Gynaecological tests and procedures
Colposcopy
Magnified examination of the cervix, vagina and vulva to identify areas that may need surveillance or biopsy.
Explained in clear language
What it is
It allows abnormal cytology or HPV results to be assessed and helps decide whether biopsy or surveillance is needed.
How it is performed
- 1
Individual assessment and indication
- 2
Explanation, alternatives and consent
- 3
Procedure with appropriate safeguards
- 4
Results, aftercare and follow-up
Askabide visual archive
The procedure, also explained through images
The photographs come from Askabide’s clinical and “more information” sections. They have been selected by clinical area to support the explanation; not every image is a literal representation of each manoeuvre and none replaces an individual medical explanation.
Assessment and indication
The indication is decided after listening to the reason for attending, reviewing history and explaining the clinical question that needs to be answered.
How it is carried out
The technique, sample collection, device or intervention is adapted to the individual situation and explained before it starts.
Results and follow-up
The result is not interpreted in isolation: symptoms, examination, age, history and complementary tests are considered together.
Clinical detail
Enlarged images help explain the setting and stages of care, but final planning is always individualised.
Clinical interpretation
What is important to understand before deciding
What it can contribute
This procedure addresses a specific clinical question. Its usefulness depends on the indication, timing and technique being appropriate for your situation.
What it cannot determine on its own
No test or procedure should be interpreted outside its clinical context. A normal result does not dismiss persistent symptoms, and an abnormal finding does not automatically mean serious disease.
What happens afterwards
Depending on the result, the next step may be discharge, observation, repeat testing, further assessment or treatment. The plan is explained before the episode is considered complete.
Expanded information
Questions we answer during the consultation
The technical information on this page helps you prepare for the consultation. The final decision is made after assessing your circumstances and confirming that the likely benefit outweighs the risk.
Can it be uncomfortable or painful?
It depends on the technique. Some examinations or samples may cause pressure, a brief pinch or cramping; others are painless. We explain what to expect and pause if you need a break.
Can it be done during a period?
It depends on the purpose and the amount of bleeding. Some tests are unaffected, while others may be harder to visualise or analyse. Confirm the timing with the centre.
When will I receive the result?
Imaging may be reported during the appointment, while laboratory or pathology tests require processing. We will explain the timeframe, delivery method and who will interpret it.
What it is used for and when
- Cytology or high-risk HPV meeting referral criteria.
- A visible lesion, contact bleeding or suspicious cervical finding.
- Follow-up after a precancerous lesion or treatment.
How it is performed
A speculum is inserted and the cervix is viewed with an external microscope. Solutions are applied to highlight cell changes and a small biopsy is taken if needed.
Preparation
Timing may depend on the menstrual cycle, bleeding or the purpose of the test. The team will advise the most appropriate time.
Tell the team beforehand if pregnancy is possible, you take anticoagulants, have allergies, active infection or a relevant medical condition. Specific instructions take priority over the general information on this page.
After the procedure
The laboratory or pathology department needs time to process the sample. You will be told how and when results will be given and what follow-up may be needed.
Risks, limitations and alternatives
The examination is usually well tolerated; biopsy can cause a pinch, cramping or spotting. Colposcopic appearance does not replace histology when a biopsy is taken.
Clinical judgement and evidence
The appropriate test depends on symptoms, age, medical history, examination and screening programmes. More testing is not always better care: every test should answer a useful clinical question.
Related procedures
Askabide Klinika
Not sure which procedure you need?
You do not need to choose a test on your own. Tell us what concerns you and the team will guide you after assessing your situation.