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Colposcopy: A Look At One Technique For Genital Warts Diagnosis

While genital warts diagnosis may be done through the naked eye, procedures such as colposcopy are important. Here is an overview of this process.

In the genital warts introduction section of this site, it has been said that genital warts diagnosis is easy.  However, to check on whether the internal skin is affected, some techniques may help.  Take for instance the likes of colposcopy.

Colposcopy is a diagnostic procedure to examine the cervix and vaginal tissues. It was developed by Hans Hinselmann - a German physician - in 1925. It makes use of a colposcope, or an instrument that magnifies cervical and vaginal areas, so that the colposcopist can have a better view of the abnormal tissues. Biopsies are also taken for further evaluation. The main goal of colposcopy is to prevent cervical cancer through early detection of precancerous lesions.

The colposcopy procedure

Colposcopy is done when Pap smear results appear abnormal. Other indications include the abnormal appearance of the cervix noted by the physician.  Emptying your bladder and bowels may also diminish discomforts during the test. You are advised to abstain from sex 24 hours before your appointment. Douching and use of tampons should also be avoided.

Before the procedure a medical history is obtained. This includes the following: gravity and parity, last menstrual period, contraception use, prior Pap smear results, prior cervical procedures, allergies, smoking and medication history.  The procedure is then described to the patient and a consent form should be signed.

Colposcopy and the patient


Colposcopy is performed with the woman in dorsal recumbent position (lying on back, legs on stirrups and buttocks at the edge of the exam table). The doctor will then insert a vaginal speculum so he can view your cervix. An acetic acid solution is applied using a cotton swab. Acetic acid will turn abnormal tissues into white.

If abnormal tissues are found, your doctor will take some tissue samples for biopsy. Note that you may feel mild cramps and pinching when he removes the abnormal tissues. Taking slow deep breaths may help your muscles relax and reduce the discomfort. Some patients are advised to take over-the-counter pain medications before the procedure. Ask your physician before taking such medications. Some doctors now also use topical anesthesia or cervical block to reduce pain.

Colposcopy results

After the procedure, you may have dark-colored vaginal discharge. If the doctor took a tissue sample, a mustard-colored paste is applied to that area to avoid bleeding. A thick black discharge is formed when the paste mixes with blood. It is normal to have this discharge for two days after the procedure. Use of tampons and having sexual intercourse should be avoided for at least one week.

Heavy vaginal bleeding (using more than one sanitary pad per hour), lower abdominal pain, fever, chills and foul smelling vaginal odor after the colposcopy are some of the indications that you need to consult your doctor.  Results are ready in one to two weeks after the procedure. You are requested for a follow up consultation once you receive the results.

Safe sex education and smoking cessation are some ways to avoid cervical cancer. These prevention and treatment options are discussed to you by your doctor whether or not you have or you are at risk of having cervical cancer.   It is therefore important to undergo colposcopy if you have genital warts in order to determine precancerous changes.

Tags: biopsies, colposcope, colposcopist, colposcopy, genital warts, genital warts diagnosis

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