Colposcopy, Cervical Biopsy or LLETZ: What Is Planned?

The letter may say “colposcopy,” while the conversation mentions a biopsy or treatment. Before you arrange work, childcare or someone to come with you, ask which parts of the appointment are expected and which depend on what the clinician finds.

The examination and the sample

During colposcopy, a speculum opens the vagina while a lighted microscope remains outside. Liquid helps show cell changes. The clinician may take a small tissue sample. The examination can be uncomfortable or painful; you can ask to stop.¹

Ask the clinic to explain the comfort options before starting. If you want a chaperone or someone you know in the room, discuss this beforehand. Tell the team if you are pregnant or may be pregnant.¹

Treatment is another part of the discussion

LLETZ uses a heated wire loop to remove tissue after local anesthetic numbs the cervix. Tell the clinician if you feel discomfort because more anesthetic may be needed.¹

Ask: “Are you expecting to take a small sample, offer treatment today, or wait for results?” Have the clinician explain the reason for the proposed step, its risks and alternatives. You can bring a written question list if saying everything aloud feels difficult.

Get the aftercare for what actually happened

Bleeding may last longer after biopsy or LLETZ than after examination alone. Seek medical advice for heavy bleeding, unpleasant-smelling discharge or persistent abdominal pain. Follow the clinic’s instructions about sex, period products and activity.¹

Before leaving, ask for the procedure name and aftercare in writing. Confirm when results should arrive, who explains them and whom to contact if you have a concern. Keep the letter with the follow-up date so you do not have to reconstruct the appointment later.

The See script for appointments in Down There, Decoded can help organize the questions you want answered. Your clinic supplies the procedure-specific care and follow-up plan. Explore the intimate health playbook.