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Colposcopy: everything you need to know about the test

Colposcopy is one of the most important tests in the modern gynecological routine. Through it, it is possible to obtain a precise visualization of internal structures that would not be perceptible to the naked eye, which makes the examination essential for both diagnosis and prevention.

The procedure stands out for being quick, safe and widely used in preventive gynecology, especially in screening for changes caused by HPV and in the early detection of cervical cancer.

It’s important to know that colposcopy is a gynecological examination used primarily to assess the health of the cervix, vagina and vulva.

The examination is carried out using an instrument called a colposcope, equipped with magnifying lenses and special lighting to aid the doctor’s observation. This allows for a detailed gynecological analysis in order to identify benign, pre-malignant or malignant lesions.

This article will answer the most common questions about Colposcopy, and we’ll provide comprehensive information to clear up your biggest doubts.

Meet the gynecologists at Instituto Medicina em Foco

The Instituto Medicina em Foco has a highly qualified clinical staff in the field of Gynaecology, offering humanized care focused on women’s health.

Meet the specialists who perform the colposcopy exam with excellence at our São Paulo (SP) unit:

Dr. Eduardo Baracat – Full Professor of Gynecology at the USP School of Medicine, Dr. Eduardo Baracat is one of the leading names in gynecology in Brazil. He works in gynecological surgery and offers a technical and welcoming approach, focusing on the diagnosis and treatment of diseases of the female reproductive system.

Dr. Emanuelli Alvarenga – A specialist in gynecology and obstetrics, Dr. Emanuelli combines technical knowledge with active and careful listening. She provides routine care, prenatal care, menopause, contraception and tests such as colposcopy.

Dr. Pedro Doria – A gynecologist with solid training and clinical experience, Dr. Pedro performs exams such as colposcopy and hysteroscopy, with special attention to preventive gynecological health and screening for precursor lesions of cervical cancer.

With an excellent team, a complete structure and face-to-face or online service, the Institute offers everything you need to take care of your intimate health with peace of mind.

Make an appointment with one of the gynecologists at Instituto Medicina em Foco by calling +55 11 3289-3195 or via the website: emfoco.med.br.

colposcopy
colposcopy

Colposcopy: what is it?

Colposcopy is a simple gynecological examination performed in the office or in laboratories by gynecologists. Its aim is to analyze the cervix, vagina and vulva in detail, investigating benign, pre-malignant (which can become cancer) and malignant (cancer) lesions.

It is therefore an essential procedure for the early detection of diseases and is often associated with the pap smear. Understand the difference between the two tests as we go on.

Periodic colposcopy is recommended mainly for patients with a history of recurrent infections, changes in the Pap smear or exposure to HPV. The test is also indicated in specific clinical conditions, such as irregular bleeding, pain during sexual intercourse or the presence of visible genital warts.

As well as being a fundamental tool in the prevention of cervical cancer, colposcopy is useful for monitoring gynecological treatments, allowing the doctor to assess the effectiveness of the therapy adopted. The examination can be repeated according to medical advice, especially in cases where cellular alterations are being monitored.

The test is carried out using a device called a colposcope, which works like a kind of magnifying glass with its own light, allowing you to see structures that would be invisible to the naked eye. It is a complementary test to the pap smear (Pap smear) and is often indicated when there are alterations in this test or suspicious symptoms.

Colposcopy is indicated not only in cases of suspected HPV infection, but also to monitor lesions that have already been diagnosed or to assess abnormal bleeding. In addition, it is extremely useful in patients with a history of cytological alterations, facilitating early screening for gynecological cancer.

It’s a quick procedure, which usually takes between 15 and 20 minutes, and can be done in a single face-to-face consultation. In some cases, it can be accompanied by a biopsy if the specialist identifies suspicious areas that merit laboratory evaluation.

Want to better understand how colposcopy can help your gynecological health? Make an appointment with a gynecologist in São Paulo by calling +55 11 3289-3195.

When is colposcopy necessary?

  • E

    Medical determination

    Generally, the doctor orders a colposcopy when there are abnormal pap smear results, vaginal bleeding, suspected HPV-related lesions or other observed abnormalities.

  • E

    Colposcopy with biopsy

    A biopsy during colposcopy is performed to take samples of suspicious tissue, which will be sent for laboratory analysis and used for medical diagnosis.

Only a doctor can determine whether colposcopy is indicated. Most of the time, the doctor will order the examination in cases of abnormal pap smear results, vaginal bleeding, suspicion of lesions associated with HPV, or other possibilities of abnormal observations.

In addition to these situations, the test can also be requested when there are persistent complaints such as pelvic pain, intense itching in the intimate area, visible sores or alterations identified in previous gynecological exams. In patients who have already been treated for previously diagnosed lesions, colposcopy can be used to monitor the progress of the condition and the response to treatment.

The test is especially important for women who have risk factors for cervical cancer, such as early sexual initiation, multiple sexual partners, a history of high-risk HPV infections or smoking. In these patients, screening may be indicated more frequently, even in the absence of obvious symptoms.

CTA: If you have any doubts or persistent symptoms, schedule an appointment with a gynecologist in São Paulo (SP) by calling +55 11 3289-3195.

How important is colposcopy in the prevention of gynecological cancer?

Colposcopy is an essential tool in the prevention of cervical cancer, especially when there is suspicion of alterations caused by HPV (Human Papillomavirus), one of the main agents related to the appearance of pre-malignant lesions.

By detecting these alterations early, the test allows for quick and effective interventions, before the lesions develop into more serious conditions. This has a direct impact on reducing mortality from gynecological cancer.

In addition, colposcopy is indicated for the follow-up of patients with alterations detected in the pap smear, promoting a more in-depth and safer investigation.

Schedule your appointment with a gynecologist in São Paulo (SP) at Instituto Medicina em Foco and take care of your intimate health with someone who understands. Call: +55 11 3289-3195.

Colposcopy: how is it done?

To carry out the examination, the professional uses a colposcope, which works like a magnifying glass, allowing him to take a larger, more detailed view of the vagina of the person being examined.

To do this, the person assumes the most common position for gynecological examinations: legs apart and supported, while the doctor uses a vaginal speculum to keep the vaginal canal open and easily visible.

The doctor then positions the colposcope about 30cm away from the vagina, and uses its magnifying lenses and special lights to facilitate visual analysis.

During the examination, the doctor can apply solutions such as acetic acid or lugol to the mucosa. These substances react with possible altered areas, helping to identify lesions that would not be noticeable to the naked eye.

The procedure is quick, lasting around 15 to 20 minutes, and discomfort is minimal. In most cases, the patient can resume her activities straight after the examination, except when there is a biopsy, which may require some post-procedure care.

Do you have questions about colposcopy? Make an appointment with a gynecologist in São Paulo (SP) by calling +55 11 3289-3195.

How to prepare for colposcopy?

For colposcopy to be effective, it is essential to follow certain pre-examination precautions:

  • Do not take the test during your menstrual period.
  • Avoid sexual intercourse with penetration in the previous two days.
  • Do not use vaginal douches or intravaginal medication in the 48 hours before the test.
  • Inform your doctor if you are pregnant or suspect you may be pregnant.

These measures avoid interfering with the results and make the procedure more comfortable and accurate.

If you have any questions, contact our medical team and receive personalized advice. WhatsApp: +55 11 3289-3195.

Instrumentation:

Colposcope.

Duration of the exam:

Average of 10 to 30 minutes.

Post-examination:

In addition to your doctor’s recommendations, for one week you should avoid: douching, sexual intercourse and the use of tampons.

Colposcopy with biopsy

The biopsy performed during colposcopy is decided by the doctor in charge based on the analysis performed during the procedure.

A biopsy consists of taking small samples of tissue suspected of having an abnormality for a more careful and precise assessment. Subsequently, the doctor sends the tissue for laboratory analysis and, finally, the result of the biopsy will be used for diagnosis.

Tissue collection is done quickly and safely, and often doesn’t require local anesthesia. In general, there is minimal discomfort, similar to that of a prick, and subsequent bleeding is usually mild. The material collected is sent for histopathological analysis, and the results are usually ready within two weeks, depending on the laboratory.

This test is crucial for confirming or ruling out suspicions of HPV infection, pre-malignant lesions and even early-stage cancer. The result of the biopsy will be analyzed by the doctor in charge, who will define the next steps for treatment or follow-up.

Do you have changes in your pap smear? Make an appointment with a gynecologist in São Paulo at Instituto Medicina em Foco: Rua Frei Caneca, 1380, Consolação – São Paulo – SP – CEP 01307-000.

colposcopy
colposcopy

Prerequisites, contraindications and duration

To guarantee a reliable result, it is important that the person being examined does not take the test during their menstrual period. This is because blood can interfere with the images.

The procedure is safe for pregnant women or people with a suspected pregnancy, but be sure to inform your doctor in such cases.

There are no contraindications to colposcopy. However, in people who have not yet had sexual intercourse with penetration, the examination can be replaced, since the use of the speculum is essential for the examination.

In addition, the test itself is quick and takes an average of 15 to 20 minutes to complete. Furthermore, colposcopy is usually well tolerated and does not cause significant pain to the person being examined. Some people, however, may experience slight discomfort, depending on their general sensitivity.

Finally, it is important to bear in mind that after the examination, it is common for the vagina to be sensitive for some time. If a biopsy is performed, light bleeding may occur. Therefore, during this period, it is recommended to avoid using vaginal douches, tampons, penetrative sexual intercourse or any other practice that could aggravate the symptoms.

Does colposcopy hurt?

Colposcopy is considered to be painless, although some women may report slight discomfort when using the speculum. When there is a biopsy, the site may be tender for up to two days and there may be slight vaginal bleeding.

The good news is that there is no need for absolute rest after the examination and you can return to your activities immediately, unless your doctor specifically recommends it.

Consult an in-person gynecologist in São Paulo to find out more about how to prepare and what to expect from the exam.

Contraindications:

Do not use during menstruation.

Safe for pregnant women or people with suspected pregnancies.

Exam replacement:

In cases where the person has not yet had sexual intercourse with penetration.

Repeat examination:

Only your doctor will determine the frequency based on your results, prognosis and general health.

How often should I repeat the test?

Keep in mind that the frequency of colposcopy will depend on each specific case. Only your doctor will determine the frequency based on your results, prognosis and general health.

In cases of normal colposcopy, i.e. when there are no suspicious findings, the test can be repeated at longer intervals, usually in line with the pap smear. In situations where there are alterations or a history of lesions associated with HPV, the return may be more frequent, such as every six months or annually.

Women who have already undergone treatment for lesions or surgery on the cervix may also need closer monitoring until their condition stabilizes. For this reason, following the follow-up plan indicated by the specialist is essential.

Not sure when to repeat your colposcopy? Schedule an appointment online or in person with a gynecologist in São Paulo (SP) by calling +55 11 3289-3195.

What does colposcopy detect?

The results of colposcopy can be classified into two:

  1. Normal colposcopy: When the doctor does not identify any significant lesions during the examination.
  2. Abnormal colposcopy: When the doctor identifies abnormalities or lesions. In this case, additional tests can be carried out during the colposcopy and a biopsy is often indicated. The final diagnosis will be made after microscopic analysis of the fragments of the lesion in the laboratory.

Colposcopy can also detect:

  • Persistent inflammation.
  • Recurrent vaginal infections.
  • Pre-malignant lesions that precede the development of cancer.
  • Anatomical consequences of previous gynecological surgeries.

These findings guide medical management and enable an accurate diagnosis, increasing the chances of successful treatment.

What is the difference between colpocytology and colposcopy?

Despite their similar names, colposcopy and pap smear are different tests.

Pap smears involve the collection of cells for microscopic analysis (without the need for a biopsy), while colposcopy is a visual examination that aims to identify directly visible abnormalities in gynecological structures.

Colposcopy therefore serves as a low-invasive test that may indicate the need for further investigation of any visible gynecological symptoms.

Both tests help prevent and detect cervical cancer at an early stage. However, an oncotic pap smear is a simpler test in which cells are collected from the cervix.

Colposcopy, on the other hand, is a more complex examination in which the region of the cervix, vagina and vulva can be viewed in greater detail and more in-depth investigation of diseases in this region can be carried out.

Online colposcopy: is it possible to make an appointment for advice?

Yes, Instituto Medicina em Foco offers the possibility of an online consultation with a gynecology specialist, ideal for initial guidance, clarification of doubts and evaluation of results.

The colposcopy itself is performed in person, but much of the follow-up can take place remotely, making life easier for patients who live far away or have difficulty getting around.

Schedule your gynecological appointment online and receive the support you need safely and conveniently.

Colposcopy in São Paulo: how much does it cost?

At Instituto Medicina em Foco, we offer affordable prices for colposcopy with or without biopsy. Prices may vary according to the procedures performed:

  • Colposcopy: R$ 230.00.

The exams are carried out using state-of-the-art technology by professionals specialized in Gynaecology, guaranteeing precision and comfort for the patient.

Schedule your exam by calling +55 11 3289-3195 or find more information on the website: emfoco.med.br.

Take care of your gynecological health with complete monitoring

Colposcopy is just one part of the attention women should pay to their intimate health.

In addition to this examination, regular follow-up with a gynecologist is essential for the prevention, early diagnosis and appropriate treatment of numerous gynecological conditions.

Complementary care that is part of the gynecological routine includes:

  • Regular Pap smears (Pap smears ).
  • Clinical breast assessment and, when indicated, mammography.
  • Discussion on appropriate contraceptive methods for each stage of life.
  • Monitoring hormonal changes, especially during the menopause.
  • Monitoring recurrent vaginal infections.
  • Guidance on sexual and reproductive health.

At Instituto Medicina em Foco, you can count on integrated and humanized care, with professionals who understand the importance of attentive listening and personalized care.

Whether it’s an online consultation or face-to-face examinations with state-of-the-art facilities, we offer complete support at every stage of your life.

Our commitment goes beyond the exam: it’s to your peace of mind and well-being.

Schedule your appointment and come and take care of your intimate health with someone who understands.

Colposcopy in routine women’s health: care that goes beyond diagnosis

Colposcopy is part of a broader approach to women’s health. The test allows lesions to be detected at very early stages, providing more effective and less invasive treatment. However, its value goes beyond diagnosis: it is also a tool for ongoing monitoring and prevention.

Women at different stages of life can benefit from screening, whether at the beginning of their sexual lives, during the fertile phase, during the menopause or even after the menopause. The gynecological routine needs to be adapted to the particularities of each age group, and exams such as colposcopy help to ensure this personalization of care.

At Instituto Medicina em Foco, each patient is monitored individually. Gynecologists evaluate not only symptoms or laboratory results, but also each woman’s health history, lifestyle and preferences when deciding on the frequency of exams and the best follow-up plan.

Face-to-face consultations are conducted with active and detailed listening, while the online consultation option also allows for convenience in the follow-up between examinations.

In addition, the Institute invests in state-of-the-art technology and continuous training of the medical team, which guarantees more accurate diagnoses and more comfort during procedures. All this in a welcoming and easily accessible environment in the heart of São Paulo.

This commitment to individualized care is one of the pillars of Instituto Medicina em Foco. Here, each examination is more than a technical procedure: it is an opportunity to build a relationship of trust with the patient, understand her doubts, monitor her health over time and offer support that values physical and emotional well-being.

It’s important to emphasize that, even in the absence of symptoms, routine examinations such as colposcopy are fundamental to maintaining preventive control of gynecological health. Early screening for alterations allows for less aggressive intervention, which often avoids more complex treatments in the future. Patients who maintain regular follow-up tend to have better results at all stages of life.

It’s also worth remembering that colposcopy, which is often confused with other procedures, plays a specific and complementary role in the prevention of gynecological cancer. To fully understand what colposcopy is and how it fits into the care routine, it is essential to have specialized medical advice.

The Institute carries out educational activities and campaigns to raise awareness of the importance of prevention, offering support in both diagnosis and ongoing monitoring. All this with the possibility of a quick and flexible appointment, with a face-to-face service in São Paulo (SP) or an online consultation for guidance.

Value your health at every stage of life. Make an appointment now with a gynecologist you can trust.

Where to have a colposcopy or colposcopy with biopsy in São Paulo?

Make an appointment with a reliable gynecologist and discuss your doubts and symptoms to see if any tests need to be scheduled.

If you are in São Paulo, Instituto Medicina em Foco is a reference in colposcopy and colposcopy with biopsy, with a modern structure, humanized care and specialists in Gynecology.

Located at Rua Frei Caneca, 1380, Consolação – São Paulo – SP – CEP 01307-000, the Institute offers face-to-face and online consultations, fast scheduling and affordable prices. We have the best equipment and trained professionals, ensuring greater comfort and safety during your examination.

Schedule your medical appointments quickly on the Instituto Medicina em Foco website or by telephone: (11) 3289-3195.

For more information, follow Instituto Medicina em Foco on social media:

What is colposcopy?

Colposcopy is a gynecological examination carried out using a colposcope to analyze the cervix, vagina and vulva in more detail. It is indicated to detect benign, pre-malignant or malignant lesions, especially when there are alterations in the pap smear.

Does colposcopy hurt?

No. Colposcopy is considered painless, although it may cause slight discomfort when using the speculum. In the case of a biopsy, there may be slight tenderness or mild bleeding in the following days.

When is colposcopy necessary?

The test is indicated when there are changes in the pap smear, suspicion of HPV, abnormal vaginal bleeding or visible genital warts. Only a doctor can assess the real need for colposcopy.

What is the difference between a pap smear and a colposcopy?

Pap smears analyze cells in the cervix, while colposcopy allows direct visualization of gynecological structures. Often, both are complementary in the diagnosis.

Colposcopy with biopsy: when is it done?

A biopsy is performed when the doctor identifies suspicious areas during the examination. It is used for laboratory analysis and confirmation of the diagnosis.

FAQ

Frequently asked questions

FAQ

Frequently asked questions

How long does a colposcopy last?

On average, it takes between 15 and 20 minutes. It’s a quick, in-office procedure and usually allows for an immediate return to activity.

Is it possible to book a colposcopy appointment online?

Yes, the initial advice can be given online. The colposcopy examination, however, is carried out in person.

What diseases can colposcopy detect?

Colposcopy helps to identify vaginal infections, inflammation, lesions caused by HPV and possible cancerous changes in the cervix.

Is colposcopy safe during pregnancy?

Yes, the test can be carried out on pregnant women, but the doctor must be informed of the pregnancy before the procedure is carried out.

How often should I have a colposcopy?

It will depend on previous findings and clinical history. In general, it is done according to a doctor’s recommendation, especially if there are changes in the pap smear or HPV infection.

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