A colposcopy is an office procedure that is recommended when you have an abnormal Pap smear. This procedure should be done when you are not experiencing your menstrual period so that your cervix can be fully visualized. After placing a speculum in your vagina, a magnifying scope is used to look at your cervix for signs of abnormal cells. Biopsies are performed to sample the abnormally appearing areas. You may experience mild cramping and discomfort. Bleeding also occurs from the biopsy sites, which is controlled with a medicine called Monsel's solution. You can expect a "coffee-ground" like vaginal discharge for 5-7 days after the colposcopy. It is okay to use liners or pads as needed. The results of the biopsies are available 7-10 days after the procedure. You will receive specific follow up instructions once your health care provider has reviewed the biopsy results. Please call the office if you have not received results of follow up instructions in two weeks.
An endometrial biopsy is an office procedure in which a sample of the lining of your uterus is collected. This procedure is usually recommended to diagnose the cause of abnormal uterine bleeding, breakthrough bleeding or spotting, and postmenopausal bleeding. This procedure uses an instrument called a “pipelle” that resembles a very thin straw. After placing a speculum in your vagina, your cervix is fully visualized and the pipelle is inserted directly through the cervix into the uterus. The pipelle is then moved around to sample tissue from the walls of the uterus. The procedure does cause cramping and slight vaginal bleeding. You may take pain medication (acetaminophen or ibuprofen) before and after the procedure to alleviate the discomfort. Take the medicine 30 minutes before your appointment time. The results of the biopsies are available 7-10 days after the procedure. You will receive specific follow up instructions once the biopsy results have been reviewed by your health care provider. Please call the office if you have not received results or follow up instructions within two weeks.
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