Colposcopy in Kolkata
An abnormal Pap smear or HPV test is a reason for a closer look, not a reason to panic. Colposcopy is that closer look, performed by Dr. Dipanwita Banerjee, an IFCPC IARC certified colposcopist and gynaecological oncologist at CNCI, Kolkata.
What is colposcopy, and who needs it?
Colposcopy is a clinic-based examination of the cervix, and sometimes the vagina and vulva, under magnification and bright light. Dilute acetic acid (and sometimes iodine) is applied so that abnormal areas stand out, and a small biopsy is taken only from areas that look suspicious.
It is usually advised when:
- A Pap smear shows abnormal cells, or an HPV test detects a high-risk type.
- The cervix looks abnormal on examination.
- There is bleeding after intercourse, between periods or after menopause that needs explaining.
- You are being followed up after treatment for a pre-cancerous cervical change.
The colposcopy visit, step by step
Before
Your reports and history are reviewed and the procedure is explained. It is best done when you are not bleeding heavily. Bring your Pap smear or HPV report.
During
You lie as for a Pap smear. The cervix is viewed through the colposcope, which does not enter the body. A biopsy, if needed, may cause a brief cramp. The whole visit is usually short.
After
Mild spotting or discharge is common for a few days. You will be told what to avoid and which symptoms, such as heavy bleeding, fever or foul discharge, need a call.
After the biopsy result
Pathology grades the change. Low-grade change is often simply monitored with repeat tests. Higher-grade pre-cancerous change is treated with a minor procedure that removes or ablates the affected tissue, aiming to preserve the cervix and future fertility. Treating it at this stage stops cervical cancer before it develops. If cancer is found, the next steps are staging and a treatment plan, described on the cervical cancer treatment page.
Prevention completes the picture: read about screening and HPV vaccination, or see how a diagnosis is explained in plain language.
Colposcopy, answered directly
What is colposcopy?
Does colposcopy mean I have cancer?
Is colposcopy painful, and how long does it take?
Can colposcopy be done during periods or pregnancy?
What happens after an abnormal colposcopy result?
Related Reading
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