Colposcopy and LEEP

A colposcopy is a procedure done in the surgical theatre to evaluate an abnormal pap smear and check for underlying precancerous cells.

A speculum is inserted into the vagina and the cervix is looked at under a microscope to check for abnormal areas.

A vinegar solution is put on to the cervix and in the vagina to help the provider identify any areas of concern. If the tissues look abnormal, a small biopsy will be taken and sent to the lab for further review.

HOW TO PREPARE FOR YOUR COLPOSCOPY

• If desired, you may take an Advil or Aleve about 1 hour prior to the appointment
• Let your provider know if you are experiencing any vaginal discharge or signs of infection
• You should not need anyone to drive you home unless you have a low tolerance for pain

WHAT TO EXPECT AFTER COLPOSCOPY

• Mild to moderate bleeding is normal, but should not be heavier than one pad change per hour
• A thick discharge that looks like coffee grounds is normal from the solution applied to cervix at the end
• Mild to moderate cramping, similar to menstrual cramps for about 24-48 hours is normal
• No intercourse or tampon use for about 14 days is advised after colposcopy
• Expect a phone call or email regarding your results in less than 14 days

If moderate or severe precancerous cells are identified, you will be contacted regarding a LEEP procedure