If a colposcopy is done, is a biopsy necessary or can the doctor tell if there is something wrong without doing a biopsy?
Atypical squamous cells of undetermined significance (ASCUS) is usually treated by just repeating the Pap smear in 3-6 months. Colposcopy is usually not done unless there are 2 or 3 ASCUS reports in a row. Colposcopy only allows the doctor to see which area of the cervix is giving the abnormal cells so a biopsy can be directed to the worst area. The biopsy is the “gold standard”. Most of the time it needs to be done although sometimes if you’ve had previous biopsies that are consistent with colposcopic visualization and that visualization has not worsened, a biopsy can be avoided.
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