A Colposcopy is simply a way to look more closely at the cells on the cervix. When a Pap smear is collected, the cells are screened for an abnormality, which may suggest a precancerous or cancerous lesion. In the event a pap would come back abnormal, if certain criteria are met, a Colposcopy may be required. During this procedure, a speculum is placed in the vagina, much like when collecting a Pap smear. A vinegar solution is then applied to the cervix to highlight any abnormal cells. At that time, the provider is able to assess the abnormal cells under magnification and take a sample of any areas of concern to be sent for further evaluation.