COLPOSCOPY

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Colposcopy is done to:

  • Look at the cervix for problem areas when a Pap test was abnormal. If an area of abnormal tissue is found, a biopsy is often done.

  • Check a sore or other problem (such as genital warts) found on or around the vagina and cervix.

  • Follow up on abnormal areas seen on a previous colposcopy. It can also be done to see if treatment for a problem worked.

  • Look at the cervix for problem areas if an HPV test shows a high-risk type of HPV

How It Is Done

Colposcopy is usually done by a gynecologist, a family medicine physician, or a nurse practitioner who has been trained to do the test. If a biopsy is done, the sample will be looked at by a pathologist. This test can be done in your doctor’s office.

You will need to take off your clothes below the waist. You will be given a covering to drape around your waist. You will then lie on your back on an exam table. Your feet will be raised and put in footrests (stirrups).

The doctor will insert a lubricated tool called a speculum into your vagina. It gently spreads apart the vaginal walls so your doctor can see inside the vagina and the cervix.

The colposcope is moved near your vagina. Your doctor looks through it at the vagina and cervix. Vinegar (acetic acid) or iodine may be used on your cervix to make abnormal areas easier to see. Photos or videos of the vagina and cervix may be taken.

If areas of abnormal tissue are found on the cervix, your doctor will take a small sample of the tissue. This is called a cervical biopsy. Usually several samples are taken. The samples are looked at under a microscope for changes in the cells that may mean cancer may be present or is likely to develop. If bleeding occurs, a special liquid (Monsel’s) or silver nitrate swab may be used on the area to stop the bleeding.

If a sample of tissue is needed from inside the opening of the cervix, a test called endocervical curettage (ECC) will be done. This area can’t be seen by the colposcope. So a small sharp-edged tool called a curette is gently put into the area to take a sample. ECC takes less than a minute to do. It may cause mild cramping. An ECC is not done during pregnancy.

Colposcopy and a cervical biopsy usually take about 15 minutes.

Echocardiography: commonly called “ECHO”, is the imaging of the heart and inside of the heart with the help of Ultrasound. It is as simple as Ultrasound of the Heart.

Your doctor can see real-time images of:

  • how your heart is pumping

  • the size of heart chambers

  • walls of the heart chambers

  • pumping action of every chamber

  • structures and function of every valve

  • any abnormalities of the heart are easily detected, including defects by birth (congenital)

  • defects of valves: narrowing or leakages of valves

  • defects of pumping power of the heart

  • any mass or tumor of the heart

  • any defects of surrounding of heart – pericardium

  • detect how blood is flowing inside the heart and through valves

When it is performed?

  • If any kind of heart disease is suspected

  • During high blood pressure problems

  • Monitoring of heart function of established heart disease

  • Screening of heart disease as a preventive annual check-ups

How it is performed?

With an Ultrasound machine with a special cardiac imaging probe (transducer), placed over your chest with Gel. It is a completely painless and harmless procedure. Doesn’t require any preparation or fasting state. Usually requires 10-15 minutes.