Colposcopy: test detects HPV
Colposcopy is an examination part of the screening of cervical cancer with Pap test and / or specific test for detection of HPV (Human Papilloma Virus). In general it is an examination to complement the other, an important part of prevention that seeks to diagnose injuries that precede cancer and thus prevent cervical cancer.
Colposcopy allows the (the) gynecologist examine the cervix andvagina with magnifying lenses. Biopsies can also be madetime of colposcopy if lesions are identified. Colposcopy is then the lap Visualizationuterus to the vaginal walls with a device called a colposcope and removal of biopsies aresmall sample of cervical tissue or vaginal walls during the examination.
If the screening test results are abnormal, such as cervical cytology or pap smear, further tests are needed to confirm the result and determine the severity of the change. Colposcopy is the test usually recommended in this case. Not all women with an abnormal test cervical screening will need treatment. The colposcopy with or without biopsy can help determine if and when a treatment of abnormality is needed.
The Pap test can be abnormal due to infectionsgenital groups in this case may be performed as indicated treatmentthe gynecologist and repeat cytology. When the Pap testsuggests changes suggestive of HPV infection is generally indicated atcolposcopy with biopsy if necessary.
Colposcopy can be done at any time of the month, but it is not possible during the period of menstruation.
It is recommended that women do not use creams or vaginal douches in 3-5 daysbefore the exam, the same goes for sex, which should alsobe avoided during this period.
The colposcope is a device with a magnifying glass, which allows the display colposcopist lesions observed with the naked eye. With the patient in a gynecological position, it is the vaginal speculum, popularly known as duck-billed, then after the neck of the display with the colposcope a first, acetic acid is the net placed first on the cervix and vagina for stain cells and to allow the medical see better where the abnormal cells are located and the size of all the abnormal areas. When this solution is used, the patient may experience a burning sensation or slight burning.
The size, type and location of abnormal cells will helpdetermine which area or areas may need to be biopsied. It isinformation will also determine how severe the abnormality and alsohelp determine which treatment. When monitored and treatedearly, precancerous areas usually do not progress to thecervical cancer. Anesthesia is not usually used prior to biopsycervix or vaginal walls because the biopsy causes only mild discomfort orcolic for most women. But each person's pain thresholdit may varies. Talk to your doctor about it.
after thisvisualization with acetic acid, is generally applied lugol, substanceiodine basis, with the function of coloring the cervix and the vaginal walls and provide furthermore information. People with iodine allergy should inform the medicalso that this part of the examination is not performed.
The Colposcopy takes approximately 10 minutes and causes minimal discomfort for most women.
Do not put anything in the vagina (creams, shower caps) without medical advice and not have sex for 48 hours after the examination when there biopsy.
If you know you are pregnant, or there is the risk, it is important to tell the doctor colposcopist. The examination can usually be done during pregnancy if indicated, as well as any biopsies.
After the examination, if there was a cervical biopsy, there may be some vaginal bleeding. By lugol account, you can also leave a brown staining secretion for a few days.
Most women are able to return to work or study immediately after making a colposcopy. Some women have mild pain or cramps, but this usually disappears within one to two hours.
A typical result is when we found no lesion area. When all the cervix and vaginal walls are stained uniformly applied to the liquids in general the result is normal. When the biopsy is performed on the tissue sample is sent for microscopic examination by pathologists for the final diagnosis.
Simple discharge can cause cervicitis, an inflammation of the cervix that can be seen by colposcopy. But the main focus of diagnosis are lesions caused by HPV, so they can be treated before they become cancer.
Barbara Alencar Rolim Murayama, gynecologist and specialist My Life - CRM: 112,527