second examination is performed by the doctor after washing the vaginal part with a 0.9% solution. sodium chloride. Then he washes the vaginal part 3%. acetic acid solution or 5 percent. lactic acid solution. This is the most important stage of the examination, as it is the basis for determining the nature of the lesions. In case of suspected major pre-neoplastic or neoplastic lesions, the doctor takes a section and scrapings from the cervical canal under local anesthesia (cervical biopsy). Colposcopy often ends with iodine staining of the cervix.

Colposcopy: test results

Cervical changes based on colposcopy are divided into four groups:

  • valid colposcopy images (group 1)
  • invalid colposcopy images (group 2)
  • obscure colposcopy images (group 3)
  • other colposcopic images (group 4).

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