You should not douche, place any products into the vagina, or have sexual intercourse for 24 hours before the exam. You should not be menstruating heavily. However, if you are at the very end or beginning of your regular period or you are having abnormal bleeding, you should still keep your appointment.

You may be able to take ibuprofen or acetaminophen (Tylenol) before the colposcopy. Ask your doctor if this is okay, and when and how much you should take.

Tell your doctor before the test if you are pregnant or could be pregnant.

The placement of the instrument (speculum) to better see the cervix may be more uncomfortable than for a regular Pap smear.

Some women feel a slight sting from the vinegar or Lugol's solution.

The biopsy or curettage may feel like a pinch or cramp each time a tissue sample is taken. You may have some cramping or slight bleeding after the biopsy. Heavy bleeding is unusual; if you have bleeding that soaks a pad in an hour, call your doctor. Do not use tampons or put anything in the vagina for several days after a biopsy.

It is typical for women to hold their breath during pelvic procedures because they expect pain. Concentrating on slow, regular breathing will help you relax and relieve pain. Ask your doctor or nurse about bringing a support person with you if that will help.

Colposcopy is done to detect either cancer of the cervix or changes that may lead to cancer at an early stage.

This procedure is most often done when you have had an abnormal Pap smear. It may also be recommended if you have bleeding after sexual intercourse.

Colposcopy may also be done when your health care provider sees abnormal areas on your cervix during a pelvic exam. These may include:

• Any abnormal growth on the cervix, or elsewhere in the vagina
• Genital warts or HPV
• Irritation or inflammation of the cervix (cervicitis)

The colposcopy may be used to keep track of HPV, and to look for abnormal changes that can come back after treatment.

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Uterus

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Review Date: 02/21/2010
Reviewed By: Susan Storck, MD, FACOG, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Redmond Washington; Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org)