Colposcopy

  • Overview

Introduction 

A colposcopy is a detailed examination of the cervix (the neck of the womb). A colposcope is like a large magnifying glass. It allows a doctor or specialist nurse to look more closely at the cells that cover the delicate lining of the cervix.

A colposcopy is usually done if you've had an abnormal cervical screening test (also sometimes known as a smear test).

In rare cases, abnormal cervical cells can become cancerous, so a cervical screening test helps to ensure that any cell changes are diagnosed and, if necessary, treated as soon as possible.

During a colposcopy, the colposcope does not touch your body, or go inside it, and the procedure should not cause you any pain or discomfort.

Sometimes, colposcopy clinics have video equipment so that the person carrying out the procedure can view the examination on a screen. If you want to, you will also be able to watch the procedure.

  • show glossary terms

Colposcopy

A colposcopy is a procedure where a doctor uses a special magnifying lens, known as a colposcope to look at the cervix through the opening of the vagina.

Cervix

The cervix is at the lower end of the womb. It connects the womb with the vagina.

Smear test

During a cervical screening test, a sample of cells from a woman's cervix is taken and examined for abnormalities.

Pain


Pain is an unpleasant physical or emotional feeling that your body produces as a warning sign that it has been damaged.

Last reviewed: 09/09/2008

Next review due: 09/09/2010

What are these?

hilda123 said on 19 January 2010

I have just had a colposcopy today after being told I have moderate dyskaryosis. The procedure was uncomfortable but not painful. The doctor said I had a slightly larger abnormal area than expected (about the size of a 10p coin) so carried out a procedure called cold coagulation. This involved him giving me a local anaesthetic and then burning the abnormal cells away. It wasn't as painful as it sounds though, its just slightly achey now

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Jqwl said on 07 January 2010

I had a colposcopy exam this morning at St John's Hospital in Chelmsford and would like to praise the doctor and nurses. They were very attentive, sympathetic and respectful. I felt totally at ease throughout the exam. The doctor explained the procedure and they made sure I was confortable at all times. I felt no pain at all in the examination or biopsy, and have had no bleeding since. I felt absolutely normal after the exam. The doctor showed me the instant results from the exam and I am told I should receive the results of the biopsy in 6 weeks time. I was given a number to ring in case I have any questions and now feel much more at ease about the whole thing. I have been told I will need to go for a check up in 6 months time, but even if I do need treatment after getting the results of the biopsy I am now much less worried, as I was told from now on I will always refer to this hospital for any future treatments/check ups and I feel I can rely on receiving very good care from them.

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lisa1216 said on 03 January 2010

i had a colposcopy done and it was the most horrific experience of my life! i was given very little information as to what to expect other than a very old fashioned leaflet which said the procedure should be painless. i went in a little bit nervous and was told not to worry. the doctor was awful and i was in so much pain he really didn't seem to care. it was that bad i actually cried for my mum! which is a little bit embarrassing at 26! i nearly passed out with the pain and had repeated panic attacks and was in excruciating pain but at no point was i offered anaesthetic and he would not stop to give me a few minutes break when i was screaming at him to stop. I am police officer and therefore not exactly soft when it comes to pain but this was horrific! i was not told i could take pain killers prior to the treatment either. i was told i would be fit for work the following morning but due to the pain and lack of mobility because of the procedure i ended up having two weeks off work. i wasn't told i would experience bleeding til just after the procedure and bled for a week and a half and suffered the loss of blood clots also. basically no idea what was going to happen at all! My GP was not well informed either and I feel this needs to change as I was offered no reassurance by either him or the hospital. it was a very traumatic experience and i am terrified of my next course of treatment. I had my result back which were clear of cancer but i would require something called FEMM treatment, again I have been given no information or clue as to what this is other than I may need to be put to sleep when I have it done! as you can imagine this is terrifying again! why is there such a lack of information??? i am now so scared of hospitals which makes my job very hard to do. i really don't want to go back.

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Laura C said on 14 October 2009

I have just had my 6month check up at a different hospital to the one I was at before. As a result of my complaint about the previous hospital my care was transfered and what a difference!
This second hospital was wonderful! They answered all my questions and even though they did exactly the same procedure as I had last time I feel fine! I have light bleeding and had mild discomfort for a few hours afterwards but that is all! I am so pleased with the care I recieved and all the staff were fantastic! I just can't believe the difference it has made both physically and emotionally! It just goes to show the difference a good team can make!

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Debbie H said on 08 October 2009

I received the letter yesterday telling me I had severe dyskaryosis and needed a colposcopy. The leaflets I received were informative in so far as they went but I wanted more. I found the "Jo's Trust" website which is a dedicated site all about cervical cancers, screening, colposcopies etc. It is well written, easy to navigate and very informative. I would recommend it to anyone looking for more info on this topic.

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LoniJoan said on 04 September 2009

I work in private health and the service provided by the NHS is just as caring and compasionate. I have just had the LEEP Loop procedure which comes after the colposcopy and found both to be comfortable. All the attending staff were respectful and provided all the information I required at the time. I personally had enough information about my colopscopy before and after but nothing about the LEEP loop and aftercare... i'm struggling to find anything now!

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kite said on 15 July 2009

I would say that there is not enough information provided here at all,and the information sent should inform you about not having sex before the examination, but maybe it is a good thing not to be given too much detail about the procedure. I think some people don't wish to know every detail about what may happen as it may lead to more anxiety. After reading these comments I went for a colposcopy vey worried and afraid. The experience wasn't as bad as I had been anticipating. There was some discomfort when the biopsies were taken, but no more than period cramps. I found the specialist nurse so comforting and she talked me through every little detail. I was told my results will be posted in 4-5 weeks, then I can have a follow up appointment if I wish. I was given a detailed booklet of do's and don'ts after the procedure and useful numbers should I worry. I was in a specialist womans unit and found the staff helped me feel at ease when having such an intimate procedure. I am sorry that you have had such poor experiences but I was very impressed with the service I recieved from the NHS.

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Laura C said on 27 May 2009

Hello Sooks,
I totally agree with you. It turned out that I was worrying over nothing but even so, they could've said that after the colposcopy. My complaint was not dealt with very well by the clinic. The PALS team and the patient experience team were really good but the nurse I spoke to told me my issues were caused by the fact it is a busy clinic and the doctor is slovakian. Absolute nonsence! I work in an NHS clinic and there is no way we would use that as an excuse! Still we will see what happens in the end.

dpdp,
PALS is the patient advice and liason service. Your local one should have a number that your GP will be able to give to you if you can't find it on here. With regard to aftercare, I don't know what Sooksexperience was but I was in a lot of pain for over 5 days and three of those were spent in bed on painkillers. Your experience may be different but it may be an idea to call the clinic and speak to a nurse.

Laura

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dpdp said on 22 May 2009

hi, i have read all your comments. please can you tell me whats PALS is. and whats the aftercare cause i have children to look after.

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Sooks said on 18 May 2009

Thanks, Laura. Hope everything is ok with you. The colposcopy went fine & I ended up having a loop biopsy which I hadn't expected. Again, more information about what may happen would have been very helpful. I hadn't planned for this, and certainly was not prepared for the aftermath and aftercare necessary. Yes, I will contact PALS - it's been unnerving and confusing. NHS need to get this right for women.

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Laura C said on 14 May 2009

Hello Sooks,

I hope your colposcopy went ok. I agree with you about the leaflet. It was very poor. It also didn't say anything about not having sex before a colposcopy but thankfully this did not affect my procedure. I have since been in contact with my local PALS service to tell them how I feel the whole thing was managed. They were really nice and hopefully helpful. Maybe you should concider doing the same?

Regards

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Sooks said on 13 May 2009

I am having a colposcopy examination today, and was given a NHS leaflet Cervical Screening: Colposcopy examination with my appointment letter which I read at the time. Only this morning have I looked at this info online and find it gives additional advice to follow in the 24 hours prior to the colposcopy. It states you should avoid: using a tampon, using vaginal creams or pessaries and having sex.
I had also contacted the hospital yesterday, where I am having the examination to discuss the fact that I am currently menstruating (albeit very lightly). The advice given was vague and did not include the info about tampons (or anything else).
I find it astonishing that info given out by the NHS is not consistent. I just hope this will not affect my colposcopy today, especially as I have taken time off work, will have an hour and a half round trip and have a friend accompanying me who has also kindly taken time off and is travelling 60 miles to my home.

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Laura C said on 09 May 2009

Oh my god! This is very missleading indeed! I had a colposcopy and I bled for 5 days afterwards and was left in a lot of pain. I was also not given a consultaion afterwards. All I was told was 'you will got your results in 6 to 8 weeks'. Very informative. This information did not answer any of my questions and I found it wildly inacurate.

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