A colposcope is a lighted, magnifying device used to examine the vagina and cervix. It is similar to, and may resemble, a set of binoculars and enables the physician or nurse practitioner to see problems or potential problems that might be missed by the naked eye. It is utilized when a pap smear indicates abnormal results, like a bacterial, fungal or protozoic infection, for example. The procedure is known as a colposcopy.
Reasons for Performing a Colposcopy
A colposcopy may be performed in a number of scenarios, including:
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As a follow up to an examination that indicated an abnormality from a pap smear, and which may include a biopsy for further examination and analysis.
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To examine genital warts or other sores around, or on, the cervix or vagina.
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As a follow up to check for positive or negative results from a previous colposcopy or for subsequent treatment.
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To check for cervical problems after testing for HPV has shown to indicate or suggest the presence of a high risk HPV.
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To check for signs of cancer in the vagina and cervix.
Features of a Colposcope
Colposcopes come with a variety of features and options that enhance the efficiency and user experience for the physician. Understanding these key features and options will aid in the purchase decisions of this capital equipment item. Aspects to consider include:
Magnification - During a colposcopic exam, millimeters matter. The amount of magnification of the examination site can aid in early detection of potential abnormalities. Early detection generally leads to better patient outcomes.
Visual Comfort - Eyestrain can occur when using a colposcope, especially for the physician that wears glasses. Opting for a colposcope with dual adjustable diopters allows for adjustments for variances in the left and right eyes and can help alleviate that eyestrain. In addition, a colposcope that allows for wearing glasses while using the device, like the Colpo-Master™ colposcopes from Bovie Medical can provide even greater benefit.
Equipment Design - Physicians should consider whether they will just perform visual exams or if they will perform exams and procedures. If only performing exams, a center-post model colposcope will be ideal. For the physicians performing LEEP procedures and other surgical procedures, a suspension arm or “swing-arm” model is more appropriate. This model allows for unfettered access to the surgical site and optimum efficiency.
EMR/EHR Considerations - For the facilities using or planning to use an electronic record system, a camera-ready colposcope should be utilized. A camera system will allow the doctor to capture and save images for inclusion into an EMR/EHR patient file.
A colposcopy procedure is a key way to detect abnormal cervical cells and to help assess the most effective way to treat them. The colposcope employed will most likely be with your facility for 10 year or more. When choosing a colposcope, look for features that meet both the patient needs and the physician needs for the present and the future.
The complete line of Bovie® Colpo-Master™ colposcopes and accessories are currently available from Bovie Medical, ask your Bovie representative for more information.



