Colposcopy Specialist

Edward S. Wagner, M.D. -  - Obstetrics and Gynecology

Edward S. Wagner, M.D.

Obstetrics and Gynecology located in Hollywood, FL

When your Pap smear comes back with abnormal results, a diagnostic colposcopy is performed to examine your cervix closely. Dr. Edward S. Wagner has extensive experience conducting colposcopies, identifying abnormal tissues, and providing effective treatment. If it's time for a Pap smear or you have questions about your Pap results, call Dr. Wagner's office in Hollywood, Florida, or use the online booking tool to schedule an appointment today.

Colposcopy Q & A

What is a colposcopy?

A colposcopy is a diagnostic procedure performed in the doctor’s office. Dr. Wagner uses a colposcope, which gives him a magnified view of the tissues lining your cervix and vagina, allowing identification of inflammation and precancerous or cancerous changes.

During a colposcopy, Dr. Wagner swabs your cervix with a solution that highlights abnormal cells. If abnormalities are present, Dr. Wagner can perform a biopsy.

When is a colposcopy performed?

Colposcopy is most often performed when you’ve received abnormal Pap smear results. Dr. Wagner may also consider colposcopy if you have abnormal bleeding, an inflamed cervix, or your symptoms suggest the need for a close-up evaluation.

What is an abnormal Pap smear?

A Pap smear screens for cervical cancer by removing a small amount of cervical tissue and sending it to a lab for evaluation. The lab report states whether the cells in the sample were normal or abnormal, grading any abnormal cells based on their severity.

The results of an abnormal Pap smear range from:

  • Atypical squamous cells: changes in cervical cells, usually due to an HPV infection
  • Low-grade squamous intraepithelial lesion: mildly abnormal cell changes due to HPV, often resolves on its own
  • High-grade squamous intraepithelial lesion: moderate to severe changes, likely associated with precancerous changes or cancer
  • Atypical glandular cells: suggests precancerous changes in the upper cervix

Depending on your results, Dr. Wagner may recommend waiting a few months, then having a repeat Pap smear or a colposcopy to verify the cause of your abnormal test results.

How are abnormal cervical cells treated?

Depending on the extent or depth of the abnormal cervical cells, they may all be removed during a biopsy.

In most cases, however, abnormalities are removed using one of the following methods:

Loop electrosurgical excision procedure (LEEP)

This procedure uses a medical instrument made from a thin wire loop that carries a mild electric current. It effectively removes thin layers of your cervix, so it may be used to take a biopsy and to remove abnormal cells.

Conization

Also called a cone biopsy, this procedure cuts out some more cervical tissue to ensure any possible cancer cells are removed.

Ablative treatments

Cryotherapy freezes abnormal cells while laser therapy heats them — both procedures destroy precancerous and cancerous tissues.

If you need a Pap smear or colposcopy, call Dr. Wagner for an appointment or book one online.