How is Colposcopy performed?

A colposcopy is performed in the OGCG rooms and does not require an anaesthetic. The procedure is similar to a Cervical Screening Test (CST) and takes around 15 minutes. It may feel slightly uncomfortable, but it is usually not painful.

A speculum is inserted into the vagina to allow visualisation of the cervix. A weak vinegar solution is then applied to the cervix — and in some cases, the vaginal walls — to highlight any abnormal areas by causing them to turn white. An iodine solution may also be used. The doctor examines the cervix using a colposcope, a magnifying device that looks like a pair of binoculars on a stand and is positioned just outside the vaginal entrance. If any abnormalities are found, the doctor may take a small biopsy for pathology testing. This may feel like a slight scratch.

OGCG offers the option of using Penthrox (commonly known as the green whistle) for pain relief during the procedure. Please call us on 9329 6668 to learn more.

OGCG do offer the option of using Penthrox, often referred to as the green whistle, throughout the procedure. Please call us on 9329 6668 to find out more.

What to Expect After a Colposcopy

If a biopsy was taken during your colposcopy, it’s common to experience some mild, period-like cramping. This can be managed with Paracetamol or Ibuprofen (Nurofen), if needed. You may also notice some brown or grey vaginal discharge, as well as light spotting — this is normal. We recommend wearing a pad for comfort and hygiene.

To allow your cervix time to heal, it’s important to avoid the following for 2–3 days: heavy physical activity, vaginal intercourse, tampons, menstrual cups, vaginal creams or pessaries, swimming, baths, and spas. You can, however, shower as normal.

After the procedure, your doctor will explain the findings and how your results will be communicated. Depending on the outcome of the colposcopy and any biopsy taken, your follow-up care may include:

• Returning to routine cervical screening
• More frequent cervical screening
• A repeat colposcopy
• Further treatment if required

Your doctor will guide you through the next steps and ensure you feel informed and supported throughout the process.

What treatment options are available?

Treatment is individualised depending on type of abnormality, your symptoms and other factors. Main treatment options include

LEEP/LLETZ – a wire loop is used to remove abnormal cells
Laser Ablation – a Laser is used to remove abnormal cells
Cone Biopsy – a cone shaped area of the cervix containing abnormal cells is removed
Cervical Diathermy – diathermy is used to cauterise top of cervix