Doctor insights on:
Pregnancy After Leep Procedure
Can one get pregnant and have a successful pregnancy after having the leep procedure? Are there any or more complications?
When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more
6th pregnancy, I had a leep procedure done a year ago will I be at higher risk of cervical problems? X
Yes, but not neccess: Yes, having had a leep procedure puts you only at 'slightly' higher risk, not by any means definitely. Plenty of women every year have successful term pregnancies following a leep procedure. Thousands! You might have your doctor check the length of your cervix early on, say, between 12-14 weeks, and then again 16-18 weeks. Keeping a close eye on it may help ease your fears. Best wishes. Read more
6th pregnancy, leep procedure done a year ago, (cin3) 17mm depth was removed, will I have an incompetant cervix with 17mm being already removed? X
Somewhat: It depends on how much cervical tissue was removed with the leep procedure. You might be at a somewhat higher risk for cervical incompetence which can lead to a premature delivery. Most women who have undergone a leep procedure will have no problems during their pregnancy. Your OB may follow you closer and if it appears that the cervix is prematurely dilating, special procedures can be done to hel. Read more
Do I need cervical surveillance during high risk pregnancy? Have had 3 d & cs and 1 leep procedure all over 15 years ago
Maybe: At 39, you are considered high risk. You will be getting an early ultrasound. If your early ultrasound reveals a short cervix you will be getting cervical surveillance starting at 16 weeks. If you have had 1 preterm birth or more than 2 miscarriages in the past, then automatically you will be placed for cervical surveillance at 16 weeks. Hope this helps. Read more
Had my only child when 17 right after cryo & leep procedures. Had to have C-section r/t scar tissue. 28 now. Do u think ill have diff. C pregnancy?
Question isn't clear: Are you asking if you will have difficulty getting pregnant, a difficult pregnancy or difficulty delivering? Prior cryo and leep may affect your ability to get pregnant (prior c-section shouldn't) but since you did once before you can probably do it again. They have no effect on whether the pregnancy is difficult. Delivery after c-section is usually done by another c-section. Consult your ob/gyn. Read more
I'm 5 weeks pregnant with sixth pregnancy (5 live births). ive had 2 leep procedures done in 2 years. Am I at risk for a high risk pregnancy?
LEEP in pregnancy: In relationship to other pregnancies was the LEEP done after your deliveries? A LEEP removes a portion of your cervix that heals in but changes the cervix. Your physician will most likely send you for U/S evaluation of the length of your cervix early on to be followed throughout the course of your pregnancy. Depending on what is found, you may even be offered a cerclage, early in pregnancy. Read more
What is the success rate of leep for removing abnormal cells? Does having a leep affect future pregnancy in any way?
It depends on stage: If the HPV abnormal cells are stage CIN III (highest pre-cancer stage) then LEEP does not always remove the cells in the inner part of the cervix. Often another procedure type is recommended in that case. LEEP can damage the inner cervix when healed which can cause higher rates of miscarriage or pregnancy loss with future pregnancies. Cryotherapy or LEEP are usually recommended for CIN II or less Read more
Can I be pregnant after having a leep surgery two weeks ago? Would the surgery affect my pregnancy?
Yes: Take a test. If you conceived right before the surgery you could have a negative test then and be pregnant now. If you have a normal cervical length after your surgery your pregnancy shouldn't be affected. But your doctor may want to look at the length on ultrasound in the early/mid 2nd trimester. Read more
I'm 28 & had a leep to remove CIN 3 from my cervix. I'd like to plan for a 2nd child soon. How do you think a pregnancy could be affetced by a leep?
Shortened cervix: It really depends on the size of the cone of tissue removed from the cervix. The critical measure is the cervical length measured on ultrasound. If it is 2.5cm or longer, unlikely to have any effect on cervical competence. Less than that I would recommend a mcdonald cerclage (stitch). The cervix may have scar tissue that could slow dilatation in labor. Read moreSee 1 more doctor answer
How will a pregnancy effect severe precancerous cells on my cervix? I am supposed to get the leep proc. & have a bld test 2morrow 2 confirm pregnancy
You come first: When there is a medical that can't wait out pregnancy to be safely taken care of, the health and safety of the mother is of primary concern. I believe an adequate procedure to treat the precancerous cells even if you turn out to pregnant. To be discussed with your gynecologist, who may refer you to high risk institution / physician. Read more
How much tissue is taken off the cervix for a leep? For leep are they essentially amputating a portion of the cervix? Scar tissue? How impact pregnancy?
LEEP procedure: The amount of tissue removed will depend on the size if the lesion needing removal. This can range from a dime to a quarter size in area. Unless there is involvement of the endo cervical canal, the depth of tissue removed is less than 5mm. Scarring resulting in cervical stenosis is rare and easily managed. Single leep conizations rarely impact pregnancy. Multiple leeps can cause cx incompetence. Read more
What do I need to do? I had a leep procedure done in september and in october my period was 2 weeks late and was very weird (heavy heavy bleeding for a day and a half then spotting) I was concerned so I took a pregnancy test (i always use condoms) it came
The: The fact that you are having discharge and uterine pain definitely means you need an evaluation. You may be dealing with an infectious process. Visit your gynecologist or primary care provider. You will need a pelvic exam and testing to rule out an infectious or post-leep complication. Good luck. 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 moreSee 1 more doctor answer
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
3 moth then every--: We will consider that the leep was for cis/cin2/3 with negative margin. This suggests that you have predisposition for higher grade lesion (due to hr hpv). So you will need close follow up defined by your doctor. Usually first pap iafter 3 months and then every 6 months may be ok till consistently negative to be converted to regular pattern. Read more
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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