Test Overview
Colposcopy lets a doctor look at your vulva, vagina, and cervix. If the doctor sees a possible problem, they can take a small sample of tissue. This is called a biopsy. Then another doctor studies the tissue under a microscope.
Most people have this procedure after they have abnormal results from a Pap or human papillomavirus (HPV) test.
During the test, your doctor puts a lubricated tool into your vagina. This is called a speculum. It opens the vagina a little bit. This allows your doctor to see inside your vagina and the cervix. The doctor also uses a magnifying device to help see better. This device does not go inside your vagina.
The doctor may put vinegar or iodine on your cervix. This can help the doctor to see any areas that are not normal. Sometimes the doctor also takes photos or videos.
When the speculum goes in, it can feel a little uncomfortable. If the doctor does a biopsy, you may feel a pinch and have some cramping.