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Complications After Leep Procedure
Can one get pregnant and have a successful pregnancy after having the leep procedure? Are there any or more complications?
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
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
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.
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.
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.See 1 more doctor answer
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.
A couple years ago I had the leep procedure performed. I am having weird symptoms now that are related, what should I do?
See below: If you feel these are related to your procedure, call your surgeon and inform him/her of your concerns.
Its ok: LEEPs are tolerated very well in the office. Your doctor will use a speculum just as they did with the pap smear. They will clean and numb the cervix with anesthetic which will cause a little pinching. You may have some cramping during the procedure. It is a relatively short procedure, lasting about 5 minutes.
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.
Less than a period: Mild spotting or bleeding like a light period might be normal. Bleeding with clots or as much or more than a period would not likely be normal, and you should check with your doctor.
LEEP: The purpose is to remove abnormal cells. There is no guarantee that all of the abnormal cells are removed or that they will not recurr. The purpose is to remove the abnormal tissue and then monitor you. Hopefully you will return to have normal pap smears.
Usually.: If you continue with the same life style (# of sexual partners, infections in the vagina) you could get the same problem. Follow up exams and pap smears are a must!
Within a few days: Depending on the lab the results are usually back within a few days.
Not long: But up to your doctor. I would be comfortable performing it in most cases 1-2w after
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