Colposcopy

Why would my provider recommend a Colposcopy?

You may be referred for colposcopy if you have:

• An abnormal Pap test
• A positive high‑risk HPV result
• Unexplained bleeding or an area on the cervix, vagina, or vulva that looks abnormal

The goal is to see whether any cell changes need monitoring or treatment. Colposcopy is a diagnostic test, not a treatment.

Here’s what to expect when you have a Colposcopy:

Prior to your procedure, you will receive instructions on how to prepare. Be sure to follow the directions closely. Once your procedure begins, this is what you can expect:

• Similar to  the positioning for a pap smear, you’ll be on an exam table with your feet in stirrups.
• A speculum is placed in the vagina so the cervix can be seen.
• The colposcope is not inserted into the vagina. It is positioned outside the opening and a bright light is used for the examination.
• A contrast solution may be used to highlight abnormal areas near the cervix.
• If your provider determines that more testing is necessary, a small tissue sample may be taken to send to the lab.
• Typically the procedure takes less than an hour and you can go home immediately after.

Does a Colposcopy hurt?

You may feel pressure from the speculum. If a biopsy sample is taken, you may feel cramping for a few seconds. This is similar to period cramps.

What do I need to do after the procedure?

You will be given specific information to follow after your colposcopy. Women most often return to normal daily activities the same day.