The first test that the gynaecologist will perform is the direct inspection of the cervix of the womb (cervix = neck) which is a simple out patient procedure using a Cusco’s speculum to part the tissues to give the doctor direct vision. Sometimes the tumour is obvious and he will biopsy this but sometimes the changes are subtle and a stain will be applied topically to help distinguish the normal from abnormal areas are always biopsied or smears (vide infra) are taken.