What is a LEEP?

• 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.
• Please do not use any douche or vaginal creams within 48 hours of your LEEP procedure.

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