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hi I'm dr. Randy Wagner and coming off.the last video about that normal patch.I'm going to talk about colposcopy.[Music].so what a colposcopy is is looking more.closely at the cervix under.magnification with a culpa scope and.we'll look at the copa scope in a minute.and taking biopsies of the cervix and.making sure that there's not anything.worse going on than what's shown in your.pap smear pap smears of screening tests.just kind of blindly taking cells from.the surface and cervix where colposcopy.is making a determination of exactly.what's going on in the tissue okay.there's a couple things that we talked.about one is exactly how we do the.colposcopy so that surprised by what's.going on and the other thing is what the.possible outcomes are so couple scopes.look at number of different ways however.they all have a similar way of working.basically it's just magnification the.speculum is put into the cervix the.cervix is wiped off with seated acid.which is vinegar so what happens is the.abnormal parts of the be immoral cells.or the abnormal areas turn what we call.a see the white which is which is white.and we can see that so the doctor will.look through here put the acetic acid on.and just take a look at the entire.surface of the cervix sometimes we use.what we call the green filter to look.for abnormal vessels but basically.nothing's guarantee it's just a.magnification scope so while we're.looking at the cervix through the scope.the surface of the cervix kind of looks.like this this is.outside this is the opening of the.cervix which we call the Oz and there's.something here that we call a.transformations on and this is where the.majority of the abnormal cells occur.because of the cell turned over at this.point the colposcopy is adequate if we.can see this entire transformation zone.sometimes there are abnormal areas that.are white and in that case we take.biopsies of those areas now five-cheese.can sound like a scary word there's.actually not a whole lot of nerve.endings and the surface of the cervix so.you can feel a little pinch with the.biopsy but it's honestly not painful.the biopsy forceps that we use have a.little tiny end with a little tooth and.we take a little bit of the cervix and.then stop the bleeding if there is any.bleeding so those most physicians will.take one or two biopsies of the cervix.whether or not they see in the abnormal.areas so if you get biopsies done it.doesn't necessarily mean that we see an.abnormal area the other thing that we do.is something like an e CC or an end of.cervical care at tosh so in the US where.we can't see that area we take some.cells for that from that area everything.gets put in a jar and sent to pathology.that can be a little crampy when it's.done but again pretty minimal if you can.be relaxed and kind of know what's going.on ahead time it's a fairly short.procedure and it's minimally painful so.the other thing you should know about.the results of the colposcopy is that.you're gonna get a tissue pathology.rizal amount of pap smear result so.instead of the low-grade high grade.differentiation we have CIN 1 CIN 2 and.CIN 3 okay so this is just like the.low-grade and high grade it goes from.less than normal to more abnormal.com1 we don't really worry about the.low-grade abnormality we'll probably.repeat the pap smear.these are what we're more concerned.about these are higher grade higher.grade abnormalities this is where you.have a discussion about your position.with your physician about what to do.about this if you're a young healthy.person you have CI.ciara - it may be worth following you.seeing whether it addresses he's CIN one.two three abnormalities if you just let.them go again it would take many years.for them to progress the cancer but they.do need to be taken care of.and followed none of these are cancer.none of these are horrible pre-cancer.they're just the kind of thing that many.possibly progress to that over years CIN.3 we usually do a surgery like a leap.which we'll talk about in the next video.to get those abnormal cells to basically.remove the transformation zone and.hopefully remove any abnormal cells so.that the rest of the tissue can grow.back normally so this is the most.concerning you can also get a pretty.invasive cancer on these biopsies but.that's not unusual certainly so they say.CIN CIN Susie I mean three of these are.hopeless about that tissue biopsy.results so that hopefully it's less.confusing if you do get these results so.hopefully this gives you a little bit of.ends up what to expect from a.colonoscopy and it's a little bit less.anxiety for okay.

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Can doctor see cervical cancer during colposcopy?

A2A. Absolutely not. Anything that goes on under my supervision is my responsibility. While I imagine some limber women would be able to insert a speculum into themselves, it would be next to impossible for them to be able to swab appropriately, as you need to be able to see where you are putting the swab. This is all the more true for Pap smears. We do offer conscious sedation to patients with serious psycho-emotional reactions to procedures. Most commonly this is offered to young girls (< 13 years) who need a pelvic exam done. But a gynecologist may be willing to offer it for an adult woman if Continue Reading

What can doctor see during colposcopy?

If you mean”colonoscopy”, running the tube up your colon, not a big deal. There’s a solution you drink the day before to make sure your colon is completely empty, then for the procedure they use air to expand your colon while the thin flexible tube is inserted. YOU ARE SEDATED. This thin flexible lighted tube is maneuvered the length of your colon to inspect. They can take pictures, and if necessary, they can use instruments inserted or connected to the scope, to remove any polyps they may find. Polyps CAN turn into cancer. Don’t always, but can. The whole thing doesn’t take very long. Colon c Continue Reading

Can cancer be detected by a colposcopy?

Yes. It helps to examine cervix, vagina and vulva in detail and in magnified manner. Also samples like pap smear can be taken. If there are abnormal areas on examination, then biopsy can be taken to find out presence of cancer in these areas.

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