Is colposcopy a surgery?

Colposcopy is certainly not a surgical procedure. It is actually a very common gynecological examination. Female friends should try to have this examination once every six months. This will prevent them from developing any gynecological diseases and not being able to detect them in the first place. Especially now that the incidence of diseases such as uterine cancer and breast cancer has increased, you should have regular examinations to reduce the chance of occurrence.

The purpose of colposcopy is to: ① timely diagnose precancerous lesions of the lower genital tract to reduce the incidence of cancer; ② timely diagnose early cancers such as carcinoma in situ and microscopic early invasion so that patients can receive early diagnosis and treatment, thereby improving the survival rate of patients with malignant tumors; ③ avoid blindly performing traumatic multi-point biopsies on the lower genital tract, and only perform biopsies on suspicious lesions under colposcopy, which not only reduces damage but also increases the positive detection rate; ④ increase the diagnostic positivity rate of subclinical genital warts to improve the treatment effect, effectively control the spread of sexually transmitted diseases, and thus achieve the purpose of preventing the occurrence of malignant tumors of the lower genital tract; ⑤ determine the extent of the lesion and formulate a correct treatment plan.

Indications

1. There are abnormal clinical symptoms and signs, such as abnormally increased vaginal discharge that is not responsive to drug treatment, contact bleeding, and cervicitis that cannot be cured for a long time.

2. Abnormal vaginal cytology Pap smear grade II or above.

3. Clinically suspicious lesions Suspicious lesions or new organisms that cannot be diagnosed are found by naked eye examination.

4. When the pathological section is suspicious, a biopsy can be performed under colposcopy to improve the accuracy of pathological diagnosis.

5. When clinical and pathological diagnosis are inconsistent, a correct diagnosis can be made with the help of colposcopy.

6. Those with cervical precancerous lesions or suspected cervical cancer.

7. Patients suspected of cervical metastatic cancer.

8. Vaginal lesions such as vaginal neoplasms, nodules, etc. of unknown nature.

9. The diagnosis of vulvar lesions includes vulvar itching, vulvar pigment changes, and vulvar growths of unknown nature.

10. Diagnosis of genital warts, especially subclinical lesions.

11. After the treatment of cervicitis, cervical precancerous lesions, condyloma acuminatum, vaginal lesions, vulvar lesions, etc., colposcopy can be used to evaluate the treatment effect and dynamically observe the development of the disease.

Contraindications

There are no absolute contraindications to colposcopy. Its relative contraindications are the following: ① acute inflammation of the vulva, vagina, cervix, and pelvic cavity; ② heavy vaginal bleeding; ③ malignant tumor of the cervix.