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COLPOSCOPY

Your GP may refer you to a gynaecologist for a colposcopy due to an abnormal pap smear.
Dr Siva is accredited to perform colposcopy and manage abnormal-pap smears (such as low grade squamous epithelial lessons - LSIL, high grade squamous epithelial lesions - HSIL). The service is available at Dr Siva's  St. Andrew's Ipswich Private Hospital rooms. The procedure normally takes less than 15 minutes. 

A pap smear is a tests where a plastic brush is swept over the cervix and cells obtained to examine under a microscope. It is a screening test to detect precancerous changes of the cervix. The changes are usually divided into low grade or high grade. A colposcopy further evaluates these changes. A speculum examination (the same as when a smear is taken) is performed with the woman on a special gynaecological chair. Fluid is applied to the cervix that highlights changes when looked at with a microscope (the colposcope). If changes are seen a small biopsy (a few mm only) is taken. Some women feel this as a pinch. Some spotting or discharge may occur in the following few days.

Results of the biopsy will be back within a week and observation or treatment of the changes planned. Treatment usually involves a large loop excision of the transformation zone (LLETZ) procedure which removes the abnormal cells. This is performed in an operating theatre under general or local anaesthetic as a day case.