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Doctor insights on: Leep

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Dr. Jeff Lin Dr. Lin
2 doctors agreed:
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Is a leep procedure painful?

Dr. Jeff Lin Dr. Lin
2 doctors agreed:
Is a leep procedure painful?

Depends on several: parameters - is this being done in office or surgery center/OR with anesthesia, is there local anesthesia (paracervical block or otherwise), will the patient be premedicated (with something like ibuprofen/Motrin/advil or Aleve/naprosyn/naproxen), the patient's pain threshold. In general, it may be crampy during and after the procedure but should not be overly so ...Read more

Dr. Ronald Achong
175 doctors shared insights

Loop Electrosurgical Excision Procedure (Definition)

This is a procedure done to remove a part of the cervix that is abnormal. Pts have leeps once they have had an abnormal pap smear and further evaluation warranted a leep to remove tissue off the cervix. This is both a diagnostic and therapeutic procedure. Its cuts the bad part out and it helps heal whatever other tissue is affected by ...Read more


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How long is the recovery from leep?

How long is the recovery from leep?

No down time: There is no real recovery time needed for a leep. If done in the office under local, you may resume all normal activities except you need to be at pelvic rest for up to 2 weeks. (no vaginal sex, no tampons). If done in the or with a general anesthetic, you need to wait until the anesthetic has worn off, usually 24-48 hours. Call your doc if you have heavy bleeding that's not your menstrual cycle. ...Read more

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I'm scared about leep procedureadvice?

I'm scared about leep procedureadvice?

Knowledge is Power: Educate your self about your condition and your treatment options. Find out the risks involved with having the surgery vice not having the surgery. Write down your questions before you see your physician. Let the medical team know about your concerns. ...Read more

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What is the purpose of a leep procedure?

What is the purpose of a leep procedure?

Leep procedure: Loop electrosurgical excision procedure is often used for surgical excision of cervical (vaginal) lesions. You can expect some cramping for hours after the procedure and some brownish discharge. Spotting may occur for several weeks. Intercourse should be avoided for at least 3 weeks. ...Read more

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What to do if I have the leep procedure?

What to do if I have the leep procedure?

You'll be fine:): Talk to your doctor- it is a very quick procedure usually done in the office. Your doctor will use a speculum to locate the cervix, numb it with anesthsia (may cause little pinching) and remove the face of the cervix with a special instrument. You may have some mild cramping, but procedure is quick and tolerated well. ...Read more

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How will I feel after the leep procedure?

How will I feel after the leep procedure?

Easy to recover from: A leep procedure is typically done in an office setting under local anesthesia. Placed properly, the local anesthetic makes this a completely painless procedure. There is not usually any pain even after the "numbing" medicine has worn off. None of the patients i've treated in 22 years of practice have ever required prescription strength pain medicine. Ibuprofen or Naproxen is all that's needed. ...Read more

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Dr. Jeff Lin Dr. Lin
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What test results indicate you need a leep procedure?

Dr. Jeff Lin Dr. Lin
1 doctor agreed:
What test results indicate you need a leep procedure?

Abnormal cervical bx: LEEP procedure takes a chunk out of the cervix to 1) diagnostically tell us we have no more dysplastic (precancerous) tissue left and be sure there is no definitive cancer beyond the color biopsy site and 2) to treat the dysplasia ...Read more

Dr. Jeff Lin Dr. Lin
1 doctor agreed:
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What can you expect during and after a leep procedure?

Dr. Jeff Lin Dr. Lin
1 doctor agreed:
What can you expect during and after a leep procedure?

Discomfort, bleeding: Discomfort level varies depending on medications you take/are given during the procedure. After the procedure, unless your doctor advises against it, Motrin/Advil/ibuprofen/Aleve/Naprosyn/naproxen will be helpful. Bleeding amount varies but call your doctor or go to ER if soaking > 2 pads/hr or you have signs of severe anemia. It usually goes away within a week but may return 2-3weeks later. ...Read more

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What to expect for first time being intimate after leep?

What to expect for first time being intimate after leep?

Post-LEEP sex: Make sure the doctor performing the LEEP has given you the ok. Usually we see patients for a 4 week post-op check to be sure the LEEP site is completely healed. Sometimes it needs one more week. If too soon, you may have some bleeding. Otherwise, there shouldn't be much you notice. ...Read more

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Also should I take someone with me to drive me how after a leep?

Also should I take someone with me to drive me how after a leep?

LEEP and Driving: Only if a narcotic is used. I will often use a mild tranquilizer, in the family if valium, for the procedure to help a patient be more comfortable. In that case, someone to drive the patient home would be needed. ...Read more

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I just had a leep two weeks ago is it okay if I already started to workout?

I just had a leep two weeks ago is it okay if I already started to workout?

Yes: Two weeks is more than enough time to resume exercise. However, we usually tell patients to refrain from vaginal intercourse until 2 weeks of no discharge or bleeding. ...Read more

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How soon can I return to normal physical activity after having the leep done?

After MD checkup: Check with the md before resuming exercise post leep procedure. ...Read more

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Can a leep surgery be done > once?

Can a leep surgery be done > once?

Yes : Leep can be done more than once. Usually if more times are needed for high-grade lesions, strong consideration is given for a cone biopsy in the or to ensure good margins free of disease. For recurrent severe dysplasia (carcinoma-in-situ), hysterectomy is sometimes offered if childbearing is completed. ...Read more

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Can i masturbate a day after a leep?

Can i masturbate a day after a leep?

Yes: Non penetrative masturbation would not be likely to cause any problems, however penetration and trauma to the cervix could cause a lot of bleeding. ...Read more

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How long do you discharge after a leep?

How long do you discharge after a leep?

Varies: That will vary widely from person to person. It depends on how much tissue was removed, how much blood was present and how much post procedure chemicals ( monsel's solution) that they applied. ...Read more

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Can you masturbate after a leep procedure?

Can you masturbate after a leep  procedure?

Okay if: Masturbation should be okay as long as you don't put fingers or sex toys in your vagina. Bleeding and cramping is normal after LEEP. You should avoid using tampons, having sex, lifting heavy objects for four weeks. ...Read more

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Can getting a leep procedure affect fertility?

Can getting a leep procedure affect fertility?

Rarely: It has the potential to affect the mucous producing glands in the cervix, but it's uncommon. Also discuss the possibility of an increased risk for premature delivery following a leep. ...Read more

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How do they do the leep procedure in the office?

How do they do the leep procedure in the office?

Easily: Loop electrical excision procedure (leep) is easily done in the office with a local block (i use 1% Lidocaine with epinephrine) and most patients note less pain than their colposcopies. I do have colleagues who do them in the or but it really does not require general anesthesia or sedation. I've done them over 17 years in the office without problems and they take approximately 10 minutes to do. ...Read more