Colposcopy in pregnancy

Colposcopy in pregnancy-what does it involve?

Colposcopy is a relatively simple test to indicate lesions present on the cervix, vagina or vulva. Under appropriate magnification, the doctor views the surfaces of the vaginal walls and the cervix. It can also use various types of dyes, among others. acetic acid. In case of abnormalities, it is also possible to take a slice from the suspicious lesion.

Colposcopy in pregnancy – when it is performed

Colposcopy in pregnancy is performed in case of an abnormal cytology result. According to. applicable recommendations, colposcopic examination is carried out when the cytology result obtained is ASC-H(atypical squamous epithelial cells, high-grade intraepithelial neoplasia cannot be excluded), HSIL (high-grade intraepithelialneoplasia; includes dysplasia of medium- CIN II and high-grade- CIN III) or AGC(atypical cervical or endometrial or other glandular epithelial cells). If the cytology result received by the pregnant woman is ASC-  US, colposcopy can be postponed until 6 weeks after delivery due to the fact that most lesions regress.

Colposcopy in pregnant women is also performed when palpable or macroscopically visible lesions are present on the cervix, as well as when HPV infection or neoplasia is suspected. Colposcopy is also recommended for patients with genital bleeding  of unclear etiology during pregnancy and after excluding causes such as, but not limited to, the following. Premature separation of the placenta.

Colposcopy in pregnancy-preparation

There is no special preparation for the colposcopic examination. It is recommended to refrain from intercourse a few days before and not to use any vaginal products such as globules during this time. The examination itself is painless and takes about 10 minutes. Some women experience discomfort.

Colposcopy – is it safe in pregnancy?

Colposcopy is considered a safe test during pregnancy. If sections need to be taken, it should be done gently and carefully. The best thing to do with an abnormal cytology result is to go to an experienced gynecologist who deals with the diagnosis of cervical cancer and also works with pregnant women. On the other hand, it is not recommended to perform a cervical canal curettage, as it risks preterm labor or miscarriage.

Read more:
Cytology in pregnancy