Loop Electrosurgical Excision Procedure (LEEP)


If you have an abnormal cervical cancer screening result, the LEEP exam will be performed by the physician. The LEEP allows the physician to remove abnormal cells from the cervix. Cells are removed by using a thin wire loop that acts like a scalpel/surgical knife. The exam is performed in the physician’s office.

LEEP may be performed when:

  • You are NOT having your menstrual period.
  • The patient is prepped on the bed similar to a pelvic exam.
  • A speculum will be used to hold apart the vaginal walls and allow visualization of the cervix.
  • A local anesthetic is applied via injection.
  • There are different size loops and your physician will determine which size to use. The loop is inserted in the vagina to the cervix.
  • After the procedure, electrocautery is used to control bleeding.
  • The tissue is sent to pathology for further evaluation.
  • Heavy bleeding within the first 3 weeks.
  • Increased risk of future pregnancy problems.
  • Small increase in the rest of the premature births and a low birth weight baby.
  • Cervix narrowing.
  • You may have cramping.
  • You may have some watery, pinkish discharge. You may use a sanitary pad until discharge stops.
  • Do not have sex, use tampons, or douche until you have been cleared by your physician to do so.

Call the office right away if you experience the following:

  • Heavy bleeding, more than your normal period.
  • Bleeding with clots
  • Severe lower abdominal pain

You will be required to continue screening at regularly scheduled intervals with your physician. It is important that you make these appointments a priority.

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