colposcopy



Colposcopy (colposcopy) of the cervix looks like a microscope or telescope observing, and to examine with the help of a special magnifying instrument. Colposcope this instrument, called the normal gynecological examination with the naked eye during the serviskin followed a larger, clearer, and allows you to look in detail.

Cervix during colposcopy and conditions applying some paint and biopsy suspicious areas need to be more certain determination of these areas is provided. Colposcopy and biopsy is a painful process and can be applied in a very short period of time.

Colposcopy should be done under what circumstances? Indications for colposcopy.

    * Abnormal pap smear results, when there is suspicion of smear test

    * Papsmear with the result of the presence of unexplained large visible lesions,
    * Unexplained bleeding, bleeding of the cervical smear test can not be testininin
    * The presence of vaginal discharge are not responding to treatment, and continuous.
    * Colposcopy examination to be taken directly in cases where biopsy is done. About 90% of the direct colposcopic biopsy under colposcopic accuracy is.    
                 

Colposcopy How? What is the technique of colposcopy?

Gynecological examination table to observe the sterile speculum into the vagina as the cervix is placed in the net. Cervical abnormalities in the cervix and vagina for a better view of large amounts of 3-5% 'of the normal signs of acetic acid is applied and the gynecologist to see a doctor examines the cervix. Colposcopy examination can be made as complete and accurate cancer and CIN 's, have occurred in the cell conversion zone and the entire lesion should be visible. Cervical canal (cervical canal) to obtain a better image of an endocervical speculum can be used for. If the above does not occur criteria are considered inadequate colposcopic examination and colposcopic examination is repeated if necessary.

What are the abnormal findings Kolposkopideki?

By gynecologist cervical region (cervix) is fully assessed, and then decide whether it is suspicious images. Different thick white epithelium acetone, punktuasyon or mosaic image of the superficial capillaries probably CIN 's or early stage refers to the existence of a cancer zone. As a result of his evaluation gynecologist, to ensure that the diagnosis is suspected from these regions will have to biopsy. This process is also "colposcopic biopsy is called.

Which transactions are made according to colposcopy assessment?

Endocervical curettage (EEC):

Nulliparous women, especially the cervical canal can not be seen with colposcopy examination is useful in the evaluation of possible formations. Endocervical curettage as a result of abnormal cells present when the suspect or, with the suspicion of CIN or cancer of the cervix should be evaluated by the method of further examinations, such as konizasyon. Channel inside the uterus scraped with a sharp metal curetted material and tracks taken from here (may not always) are subjected to pathological evaluation.

  Direct biopsy under colposcopy, colposcopic biopsy:
Is the image and biopsy suspicious lesions. Pap smear test and abnormal cells in the presence of anomaly is seen to confirm the diagnosis definitely, "colposcopic biopsy" should be done. Special punch biopsy without crushing and deformation tools, the doctor wants to biopsy sample size allows you to take part. Before making a special biopsy Biopsy of iodine solution is used to detect more clearly. Multiple biopsies may be purchased by giving the patient a little discomfort. General anesthesia is not necessary. Patients are sensitive to local anesthesia. Bleeding from a biopsy is not usually serious. This process is very short-lived and samples sent for pathological examination confirmed the diagnosis.

Colposcopy colposcopy and biopsy can be performed during pregnancy?

If you have suspicious lesions in the cervix Pregnant requires further examination. Operations pose the risk of premature birth in pregnant women if the cervix during pregnancy, colposcopy, and direct the biopsy can be performed safely. Increased vascularity in the cervix during pregnancy and may be severe bleeding if the doctor should take into consideration the biopsy. Endocervical curettage (EC) increases the risk of pregnancy due to rupture of the membrane sac open and there is often recommended to pregnant women and endocervical curettage performed. If the CIN is cervical biopsy is mild, for the treatment of CIN in beklenebilinmektedir until after birth, but during this time is a good doctor should be monitoring. But the biopsy HSIL or CIN 3 and cancer is detected early stage if the baby may have accelerated the process of birth by cesarean section delivery can be made in weeks.

Colposcopy is used where the cervix else?

The vagina, vulva (external genital organs) and anus (rectum), colposcopic evaluation should be performed in the presence of abnormal Pap smear. And biopsy suspicious pigmented or white areas should be taken. Especially condyloma (HPV) in the presence of a suspicious lesion is evaluated with colposcopy if you have all the genital area. Sometimes the hymen with the naked eye evaluation with colposcopy to decide if it is possible to not be given the decision.

Attention!

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      Biopsy of the day or for several days following the spotting may be slight bleeding and groin pain.
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      Buffer used during vaginal bleeding, sanitary pads should be used instead.
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      If the bleeding increases or does not break is required to inform your doctor.
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      2 weeks after the biopsy and your doctor will call you to control. Do not make sexual intercourse up to this control.
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      Some local medicines and solutions to stop the bleeding after the biopsy (morsel solution) is used, a dark-colored discharge for several days can be.

Konizasyon What is it?

Conical with an operation in the process of removal of the cervix is called konizasyon. Colposcopy examination of the suspicious lesion, the borders of the uterus is spreading into the channel, where the net is not seen, and endocervical curettage should be positive. Konizasyon also signs of severe pathological pap smear results and colposcopy or a biopsy is done in case of conflict between the results. Konizasyon operating conditions can be performed with local or general anesthesia. Unless there is a strong suspicion of cancer in pregnant women will be konizasyon. Cold konizasyon (konizasyon surgery) is no longer present a few rare exceptions konizasyona LEEP has left the location.