What is the Schiller test in gynecology?

Timely carrying out gynecological prophylactic examinations, medical procedures, analyzes helps prevent the development of the disease or cure it with the least damage to the health and general condition of the patient. The Schiller test in gynecology is considered to be a simple but effective and rapid method of detecting pathological epithelial cells. Their presence, incidentally, may indicate the development of an inflammatory process or a dangerous disease.

Schiller's test in gynecology: what is it? We study the question

The Schiller test is a gynecological examination using an iodine solution that stains the mucous membrane of the cervix and vaginal vault. A procedure is performed to identify pathological cells during an advanced colposcopy. Their presence may indicate the development of diseases of the organs of the reproductive system and the small pelvis. By the way, the technique is of great importance for prevention and early diagnosis of dangerous pathologies. The principle of action of the sample is based on the ability of iodine to be absorbed by glycogen, which is found in healthy epithelial cells, and to stain the tissues brown. In the presence of pathological changes, the level of this polysaccharide decreases, and the affected areas do not change color. This approach allows us to define a clear boundary between healthy and altered tissues, to form the most effective treatment tactics and to observe the process of therapy.

Method of Schiller test

The Schiller test in gynecology is carried out during a routine examination. First, the doctor inserts a mirror into the vagina, applies a 2-3% Lugol solution or special solution of iodine to a cotton wool swab, and treats tissues that need to be examined. Normally, after a few seconds, this area should uniformly turn brown.

The Schiller test in gynecology is negative (diagnosed in the presence of uncoloured areas in the form of specks, segments with uneven staining or without it at all) indicates problems. This requires a more detailed examination and additional tests to identify possible pathology. Sometimes, to clarify the diagnosis, recommend, for example, a biopsy with histological examination. The procedure is absolutely painless and almost does not cause discomfort.

Indications and contraindications for the analysis

Schiller's test in gynecology is one of the most common and accessible research methods. The analysis must be used for the diagnosis of dysplasia, inflammatory diseases, atrophic vaginitis, precancerous tissue, leukoplakia, oncological diseases of the female sphere, constructing effective therapy tactics during menopause. Doctors recommend that girls and women undergo a survey with Schiller's test at least once a year, and if there is a chronic disease of the genital area or pelvic organs - once in 3-6 months to prevent the development of infection. If there is evidence, the analysis can also be carried out by girls who have not yet begun sex. The Schiller test in gynecology is contraindicated in patients who have an allergy to iodine.

Preparation for the procedure

There are no special rules for the preparation of the patient for the Schiller test. It is necessary to follow the general rules:

• For 24-48 hours it is desirable to avoid sexual contact;
• The day before, do not syring, do not use vaginal suppositories, ointments, gels;
• Do not use soap or other means for intimate hygiene while taking a shower;
• The best time to take a Schiller test is the first days of the menstrual cycle or a few days before menstruation. If necessary, the analysis can be done on any day of the cycle.

In public hospitals, the procedure is made free of charge, in paid female consultations it costs about 200 rubles, and in private clinics - up to 1000 rubles. Schiller's test in positive gynecology suggests that the cells are healthy and pathological changes are not observed. Simply put, a similar result confirms that the patient is healthy.

The Schiller test in gynecology is one of the most popular procedures in the field of diagnosis and treatment of female diseases. It does not require expensive reagents, special equipment or preparation, but at the same time it provides a high efficiency of examination of epithelial cells.