It will be discussed in detail the following points to demonstrate that colposcopy, which was first used in 1925, is still a valid technique that has not undergone significant modifications from the original approach described at the turn of the twentieth century:Because of the outbreak of the Second World War, the spread and development of colposcopy, which took place during the war's duration, were significantly slowed. Among the nations where colposcopy has made significant advancements are Spain, Italy, Brazil, France, and Switzerland. These countries are just a few examples of those where the procedure has made significant strides in recent years. When colposcopy was first made widely available in the United States in the 1970s, it was primarily used by experts who had received extensive training in cytopathology, anatomic pathology, and colposcopy, among other disciplines, as well as other fields. Because of their training and experience, they were able to diagnose and treat cervical abnormalities. Additionally, members of the general public have gained greater accessibility as a result of this development.

The majority of European countries did not train colposcopists as gynecologists, whereas in the majority of other European countries, colposcopists were trained as gynecologists and had histocytological expertise that was marginally superior to that of gynecologists, as shown in the table below. This distinction is not conclusive, nor does it imply that all European or Latin American gynecologists exclusively use colposcopy for training purposes, as some commentators have implied.


In order to distinguish it from the descriptive immobility of Hinselmann's original classification (1954), which was based on descriptive immobility, it was given this designation. Conventional colposcopy techniques were designed with the goal of turning them into diagnostic tools capable of identifying abnormal substrates in typical colposcopic images, something that had previously been impossible to do with conventional colposcopy gynecology techniques. Because of its ability to distinguish between significant and minor alterations in the original photographs, the categorization method proposed in Rome (IFCPC, 1990) lends support to our initial hypothesis, as previously stated. In order to determine the extent to which the explosion contributed to the damage visible in the photographs, it is necessary for investigators to distinguish between major and minor changes seen in original photographs. In different populations, specificity can range from 48% to 10%, whereas sensitivity can be found in 96% of the population, depending on the population.

To your mind, does it make more sense to label a biopsy in which only a low-grade lesion is discovered as a false positive colposcopic result, or do you believe it should have been labeled as a benign lesion in the first place? Despite the fact that histopathologic findings are considered the gold standard, it is widely acknowledged that there is some subjectivity in the evaluation of these findings, despite the fact that they are considered the gold standard. When reviewing a diagnosis after a period of time has passed, it is possible for the same pathologist to notice differences in the way the diagnosis is made between observers and within observers. Because it is believed that when microbiopsy is performed under colposcopic control, there is a wide error range and that the results cannot be considered representative of the lesion under investigation, it is best to avoid using this method whenever possible. Increasing the likelihood of this occurring is when untrained hands perform colposcopy-guided biopsy or when biopsy is restricted to a small and insufficient sampling area.

The presence of the squamocolumnar junction is frequently overlooked by physicians during a thorough visual examination of the patient's squamocolumnar junction. A biopsy taken from the ectocervix will not be able to determine the severity of endocervical lesions if the severity of the lesions is in question. To determine the severity of any endocervical lesions that have developed, microbiopsies taken from the ectocervix must be taken and examined under the microscope. This is accomplished through the use of a procedure known as microcolpohysteroscopy (MCH), which is performed with the assistance of a small camera.

In accordance with the information presented herein, colposcopy is a safe and effective procedure, and its popularity among gynecologists is likely to increase in the future if pathologists and gynecologists are not forced to act as makeshift specialists for their respective disciplines. Gynecologists' position as the leading authority on integral women's health should be protected, and collposcopy should be considered standard procedure in everyday practice.