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Del Pozo Roselló Javier
What is colposcopy?
Colposcopy is the examination of the uterine cervix through a magnifying lens by means of a colposcope, which is usually equipped with a surgical light and graduated lenses that can be adapted to a camera, a video device and a monitor for the recording or viewing of enlarged images of the examined area.
- What preparation is required for colposcopy?
No preparation is required, although the patient is recommended to take the examination when she is not menstruating. The patient reclines in the gynecological position and the vagina is opened with a speculum to facilitate examination of the uterine cervix.
- How is colposcopy performed?
Once the uterine cervix is exposed, it is viewed directly through the colposcope according to the enlarged image required. Any vaginal fluid can be absorbed with a gauze or swab and is later cleaned with diluted acetic acid, which in addition to effectively cleaning away the fluid and cellular material also highlights any cells of the uterine cervix that may present abnormalities.
Once these areas have been identified, the uterine cervix can be stained with a lugol solution known as Schiller's test, which is rich in iodine. Under the effects of female hormones, the normal uterine cervix cells contain glucogen, which stains with iodine. Thus its dark brown colour cannot be seen in a woman who still has periods, except for those areas where there are epithelial lesions. The examination lasts from 4 to 10 minutes and requires a careful exploration of each of the areas of the uterine cervix.
- What are the indications?
The examination can be performed on any women undergoing a gynecological check-up for the first time. It can also be carried out on those women whose cervical cytology reveals any change in the cells of the uterine cervix.
It is not necessary to repeat the colposcopy every year that the patient has a gynecological check-up, although it should be performed during examinations for any untreated or suspected lesion.
- What are the possible risks and complications of colposcopy?
There is no risk associated with this examination, except in the case of allergy to the iodine solution used.
A gynecological examination can be uncomfortable while it lasts, although it rarely exceeds 5 minutes.
Slight bleeding may occur if a biopsy is taken.
- What is the purpose of colposcopy?
Colposcopy is helpful for the visual identification of epithelial areas of the uterine cervix that may present changes and that may require a biopsy.
| Morning | Afternoon | |
|---|---|---|
| Monday | 10.00 - 15.00 h | 16.00 - 19.00 h |
| Tuesday | 10.00 - 13.00 h | 16.00 - 20.30 h |
| Wednesday | 10.00 - 15.00 h | 16.00 - 19.00 h |
| Thursday | 10.00 - 13.00 h | 16.00 - 20.30 h |
| Friday | 09.00 - 14.00 h | 15.00 - 19.00 h |
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