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LEEP Procedure

What is a LEEP?

By Lisa Fayed, About.com

Updated: April 29, 2007

About.com Health's Disease and Condition content is reviewed by our Medical Review Board

Loop electrosurgical excision procedure (LEEP) is a procedure done to treat high grade cervical dyplasia. Although very uncommon, a LEEP can be used to treat very early cervical cancer or to diagnose cervical cancer.

A LEEP is commonly performed after a colposcopy and cervical biospy indicate abnormal cells on the cervix that may later turn into cancer.

How is a LEEP Performed?

During a LEEP, the doctor:
  • inserts a speculum into the vagina
  • administers an anesthetic to the cervix to numb the area
  • the use of as electrically charged wire loop is used to remove abnormal cells
  • a topical solution may be put on the cervix to stop any bleeding
A LEEP procedure is typically painless, however mild cramping may be felt during the procedure. It takes approximately 5-10 minutes to perform and performed during an in-office visit.

What to Expect After a LEEP

After a LEEP, you can expect mild cramping, dark discharge, and possible mild bleeding with discharge. It is advised to wear a sanitary napkin, but not a tampon.

Most doctors will advise no sex, douching, tampons, or basically anything in the vagina for a certain amount of time. Heavy lifting and exercise is not recommended following a LEEP also.

A follow up appointment will be made about two weeks following the procedure. This appointment is very important because the doctor will check to see if your cervix has healed.

Pap smears will most like be done every 3-6 months for at least a year following a LEEP.

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