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Smears · 4 min read

Your colposcopy appointment, step by step

Being asked to come back after a smear can be worrying. Here is what a colposcopy involves and what happens next.

Patient looking at a diagram of the womb on a tablet during an appointment
Miss Roopa Bangari, consultant gynaecologist

Written by Miss Roopa Bangari

Consultant Gynaecologist · BSCCP colposcopist

Why have I been asked to have a colposcopy?

Most people are invited because their cervical screening found high-risk HPV and some changed cells. A colposcopy takes a closer look so any changes can be checked and, if needed, treated early.

What happens during the appointment

  • Talk first: Miss Bangari explains your result and answers your questions
  • The examination: a speculum is used, as for a smear, and the cervix is viewed through a magnifier
  • A liquid test: a weak solution shows any areas that need a closer look
  • A small biopsy: sometimes taken; it feels like a brief pinch
Gloved hands preparing a sample in a laboratory

After your colposcopy

You can go back to normal activities the same day. Light spotting is common for a few days. Results are usually sent within four weeks, with a clear plan for what happens next.

Good to know

Changed cells are not cancer. Most changes either go away on their own or are easily treated.

Questions people often ask

Does colposcopy hurt?

Most people feel mild discomfort, similar to a smear test.

Can I have it during my period?

Answer to follow: awaiting client copy.

Can I bring someone with me?

Answer to follow: awaiting client copy.

Miss Roopa Bangari, consultant gynaecologist

Written by Miss Roopa Bangari

Consultant Gynaecologist · BSCCP colposcopist

Book a consultation

In clinic at Harley Street, Moorgate, Blackheath or Chelsfield Park, or by secure video.

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Book a consultation

Book a consultation with Miss Bangari

Request an appointment online, call 020 7101 1700 or book a secure video e-consultation. If you are very unwell, call 999 or NHS 111.