LEEP

How LEEP works

LEEP uses a thin wire loop that acts like a scalpel. An electric current is passed through the loop, which cuts away a thin layer of the cervix. The tissue removed is studied in a lab to confirm the diagnosis.

LEEP is done when you are not having your menstrual period to give a better view of the cervix. In most cases, it is done in the office and only takes a few minutes. You will lie on your back and place your legs in stirrups. A speculum is inserted into the vagina. Local anesthesia is used to prevent pain, given through a needle attached to a syringe. You may feel a slight sting, then a dull ache or cramp. The loop is then inserted to the cervix.

After the procedure, a special paste may be applied to your cervix to stop bleeding. Electrocautery may also be used.

What to expect during recovery

After the procedure, you may have a watery, pinkish discharge, mild cramping, and a brownish black discharge (from the paste) that looks like coffee grounds. It will take a few weeks for your cervix to heal. While it heals, do not place anything in the vagina (no tampons, douches, or intercourse). We will tell you when it is safe.

Post LEEP instructions

• For cramping, take Ibuprofen (up to 600 mg every 6 hours) or acetaminophen as needed.
• Light bleeding is normal. Call the office if you soak more than one pad per hour.
• A brownish black coffee ground discharge with light bleeding for the first week is normal.
• Avoid heavy lifting and vigorous exercise for 1 week.
• Do not use tampons for 2 weeks. Use pads.
• Do not have intercourse for 2 weeks.
• Shower rather than tub baths. No swimming, jacuzzis, or hot tubs for 2 weeks.
• You may receive a prescription for Flagyl. If you develop foul smelling discharge, you may take it. If no symptoms, you do not have to fill it.
• For severe abdominal pain or fever greater than 100.4°F, call the office.

Follow up

After the procedure, you will need follow up visits. You will have cervical cancer screening to confirm the abnormal cells are gone and have not returned. If another abnormal result comes back, you may need more treatment.