The colposcope resembles a microscope with a light source and is positioned outside the body, allowing magnified visualization of cervical tissues. It does not touch the body but provides a detailed view of the cervix during examination. Acetic acid or iodine may be applied to highlight abnormal areas. The procedure is non-invasive and typically takes only 10–20 minutes in a gynecology clinic.
You may be referred for a colposcopy using a colposcope if you have abnormal Pap smear results, unexplained vaginal bleeding, genital warts, or visible cervical lesions. Other signs include chronic vaginal discharge, pelvic pain, or post-coital bleeding. A colposcope helps detect cervical dysplasia, HPV-related changes, and early signs of cervical cancer for timely intervention.
The most common reason for using a colposcope is abnormal cervical screening results, often due to HPV infection. Risk factors include unprotected sex, multiple sexual partners, early sexual activity, smoking, and a weakened immune system. Women with a history of cervical abnormalities or persistent infections may also need detailed evaluation using a colposcope for further diagnosis.
During the procedure, the patient lies on an exam table as the doctor uses a speculum to gently open the vagina. The colposcope remains outside the body while a light and lens magnify the cervix. A mild solution is applied to highlight abnormal areas, and a biopsy may be taken if needed. Discomfort is minimal, and most women resume normal activities immediately after.
After the procedure, mild spotting or cramping is normal. However, you should seek medical attention if you experience heavy bleeding, foul-smelling discharge, severe pain, or fever. These could indicate infection or other complications. Follow-up appointments are crucial, especially if a biopsy was taken or further treatment is needed. Always consult your doctor if you’re unsure about post-procedure symptoms.