The cervix is the lower part of the uterus that forms a canal that opens into the vagina and leads to outside the body. The tissue that’s removed is then closely examined under a microscope.
What Is a Cervical Biopsy?
A cervical biopsy is a procedure that is performed to remove tissue from the cervix to test for abnormal cells or precancerous conditions.
Cervical Biopsy or Punch Biopsy
The amount of tissue your doctor removes is dependent on the type of GYN biopsy being done. A simple cervical biopsy procedure, also known as a punch biopsy, removes a small piece of tissue from the surface of the cervix, where as an endocervical biopsy (endocervical curettage) removes tissue from high in the cervical canal and requires scraping with a sharp instrument.
Another possible GYN biopsy is a cervix cone biopsy or conization where your doctor will use a laser or scalpel to remove a large cone shaped piece of tissue from the cervix.
Lastly, there is the Loop Electrosurgical Excision procedure (LEEP) that uses a thin, low-voltage electrified wire loop to cut out any abnormal tissue found. In addition to removing tissue for testing, some of these procedures can be used to completely remove areas of abnormal tissue and may also be used in the treatment of precancerous lesions.
If you’re undergoing a cervix biopsy procedure that requires a general anesthetic, you’ll need to stop eating at least eight hours before the procedure.
How to Prepare for a Cervical Biopsy
Schedule your cervix biopsy for the week after your period. Make sure to discuss any medication you take with your doctor. You may be asked to stop taking medications that could increase your risk of bleeding, such as:
Avoid before your biopsy (cervix):
- Using tampons
- Medicated vaginal creams for at least 24 hours
- Sexual intercourse during this time.
What Can You Expect After a Biopsy in Cervix Is Performed?
You may feel some soreness in your vagina for a couple of days accompanied by some vaginal discharge or bleeding, which is normal for up to a week after a biopsy. If Monel’s solution was used, then your discharge may be dark colored.
You must not douche, have sex, or use tampons for one week to allow time for your cervix to heal. Please do not exercise for at least one day following the procedure. Make sure to follow all instructions provided by your doctor.
Feel free to contact your doctor at any time with any questions or concerns you may have.
Results of a Biopsy (Cervical)
Your doctor will contact you about your biopsy results and discuss the next steps. A negative test means that everything is normal, and further action is usually not required. A positive test means that cancer or precancerous cells have been found, and possibly colposcopy treatment might be suggested.
Frequently Asked Questions
Is Cervical Biopsy Painful?
A cervix biopsy can cause mild discomfort, but it is not generally painful. Although, you might feel some cramping or pressure. A biopsy of the lower portion of the vagina or the vulva can cause pain, therefore, a doctor might administer local anesthesia to numb the area.
How Long Does It Take To Get Cervical Biopsy Results?
A specialist will examine the tissue sample and send a report to your doctor. The average waiting time for cervical biopsy results is between 1 to 2 weeks. Your doctor will also let you know about the results and discuss the next steps with you. In the case of a negative test, no further actions are required. A positive test means that cancer or precancerous cells have been found, and further treatment is necessary.
Is Bleeding Normal After a Cervical Biopsy?
Yes, it is normal. Once the procedure is completed, you will need to rest for a few minutes before going home. It is recommended to wear a sanitary pad for bleeding. You can also experience mild cramping, spotting, and dark-colored discharge for several days following the vagina biopsy.
What Is Colposcopy Used For?
Colposcopy is normally utilized for the purpose of diagnosing genital warts, inflammation of the cervix, precancerous changes in the tissue of the cervix or vagina, or precancerous changes of the vulva.
Who Needs Cervical Biopsies?
If your doctor believes that there is something that is not right with your cervix, you will be advised to undergo a cervical biopsy.
Some of the reasons might include:
- Your cervix looks abnormal during a pelvic exam
- Your Pap results were abnormal
- Tests have shown that you have the human papillomavirus or HPV
- You have unexplained bleeding or other related issues
Do you have questions? Would like to schedule an appointment with the top rated Brooklyn Heights gynecologist, please contact our Brooklyn Heights office.
Dr. Amir Marashi, MD
Brooklyn GYN Place
142 Joralemon Street, Suite 4CF
Brooklyn, NY 11201