Office

2828 Maplewood Ave., Suite B

Winston Salem, NC 27103

Office: (336) 794-1444

Fax: (336) 794-1477

Hours of operation:

8:30 a.m. to 4:30 p.m.

Monday through Thursday.

8:30 a.m. to 2 p.m.

Friday

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Colposcopy

Abnormal PAP smears are evaluated with a special microscope in the office. A vinegar solution is used to bathe the cervix which highlights areas of potential abnormality on the cervix. These changes are rarely visible to the naked eye. Subtle changes are identified under the microscope which can predict what type of lesion exists. Mild dysplasia looks different from severe dysplasia which looks different from cancer. These areas are mapped and a pinch biopsy is taken. Minimal if any discomfort is experienced. Minimal bleeding may occur over the ensuing 3-5 days. No limitations of activity follows colposcopy.

Biopsies are sent to the pathologist who examines the specimen and renders a tissue diagnosis. I put together the pap smear result, my impression from the colopscopic examination, and the biopsy result to design a treatment plan.

We know that one third of women with mild dysplasia can heal these lesions on their own. Since they are caused by the hpv virus, if the virus goes away, the lesions will also. We are not yet able to predict who will be able to rid themselves of the virus and heal the lesions and who will progress to moderate dysplasia then severe then ultimately cervical cancer without treatment. Women who choose to observe their lesions require pap smears every 6 months until the pap is normal and the hpv is negative or until they progress to a moderate lesion which should then be removed.

Some women with mild dysplasia will not elect to manage their lesions conservatively with pap’s every 6 months. They may elect to proceed with removal of the abnormal tissue. This is also recommended for any patient with a biopsy showing anything worse than mild dysplasia. These lesions are generally treated with a LEEP procedure.