LEEP (also called Loop Electrosurgical Excision Procedure) is a procedure used to treat abnormal cells on the cervix. During the procedure a thin, low-voltage electrified wire loop is used to cut away abnormal tissue.
Why is a LEEP done?
A LEEP is done to treat abnormal cervical cells. It is usually done after an abnormal Pap smear and colposcopy with biopsies.
Low-grade and pre-cancerous changes can be treated with LEEP.
What should I do to prepare for my LEEP procedure?
Do not have unprotected intercourse (sex without birth control) for 2 weeks before your procedure. A LEEP should not be done if there is a possibility that you could be pregnant. Discuss this with your doctor before your LEEP.
If you start your period, you should call our office to see if we can still perform your LEEP as scheduled. If you have a heavy menstrual flow, we may need to reschedule your procedure to a different time, when you are not bleeding. If you have only a light menstrual flow, we may be able to perform the procedure as scheduled.
There is no other special preparation required before your LEEP.
How is a LEEP performed?
LEEPs are performed at the office by your doctor. A numbing medication is used on your cervix. When the numbing medication is being given, you will likely feel a small sting, but this will go away quickly as your cervix becomes numb. During the procedure, you should not feel any pain.
You will lay on your back just like you would for a normal pelvic exam. A speculum will be inserted into the vagina so your doctor can see the entire cervix.
Medications may be applied to your cervix to allow your doctor to see the abnormal areas more easily.
The wire loop is then used to remove the abnormal cells. A small margin of normal cells is also removed to try and ensure no more abnormal cells are left on your cervix.
After this, the cervix is cauterized to minimize bleeding. More medication may be applied to your cervix to keep the bleeding light.
Is a LEEP painful?
While the numbing medication is injected on the cervix, you may feel a slight sting, then your cervix will go numb. Most women describe pelvic pressure or menstrual-like cramps during the procedure itself.
What can I expect after a LEEP?
Most women drive themselves to and from the appointment.
You may experience mild cramping for several hours after the procedure.
Spotting or light bleeding is normal. You should wear pads for any vaginal bleeding or discharge.
You may notice a dark brown vaginal discharge that looks a little bit like coffee grounds. This is normal and is caused by the medication placed on your cervix.
Do not insert anything into the vagina (tampons, douche, etc) for 2 weeks.
Do not have intercourse for at least 2 weeks.
After my LEEP procedure can my abnormal cells come back?
While the goal of a LEEP is to remove any abnormal cells, there is still a possibility that those abnormalities may return.
You will see your doctor for repeat Pap smears every 3-6 months for about 1 year after your LEEP. These repeat Pap smears are very important and should not be skipped.
If your Pap smears continue to be normal, you should be able to return to a yearly Pap smear screening schedule. Your doctor will discuss this with you.
When should I call my doctor?
Call the office after your LEEP if you note any of the following symptoms:
Fever above 100.4° Fahrenheit
Vaginal discharge with a strong, foul odor
Heavy vaginal bleeding where you are soaking more than 1 maxi-pad every 1-2 hours
