What Is the Connection Between a Pap Smear and Colposcopy?

Cervical curettage is an essential item for women undergoing gynecological examinations. A cervical smear is a small sample of cells taken from the cervix, placed on a glass slide, and examined under a microscope for abnormalities. Sexual women who have the condition are better to do a cervical smear once a year. ^[1] Cervical curettage is currently the easiest and most effective way to diagnose cervical cancer.

Cervical smear

Cervical curettage is an essential item for women undergoing gynecological examinations. A cervical smear is a small sample of cells taken from the cervix, placed on a glass slide, and examined under a microscope for abnormalities. Females who have sex have a better chance to do it once a year

Fully exposed

1. The examinee should avoid sexual life within 24 hours before the scraping.

2. Do not rinse the vagina or use suppositories inserted in the vagina within 24 to 48 hours before the planned inspection, and do not perform an internal vaginal examination.

3.Yes

1. Gynecological examination

Focus on checking the size, shape, texture, and thickness of the cervical canal, and whether there is contact bleeding, and then check the vulva, vagina, uterus and parauterine tissues (ovaries, fallopian tubes, pelvic lymph nodes), etc., mainly to see whether there is erosion and other phenomena .

2. Cervical mucus examination

Cervical mucus examination includes the examination of cervical mucus traits and the sperm and cervical mucus compatibility test. The examination of cervical mucus is to observe the cervical mucus secretion, transparency, viscosity, and ductility, which can reflect the ovulation function of the ovary. If continuous observation and basal body temperature are combined during the menstrual cycle, the accuracy is higher.

3. Post-Intercourse Test (PCT)

Performing a Cervical Infertility Check Post-Intercourse Test (PCT) during the predicted ovulation period can determine whether the compatibility relationship between sperm and cervical mucus is normal. Abstinence 3-7d, within 2-8h after sexual intercourse, expose the cervix with a speculum, first take the vaginal posterior fornix fluid and check for motile sperm. If there is sperm, the sexual intercourse is successful.

Then suck the cervical mucus smear microscopy deep in the cervical canal, and it is normal to have more than 20 active spermatozoa per high-power field of view, indicating that the sperm has good compatibility with cervical mucus. If there are less than 5 indications of incompatibility, although the test time of the test may be the cause of infertility. There are still many deficiencies in the judgment standards, but PCT is still an important method for cervical infertility tests currently used in clinical practice.

4, angiography

Cervical infertility examination can show the length and shape of the cervical canal very well. For cervical neoplasm, congenital malformation, narrowing, adhesion and uterine flexion can be clearly diagnosed. The length and proportion of the cervical canal and uterine body can also be determined by angiography. Especially for patients with genital dysplasia and cervical stenosis who have failed probe examinations, the angiography is often successful.

5.Probe inspection

Cervical infertility test probe test is simple and practical. It can detect the direction and length of the cervical canal and its ratio to the cervix, whether there is stenosis, adhesion, and the tightness of the inner cervix. Radiography. Not only can uterine and fallopian tube lesions be found by uterine fallopian tube examination, but cervical angiography is also very useful for studying infertility treatment.

6, vaginal examination

Vaginal examination can be used to observe the position, shape, external mouth size, secretion amount, traits, and presence or absence of cervical erosion and neoplasms. Pay attention to cervical lifting pain and parauterine tenderness. Bacterial examination of cervical mucus , If necessary, do a doctor blade or colposcopy.