Colposcopy
A colposcopy is a specialised diagnostic procedure used to examine the cervix, vagina, and vulva for signs of disease. It is most commonly recommended following an abnormal result from a Cervical Screening Test (CST). The procedure allows for a much more detailed view of the cervical tissue than a standard examination, enabling the identification of cellular changes that cannot be seen with the naked eye.
Dr Jessica Holden provides expert colposcopy services in a supportive and professional environment. We understand that being recalled for further testing can cause anxiety; our focus is on providing clear explanations, thorough assessment, and gentle care to ensure you feel informed and comfortable throughout the process.
Ask your GP for a referral to Coastal Women’s Health or contact our friendly team to arrange your appointment.
In Australia, the National Cervical Screening Program is designed to detect Human Papillomavirus (HPV) and early cell changes. A colposcopy is typically the next step in the clinical pathway if your screening results indicate:
The presence of certain types of HPV: Specifically high-risk types that may lead to cell changes.
Abnormal Cytology: When the laboratory identifies cells that appear atypical (often referred to as low-grade or high-grade changes).
Clinical Concerns: If your GP identifies an unusual appearance of the cervix during a routine examination or if you are experiencing unexplained post-coital bleeding.
Why a Colposcopy is Recommended?
The goal of the colposcopy is to determine the extent of these changes and whether treatment is required to prevent the development of more serious conditions.
How the Procedure is Managed
A colposcopy is a straightforward procedure performed in the clinic. It typically takes between 10 and 20 minutes and does not require general anaesthesia.
The Colposcope
During the examination, Dr Holden uses a colposcope—a specialised microscope with a bright light that remains outside the body. It provides a magnified view of the cervix, allowing for the precise identification of any abnormal areas.
The Examination Process
Preparation: Much like a standard cervical screening test, a speculum is inserted to allow the cervix to be seen.
Application of Solutions: Dr Holden will apply a mild acetic acid (similar to vinegar) or an iodine solution to the cervix. These solutions highlight abnormal cells by temporarily changing their colour, making them easier to identify.
Visual Assessment: The cervix is carefully inspected through the colposcope.
Cervical Biopsy
If an area of concern is identified, a small sample of tissue (a biopsy) may be taken. While this may cause a brief pinching sensation or mild cramping, it is generally well-tolerated. This sample is then sent to a pathology laboratory for formal analysis.
Management depends entirely on the results of the biopsy.
Observation
In many cases, particularly with low-grade changes, a "wait and watch" approach is appropriate. You will be advised to return for a follow-up Cervical Screening Test in 12 months.
Treatment Procedures
If high-grade changes are confirmed, a procedure to remove the abnormal cells may be recommended. Common methods include:
LLETZ (Large Loop Excision of the Transformation Zone): A thin wire loop used to remove the affected tissue under local or general anaesthesia.
Laser Therapy: Using a precise laser beam to destroy the abnormal cells.
Post-Procedure Care
Following a colposcopy (especially if a biopsy was taken), you may experience light spotting or a brownish discharge for a few days. We recommend:
Using sanitary pads rather than tampons for 2 to 3 days.
Avoiding vigorous exercise for 24 hours.
Refraining from sexual intercourse for a few days to allow the cervix to heal.
A colposcopy helps to categorise cell changes into different levels of severity, known as Cervical Intraepithelial Neoplasia (CIN):
CIN 1 (Low-grade): Often resolves on its own and may only require monitoring.
CIN 2 or 3 (High-grade): These changes are more significant and often require treatment to remove the affected cells.
It is important to remember that abnormal cells are not cancer; rather, they are "pre-cancerous" changes that, if left untreated over many years, could potentially develop into something more serious.
Diagnosis and Results
Treatment and Aftercare
Frequently Asked Questions About a colposcopy
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Cervical cell changes rarely cause symptoms. The Australian screening program is designed to find these changes early, often years before they could cause a problem. A colposcopy is the most accurate way to see if those changes need treatment or simply monitoring.
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Most patients find the procedure similar to a standard Pap smear or Cervical Screening Test. You may feel some mild discomfort or "pressure," and if a biopsy is taken, you might feel a quick pinch or cramp. We prioritise your comfort and will talk you through every step.
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The tissue sample is sent to a pathologist for examination under a microscope. You may have light bleeding for a few days. We will contact you, usually within two weeks, to discuss the results and any necessary follow-up plan.
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No. In the vast majority of cases, an abnormal result indicates the presence of HPV or minor cell changes that are easily treated or monitored. Very few people referred for a colposcopy are found to have cancer. The procedure is a preventative measure.
Dr Jessica Holden provides expert gynaecology care across multiple Victorian locations. We ensure that colposcopy results are communicated to you and your referring GP promptly.
Consulting Locations
Wonthaggi Medical Group: 42 Murray Street, Wonthaggi, 3995 (Fortnightly Tuesdays, alternate fortnightly Wednesdays).
Grandview Medical: 3 Grandview Grove, Cowes, 3922 (Fortnightly Tuesdays).
Surgical Operating Locations (if further treatment is required)
Waverley Private: Mount Waverley (Monthly Mondays).
Peninsula Private: Langwarrin (Monthly Mondays).
Bass Coast Health: Wonthaggi (Fortnightly Wednesdays).
To book an appointment:
Phone: (03) 5642 6600
Referrals: Preferred through HealthLink (drholden), Medical Objects, or via email.