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LEEP (Loop Electrosurgical Excision Procedure)

The LEEP(Loop Electrosurgical Excision Procedure) is a thin low- voltage electrified wire loop, which is used to cut away abnormal cervical tissue that can be seen during colposcopy.

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There are two ways that a LEEP procedure is used:

  • Cut away abnormal cervical tissue that can be seen during colposcopy.
  • Remove abnormal tissue (high) in the cervical canal that cannot be seen during colposcopy.

LEEP is a simple procedure , and less expenisve that is usually done at your doctor's office, a clinic or a hospital, as an outpatient procedure, it is not necessary that you need to spend a night in the hospital.

As directed by the physician , the nurse would prepare you up before the procedure, Your doctor will insert an instrument with curved blades (speculum) into your vagina, this instrument gently spreads apart the vagina walls , allowing the physician to see the inside of the vagina and the cervix , so that it canto be examined.

An oral medication is given to numb the cervix (cervical block), otherwise, an pain medication is given through a vein (intravenous, or IV) may be used in addition to the local anesthetic.

LEEP procedure is as good and effective as cryotherapy or laser treatment, through this treatment if all the abnormal cervical tissue is removed, there is no need for further surgery . There are chances that abnormal cells may recur in the future. Studies have shown that it has worked 98% and all the abnormal cells were remove.

After LEEP Procedure

  • You may experience  mild cramping which may occur for several hours after the procedure.
  • A dark brown vaginal discharge during the first week is normal.
  • You may experience vaginal discharge , or spotting , for about 3 weeks.
  • Sanitary napkins should be used instead of tampons for about 3 weeks.
  • According to the doctor's advise sexual intercourse should be avoided for about 3 weeks,
  • Douching should not be done.

Risks Factors

  • It is rare though, that Infection of the cervix or uterus may develop.
  • Infertility may occur, ( it is very rare).
  • Narrowing of the cervix (cervical stenosis)

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