Why do I still feel pain in my lower abdomen the next day after vaginal endoscopy?

In daily life, many female friends are troubled by gynecological diseases, and most gynecological diseases are examined through colposcopy. However, some female friends encounter another situation, that is, lower abdominal pain on the second day after colposcopy. Many people are not clear about the cause of this situation. So, why does my lower abdomen still hurt the next day after vaginal endoscopy?

First, why is my lower abdomen still hurting the next day after colposcopy? Colposcopy is to directly observe the epithelial lesions of the vagina and cervix through a colposcope under a strong light source, magnifying it 6 to 20 times, so as to observe smaller lesions of the vagina and cervix that are invisible to the naked eye, and perform targeted biopsy on suspicious parts to improve the diagnosis rate. After the patient empties his bladder, he takes the lithotomy position and uses a vaginal speculum to expose the cervical vagina. 2. Use a cotton ball to gently wipe away cervical secretions and mucus. 3. Observe the shape, size, color, spots and growths of the cervix with the naked eye. 4. Turn on the lighting switch, adjust the objective lens to the same level as the examined part, adjust the distance of the objective lens, generally about 20 cm away from the cervix, and adjust the focal length of the objective lens until the image is clear. Use a 10x low-power microscope to roughly observe the shape, color, and blood vessels of the cervix under white light, and then use a high-power microscope to identify cervical lesions. 5. Use a cotton ball dipped in 3% to 5% acetic acid to rub the surface of the cervix. Under the action of acetic acid, the columnar epithelium swells and becomes slightly white and grape-like, while the squamous epithelium becomes slightly white without any grape-like changes. This can be used to distinguish between the squamous epithelium and the columnar epithelium. After 1 to 2 minutes, the color change will fully appear, and the suspicious lesion area should be carefully observed. If long-term observation is required, 3% to 5% acetic acid solution should be applied repeatedly every 3 to 5 minutes. In order to clearly observe the changes in blood vessel morphology, green filter lenses can be used for inspection. After the acetic acid test, the surface of the cervix is ​​smeared with compound iodine solution. The primitive squamous epithelium is stained dark brown, the columnar epithelium is not stained, and the metaplastic squamous epithelium shows different shades of staining depending on the degree of maturity of the metaplasia. The location and range of the lesion can be determined based on this. The negative area of ​​iodine test (unstained area) is the suspected lesion site. A biopsy is taken from the negative area and sent for pathological examination.

Second, the colposcopy report showed cells of unknown significance in cytology, and the biopsy of the iodine-positive area under colposcopy caused local mucosal bleeding and slight pain in the lower abdomen. Because the cervical mucosa has few nerves and the pain sensation varies depending on whether an individual is sensitive to pain, it is recommended that you abstain from sexual intercourse for at least one week, change your underwear frequently, and prevent infection when there is slight bleeding. Avoid spicy and irritating foods. It may be caused by inflammation, and it is recommended to take some anti-inflammatory drugs appropriately. It may also be caused by a colposcopy biopsy, and you should also take some anti-inflammatory drugs to prevent infection.

Why do I still have lower abdominal pain the day after colposcopy? Colposcopy is to use a colposcope to magnify the mucous membranes of the cervix, vagina and vulva to a certain multiple, and observe changes in the epithelium and blood vessels that are invisible to the naked eye under the illumination of a light source. Suggestions: Electronic colposcopy is suitable for married or unmarried women with sexual experience, especially for those with cervical erosion, long-term treatment failure, history of contact bleeding, positive cervical cytology, and subclinical human papillomavirus infection. Vaginal examination is easy to perform, painless to the patient, and can be repeated. Therefore, vaginal examination is a screening method for early detection of cervical cancer. There are no absolute contraindications to colposcopy.