Colposcopy Examination & Biopsy

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Dr Mohamed Otify, Consultant Gynaecologist and Gynaecological Oncologist, provides expert colposcopy assessments in a calm, comfortable setting.

 A colposcopy allows close examination of the cervix using magnification to identify any abnormal areas and, if necessary, take a small biopsy for laboratory testing.

A colposcopy is an examination of the cervix and vaginal tissues using a colposcope — a specialised microscope that magnifies the area up to 40 times.
It helps detect precancerous or abnormal cell changes that may have been found during your cervical smear test.

Your consultant may recommend a colposcopy if:

• Your smear test showed abnormal cells
   
• You have unexplained bleeding or pain
   
• The cervix appears inflamed or has benign growths
   
• You have genital warts or persistent discharge
   

To ensure accurate results and comfort:

• Avoid sexual intercourse, tampons, or vaginal creams for 48 hours before your appointment.
   
• Try to schedule your appointment when you are not on your period, if possible.
   
• Inform your doctor if you are pregnant. A colposcopy can be safely performed during pregnancy, though biopsies may be avoided.
   
• Take a simple pain reliever such as paracetamol or ibuprofen before your visit (if not contraindicated).
   

The colposcopy takes 10–20 minutes.

• You will lie on an examination couch, similar to a smear test.
   
• A speculum gently holds the vagina open so your doctor can view the cervix.
   
• The colposcope remains outside the vagina — it never enters the body.
   
• A mild vinegar solution (acetic acid) may be applied to highlight any abnormal cells; this may cause a mild tingling sensation.
   

If an abnormal area is seen, your consultant may take a small biopsy for laboratory analysis. This is quick and usually well tolerated.

Most women find a colposcopy similar in comfort to a smear test, and anaesthesia is usually not required.
However, if you need a biopsy, local anaesthetic can be used to numb the area for complete comfort.
In select cases, the procedure can also be performed under sedation or general anaesthetic, particularly for women who are anxious or require multiple biopsies.

You can return home immediately after your colposcopy.
It’s normal to experience:

• Light vaginal spotting or discharge for a few days
   
• Mild cramping similar to period pain
   

Avoid tampons and intercourse for a few days to reduce infection risk.
Contact your doctor if you experience heavy bleeding, fever, or worsening pain.

A colposcopy is one of the most effective ways to detect early cell changes — allowing for treatment before cancer develops.
Most women who undergo a colposcopy do not have cancer, and early investigation brings reassurance and peace of mind.

If your smear test has shown abnormal cells or you’ve been advised to have a colposcopy, you can book a private, consultant-led assessment with Dr Mohamed Otify for expert evaluation and care.