Follow-up after abnormal Pap smear
The most common indication: a Pap showing ASCUS, LSIL, HSIL, AGC, or other abnormality. The colposcopy and biopsy determine what's actually happening at the tissue level.
Colposcopy at Oshun is performed by Dr. Charles Rockhead — magnified visual examination of the cervix typically performed after an abnormal Pap smear, with directed biopsy if indicated. Office procedure, no anaesthesia, mild cramping possible.
No obligation · Every consultation is in-person with Dr. Rockhead.
Dr. Rockhead
Performs your procedure personally
In person
Consultation before anything is booked
In writing
Your quote, given at consultation
9 Devon Road
Kingston, Jamaica
No obligation
You decide after the consultation
Questions answered privately
Every procedure at Oshun is reviewed and led by a board-certified Obstetrician and Gynaecologist. Dr. Rockhead is a physician first — the same one who treats women's health on the other side of his practice.
Three decades as a practicing OB/GYN at Amadeo Medical Group, the parent clinical practice. Every Colposcopy plan is reviewed by a physician who has cared for women through pregnancy, surgery, perimenopause, and post-natal recovery.
Every Colposcopy patient leaves consultation with a written plan: areas, technique, timing, recovery, cost. Returning patients refine the same plan rather than starting from scratch every visit.
Oshun's approach favours conservative, considered care over aggressive intervention. Decisions are made in conversation with you, options are presented in plain language, and consent is informed at every step.
Most first-time patients arrive with the same set of unspoken questions. They are answered below in the order most people think them — from "how much will I need" to "what if I'm pregnant."
Colposcopy is a magnified examination of the cervix, vagina, and vulva using a colposcope (a binocular microscope) after applying acetic acid solution to highlight abnormal tissue. Biopsies are taken from any abnormal-appearing areas. It is the standard follow-up for abnormal cervical screening results.
The honest version
Why colposcopy sometimes disappoints.
Colposcopy disappoints when the patient isn't told what to expect, when results communication is poor, or when biopsy site selection misses the lesion.
The most avoidable problem is patients arriving without understanding what colposcopy actually involves — they expect a Pap-like quick exam and are surprised by the magnification, the acetic acid application, and the biopsy cramping. Setting clear expectations at booking prevents the procedure from feeling alarming.
The other consideration is biopsy site selection. Acetic-acid white-changes can be subtle. Experience in interpreting colposcopic findings — not just performing the mechanical procedure — is what catches early lesions and avoids both under-biopsy (missing real disease) and over-biopsy (unnecessary tissue removal).
At Oshun, we don't run that model. Colposcopy here is physician-led from consultation through follow-up, with a written plan in your hands and a follow-up visit on the calendar before you leave.
Every colposcopy at Oshun is performed by Dr. Rockhead personally. Interpretation of colposcopic findings is experience-dependent — subtle acetowhite changes and vascular patterns are read more accurately by an OB/GYN who has performed thousands of these examinations than by a generalist who does occasional colposcopy.
Dr. Charles Rockhead, Medical Director — Oshun Cosmetic Services, Kingston.
Medical Director · Board-Certified OB/GYN · 30+ years of practice
Dr. Charles Rockhead is a board-certified Obstetrician and Gynaecologist with more than thirty years of practice in Kingston. He is the Medical Director of Oshun Cosmetic Services and the founding physician of Amadeo Medical Group, the parent clinical practice.
A Colposcopy visit at Oshun follows a clear sequence — from consultation through the procedure itself through follow-up. Here is what happens, step by step.
Before any Colposcopy is scheduled, you meet Dr. Rockhead in person at 9 Devon Road. He reviews your medical history, examines you as appropriate, and explains the options — including the option not to proceed. You leave with a clear written plan and a quote.
Take an NSAID (e.g., ibuprofen 400–600mg) 30–60 minutes before the visit. Schedule outside of menstrual period. No intercourse, douching, or vaginal medications for 24 hours before.
Dr. Rockhead positions the speculum and applies acetic acid solution to the cervix. The colposcope magnifies the cervical surface; abnormal areas appear as acetowhite changes with characteristic vascular patterns. Punch biopsies are taken from any abnormal areas; an endocervical curettage may also be performed. The procedure itself takes 15–30 minutes.
Light spotting and a dark discharge (from the Monsel's solution used to stop biopsy bleeding) is normal for several days. Avoid intercourse, tampons, swimming, and douching for 1 week. Results discussed within 1–2 weeks; follow-up plan written based on findings. Normal colposcopy returns to routine screening; abnormal findings have specific follow-up paths.
Biopsy results typically available within 1–2 weeks. The follow-up plan depends on the result.
Colposcopy isn't a one-size category — the right approach depends on your specific situation. Below are common patient profiles we see. If one sounds like you, an in-person consultation at 9 Devon Road is the next step.
The most common indication: a Pap showing ASCUS, LSIL, HSIL, AGC, or other abnormality. The colposcopy and biopsy determine what's actually happening at the tissue level.
Patients with persistent high-risk HPV (particularly HPV 16 or 18) sometimes warrant colposcopy even with normal Pap, to assess for occult disease.
Bleeding after intercourse warrants cervical evaluation. Colposcopy with biopsy as needed assesses for cervical polyps, friable mucosa, or neoplastic disease.
A visible cervical lesion noted during routine exam should be evaluated by colposcopy with biopsy regardless of Pap result.
If this sounds right
Every Colposcopy patient at Oshun starts with a consultation. Twenty minutes, in-person at 9 Devon Road, with Dr. Rockhead. No procedure is scheduled, no quote is signed, no pressure either way. You leave with a plan and a price — or you leave with neither.
No obligation · Every consultation is in-person with Dr. Rockhead.
Open any of them. We've written each answer the way Dr. Rockhead would actually say it — not the way a brochure would.
Every testimonial below this line will be a real Oshun patient who wrote it themselves, signed a consent form, and gave permission to use their name. Oshun does not buy reviews, ghostwrite reviews, or publish anonymous five-star strings. Real or nothing.
Colposcopy is the bridge between an abnormal screening result and a clear answer about what is or isn't happening at the cellular level. The consultation is where the result gets read, the next step gets explained, and the plan gets written.
No obligation · Every consultation is in-person with Dr. Rockhead.