Colposcopy: Expert insight on what to expect

Written in association with: Miss Sameena Kausar
Published:
Edited by: Sophie Kennedy

Women are commonly invited to undergo a colposcopy procedure when abnormal cells have been detected in cervical screening tests. Although it may sound daunting, most women experience little to no discomfort during their procedure. In this informative article, revered consultant obstetrician and gynaecologist Miss Sameena Kausar offers expert guidance on what to expect from a colposcopy procedure.

 

 

What is a colposcopy?

 

A colposcopy is a test to take a closer look at your cervix using a microscope. It may be performed if cervical screening finds changes to your cells that are caused by certain types of human papillomavirus (HPV). These changed cells can, in some cases, turn into cervical cancer cells.

 

How is a colposcopy performed?

 

During a colposcopy, a smooth, tube-shaped tool (a speculum) is gently placed into your vagina to open it. A microscope (which remains outside of your body) is then used to look at your cervix in greater detail. A small sample of cells may be taken from your cervix for testing. This is called a biopsy.

 

Is a colposcopy painful?

 

A colposcopy should not be painful, but it can sometimes feel uncomfortable. If something doesn’t feel right, you can ask for the procedure to be stopped at any time. It is very similar to your routine smear test. Some patients find it uncomfortable as it is an examination of sensitive areas. Any biopsies taken are done so under local anesthetic.

 

What are the possible complications of a colposcopy?

 

Colposcopy is performed as an aseptic procedure to help protect from infections. There is a very small risk of infection is a biopsy is taken. Mild spotting is to be expected for twenty-four to forty-eight hours after the procedure.

 

How accurate is colposcopy in detecting cervical abnormalities or cancer?

 

Colposcopy alone has a seventy per cent sensitive probability of a positive test result, increasing to ninety-five per cent sensitive if a biopsy is taken. If the doctor or nurse finds abnormal cells in your cervix, they may recommend removing them. This will reduce your risk of cervical cancer. They may do this treatment on the same day as your colposcopy, or you might be asked to come back for another appointment.

 

 

 

If you wish to schedule a consultation with Miss Kausar, you can do so by visiting her Top Doctors profile.

By Miss Sameena Kausar
Obstetrics & gynaecology

Miss Sameena Kausar is a highly accomplished consultant obstetrician and gynaecologist based in Essex. She specialises in menstrual disorders, endometriosis, gynaecological cancer, colposcopy, pregnancy counselling and high-risk pregnancy.

Miss Kausar completed her specialist training at some of the busiest London and Oxford deanery hospitals, catering to a variety of complex cases. Her training period included work at world-class tertiary centres like Guy’s and St Thomas’, John Radcliffe and University Hospital Southampton. She currently works in conjunction with Bart’s Medical College and Anglia-Ruskin University, delivering the obstetrics and gynaecology curriculum.

She offers various services for the management of general gynaecology problems, including heavy periods, chronic pelvic pain, colposcopy and cancer checking. She additionally provides care for recurrent miscarriage, cervical cerclage, early pregnancy complications, family planning, pre-pregnancy counselling for high-risk pregnancies with complex medical issues, and perinatal mental health services.

Miss Kausar is an experienced and skilled surgical doctor. She regular performs a range of surgical procedures, both diagnostic and operative, including hysteroscopy, laparoscopy, loop treatments for cervix (LLETZ), cervical cerclage, insertion of Mirena coils, endometrial ablations, and ovarian pathology treatments.

She is very proud to champion women’s wellbeing and bring real change in her patient’s lives by giving them the best healthcare services and experiences during the most challenging phases of their lives, from menarche to childbirth, the menopause and beyond.

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