Steps to perform colposcopy

This is an automatically translated article.

The article was written by Doctor Tran Thi Thanh Huong - Department of Medical Examination, Vinmec Times City International General Hospital.
Colposcopy is a way to look at the cervix through a special magnifying device called a colposcope. It shines light through the vagina and into the cervix. This machine can magnify the image many times. This test allows your doctor to find problems that are invisible to the naked eye.

1. Why colposcopy?

Colposcopy is done when the results of the cervical cancer screening test show abnormal changes in the cells. In addition, colposcopy can also evaluate: genital warts, cervicitis, vascular condition in the cervix, evaluate the results of previous treatment.

2. How to conduct colposcopy

Performed at the clinic, can be screened at any time outside of the menstrual cycle (best after menstruation). Before the endoscopy, the client is not allowed to douche, put vaginal pills or have sex within 24 hours.
2.1 Prepare client Clean pee and change skirt, change underwear, ask if client has had previous tests such as HPV, vaginal cytology?
2.2 Prepare instruments Speculum, gloves, physiological saline, 3-5% acetic acid solution, lugol solution, gauze, antiseptic, vials, colposcope.
2.3 Procedure Have the client lie on the table in the obstetric position, relaxed. The doctor disinfects his hands, puts on gloves, places a speculum, exposes the cervix and fixes the speculum, cleans the vagina with a cotton swab soaked in physiological saline, observes the cervix under blue light, then Observe the cervix with acetic acid (soak for 1 min), wipe off any mucus, and look for transitions or white patches on the cervix.
Then continue to observe with lugol: lugol absorbent around the cervix we will observe the colorless, light colored or bleeding areas, take pictures again after each time, fully record the client's information and the results Results of each client (can draw pictures of damaged cervix). Instruct customers to get up and change clothes.

3. When is a biopsy needed during colposcopy?

During colposcopy, the doctor can see an abnormal area, then a biopsy can be combined (taken at the lesion and transitional area). Or the doctor conducts cervical canal curettage to take cells for testing.

4. Attention after colposcopy

After colposcopy, you can go back to normal activities, you may have a little pink blood (the doctor can explain to the client and rest assured). If colposcopy combined with biopsy may bleed, the doctor will insert the metche and tell the client the time to withdraw the metche.
If the client has a lot of bleeding, fever, and a lot of foul vaginal discharge, ask for a re-examination. Advise clients to exercise gently and take medication as directed.
Consult results, prescribe medicine and schedule a follow-up examination if needed.
Cervical cancer screening package helps customers perform clinical examinations to detect increased risk factors for cervical cancer, detect suspected cancer lesions, and inflammatory lesions in the cervix. bow.

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