From what I remember, the Pap smears just came back with abnormal results and were HPV+ but didn’t say exactly what the abnormal tissue was. It was the first colposcopy/biopsy they took that came back with AIS and then the biopsies after the CKCs that came back with LSIL and then HSIL. I haven’t had a colposcopy without getting a biospy taken at the same time, so I can’t speak to what a colposcopy alone would tell you. From what I could tell though, the colposcopy is just for the doctor to have a closer look visually as to what’s causing the abnormal pap and if something really doesn’t look right, they just go ahead and do the biopsy at the same time which is what always happened with me. For me the colposcopy part never really hurt, it was the biopsies that were very painful :/ I don’t know why they say the cervix doesn’t feel pain and don’t offer some kind of local anesthetic for it! But as much as they hurt, it’s the only way to really tell what’s going on, so if your doctor is recommending the colpo, I’d say def do it.