Colposcopy
Colposcopy is an important diagnostic procedure that allows a gynecologist to examine the lining of the cervix, vagina, and external genitals under magnification. This examination is especially necessary if Pap test results are abnormal or if there is a suspicion of precancerous conditions or cancer of the cervix. The procedure uses a colposcope, which is a microscope with a light source. If needed, tissue samples (biopsies) are taken for further analysis.
When to see a specialist
- Abnormal Pap test results: When a Pap test shows changes in cervical cells that require further investigation.
- Suspicion of precancerous cervical conditions: We identify and assess cervical dysplasia (abnormal cell growth on the cervix).
- Suspicion of cervical cancer: Early diagnosis is critical.
- Human papillomavirus (HPV) infection: We assess changes in the mucous membrane caused by HPV.
- Bleeding after intercourse: We investigate the cause of the bleeding.
- Unusual changes on the cervix, in the vagina, or on the external genitals: Such as sores, polyps, or other growths.
- Follow-up after cervical treatment procedures: We check for healing and the risk of recurrence.
Common symptoms
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Irregular bleeding
Bleeding between periods, after intercourse, or after menopause. -
Persistent pain in the pelvic area
Especially if it is related to cervical problems. -
Unusual findings in a PAP test
If PAP test results show changes in cervical cells. -
Visible changes on the cervix
If a gynecologist has noticed unusual changes during a routine examination.
How to prepare for your appointment
- The examination is not performed during your period. Please schedule your visit for a time when you are not menstruating.
- Do not use vaginal suppositories, tampons, douches, or have sexual intercourse for 24-48 hours before the examination.
- Inform your doctor about all medications you are taking, especially blood thinners.
- Please wash carefully before coming to the examination.
- Think about any questions you may have about the examination and ask our staff before the procedure.
What to expect during your appointment
Reception and preparation
We will welcome you and explain the procedure. We will ask you to sit in a gynecological chair.
Cervical examination
We will insert a special instrument called a speculum into your vagina and place the colposcope in front of the vaginal opening. The colposcope does not enter the vagina but allows us to view the cervix under magnification.
Staining
We will clean the cervix and apply an acetic acid solution, followed by an iodine solution. These solutions help to highlight any abnormal cells and changes in the lining.
Biopsy
If we identify any suspicious areas, we will take a small tissue sample (biopsy) for further histological analysis. Taking a biopsy may cause a slight stinging pain or discomfort.
End of the procedure
After the examination and biopsy, if taken, we will remove the speculum. The entire procedure usually lasts 10–20 minutes.
Aftercare
We will give you instructions on aftercare, possible symptoms, and medications. You may experience some light bleeding after a biopsy.
Results
We usually receive the biopsy results within 2-3 weeks, after which the doctor will explain the results to you and create a treatment plan.
Specialists providing this service
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dr Jaanika Heinväli
resident gynecologist
Rävala Clinic – Specialist Medical Care and Occupational Health
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Payment & Appointment Info
Prices
Tallinn
| Service | Price |
|---|---|
| Visit fee Added to the appointment fee. | 20 € |
| Colposcopy The need for and suitability of the procedure will be assessed during a prior consultation with a specialist in Meliva, and the decision to proceed will be made jointly with the specialist. | 39 € A visit fee is added to the price. |
| Colposcopy with the taking of 1 biopsy sample The need for and suitability of the procedure will be assessed during a prior consultation with a specialist in Meliva, and the decision to proceed will be made jointly with the specialist. | 60 € A visit fee is added to the price. |
Everywhere else in Estonia
| Service | Price |
|---|---|
| Visit fee Added to the appointment fee. | 13 € |
| Colposcopy The need for and suitability of the procedure will be assessed during a prior consultation with a specialist in Meliva, and the decision to proceed will be made jointly with the specialist. | 39 € A visit fee is added to the price. |
| Colposcopy with the taking of 1 biopsy sample The need for and suitability of the procedure will be assessed during a prior consultation with a specialist in Meliva, and the decision to proceed will be made jointly with the specialist. | 60 € A visit fee is added to the price. |
Payment methods
With a doctor’s referral, Meliva Health Insurance covers this service under Outpatient Care coverage. Check your personal coverage limits in the ERGO app.
Referral
A doctor’s referral is required to book this service.
Who is this appointment for?
Colposcopy is for women who have suspected precancerous conditions or cancer of the cervix, or abnormal Pap test results.
A referral for the examination is usually made by a gynecologist.
Colposcopy is a safe procedure, but during pregnancy, a biopsy is performed only if absolutely necessary.
It is a diagnostic tool, not a treatment.
Clinics offering this service
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Open
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Frequently Asked Questions
What is a colposcopy?
Colposcopy is a detailed examination of the cervix, vagina, and external genitals using a special microscope to detect precancerous changes and cancers.
Is colposcopy painful?
The colposcopy itself is usually painless. Taking a biopsy may cause a slight stinging pain or discomfort, but this is brief.
How long does a colposcopy take?
The colposcopy procedure usually takes 10–20 minutes.
What does a colposcopy show?
Colposcopy shows changes in the lining of the cervix, vagina, and external genitals, helping to identify inflammation, precancerous conditions, and cancer.
Do I need a referral for a colposcopy?
Yes, a referral from a gynecologist is usually required for a colposcopy, as it is a specific diagnostic procedure that a doctor decides is necessary.