Under what circumstances do I need a digital colposcope?

06-01-2022

The colposcopy is another pair of eyes for a gynecologist. It uses an optical magnification system to perform illumination and magnification inspections on the lower reproductive tract, and penetrate epithelial cells through strong light irradiation, which can magnify the epidermis and subepithelial blood vessels for close observation. There are traditional optical colposcopes, digital colposcopes, and a combination of the two. The magnification can be from 7.5 times to 30 times (different for each type of colposcopy). The images obtained through the colposcopy can also be collected and stored through the image acquisition system, which is helpful for the follow-up quality control, follow-up and monitoring, and even telemedicine.

Under what circumstances do I need a digital colposcope?

When we find abnormal cervical squamous epithelial cells in cervical cancer screening, or high-risk HPV positive, we need to do colposcopy to observe whether the cervix is diseased, and the extent and extent of the disease. If lesions are found, a pathological biopsy is needed to make the final diagnosis.

Therefore, if the following conditions are found in the screening, further colposcopy is needed:

1. Pap smear examination +++ level or above

2. TCT test result is ASC-US, and HPV is positive at the same time

3. Regardless of whether HPV is positive, ASC-H, LSIL, HSIL appear in the TCT test result

4. Regardless of whether TCT is abnormal, HPV16 or 18 is positive, or HPV continues to be positive after 12 months

5. Contact bleeding or irregular vaginal bleeding

6. Suspicious genital warts

How long will the colposcopy test result?

The colposcopy report can be issued within 1-2 working days, and most hospitals can give the patient an immediate microscopic diagnosis after the examination; if the colposcopy is performed at the same time, the biopsy of the cervix or vaginal wall and vulva is usually 7 Working days (the specific time is different for each hospital).

Does colposcopy hurt?

Under normal circumstances, colposcopy will have some discomfort, similar to ordinary gynecological examination, and will not cause pain. There may be a slight burning sensation when acetic acid is applied to the surface of the cervix. More than 50% of patients have no discomfort or slight discomfort. Some patients will experience temporary contraction-like discomfort, and few patients will experience severe pain.

Therefore, there is no need for anesthesia during the colposcopy, and the patient is completely awake during the whole process. During the examination, the doctor will also communicate with the patient, instruct the patient to relax, how to cooperate with the doctor, and most patients can successfully complete the examination.

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