
Dr Sam Daniels is a registered colposcopist who provides specialist care in women’s health across Sydney. Sam is C-QUIP certified and able to perform colposcopy safely ensuring best clinical outcomes.

A cervical screening test is a screening program that examines your cervix looking for pre-cancerous cells or the presence of human papillomavirus. Australia has one of the best documented National Cervical Screening Programs. It advises women to undergo Cervical Screening Tests every 5 years from the age of 25 to 74.
If you have an abnormal cervical screening test you may be referred onto a gynaecologist for a colposcopy. This is a more detailed examination of the cervix that may include a biopsy.

You should have a cervical screening test as part of routine screening from the age of 25 to 74, once sexually active. The test should be performed every five years if you have a low risk or normal result. You will be instructed to have an earlier cervical screening test if you have an abnormal result.
Some symptoms that may warrant having an earlier cervical screening test include
If you have an abnormal cervical screening test, you may be referred to a Gynaecologist for a Colposcopy.
A Colposcopy which is a powerful lens to look much closer at the vagina, vulva and cervix. With the use of dyes, your clinician can better interpret the abnormalities and on certain occasions may perform a biopsy for greater conviction. A colposcopy is a minor procedure which is very similar to a Cervical Screening Test, but just takes a little longer (approximately 5-10minutes).
A biopsy may need to be taken at the time of colposcopy and this is required to examine the abnormal cells a little more closer. A biopsy of the cervix causes very minor discomfort and can be performed without an anaesthetic. Some women may get some benefit from taking paracetamol and ibuprofen following the biopsy as it is common to experience some crampy abdominal pain and light bleeding.
Should a biopsy yield an abnormal result you may be recommended to have a minor surgical procedure. This is referred to as a large loop excision of the transformation zone or a LLETZ procedure. This is a minimally invasive, day procedure requiring a general anaesthetic. A larger excision of cells from the surface of the cervix will be removed using electrosurgical devices.

Every patient is different and will have a unique bespoke journey for their treatment of an abnormal cervical screening test.
Patients should expect an initial 45 minute consultation that can be performed face to face. During the consultation:
Following the outcome of the colposcopy and whether or not cervical biopsies were indicated will dictate your next steps and treatment pathway.
Human papillomavirus, often referred to as ‘the common cold’ of the cervix can cause the cells of the cervix, vagina and vulva to potentially evolve, it is this virus that commonly causes an abnormal cervical screening test.
A colposcopy is typically tolerated very well by most patients. Some women may elect to take paracetamol and ibuprofen prior to the procedure to aid their comfort.
No, whilst the vaccine reduces the chance, it does not remove the ability to have an abnormal cervical screening test.
A C-QUIP certified gynaecologist should be performing a colposcopy.