Colposcopy: A Closer Look at the Cervix
Colposcopy is a magnified examination of the cervix performed in the office — the next step after an abnormal Pap smear, a positive high-risk HPV result, or persistent low-grade findings that warrant closer evaluation. It is not a treatment. It is a diagnostic procedure that allows Dr. Andrei to see the cervix at 10–40 times magnification, identify any abnormal areas, and take a targeted biopsy from exactly the right location if needed.
The colposcope is a lighted magnifying instrument that sits outside the body — it does not enter the vagina. Dr. Andrei applies a dilute acetic acid solution (similar to vinegar) to the cervix during the exam, which causes abnormal cells to temporarily turn white and become visible. If an abnormal area is identified, she takes a small directed biopsy from that exact site. The biopsy is sent to pathology and results are available within one to two weeks.
Most women who need colposcopy are anxious about it because they do not know what to expect. The procedure itself takes approximately 15–20 minutes and is performed in the same exam room used for a Pap smear. No anesthesia is required. The most common sensations are mild pressure from the speculum and brief cramping if a biopsy is taken.
When Dr. Andrei Recommends Colposcopy
Colposcopy is recommended based on Pap and HPV results. An abnormal result does not mean cancer — it means a closer look is warranted.
High-grade Pap result (HSIL)
A Pap showing high-grade squamous intraepithelial lesion — significant abnormal cell changes that require colposcopic evaluation and biopsy to determine the degree of dysplasia.
Positive high-risk HPV with any abnormal Pap
HPV-positive results combined with any degree of Pap abnormality — including low-grade findings — that meet current guidelines for colposcopic evaluation.
Persistent low-grade findings over multiple cycles
Low-grade abnormalities (LSIL or ASC-US) that have persisted on serial testing rather than resolving — where colposcopy is now indicated to evaluate the underlying cause.
Abnormal-appearing cervix on routine exam
A cervix with an unusual appearance, lesion, or area of concern identified on pelvic examination — where direct visualization with colposcopy helps characterize the finding.
Positive high-risk HPV without prior colposcopy
High-risk HPV genotypes (particularly HPV 16 and 18) that warrant colposcopy based on current cervical cancer screening guidelines regardless of Pap result.
Follow-up after prior CIN or treatment
Surveillance colposcopy after prior cervical dysplasia, LEEP, or cold knife conization — to assess healing and confirm the absence of residual or recurrent disease.
Step by Step — What to Expect
Colposcopy at Lapeer Women’s Health takes approximately 15–20 minutes. You are awake throughout. The procedure is performed in a standard exam room — no operating room, no hospital, no anesthesia.
Positioning and Speculum Placement
You lie on the exam table as you would for a Pap smear. A speculum is inserted to open the vaginal walls and bring the cervix into view. Dr. Andrei positions the colposcope outside the vaginal opening — it does not touch you or enter the vagina.
Acetic Acid Application
A dilute acetic acid solution is applied to the cervix with a cotton swab. This is the same mild acid found in vinegar and causes a brief stinging sensation. Abnormal cells temporarily turn white under this solution, making them visible under magnification.
Magnified Examination
Dr. Andrei examines the entire cervix under the colposcope at various magnification levels. She identifies any areas that appear abnormal — noting the location, size, and characteristics of any white or atypical tissue.
Directed Biopsy (if indicated)
If an abnormal area is identified, Dr. Andrei takes a small tissue sample from that exact site using a punch biopsy instrument. This causes a brief sharp cramp — lasting one to two seconds. More than one biopsy may be taken from different sites. The specimen is sent to pathology.
If a biopsy was taken, expect light spotting or brownish discharge for a few days. Avoid tampons, intercourse, and tub baths for one week to allow the biopsy site to heal. Pathology results are available within one to two weeks and are reviewed with you by Dr. Andrei at a follow-up appointment or by phone.
Questions About Colposcopy
An Abnormal Result Is Not a Diagnosis.
Colposcopy Provides the Answer.
If you have received an abnormal Pap or HPV result and have been told you need a colposcopy, schedule with Dr. Andrei at either Lapeer or Rochester Hills. The procedure takes 20 minutes and gives you a clear answer about what is happening on your cervix.
Gynecologic care for women of every age
Lapeer Women’s Health — Rochester Hills
2710 S Rochester Rd, Suite 2
Rochester Hills, MI 48307
Serving patients in Lapeer, Rochester Hills, and surrounding communities throughout Southeast Michigan.