Advanced colposcopy examines the cervix, vagina, and vulva for abnormalities such as precancerous or cancerous cells. It is an advanced version of traditional colposcopy, which uses a colposcope, a type of microscope to magnify the view of the cervix, vagina, and vulva. Advanced colposcopy is often recommended when an abnormal pap smear or other symptoms suggest abnormal tissue or cells. Miami advanced colposcopy also monitors treatment progress for precancerous or cancerous cells.

During advanced colposcopy, a special type of microscope called a digital colposcope is used to magnify the tissue of the cervix, vagina, and vulva and take detailed images of the area. The healthcare provider then analyzes and reviews the images to identify any abnormal tissue or cells.

The procedure is typically performed in a doctor’s office or outpatient clinic and takes approximately 20-30 minutes. Patients may feel some mild pain or cramping during the procedure, but it is usually tolerable and doesn’t require anesthesia. After the procedure, patients may experience mild cramping or spotting for a few days. Results of the advanced colposcopy are usually available within a week or two, and further testing or treatment may be recommended based on the findings.

How to prepare for advanced colposcopy

Preparing for advanced colposcopy involves a few important steps to ensure the procedure is safe and effective. Here are some tips on how to prepare for advanced colposcopy:

• Schedule the procedure: Contact your healthcare provider to schedule the advanced colposcopy. It’s important to schedule the procedure when you are not menstruating.
• Avoid sexual activity: Avoid having sexual intercourse, using tampons, or douching for at least 24 hours before the procedure, as these activities can irritate the cervix and affect the results of the colposcopy.
• Provide medical history: Provide your healthcare provider with a complete medical history, including any medications you are currently taking and any allergies or medical conditions you may have.
• Discuss pain management options: If you are concerned about discomfort or pain during the procedure, discuss pain management options with your healthcare provider. Sometimes, a local anesthetic may be used to numb the area.

Instances when advanced colposcopy is needed

Here are some instances when advanced colposcopy may be needed:

• Abnormal Pap smear: If a Pap smear shows abnormal results, advanced colposcopy may be recommended to examine the cervix more closely and identify abnormal tissue or cells.
• Genital warts: If genital warts are present in the cervix, vagina, or vulva, advanced colposcopy may examine the area and identify abnormal tissue or cells.
• Pelvic pain or bleeding: If a patient experiences pelvic pain or bleeding between menstrual periods, advanced colposcopy may be used to examine the cervix, vagina, or vulva for any signs of abnormal tissue or cells.
• Family history of cervical cancer: When a patient has a family history of cervical cancer, advanced colposcopy may be recommended as a precautionary measure to monitor the cervix for any signs of abnormal tissue or cells.
• Follow-up after abnormal results: When a patient has previously had abnormal results on a Pap smear or colposcopy, advanced colposcopy may be recommended to monitor the area for any changes or progression of abnormal tissue or cells.

If you have any concerns or questions about advanced colposcopy, discuss them with Peter A Khamvongsa, FACOG, FACS, IF.