It is best not to do the following for at least 24 hours before the exam:

• Douche
• Have sexual intercourse
• Use tampons
• Use medicine in your vagina

Anesthesia: The cervix may be numbed.

Description of the Procedure

Colposcopy is done in a doctor’s office. As in a pelvic exam, you lie on your back with your feet in stirrups. The doctor inserts a speculum into your vagina, spreading the vaginal walls apart to see the inside of the vagina and the cervix. He or she will place the colposcope at the opening of the vagina and wipe the cervix with a mild "vinegar" solution on a cotton swab. The solution makes abnormal areas easier to see. The cervix and vagina are examined, and photographs may be taken. The doctor may stop and recommend doing a biopsy—the removal of a small sample of abnormal tissue to be examined in a lab. You may feel a slight pinch and cramping.

How Long Will It Take?

About 5-10 minutes

Will It Hurt?

Colposcopy is usually painless, but you may feel a slight stinging from the solution on the cervix and vagina. If you are having a biopsy, you may feel a slight pinch and mild cramping. Taking a few slow, deep breaths can help relieve this.

Possible Complications

If only the colposcopy is done, there are no complications. However, if a biopsy is done, possible complications include bleeding, infection, and fever.

Postoperative Care

If you do not have a biopsy, you will probably feel fine after the colposcopy and can do your normal activities. You may have light bleeding for a couple of days.

If you have a biopsy, you may feel sore for a day or two, and you may have bleeding. You may also have a dark discharge from the medicine used to stop bleeding where the tissue was removed. You may need to use a sanitary pad for a few days. Do not put anything into your vagina for at least a week. Do not use tampons, have sex, or douche.