Colposcopy is a procedure that uses a colposcope to magnify the epithelium of the cervical and vaginal areas 10-40 times under a strong light source to directly observe tiny lesions that are invisible to the naked eye. In a professional and regular hospital, colposcopy will not cause bleeding or any pain. 1. Colposcopy What is a colposcopy? Colposcopy is a procedure that uses a colposcope to magnify the cervical and vaginal epithelium 10-40 times under a strong light source for direct observation. This is to observe tiny lesions that are invisible to the naked eye, and to perform localized biopsies at suspicious sites to improve the diagnosis rate of cervical disease. Indications for colposcopy: 1. Cytological abnormalities Pap cytology ≥ grade II or ≥ASC/AGC in TBS report; or ≥ASC with positive high-risk HPV-DNA test. 2. Suspicious clinical history or signs Such as contact bleeding, abnormal discharge, abnormal cervical appearance such as chronic cervicitis: cervical pseudoerosion (displacement or asymmetric erosion of cervical columnar epithelium), polyps, leukoplakia, condyloma, red areas or suspected cancer, etc. 3. High-risk HPV DNA test is positive or VIA or VILI is positive by naked eye observation. 4. Condyloma acuminatum of the lower genital tract. 5. Suspicious lesions of the vulva or vagina. 6. Follow-up after treatment of CIN and cervical cancer. 7. Follow up and observe the dynamic changes of cervical, vaginal and vulvar lesions. 8. Others: For example, in patients with CIN and early cervical cancer, the involvement of the vaginal wall should be understood before surgery, and in patients with pregnancy complicated with CIN. 2. Is colposcopy painful? Is colposcopy painful? Many patients have this question before undergoing a colposcopy. In fact, in professional and regular hospitals, colposcopy will not cause bleeding and will not cause any pain. The main contents of colposcopy are to check whether the patient has infection, inflammation and cervical erosion. The process of colposcopy is similar to that of a probe operation. A soft tube can show the entire picture of the cervix and vagina. After the colposcopy, it is best to clean it with a special lotion to avoid bacterial growth. In addition, before the colposcopy, blood tests will be performed to determine whether there is hepatitis B, sexually transmitted diseases, etc. |
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