Doctor insights on:
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 ...Read more
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
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. ...Read more
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
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
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
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. ...Read more
I had a leep procedure done and my margins came back positive. What does this mean? Will I be ok? I’m very worried about this
Repeat pap in 6 weeks
if negative wait and repeat pap every 3 months
if positive go for cnne biopsy ...Read more
Hi - I had a LEEP procedure done on Dec6th and it all went fine - I got my usual cycle on Dec20th for around 4 days and then on Dec31st it appeared th?
Vaginal bleeding: LEEP procedures involve tissue removal in the cervix for abnormal cells found with PAP testing. The external cervix while healing is easily irritated and the area of tissue removal can bleed especially if sexual relations have resumed. See your gyn provider who did the LEEP for an exam if this persists. ...Read more
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
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. ...Read more
Not related: The leep procedure is done on the outside of the cervix. This would not impact periods. Discuss treatment options for painful periods with your obgyn. The medical term is dysmenorrhea. ...Read more
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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