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Doctor insights on: Procedure Leep

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My pap test my pap test was abnormal, I did a biopsy last monday I have to go back on the 26th of this month. The doctor said base on the reults I might have to do a procedure call leep. My problem now is im having a discharge and it smells is their a ove

My pap test my pap test was abnormal, I did a biopsy last monday I have to go back on the 26th of this month. The doctor said base on the reults I might have to do a procedure call leep. My problem now is im having a discharge and it smells is their a ove

No simple answer: Leep is one type of treatment that may be appropriate depending on the exact pap result, your hpv status, your age, and the biopsy results. The treatment can also vary somewhat with your doctor's personal preferences. Check out guidelines from the asccp (there is even an app) to get a better idea of what your options are. ...Read more

Dr. John cuong Doan
174 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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Is a leep procedure painful?

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

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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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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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What test results indicate you need a leep procedure?

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

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What can you expect during and after a leep procedure?

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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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: Repeat pap in 6 weeks
if negative wait and repeat pap every 3 months
if positive go for cnne biopsy ...Read more

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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?

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

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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

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Can you masturbate after having a leep procedure?

Can you masturbate after having a leep procedure?

Please ask your doc: Who did the leep he or she may or may not say that is ok. ...Read more

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What is considered normal bleeding after a leep procedure?

What is considered normal bleeding after a leep procedure?

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. ...Read more

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Will a leep procedure stop you from having abnormal papsmears?

Will a leep procedure stop you from having abnormal papsmears?

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

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Can getting a leep procedure stop you from having abnormal paps?

Can getting a leep procedure stop you from having abnormal paps?

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! ...Read more

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How long do results from biopsy take after leep procedure is done?

How long do results from biopsy take after leep procedure is done?

Within a few days: Depending on the lab the results are usually back within a few days. ...Read more

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How much time do you have to wait to have the leep procedure after an abortion?

How much time do you have to wait to have the leep procedure after an abortion?

Not long: But up to your doctor. I would be comfortable performing it in most cases 1-2w after ...Read more

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What is the appropriate time to wait after a leep procedure to use tampons again?

What is the appropriate time to wait after a leep procedure to use tampons again?

LEEP and tampons: After about a week would be fine. We often will say pelvis rest for six weeks, but in this case, a week should suffice. ...Read more

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I had a LEEP procedure a week ago and just started bleeding. Is this normal and how long will it possibly last?

I had a LEEP procedure a week ago and just started bleeding. Is this normal and how long will it possibly last?

A "LEEP" of faith..: .. says the bleeding is probably related to the procedure. After all, it is designed to remove tissue from the cervix - sometimes the lacerated part will scab over and then break loose after a time - could be a week - especially if progesterone is enhancing the cervical bogginess/ thickness. ...Read more

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Was about to have a LEEP procedure Lidacain and Eminepherin was used. Instant severe headache BP shot to 190/100 (I am usually normal) was I allergic?

Was about to have a LEEP procedure Lidacain and Eminepherin was used. Instant severe headache BP shot to 190/100 (I am usually normal) was I allergic?

Probably not: The most likely cause was injection of the medication inadvertently into the blood vessels directly. Epinephrine is a potent vasoconstrictor and can cause dramatic elevations of blood pressure when injected into the vascular system. It is often used during cardiac arrest intra cardiac for just that reason. ...Read more

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Need docs with expeirence on cervical leep procedure? What's it like?

Need docs with expeirence on cervical leep procedure? What's it like?

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

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How long should you wait to conceive after a leep procedure?

6 weeks: A LEEP will have completely healed off after about 6 weeks. After that time period it would be safe to connive. ...Read more

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Why would dr say to wait a year instead of doing LEEP procedure for HPV?

Why would dr say to wait a year instead of doing LEEP procedure for HPV?

LSIL?: This suggests your pap smear showed mild dysplasia, also called LSIL (low grade squamous intra-epithelial lesion) -- or, if you have had a biopsy, CIN I (cervical intraepithelial neoplasia, grade I). LSIL/CIN 1 rarely progresses to more serious disease and clears up on its own, usually within a year. It usually doesn't need LEEP or other treatment. Discuss with your doctor to clarify. ...Read more

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What happens if a LEEP procedure does not work when you have type 16 HPV?

What happens if a LEEP procedure does not work when you have type 16 HPV?

Here are some. ..: Though HPV subtypes 16 & 18 are highly associated with cervical cancer, all what you can do is following the recommended PAP smear and vaginal inspection more diligently and vigilantly than the average females so additional step may be timely executed. More? Ask your gyn-doc. Of course, regardless of what, who, when, and how you're, always practice healthy lifestyle without obsession. ...Read more

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Can you get a leep procedure while pregnant or is it safer to wait until after?

Can you get a leep procedure while pregnant or is it safer to wait until after?

Wait unless cancer: Unless your OB has a high suspicion for cancer, I would avoid LEEP until after you deliver. Cancer in a 23yo is extremely rare. Most likely, you have severe dysplasia. This is very slow growing and waiting will not change prognosis. A LEEP during pregnancy could cause preterm labor, hemorrhage, or other complications. ...Read more

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