Women Partners In OB/GYN - San Antonio, Texas

Loop Electrosurgical Excision Procedure (LEEP)

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What Is LEEP?

Loop Electrosurgical Excision Procedure, also known as LEEP, is a treatment used to remove abnormal cells from the cervix that may be precancerous. LEEP is performed in-office and typically takes only a few minutes. These changes are often detected during cervical cancer screening, like a Pap smear or colposcopy. The physician uses a thin wire loop that acts like a surgical scalpel, applying electrical current to gently excise the affected tissue.

Understanding Why LEEP Is Recommended

We know that hearing “abnormal Pap results” can be unsettling, and it’s completely normal to feel anxious or unsure. What this often means is that some cervical cells aren’t behaving typically, and we want to take a closer. If further testing shows that these cells may be precancerous, your provider might recommend a LEEP. This procedure helps remove the abnormal cells before they have a chance to cause harm, and gives us valuable insight to ensure everything looks good moving forward.

What to Expect During the Procedure

  • You’ll be prepped on the exam table, similar to a regular pelvic exam. A speculum is gently inserted to separate the vaginal walls and visualize the cervix.
  • To keep you comfortable, a local anesthetic is injected.
  • Your physician will select the appropriate loop size to match your anatomy and clinical needs. Once the loop is in place, it’s used to remove the abnormal tissue.
  • Electrocautery is then applied to control bleeding. The removed tissue is sent to pathology for further evaluation.

Frequently Asked Questions

Loop Electrosurgical Excision Procedure (LEEP)

Most patients feel little to no pain during the procedure. A local anesthetic is used to numb the area, though mild cramping or pressure is common afterward. The entire procedure usually takes about 10–20 minutes and is done in-office.

Yes. Unless advised otherwise, you should be fine to drive yourself home and resume light activity the same day.
Most patients return to work within a day, depending on how they feel. Avoid heavy lifting or strenuous activity until cleared by your physician.

LEEP is generally safe, but it may slightly increase the risk of preterm birth or low birth weight. Your provider will help you assess your risks and care options.

Call your doctor right away if you have:
  • Bleeding heavier than a normal period
  • Bleeding with clots
  • Severe lower abdominal pain
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Reach out today to schedule your appointment or ask us any questions. Let’s prioritize your cervical health—your comfort and peace of mind matter.

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