Dr Nancy Peters

Colposcopy

Colposcopy in Miranda

Being told you have had an abnormal cervical screening test (pap smear) can be worrying. Many women feel anxious when they are told they may need a colposcopy, particularly if they are unfamiliar with what the procedure involves.

Dr Nancy Peters offers an in-room colposcopy service in Miranda, allowing women to be assessed promptly and comfortably in a familiar setting.

She understands that patients often feel nervous about cervical screening abnormalities, and takes the time to explain results carefully, answer questions and ensure women feel informed and reassured throughout the process.

Most women who require colposcopy do not have cancer. In many cases, colposcopy identifies minor cervical changes that can either be monitored or treated before they become serious.

What is Colposcopy?

Colposcopy is a procedure used to closely examine the cervix, vagina and vulva using a specialised microscope called a colposcope. The microscope magnifies the area being examined to look closely at the cervix and surrounding tissues.

During the procedure, special solutions may be applied to highlight any abnormal areas. In some cases, a small biopsy may be taken for further testing.

A colposcopy appointment is usually performed in the consulting rooms and generally takes around 15 to 30 minutes.

If you have an appointment for colposcopy but are on your period, please contact the practice to reschedule. 

Reasons For Colposcopy

The most common reason for colposcopy is an abnormal cervical screening test, particularly when high-risk HPV (human papilloma virus) has been detected.

Since the introduction of HPV-based cervical screening in Australia, many women are referred for colposcopy because of:

  • Persistent HPV infection
  • HPV types associated with a higher risk of cervical cancer
  • Abnormal cervical cell changes
  • Previous abnormal screening results

HPV is very common and most sexually active people will be exposed to it at some point in their lives. In most cases, the immune system clears the virus naturally.

However, some women may develop changes to the cervix that require closer assessment.

Sometimes the cervix may appear abnormal during a routine pelvic examination or cervical screening test (pap smear). Colposcopy can help assess the area more closely and determine whether further investigation or treatment is needed.

Bleeding after sex (postcoital bleeding) can occur for many reasons and is often not serious. However, persistent or recurrent bleeding after sex should be investigated.

Possible causes include:

  • Cervical inflammation
  • Cervical polyps
  • Cervical ectropion
  • Infection
  • Cervical precancerous changes

Colposcopy can help identify the underlying cause.

Colposcopy may also be recommended for women who experience unexplained vaginal bleeding, particularly if bleeding occurs between periods, after menopause or after sex.

What to Expect During a Colposcopy

A colposcopy is similar to having a cervical screening test (pap smear).

During the procedure:

  • You will lie comfortably on an examination bed
  • A speculum will be inserted into the vagina
  • The cervix will be examined with the colposcope
  • Special solutions may be applied to the cervix
  • A biopsy may be taken if needed

If a biopsy is taken, you may experience a brief stinging/cramping sensation.

After the procedure, you may have mild spotting or light bleeding for a day or two.

Dr Peters aims to make the experience as comfortable and stress-free as possible by explaining each step clearly and ensuring you feel supported throughout the appointment.

Conditions Diagnosed with Colposcopy

Colposcopy is commonly used to diagnose cervical intraepithelial neoplasia (CIN), which refers to precancerous changes in the cells of the cervix.

These changes are often described as:v

  • Low-grade changes
  • High-grade changes

Low-grade changes often resolve naturally and may simply need monitoring.

High-grade changes are more significant and are usually treated with a day procedure to reduce the risk of developing cervical cancer in the future.

Cervical cancer is uncommon in Australia due to the success of cervical screening and HPV vaccination programs. However, it remains important to identify cervical cancer as early as possible when treatment is most effective.

Colposcopy helps investigate suspicious areas and determine whether biopsy or further treatment is required.

VAIN refers to abnormal cell changes in the lining of the vagina. These changes are uncommon but can sometimes occur in women with HPV infection or previous cervical abnormalities.

VIN refers to abnormal cell changes affecting the skin of the vulva. Symptoms can include itching, discomfort, skin changes or persistent irritation.

Colposcopy and vulval examination can help diagnose these changes early.

Cervical polyps are small growths on the cervix that are usually benign (non cancerous). They can sometimes cause bleeding after sex or between periods.

Cervicitis is inflammation of the cervix, which may be caused by infection, irritation or hormonal changes.

Symptoms can include:

  • Vaginal discharge
  • Bleeding after sex
  • Pelvic discomfort
  • Irritation

Colposcopy can help assess the cervix and guide appropriate treatment.

Treatment Following Colposcopy

If abnormal cells are identified, treatment may include:

  • Repeat cervical screening and monitoring
  • Biopsy
  • LLETZ procedure
  • Cone biopsy
  • Removal of cervical polyps
  • Further surgery if needed

Dr Peters provides clear advice about the next steps and ensures women understand their diagnosis and treatment options.

Why Choose Dr Nancy Peters for Colposcopy?

Women often appreciate Dr Peters’ calm, compassionate and thorough approach. She understands that cervical abnormalities can cause significant anxiety, and she believes in taking the time to explain results carefully and involve patients in decision-making.

The in-room colposcopy at Miranda provides convenience, continuity of care and timely access to investigation and treatment.

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Book An Appointment

If you have been told you need a colposcopy, have had an abnormal cervical screening test (pap smear), or are experiencing abnormal bleeding, Dr Peters can provide prompt assessment and personalised care.

Appointments are available in Miranda for both public and private patients.

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