Colposcopy is an endoscopic examination, which implies an accurate examination of the cervix with a coltoscope, which visually resembles an optical device - a microscope. This diagnostic method allows early detection of various gynecological pathologies, including cervical erosion, pretumor conditions and oncopathology.
Kolkoskopi during pregnancy is often performed. Obstetricians and gynecologists decide on the need for such an examination. More often, a woman in a position is sent for colcoscopy, when the doctor assumes the presence of pathologies. Many future moms are frightened when they are prescribed this procedure and are keenly interested in whether colcoscopy can be done during pregnancy.
The main indication for coloscopic examination in pregnant women is a suspicion of cervical erosion and its presence in the history of the expectant mother. In addition, obstetrician-gynecologists prescribe colcoscopy to all their patients if they have the following complaints:
- in the luteal phase of the cycle and after sexual intercourse, a woman appears with blood discharge,
- the patient experiences painful sensations during or after intimacy,
- prolonged and with time becoming more intense pain in the lower abdomen,
- at the entrance to the internal genitals of the woman feels itchy and burning,
- a rash is found on the external reproductive organs.
With such complaints come different women, and some of them can be observed in expectant mothers. In addition, recently, gynecologists began to prescribe colposcopy during pregnancy for almost all mandatory. This is due to the increase in the number of gynecological pathologies and the fact that for most women it is not planned to get pregnant (they did not carry out a preliminary examination).
Also, colcoscopy is done after delivery, in order to assess the condition of the cervix after standard physiological labor. Or in the surgical dissection of the perineum and posterior vaginal wall to assess damage to the cervix. This is especially true if cervical erosion was diagnosed during pregnancy, since it could rupture during delivery.
As such, there are no contraindications to this procedure, since it is practically painless and less traumatic. But an experienced specialist before the procedure should carefully examine all the results of the examination of a pregnant woman, in order to exclude even minimal risks. The procedure is not performed in early pregnancy for women who are at risk of miscarriage.
Colposcopy for pregnant women has the same technique as that performed by women who do not bear a child. One significant difference is that if there are no serious pathologies, then pregnant women will not receive extended colcoscopy. This means that they do not perform tests with dyes, Lugol solution, trichlorotetrazole or other substances. However, if there is a good reason to assume a pretumor state, then even pregnant women are sampled with biological material for histological examination.
In general, colposcopy during pregnancy is performed in the same way as in non-pregnant women. However, one should take into account the physiological features of future mothers. The cervix of pregnant women is covered with a thick layer of mucus, which is designed to protect the fetus from the effects of external infections.
Therefore, in order to detect certain changes and neoplasms, the procedure must be carried out by a highly qualified specialist who has already performed such procedures to women in the position.
If the colcoscopy is performed at an early gestational age, then in cases where there remain controversial issues or the results of the examination, an unsatisfactory procedure is recommended to be repeated after 1.5 months or in the last trimester. Colposcopy is considered a painless procedure, but it causes discomfort to some sensitive women.
For a survey to be as effective as possible, a woman should follow simple guidelines. 2 days before the scheduled diagnosis, it should:
- give up intimacy
- Do not rinse the vagina with solutions of medicinal substances for therapeutic purposes,
- Do not use vaginal drugs (suppositories, ointments).
Ringoscopy during pregnancy in the first trimester is very delicate and may feel like a standard gynecological examination. If the patient does not have a history of serious gynecological diseases, then the vaginal part of the cervix is not treated with special reagents. A biopsy, due to increased risks to the fetus, is performed only when there are serious reasons to suspect cancer.
In the later periods, blood circulation in the pelvic organs increases and the cervix of the expectant mother usually increases in size, so from the end of the second trimester colposcopy should be carried out even more carefully and delicately. Sometimes during the procedure, bleeding may begin, which the doctor stops by burning with silver nitrate or basic iron sulfate (Monsel's paste), hemostatic sponges are also used. Ringoscopy is performed on a gynecological chair. In this case, the optical device is installed at a distance of 10–15 cm from the genital slit.
Having figured out why she was prescribed this procedure, a pregnant woman wants to know the feedback of other women who underwent it in the same position.
Ringoscopy for pregnant women is usually prescribed for poor results of standard gynecological tests, or if a doctor has any suspicions about the presence of any serious pathologies. If the pregnancy is good and the results of the tests do not reveal any abnormalities, then the expectant mother may not even know what kolkoskopii is.
The content of the article
- What is colposcopy during pregnancy and how is it performed?
- Colposcopy of the cervix during pregnancy: why prescribe this procedure?
- Can I do colposcopy during pregnancy?
- Preparation for colposcopy during pregnancy
- What sensations are normal during and after colposcopy during pregnancy?
The purpose of colposcopy in the period of childbearing usually raises concerns and questions in women: “Is it possible to do colposcopy during pregnancy?”, “Is this procedure dangerous for the child’s health?”, “How to prepare for its implementation?”. To understand the features of this diagnostic method, we recommend that you read our article: in it you will find answers to questions about colposcopy during pregnancy.
What is colposcopy during pregnancy and how is it performed?
Colposcopy is a diagnostic method that is an examination under an increase in the surface of the cervix. Used in gynecology to identify a number of pathologies: dysplasia, leukoplakia, cervical erosion, malignant and benign neoplasms, disorders of the vascular pattern, vaginal endometriosis of the cervix. In addition to disorders affecting the cervix, colposcopy during pregnancy allows you to assess the condition of the walls of the vagina and vulva.
There are two types of colposcopy carried out during pregnancy:
- Survey (simple) colposcopy involves only a visual inspection of the female genital organs without the use of chemical solutions and color filters.
- With extended colposcopy, the doctor applies special chemical reagents to certain parts of the mucous membrane, allowing to detect the presence or absence of altered cells. They are safe for mother and fetus. Usually, with extended colposcopy, a 3% solution of acetic acid and an aqueous solution of potassium iodide are used (Schiller's Sample). When a weak solution of acetic acid is applied to the mucosa, a spasm of small blood vessels occurs, followed by expansion of the vascular network. Conducting a sample of Schiller during colposcopy causes the brown staining of the multi-layered flat epithelium to the surface of the cervix and does not stain the altered mucosa. If as a result of the use of reagents, some part of the cervix or vaginal walls causes the gynecologist to doubt, he scrapes from this area for subsequent laboratory research on oncocytology.
For the examination, the doctor uses a special optical or video device - a colposcope. It is a device equipped with an illuminator and powerful lenses that allow you to get an image enlarged 3-40 times. Due to the multiple increase during colposcopy, the doctor gets an opportunity to assess the color of the mucous membrane of the vagina and cervix, to identify possible areas of damage, to apply special chemical solutions to the examined areas.
Colposcopy during pregnancy is carried out in a gynecological chair. A plastic or metal gynecological speculum is inserted into the vagina to provide an optimal view. The optical head of the colposcope is placed at a distance of about 15-20 cm from the entrance to the vagina, and the resulting image is displayed on a computer monitor. The duration of the procedure depends on its type: the usual colposcopy takes about 10 minutes, and for an extended examination it takes about 20 minutes.
The essence of colposcopy during pregnancy is practically no different from a similar study of non-pregnant women. The only difference is that the cervical canal during pregnancy is closed by a more dense layer of mucus, which can worsen the review and make it difficult to diagnose. Therefore, colposcopy during pregnancy is usually carried out by obstetrician gynecologists who have experience in carrying out such manipulations in pregnant women.
Colposcopy of the cervix during pregnancy: why prescribe this procedure?
Colposcopy is included in the list of mandatory diagnostic measures that are carried out at the planning stage of pregnancy. If the patient has been identified certain violations affecting the vaginal mucosa, cervix and cervical canal, it is recommended to conduct the necessary research and, if necessary, their treatment before conceiving a child. If the pregnancy was unplanned and preliminary examinations were not carried out, the doctor may prescribe a colposcopy to the expectant mother during pregnancy. What is it for?
During the carrying of the baby, the hormonal background of the woman undergoes significant changes. In some cases, this can lead to erosion or ectopia of the cervix. These concepts are not identical in meaning, although many women mistakenly confuse them.
Cervical erosion is a collective concept and implies any identified changes. This includes, for example, true erosion, a provoked defect of the cervical mucosa by trauma, inflammation, burn, etc. True erosion is a bright red, bleeding area on the cervical mucosa, the appearance of which is caused by sloughing of the stratified squamous epithelium. This condition is to be treated, as if the pathogenic microbes hit the affected area, inflammation can begin, which is dangerous for both the pregnant woman and the baby. In addition, cervical erosion is more prone to sprains and tears during labor. Ectopia is a variant of the norm and is a replacement for flat multi-layered epithelium cells of the cylindrical epithelium. However, in both cases (as in true erosion and ectopia), there is a danger of transforming healthy cells into atypical ones with the subsequent development of benign or malignant neoplasms.
This requires treatment and consideration of this disease during delivery. In addition to the suspicion of erosion during pregnancy, colposcopy is carried out in case of fear of the development of an oncological process, a cervical polyp.
In addition, if a pregnant woman notes symptoms such as unusual discharge from the genital tract, a vulva rash, itching and burning in the vagina, lower abdominal pain, pain during urination or bleeding after sex, she is also recommended to undergo colposcopy.
Can I do colposcopy during pregnancy?
The answer to this question depends on the general state of health of the expectant mother, the nature of the course and the duration of pregnancy. In any case, the implementation of colposcopy should be carried out solely with the consent of the woman herself: the doctor can only advise whether or not to conduct colposcopy, and the decision is made by the pregnant patient.
However, sometimes the implementation of this diagnostic procedure is undesirable. For example, it is not recommended to conduct colposcopy with the threat of abortion in the early stages. This is due to the risk of bleeding and spontaneous abortion. It is also not advisable to do colposcopy in the case of placenta previa and the threat of premature birth. A cervical biopsy during pregnancy is performed only if a precancer or cervical cancer is suspected.
What is colposcopy?
This is a diagnostic method that uses a special optical device (colposcope) and solutions of coloring agents. All this is necessary for examination of the cervix and vagina. Also during colposcopy, it is possible to take organic material for histological and cytological examination. Colposcopy allows timely identification of various genital pathologies, including neoplasms.
Doctors distinguish between two types of colposcopy: simple and extended. The first technique is carried out only with the help of the device, without the use of special solutions. And with extended colposcopy, the doctor uses solutions of acetic acid or iodine to help identify some gynecological diseases.
It is worth noting that this procedure is painless. But is it safe during pregnancy? We asked our experts to answer this question.
Pregnancy and colcoscopy: expert opinion
The average duration of this study is from 10 to 20 minutes. The examination is performed on a gynecological chair, as well as on a routine examination. A gynecologist doing colposcopic examinations has a device next to the chair with which the doctor assesses the condition of the vulva, cervix, and patient's vagina. If an extended colposcopy is performed, the gynecologist will apply a special solution to the mucosa, which allows you to visually distinguish the affected areas of the epithelium from healthy ones.
Vinegar is often used as a solution, then the patient may feel a short-term burning sensation, and if the doctor uses Lugol or Iodine for research, there should be no unpleasant sensations.
Why is colposcopy prescribed during pregnancy?
Colposcopy of the cervix is a diagnostic measure aimed at determining the pathological changes that during pregnancy pose a risk to the normal development of the fetus. In addition to erosion, a colposcope examination is prescribed if dysplasia, leukoplakia is suspected, if there are neoplasms or if the vascular pattern is disturbed.
The whole procedure is carried out using a special optical device of the colposcope, which allows you to get more information about the state of the cervix than with a standard gynecological examination by a mirror.
The reason for the appointment of colposcopy mainly lies in the broken epithelial layer, when the doctor alone can not give a more accurate assessment. Also, a diagnostic procedure in early pregnancy is required if there are specific symptoms:
- pain during intercourse or after it,
- vaginal discomfort (itching and burning),
- pulling pain in the lower abdomen,
- rashes of a different nature on the external genitals.
Can I do colposcopy during pregnancy?
If there is a threat of miscarriage, then it is better to abandon the procedure, since colposcopy is dangerous by the formation of bleeding and spontaneous interruption of intrauterine development.
In the past three months, colposcopy of the cervix can have serious consequences, therefore, at this time, the manipulation is carried out only for serious reasons. Это связано с тем, что по мере формирования и развития плода увеличивается количество кровеносных сосудов, и любое вмешательство извне может спровоцировать обильное кровотечение.
Стоит заметить, что по статистике необходимость в накладывании швов возникает у менее, чем 1% пациенток. Therefore, colposcopy is becoming a very important event for the further appointment of therapy, as it provides the opportunity for accurate diagnosis.
Preparation and colposcopy
All manipulative actions during colposcopy are usually painless, but before carrying out the preparation is required, which includes the following recommendations:
- in 2-3 days it is desirable to exclude sexual activity,
- on the eve of the study, abandon the use of local medicines (suppositories, ointments, suppositories),
- For intimate hygiene, use only warm, clean water before the procedure.
After all manipulative actions, a small amount of vaginal smear can be detected, which will be considered a variant of the norm. The situation is caused by the reaction of the mucous to some chemical reagents.
Colposcopy: what is it
Colposcopy for pregnant women is a non-invasive diagnostic method that allows to examine the condition of the cervix. Manipulation is carried out with the help of a special device equipped with optical equipment. Coloring agents are also used.
A colposcope is inserted directly into the vagina. Pre-inserted mirror. The procedure does not cause pain or discomfort. The examination lasts a maximum of 15–20 minutes on a gynecological chair, as during a routine examination.
In early pregnancy, two types of examinations are performed:
- a routine is an inspection of a colposcope without the use of colorants,
- with the extended applied solutions of iodine, acetic acid.
A simple diagnosis is indicative, allows you to determine the size and shape, some diseases of the cervix, the condition of the mucous membrane, vascular pattern. For any suspicion of an atypical process, an extended colposcopy is performed. It allows you to examine the structure of the mucous membrane due to the treatment with acetic and salicylic acid. When using these substances, the epithelium swells, the blood supply to the mucous is reduced, pathological changes are detected.
Chromocolposcopy - the use of 0.1% hematoxylin solution or 1% nuclear dye solution. This is a more accurate method for determining precancerous and cancerous conditions of the mucous.
For dynamic examination microcolposcopy is applied. This is a histological examination of the vaginal area of the cervix. It is carried out without staining or with the processing of individual cellular elements using hematoxylin. Appointed in the identification of pathologies during the extended method to study changes in dynamics.
Such diagnostics is safe, it makes it possible to differentiate gynecological diseases, establish the exact localization and severity of atypical changes, structural disorders of the cervix, and make the final decision on the delivery.
Indications for pregnancy
Colposcopy of the cervix during pregnancy is not only the main method of prevention of cancer, it is shown in the following cases:
- Signs of erosion and other changes in the cervical mucosa found during a routine gynecological examination.
- Changes in the genital organs - vaginal discharge, appearing in different periods of the cycle, pain, discomfort during intimacy, unpleasant smell. Acyclic bleeding may be the first sign of a precancerous condition of the cervix or may indicate traumatic damage to erosion.
- Detection of atypical cells in a smear according to the results of cytological examination. The most informative method for detecting cancer cells is a biopsy, but colposcopy allows you to identify the localization of pathological changes and take only morphologically modified mucosal tissues for examination.
- Chronic inflammatory diseases. During pregnancy, they can worsen, causing unpleasant-smelling acyclic discharge, vaginal pain.
- Control examinations after the treatment of cervical erosion, malignant neoplasms.
The survey is not mandatory, you can take it on their own initiative. A woman goes to colposcopy according to the results of a previous smear or in the presence of neck dysplasia in history. With the preventive purpose such research is not carried out.
Diagnostics with colposcopy
Colposcopy has extensive diagnostic capabilities. This procedure in gynecology is used to detect even minor changes affecting the vaginal mucosa of the cervix. Studied:
- color of the epithelium before applying a solution of iodine and acetic acid and after,
- surface structure - the presence of erosion, plaques, elevations,
- pathologically altered vessels
- the location and size of the modified epithelial tissue,
- defining the boundaries of pathological foci,
- the presence of open or closed glands, their condition.
The results of the examination can be diagnosed diseases:
- About oncology says the presence of atypical cells. In this case, colposcopy is preceded by a biopsy and allows you to set the localization of the modified foci for more accurate tissue removal.
- Differentiation of cervicitis, polyps of the cervical canal, endometriosis, condyloma. Also, the diagnosis reveals the development of erosion at the initial stage.
- Detection of dysplasia by the presence of towering dense white plaques, the boundaries of which are determined by applying iodine solution.
- Acquired or congenital ectopia, erythroplasty.
Most diseases of the cervix are characterized by pronounced changes in the structure, color, and relief of the mucous membrane, which is precisely determined in the process of colposcopy.
Features of the procedure at different stages of pregnancy
Colposcopic signs of cervical lesions after conception acquire a more pronounced picture. A particular problem of pregnant women is decidosis. This tissue reaction is a variant of the norm, but during gestation it is stimulated by elevated levels of progesterone. As a result, tumors and polyps can occur at the level of exocervix and endometrium.
In the presence of pathology to obtain adequate treatment, it is desirable to conduct a study at the planning stage of conception. In the second and third trimesters of pregnancy, the possibility of colposcopy is limited, the procedure requires the professionalism of the doctor and has more side effects.
In the early stages
Colposcopy during pregnancy is done in accordance with strict indications. Usually, its purpose is preceded by a smear test. If atypical cells are found in it, diagnose the vagina and cervix to accurately identify the affected mucosal lesions.
During the first three months, the procedure is absolutely safe and is carried out in the same way as for non-pregnant women:
- The neck is treated with a solution of vinegar. This allows you to remove a thick viscous layer of mucus that interferes with the operation of the colposcope. At this stage, the woman may feel a slight burning sensation.
- Then treatment with iodine solution (Lugol) is performed to darken the mucous areas that have been modified.
- A tissue is taken for cytological examination. A smear is also taken to establish the presence of urogenital flora.
The probability of bleeding that occurs after the procedure is less than 1%. To prevent side effects after handling, a cotton swab with an antiseptic is applied to the damaged area.
In the 2nd and 3rd trimesters
Colposcopic examination after the first trimester has a number of features:
- In the second or third trimester hypertrophied swollen papillae of the mucous membrane of the cervical canal appear around the external pharynx. The ducts of the excretory glands dilate, viscous thick mucus stands out. This picture can be taken for the initial stage of pathology, although these changes are considered physiological and disappear 3-4 months after delivery.
- By the end of pregnancy, the physiological mucus becomes thick and viscous, which prevents inspection. During the colposcopic examination at these times, the treatment of the neck with 3% acetic acid solution is used, which allows for the removal of a thick deposit.
- Also, additional mirrors and wall extenders are sometimes used. The position in the chair during the inspection of a woman should be different - she falls on the right thigh. With the usual upright prone position, the pressure can drop sharply.
If pathology is detected during the first examination (usually when registering in the LCD), the procedure is prescribed for a period of 8–9 weeks. Then it is repeated at 12–14 and 24–25 weeks (for further observation or evaluation of treatment outcomes).
On late terms
In the final period of pregnancy, the study is carried out with great care, because if improperly carried out, it can cause premature labor, bleeding and other undesirable effects.
At the end of the third trimester, the blood filling of the mucous of the cervix increases, while a colposcope with careless use can injure it and cause bleeding. To prevent the use of paste Monsel, which cover the treated areas of the mucous membrane at the end of the manipulation.
Immediately before childbirth, diagnostics is rarely carried out, mainly in case of suspected malignancy of the tissues, bleeding neck erosion. According to its results, the mode of delivery is selected - caesarean section or natural childbirth.
Pregnancy after colposcopy
The examination does not increase or decrease the possibility of conceiving a child, after the procedure a healthy pregnancy occurs, provided that there are no pathologies on the part of the reproductive system.
Even if the colposcopy was performed during pregnancy at the earliest periods (1-2 weeks) in the absence of delay, it does not threaten the development of the child and the health of the woman.
During the gestational period, simple colposcopy is usually used to clarify the diagnosis, and an extended colposcopy for suspected malignant diseases.
Simultaneous biopsy (removal of mucosal cells for research) is used in exceptional cases, as it often causes bleeding, miscarriages in the early stages.
Non-invasive colposcopy allows you to accurately investigate the structure and nature of the cervical mucosa, to identify the initial stages of precancerous conditions.
Indications and Contraindications
With a simple colposcopy, you can get more information about the condition of the cervix than with an ordinary examination by a doctor without using a microscope. If extended colposcopy is used, then even the development stages of the precancerous and cancerous process can be seen. The condition of the cervical mucosa, its epithelial layer, blood vessels, pathologically changed tissues, the volume of lesions, in general, all types of anomalies in this area can be assessed through colposcopic examination.
Most often, doctors recommend passing this study to women who complain about:
- pain during and immediately after intercourse,
- intermenstrual bleeding and the appearance of blood after intercourse,
- burning and itching in the vagina,
- chronic pulling pains in the lower abdomen, worse over time,
- rash on the vulva.
Future moms colposcopy is performed with suspicion or presence of cervical erosion. However, in recent years, doctors have introduced this study to the list of mandatory for all pregnant women, since the frequency of gynecological pathologies increases significantly, and many women go to a doctor with an unplanned pregnancy. Moreover, from the moment of conception in the body of each woman, the immune defense is deteriorating, against the background of which gynecological diseases that have not been diagnosed before can flare up with a new force.
There are no contraindications to this study. Colposcopy is carried out even in early pregnancy. It is not dangerous for women and is not able to harm the unborn child.
However, if there is a threat of miscarriage, the study may be postponed until the disappearance of bleeding and increased tone of the uterus. Also colposcopy is not practiced in women who do not tolerate auxiliary solutions - acetic acid and iodine, used for the procedure.
Colposcopy during pregnancy - is it possible?
Of course, it would be better if any diagnostic studies were carried out at the planning stage of pregnancy, since the results of colposcopy help to study the general trends regarding the woman's gynecological health and suggest a forecast for a possible pregnancy. In any case, the answer to the question of whether colposcopy can be done during pregnancy will be positive. This research is not only possible, but necessary, if this is necessary.
Colposcopy is prescribed for any period of pregnancy after the doctor has become familiar with the state of the vaginal microflora. The procedure is assigned to all women, especially if we are talking about a possible pathology. To doubt the veracity and relevance of this diagnostic method is not necessary. The fact is that gynecological problems such as inflammation or erosion of the cervix during pregnancy can go into a phase of active development requiring urgent treatment.
The study is quite safe for both the future mother and the baby, because it does not interfere with the gestation process. A biopsy is often performed in conjunction with colposcopy, which allows for more accurate assessment of existing deviations.
Why is colposcopy done for pregnant women?
Low traumatic endoscopic examination allows the doctor to examine the cervix due to a special device - a colposcope. Its role is difficult to overestimate, the modern method accurately identifies diseases such as colpitis, various types of erosion, as well as precancerous conditions of the organ and oncology.
Today, there are more and more cases of oncological pathologies in the world, which means it is necessary to conduct colposcopy. Serious lesions of the cervix interfere with the spontaneous flow of labor, but doctors will have time to help the woman and later will hold a cesarean section.
Pregnancy makes a woman vulnerable to gynecological diseases, so the study in this case is carried out in a planned manner, but the recommendation to be examined does not mean that the patient has any pathology. Planned colposcopy will allow the gynecologist to see the surface of the cervix and to make sure that the birth will take place normally.
Often, doctors can prescribe the procedure being described, if the patient has a history of erosion or tissue dysplasia, as well as a suspicion of HPV infection.
What allows to reveal colposcopy
Is colposcopy safe for pregnant women?
Some women are concerned about their condition and do not know whether it is possible to do colposcopy during pregnancy. Of course, the ideal option is to conduct the manipulation before conception and collect all the information regarding the patient's health and its features, but in any case, the procedure does not harm the expectant mother and her child.
Colposcopy in any trimester is prescribed only after the doctor reads the woman’s history and test results.
Kolposkopichesky method aimed at identifying inflammation and more severe changes that during the period of gestation of the fetus without treatment pose a danger to the body.
It is possible to do colposcopy for a pregnant woman during the entire period of pregnancy, early or late in this case does not play a special role, the main thing is to listen to the recommendations of the gynecologist and properly prepare for the study.
After taking an elementary smear on the definition of microflora, a woman needs 48 hours before the procedure to exclude sex and local treatment methods, such as a candle and douching.
On the day of the manipulation it is necessary to carry out cleansing care of the genital organs using the usual means. Since the colposcope is not inserted into the vagina, but is in front of the patient, there is no risk for the woman’s body.
Possible consequences and complications after the examination
Each woman, before becoming pregnant, must understand why colposcopy is prescribed during pregnancy.
The study is done for the benefit of the health of the future mother and her child, so complications are extremely rare and include the following phenomena:
- discomfort in the vagina.
When conducting advanced colposcopy with the imposition of reagents may scarce dark color, they are not dangerous and quickly disappear.
Rarely there are bleeding, in such cases it is necessary to consult a gynecologist, but in most cases there is no threat to the fetus.
Если во время процедуры у беременной женщины производился забор фрагмента тканей на доскональное исследование (биопсия), то в течение 2 недель ей рекомендуется половой покой, отказаться от посещения сауны и бассейна, а также избегать физических нагрузок для того, чтобы минимизировать последствие манипуляции и уменьшить маточный тонус.
Планирование вторичной процедуры для беременных пациенток проводится по согласованию с доктором и с учётом показаний и противопоказаний.
Simple colposcopy has no serious medical value. Designed for surface inspection and detection of obvious abnormalities. During the inspection, the shape and size of the uterus, the color of the outer epithelium, the border of the flat and cylindrical epithelium, the nature of the discharge are evaluated.
For additional study of the surface of the cervix and blood vessels apply color filters.
Extended colposcopy is the most informative. Only it can fully give a complete picture of the state of the uterine epithelium. Estimated surface response to treatment with acetic acid, lugol and other substances.
- To begin with, the cervix is treated with 3% acetic acid. Surface vessels are normally reduced, narrowed and disappeared from view by 3-4 minutes. In the case of tumors, the walls of the vessels do not have a muscular layer and there is no response to the treatment.
- Then the doctor will proceed to test Schiller (surface treatment with Lugol solution with glycerin). Normally, stratified squamous epithelium will uniformly turn dark brown. If deviations exist, the affected area will remain brighter. On the basis of Schiller's test, the gynecologist will determine the area of the neoplasm, but a biopsy will be necessary for further research.
Types of coloscopy
Two types of colposcopy are actively used:
- Simple. It is performed without the use of special substances.
- Extended. When it uses different solutions. Helping to identify some diseases. Iodine, acetic acid, etc. are used as solutions.
The choice of the type of colposcopy remains, of course, for the doctor. Afraid of the pain of this procedure is not worth it. - maximum, a little discomfort, and that caused by the patient's anxiety rather than objective factors.
Briefly about the procedure
How is the procedure of colposcopy itself?
She is Lasts usually 10-15, maybe 20 minutes. The patient habitually lies on the gynecological chair, in a word, everything is as usual.
The doctor inserts a special mirror into the vagina. Pains wherein the patient is not experiencingPerhaps, a small chill is felt from contact with a metal frame.
Next to the gynecological chair, the doctor sets colposcope, a device that allows you to assess the condition of the vagina, cervix and vulva.
If the study is extended, the doctor will apply a special solution to the cervix (vinegar, for example), it may cause a slight burning sensation. But it will last just a few seconds.
If as a solution is used iodine or will it be lugol solution, no discomfort and does not arise. The solution is applied in order to identify healthy and affected areas: the latter will not change color.
If pathological areas are found, the doctor will necessarily conduct a biopsy: he will take a tissue fragment for analysis.
There are some recommendations that the patient should take into account before the procedure:
- 1-2 days need to refrain from sex (namely vaginal sex),
- before the procedure, just in case, take a painkillerwhich is sold without a prescription (for example, ibuprofen),
- for two days before the procedure itself refrain from using tampons.
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Indications for colposcopy
Main indication for carrying out the procedure during childbirth - cervical erosion. In some types of erosion, treatment may take place during pregnancy, which makes it possible to detect new lesions.
With erosion colposcopy helps the doctor decide how the delivery will take place. Quite often, a cesarean section is prescribed, because the disease can lead to rupture of the cervix, and therefore serious consequences for women's health.
If slight erosion is detected, the doctor will prescribe a woman to take a special medication, and maybe vaginal suppositories. Usually after a short course of erosion itself resolves.
What is a colposcopy of the cervix during pregnancy
Colposcopy is an endoscopic method of research that is used to detect diseases and pathological disorders of the uterine cervix. Examination of the uterus colposcope is included in the list of mandatory diagnostic methods in obstetrics.
Colposcopy is a diagnostic method that is used to identify cervical pathologies and can be prescribed during pregnancy. The colposcopic examination procedure is absolutely safe for the fetus and the expectant mother.
Mild forms of diseases that are detected by colposcopy during the period of gestation are more often not subject to therapy. Therefore, the results of colposcopic examinations will remain valid for women after delivery.
Often, during colposcopy, pregnant women are diagnosed with precancerous and cancerous lesions of the uterine cervix. Such conditions affect the normal course of gestation and interfere with natural labor. Establishing an accurate diagnosis and identifying the cause of pathological disorders is especially important because it is these results that can affect the mode of delivery (independent delivery, cesarean section).
At what time a colposcopy is carried out in the period of gestation
As a rule, colposcopy during pregnancy is prescribed in the early stages — when registering a pregnant woman or shortly thereafter. The first colposcopic examination is recommended at 8-9 weeks of gestation. If no pathologies are found, a rerun is not required.
When detected in pregnant erosion or other urogenital diseases (cervicitis), colposcopy is prescribed at the beginning of each trimester. This will allow to control the course of the pathology and evaluate the results of the prescribed therapy. If you suspect any violations that threaten the normal course of pregnancy, colposcopy can be assigned to any period of gestation.
To obtain reliable diagnostic results, it is recommended to abstain from sexual intercourse, drug injection into the vagina, douching and the use of synthetic detergents for intimate hygiene 3-4 days before the forthcoming manipulation.
After colposcopy, blood-sucking vaginal secretions can be observed for 2-3 days. This is the norm. If the leucorrhoea has become bloody, abundant and accompanied by nagging painful sensations in the lower abdomen, you should immediately consult a doctor.