Cone Biopsy: Uses, Side Effects, Procedure, Results - Verywell Health This exam allows an obstetriciangynecologist (ob-gyn) to find problems that cannot be seen by the eye alone. You should be sure to bring your test order form, your health insurance card, a form of identification, and a method of payment if you need it. Treatments for significant lesions include ablative treatments (cryotherapy, thermocoagulation, and laser ablation) and excisional methods (loop electrosurgical excision procedure or LEEP, or Cervical conization). The recommendations for minimum and comprehensive colposcopy practice derived from this survey with input from the steering committee and from public comments addressed the following 6 major components of the colposcopy procedure: the precolposcopy evaluation, the examination, use of colposcopy adjuncts, documentation, biopsy sampling, and postcolposcopy procedures (see text and Table 4). Colposcopy | Johns Hopkins Medicine CIN is not cancer but if untreated can develop into cancer. In: Netter's Obstetrics and Gynecology. The doctor or nurse will put a speculum into your vagina and open it. Cone biopsy is useful when diagnosing or treating cervical intraepithelial neoplasia (CIN), a precancerous condition, or cervical cancer . Knowing what to expect during your colposcopy may help you feel more comfortable. In addition to some light vaginal bleeding, you may notice a dark discharge from the solutionthat your healthcare provider used to help visualize your cervix. Therefore, Damage to the small filters inside your kidneys is known as glomerulonephritis (the glomeruli). Purpose Review/update the In addition, a comprehensive examination includes evaluation of the upper vagina with magnification, examination of the cervix after application of 3%5% acetic acid using multiple magnifications, and the use of both white light and a red-free (blue or green) filter. 1. Your healthcare provider will then take careful note of what they can see. Minimum refers to those basic elements needed to adequately perform colposcopy for the prevention of cancer. Colposcopy | ACOG Ninety-six percent of survey respondents indicated that they document the location of lesions seen. You will lie on an exam table, with your feet and legs supported as for a pelvic exam. It is generally easy to tolerate with few side effects. 10University of South Carolina Department of Family and Preventive Medicine, Department of Obstetrics and Gynecology University of South Carolina School of Medicine, Columbia, SC11Department of Obstetrics, Gynecology, & Women's Health, Rutgers New Jersey Medical School, Newark, NJ; and 12Department of Obstetrics, Gynecology and Reproductive Sciences, University of Pittsburgh Medical School Pittsburgh, PA, Reprint requests to: Alan G. Waxman, MD, MPH, Department of Obstetrics and Gynecology, MSC 10 5580 1 University of New Mexico Albuqueruqe, NM, 87131. Colposcopy is used to follow up abnormal cervical cancer screening tests (eg, Pap smear, human papillomavirus [HPV] testing) or abnormal areas seen on the cervix, vagina, or vulva. The results of our survey should not be generalized to all US colposcopists. Logistical and meeting support for this project was provided by ASCCP. If you are having a colposcopy, your health insurance company may require a pre-authorization, which your healthcare provider's office should take care of.