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What is colposcopy?
Colposcopy is an examination of the cervix (lower part of the uterus) and the
wall of the vagina. It is performed using a special microscope, called a colposcope, that gives a
magnified view of tissue lining the cervix and vagina.
Unlike a Pap test, which scrapes tissue from the entire cervix, colposcopy allows the
examiner to take tissue samples (biopsies) from specific areas that do not look normal.
Do I need colposcopy?
Colposcopy is recommended for women who:
- Have had abnormal Pap test results
- Have mothers who took "DES" (a female hormone) during pregnancy
- Have a history of abnormal cells on previous colposcopic exams
What is it like to have colposcopy?
This exam is easily done in a medical office or clinic. It is usually no more
uncomfortable than having a Pap test. No anesthesia or pain medicine is needed. The
patient lies on her back with her feet in stirrups. An instrument called a speculum is
then inserted into the vagina. The examiner then looks through the colposcope, which
remains outside of the vagina.
What is a biopsy?
A biopsy is the removal of a small sample of tissue for testing. If colposcopy shows one
or more areas of tissue that do not look normal, small pieces of tissue will be removed
and sent to a laboratory to see if cancer or pre-cancer is present. (Pre-cancer, a sign that
cancer cells are likely to develop, is also called "dysplasia.")
What if my colposcopy shows cancer or precancer?
Early cases of cancer and precancer can be treated with the loop electrosurgical
incision procedure (LEEP) or a cone biopsy. In more serious cases, surgery may be needed
to remove part of the cervix or, in some cases, the entire uterus.
Where can I learn more?
NCI Cancer Information Service Hotline:
1-800-422-6237 (1-800-4-CANCER)
American College of Obstetricians and Gynecologists (ACOG):
1 (202) 638-5577
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