Female friends who know very little about gynecological diseases often make colposcopy or colposcopy biopsy by mistake, don't check it indiscriminately! Colposcopy + biopsy can not be done randomly. According to the results of the previous screening, the doctor will then arrange whether to do colposcopy + biopsy. So what is the situation for colposcopy? When is the colposcopy biopsy?
Colposcopy can clearly examine the cervix and genitals, allowing doctors to observe the changes in the cervical epithelium and blood vessels to diagnose whether there are abnormal birth lesions and determine the severity of the lesions. However, colposcopy is not necessary in all cases. Colposcopy is not a first-line screening tool for cervical lesions, but should be used when there are abnormal results in preliminary screening (such as cytology with or without HPV examination). The purpose is to guide whether a biopsy is required to determine the location of the lesion and evaluate the disease.
The "three steps" of cervical lesion screening: cytology-colposcopy-biopsy mode, if the first step, cytology with or without HPV examination is normal, and there are no symptoms such as bleeding after sex , There is no need to enter the second-order colposcopy.
Many people face a question after detecting abnormal HPV. Should a biopsy be done? A biopsy can more clearly clarify the status of the cervix and determine the treatment plan. However, a biopsy is a traumatic test. Should it be done?
HPV infection is only the cause, but TCT shows the result. If HPV is positive and TCT has the following conditions, colposcopy and biopsy are required. Other conditions are generally not required.
1. HPV positive + TCT (ASC-H), which is atypical squamous cells, does not exclude high-grade squamous intraepithelial neoplasia.
2. HPV positive + (LSIL) is low-grade squamous intraepithelial lesions.
3. HPV positive + (HSIL) high-grade squamous intraepithelial lesions.
Whether it is a colposcopy or a biopsy, you must consult your doctor for advice.