Why the colposcopy is carried out?
Colposcopy is a gynecological method of research, in which a detailed, thorough inspection of the cervix, as well as the eve of the vagina, its walls, is carried out with the help of the colposcope. Colposcope is called a microscope having a special design. The first colposcope was able to create Hans Ginselmann. It happened in 1925. This news very pleased with the specialists of gynecological practice. Soon the device received worldwide recognition. The main task of this examination is to identify the foci of the rebirth of the epithelium cells in erosion, And in some cases - to neoplasia (this is the prejudice state). The procedure can be combined with conventional gynecological inspection. Conducts her gynecologist in women's advice, clinic or diagnostic medical center. Several methods for the implementation of colposcopy have been developed, allowing all the abnormal processes in the uterus and cervical canal in the early stages. This survey allows timely to notice the beginning of the development of the tumor and save the life of a woman. Colposcopes are constantly improving. Now many manufacturers provide them with additional photo appliances with the possibility of connecting the camera so that the research object can be photographed. Now in the arsenal doctors there are both video conclusions that allow you to receive a color image of good quality on a computer monitor.
As the main method of screening research and diagnostics of colposcopy is shown to all women older than thirty years. Another colposcopy holds all women in the risk of oncological pathologies. After the treatment of the cervix, this procedure is carried out to observe the cervix state. If the patient came to the doctor with complaints, then the gynecologist will definitely assign it to the conduct of colposcopy to aimedly explore the state of the field of the sexual sphere. Colposcopy is also needed if the cytological analysis shows that there is a dysplasia. Thanks to the colposcopy, the gynecologist will detect an accurate dislocation of pathological cells. When the foci is noticed, if necessary, biopsy will be carried out.
Views of colposcopy
This procedure is not carried out:
- If recently a woman was carried out appropriate treatment of the cervix (surgical way or cryodestruction);
- in the first eight weeks after childbirth;
- If after abortion still no four weeks.
Expanded colposcopy is contraindicated, if a woman has allergy on acetic acid or iodine.
Colposcopy is postponed if a woman has a menstruation or uterine bleeding, the pronounced state of the atrophy of ectocervix (vaginal section of the neck), an explicit inflammatory process.
Is it necessary to prepare for the procedure?
Best if colposcopy will be held immediately after stopping menstruation or a few days before it starts. For two days before the survey, it is advisable to refrain from intimate proximity to or use the condom. On the eve of it is undesirable to draw dirting, use vaginal creams. You can shortly before the examination take a tablet Paracetamola, To reduce pain.
How is the procedure?
Colposcopy is possible to spend in that gynecological office, where there is a colposcope. This is a device on a tripod, where there is a backlight and the ability to increase the image of 15-40 times to zoom in 15-40 times (or more). Colposcopy lasts from 20 to 30 minutes. First, the patient undresses (below the belt), then it needs to be located in a gynecological chair. At the first stage, the doctor visually examines the vagina first, and then the cervix, using special mirrors. These mirrors will be in the vagina during the entire survey. So that the mucus on the walls and the neck is allowed to dry out their irrigation by saline. In the second stage, a gauze tampon will be introduced into the vagina, pre-moistened with acetic acid solution (its concentration - 3%). Our site will immediately warn your readers that at this moment they will be squeezed, they will have a little tolerate. The doctor then examines the previously indicated areas with the help of the colposcope. At this moment, areas with pathological changes of cells whiten, so they are easier to notice. During the third stage, a tampon will be introduced into the vagina, pre-moistened in the Lugol solution (iodine solution). Healthy epithelium at this time is painted under the influence of iodine in a brown color, but the areas with pathological changes become yellowish. If the doctor considers it necessary, then the biopsy will take, «Owls» Specially designed tool a piece of fabric (about two-three millimeters). This is a few seconds of uncomfortable sensations for the patient. After the examination, the bioptat will be taken to the laboratory, where it is investigated using special reagents. Results in a few days will go to the doctor. If the gynecologist holds the curetse of the cervical canal (its scraping), then because of the spasm of the neck is quite possibly unpleasant sensations of the pulling type.
After colposcopy, for three days, a woman should be used by hygienic pads («Daily»). These days are small separating bleeding from the vagina, they are associated with insignificant damage to the vasces. Sometimes there are liquid allocations painted in brownish or greenish color that are not smell. This is a completely normal phenomenon after such a procedure. What is prohibited in the first five days?
- Using tampons, vaginal creams, candles and intimate hygiene.
- Sprinting.
- Sexual contacts.
There are complications?
The technique is used for many years, it is safe, will not give complications if it is carried out by an experienced specialist. And only in rare cases are possible:
- anomalous discharge;
- Pains at the bottom of the belly, disturbing patient more than a day;
- strong bleeding;
- climb Temperature.
If the listed symptoms do not pass within 24 hours, then you need to immediately ask for advice to your doctor. And with massive bleeding, it is impossible to slow.
