Colposcopy

Colposcopy is a detailed examination of the cervix, vagina and vulva under magnification, most often performed after an abnormal Pap result or a positive HPV test. It enables the timely detection and monitoring of changes, with the option of a targeted biopsy during the same exam.

Page Overview

What is colposcopy?

A diagnostic method in which, with the help of a special optical instrument, the colposcope, the cervix, vagina and vulva are observed under magnification. The colposcope looks like a small “microscope” that does not enter the body but allows the doctor to examine the mucosa in great detail and spot changes that are not visible to the naked eye.

It is most often performed after an abnormal Pap test result or a positive HPV test, in order to assess the nature of the changes and determine the best further course of action.

What does colposcopy make possible?

  • A precise assessment of changes on the cervix (e.g. CIN, LSIL, HSIL)
  • Selecting the site for a targeted biopsy, if needed
  • Monitoring previously observed changes over time
  • The timely detection of conditions that may precede cancer

What are the benefits of colposcopy?

More precise diagnosis

Colposcopy allows a detailed, magnified view of the cervical mucosa with the application of special solutions (e.g. acetic acid, Lugol's), which helps to distinguish normal from altered tissue more clearly.

Targeted biopsy

If needed, during the same examination a targeted tissue sample (a biopsy) can be taken from exactly the site that looks suspicious. This increases diagnostic accuracy and allows timely treatment.

Planning the optimal treatment

An accurate insight into the extent and type of changes helps the gynaecologist to choose the best further course of action - monitoring, a repeat Pap/HPV test, a small procedure on the cervix or something else.

Indications and expected results

Colposcopy is recommended when there is a suspicion of changes on the cervix or when previous tests give a result that requires further work-up.

The most common indications for colposcopy:

  • An abnormal Pap result
  • An HPV-positive result, especially high-risk types
  • Suspicion of pre-cancerous changes (CIN)
  • Subjective complaints such as contact bleeding (e.g. after sexual intercourse)
  • A follow-up after a procedure on the cervix (LLETZ, conisation)

What can you expect?

The aim of colposcopy is, on the basis of a detailed examination under magnification, to precisely assess the Pap and/or HPV test result, to distinguish benign changes from those that require treatment, to detect pre-cancerous lesions in good time and to define a clear and individualised plan for further monitoring or treatment. 

The doctor will go through the findings with you, explain what they mean and whether you need further tests, a minor procedure or whether regular monitoring is sufficient.

What does the procedure look like – step by step

1. Conversation and preparation

The doctor will briefly go through your symptoms, your findings so far (Pap, HPV, previous procedures) and explain the course of the examination.

2. Gynaecological examination

In the gynaecological position a speculum is placed to see the cervix, as when taking a Pap test.

3. Colposcopic examination

The doctor positions the colposcope (a device outside the body) and observes the cervix under magnification. Special solutions may be applied to help “highlight” changes on the mucosa.

4. Biopsy if needed

If suspicious changes are noticed, a small tissue sample (a biopsy) is taken for histopathological analysis. This may be accompanied by brief discomfort or mild pain, which passes quickly.

After the examination you receive an explanation of the findings and a clear plan: when to come for a follow-up, whether an additional Pap/HPV test, a repeat colposcopy or a possible procedure is needed.

Preparing for colposcopy

Colposcopy does not require any special, demanding preparation, but a few recommendations can improve the quality of the examination:

  • it is best to plan the examination outside menstrual bleeding
  • in the 24–48 hours before the examination, avoid sexual intercourse, vaginal pessaries, creams and vaginal douching
  • bring with you previous Pap test and HPV testing findings and any discharge letters/histopathology findings

Note: If you take certain therapy or have chronic illnesses, inform the doctor about this at the start of the examination.

After the examination and biopsy

After a colposcopy alone, without biopsy, you can return to your usual activities immediately. If a biopsy was performed during the examination, mild and short-lived symptoms are possible, for which you will receive clear instructions on how to act over the following days.

What can you expect after the examination?

  • scant bleeding or brownish discharge for a few days
  • mild discomfort in the lower abdomen, similar to menstrual pain
  • the need to use sanitary pads instead of tampons for some time

How to act after a colposcopy?

  • use sanitary pads rather than tampons while bleeding or brownish discharge lasts
  • avoid sexual intercourse for as long as your doctor has advised
  • avoid vaginal pessaries, vaginal douching and other local preparations, unless explicitly recommended
  • if necessary, take a mild analgesic that you usually use for menstrual pain (unless you have been told otherwise)
When should you contact us sooner than planned?
  • Heavy bleeding requiring frequent pad changes
  • Intense pain in the lower abdomen that does not respond to the usual analgesics
  • Raised body temperature
  • Foul-smelling discharge

In such situations contact us as soon as possible, and if you are not sure whether it is needed immediately, please call — together we will decide on the next step.

Why choose Cito Polyclinic for colposcopy?

When choosing where to have a colposcopy, what matters is the doctor's experience, the quality of the equipment and the way you feel throughout the whole process - from the first contact to receiving the findings. At Cito Polyclinic the emphasis is on expert but at the same time warm-hearted care, clear communication and an organised path through all the necessary tests and follow-ups.

Experienced gynaecologists and subspecialists

At Cito Polyclinic, colposcopy is performed by gynaecologists with experience in oncological gynaecology and the treatment of pre-malignant changes of the cervix.

An individual approach and a clear plan

Each patient receives an individualised approach - interpretation of the findings in the context of your age, pregnancy plans, previous therapy and general state of health.

Complete care in one place

If needed, additional tests can be arranged in the same centre (Pap, HPV typing, colposcopy follow-ups, minor operative procedures), which reduces waiting and the number of visits to different places.

A focus on prevention

The emphasis is on the timely detection and monitoring of changes that may precede cervical cancer, with a calm and supportive approach to patients.

Price of colposcopy 

The price of colposcopy at Cito Polyclinic is 70 EUR and includes the diagnostic procedure in controlled conditions. In the case of additional procedures such as histopathological analysis of tissue, the price is adjusted. 

You can get the exact price of the procedure and the first available appointment straight away by calling +385 21 457 800 or by sending a message via the contact form.

 View the full price list

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Frequently Asked Questions

Find answers to common questions about this service

Who is colposcopy recommended for and what does the exam show?

Indications are abnormal cytology/HPV and lesion monitoring. It enables a detailed examination of the cervical epithelium with acetic acid and Lugol tests.

How is the procedure performed and how long does it last?

Outpatient, without anesthesia, 10–20 minutes; a targeted biopsy is taken if needed.

Will the exam hurt and is there bleeding afterwards?

Discomfort is mild; after biopsy, scant bleeding is possible for 1–3 days.

What do the findings mean and when is a biopsy or further therapy needed?

Findings are classified by risk; in case of suspicion of a high-grade lesion, biopsy or excision is recommended.

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