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Doctor insights on: Does Previous Leep Cause Cervical Insufficiency

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Having my 3rd leep in 10 years for recurring hsil cervical polyps (1st leep was for mild). Should i be concerned? Should i look into a hysterectomy?

Having my 3rd leep in 10 years for recurring hsil cervical polyps (1st leep was for mild). Should i be concerned? Should i look into a hysterectomy?

Surgical Risk?: In general, hysterectomy is much more invasive and puts a patient at significantly greater risk than a leep. Further, hysterectomy should only be used when a leep is insufficient, i.e. Positive margins. I do understand the frustration/anxiety entailed by recurrent hsil though -- hysterectomy may be reasonable if your gyn can perform a lower risk procedure, like a laparoscopic or vaginal surgery. ...Read more

Dr. John cuong Doan
160 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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What are the tests for cervical insufficiency?

What are the tests for cervical insufficiency?

Ultrasound, exam: Ultrasound good way to test length of cervix vaginal exam can be used also to check the cervix. ...Read more

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Have a history of late miscarriage and pre term birth due to cervical insufficiency. I'm now 5 weeks pregnant. Do I go to the Dr now or is it early?

Have a history of late miscarriage and pre term birth due to cervical insufficiency. I'm now 5 weeks pregnant. Do I go to the Dr now or  is it early?

Close Follow-up: Given your complicated history I would touch base with your OB/GYN now so that he/she is aware and ready to help should any complications arise. Establishing a relationship early on is important. I would suggest continued close follow-up throughout pregnancy. Congratulations and good luck! ...Read more

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What causes shooting type feeling in the cervix 3 months after a leep for CIN 2&3 :)?

What causes shooting type feeling in the cervix 3 months after a leep for CIN 2&3 :)?

Maybe surgical pain : Remember, You had a piece of your cervix cut out with your leep procedure. You may feel pain for some time after that procedure as your cervix heals. It is possible that you also have scarring that is felt with orgasm or menses. Try a nonsteroidal pain medication like Ibuprofen or Naproxen . Hopefully that will help ...Read more

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What can cause cervical pain during sex a year after a leep surgery? Is this normal?

What can cause cervical pain during sex a year after a leep surgery? Is this normal?

Position/pelvic: Certainly get a GYN/ pelvic examination. The cervix can be irritated by deep penetration of a large penis. I would suggest ample foreplay, lubrication, position changes and avoiding any sexual manipulation/penetration,which feels uncomfortable. It is unusual to actually have cervix pain during intercourse, since the cervix is quite posterior in most women. Please see a GYN. ...Read more

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Had a d &c 4 months ago with leep, emb, ecc- chronic inflammation of cervix. Last two cycles I have light pink spotting cd16-18. What can cause this?

Had a d &c 4 months ago with leep, emb, ecc- chronic inflammation of cervix. Last two cycles I have light pink spotting cd16-18. What can cause this?

Healing: A leep procedure involves removing a section of the cervix for evaluation & treatment of abnormal pap smear and/or cervical biopsy findings. It can take a while for the cervix to heal, especially since the normal vagina contains bacteria and is usually moist. The other biopsies may contribute to spotting as well. ...Read more

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Could continuos colposcopies every year, or getting a leep be more harmful to the cervix?

Could continuos colposcopies every year, or getting a leep be more harmful to the cervix?

Leep: Colposcopy is simply looking at the cervix under magnification. Leep is a procedure to remove cervical tissue where the abnormal cells grow. Colposcopy is usually recommended when the pap results are abnormal- often in conjunction with biopsy. Leep is usually recommended when the pap shows hgsil or the biopsy shows moderate or severe precancer of the cervix. ...Read more

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I have severe cervix pain during and between periods. I had a leep in jan. 2012. Should i be worried about anything?

I have severe cervix pain during and between periods. I had a leep in jan. 2012. Should i be worried about anything?

Probably not : Pain from the cervix is not common after a leep procedure. If you are experiencing pain you should see your doctor to determine why. Also be sure to see your physician for follow up pap tests to be sure they are normal and there has not been recurrence of the dysplasia. ...Read more

Dr. Sheila Smith
55 doctors shared insights

Short Cervix (Definition)

Cervical insufficiency, or cervical incompetence, is a condition where the cervix begins to dilate (open wider) or efface (become thinner) before the baby has reached full term. This may occur in the absence of uterine contractions, and may cause ...Read more


Cervical (Definition)

Cervical relates to the first seven vertebra of the spine. It is related it the neck. Also it refers to the muscular opening/exit of ...Read more