Schiller's test is a procedure that is widely used in gynecology. Thanks to it, pathologies or abnormalities can be identified. It is carried out by staining the cervix and the vaginal fornix with an iodine-containing preparation. The reaction occurs due to glycogen, which is contained in the cells of the epithelium: the desired area acquires a brownish tint. In case of diseases or abnormalities, the mucous membrane does not stain due to the small amount of glycogen.
Doctors advise conducting the study in the first days after the end of menstruation. During the procedure, the doctor uses multiple optical magnification. This is necessary for detailed consideration and identification of minor changes in the vagina. Schiller's test is necessarily included in the examination of the female of childbearing age in the field of gynecology. In addition, a gynecologist based on the results obtained may prescribe a biopsy or other types of colposcopy. These samples serve as confirmation or refutation of the diagnosis. Having received a detailed picture, the doctor develops a treatment program. It is worth noting that the Schiller test is absolutely harmless, does not cause pain and does not cause negative consequences for the cervix. During the procedure, discomfort is virtually eliminated.
How is the procedure?
In order to test Schiller, the gynecologist must insert a gynecological mirror into the vagina and carry out the procedure of colposcopy itself, that is, clean the cervix from mucus or secretions and treat its parts with iodine-containing preparations. Most often, doctors resort to using Lugol’s solution. After a few minutes, the doctor cleans the sample site from the solution and dries the cervix. After that, he re-examines under a microscope. The procedure takes no more than 5 minutes.
Contraindications to the procedure
Schiller's test is actively used in gynecological studies. The reason is that it has almost no contraindications. According to statistics, not a single case with negative consequences after the procedure. Exceptions to the rules are intolerance by the woman of iodine and all iodine-containing substances, a short period after childbirth or abortion or other surgical intervention.
Indications for the procedure
Colposcopy is one of the generally accepted and recognized methods of diagnosis in the field of gynecology in modern medicine. Using this study, the doctor can assess the position of the tissues of the vagina and cervix, as well as determine the presence of benign and malignant neoplasms.
This study is necessary for women with:
- spotting after intercourse;
- the appearance of itching or uncharacteristic discharge;
- chronic infections;
- infection of the genital organs with human papillomavirus;
- cancer screening;
- pregnancy planning;
- the presence of any neoplasms.
It is worth noting that in the initial stages of the disease, the cervix flows without certain symptoms, so you can’t check for yourself. In this case, it is better to trust a gynecologist.
After the test, the doctor will tell you what the results mean and prescribe the necessary treatment, if necessary.
Doctors advise against starting their own women's health and conducting a Schiller test at least once a year for preventive purposes.
In order to prepare yourself for the Schiller test and get accurate results, you need to follow a number of certain rules. First of all, two days before the study, sexual intercourse is undesirable, in addition, you do not need to douche. The day before the test, doctors do not recommend using candles or tampons, various gels and ointments. During showering it is forbidden to use means for intimate hygiene.
Adhering to simple instructions from the list, you can get reliable results. It is worth noting that the doctor will tell about them immediately upon appointment of the procedure.
Decoding of the results of the Schiller test
Schiller's test results are positive and negative. In the first case, the cervix and the wall of the vagina when applying iodine-containing drugs changes color to dark brown shades. This means that a woman is healthy and has no pathologies or abnormalities.
If the epithelium is not stained or light spots appear - this indicates a negative result. In this case, additional tests are given, since the obtained data may indicate the presence of pathologies and the initial inflammatory processes.
A negative Schiller test indicates problems in some parts of the bottom of the cervix. These can be human papillomaviruses or cervical leukoplakia.
A negative test shows the development of erosion and precancerous or oncological diseases.
It is worth noting that after the Schiller test, brownish vaginal discharge may appear in the patient over the next few days. Doctors advise not to panic, as these are the remains of iodine-containing drugs that go out. In order not to spoil your underwear and clothing, you can use daily sanitary pads.