What is a loop electrosurgical excision treatment (LEEP)?
Loop electrosurgical excision treatment (LEEP) works by using a wire loop heated by
electric powered recent to remove cells and tissue in a woman’s lower genital
tract. It is utilized as aspect of the diagnosis and treatment method for abnormal or
The lower genital tract incorporates the cervix and vagina. The cervix is the
lower, narrow aspect of the uterus and the vagina connects the cervix and the
With LEEP, an electric powered recent passes via the wonderful wire loop to minimize
absent a slender layer of abnormal tissue. This tissue will be sent to the lab
for tests. LEEP can also remove abnormal cells to permit healthy tissue to
Why might I have to have a LEEP?
LEEP may perhaps be finished when cervical or vaginal problems are discovered all through a
pelvic examination, or abnormal cells are discovered all through a Pap check. LEEP is also
finished to detect most cancers of the cervix or vagina.
Cells that surface to be abnormal, but are not nonetheless cancerous, may perhaps be called
precancerous. These abnormal cells may perhaps be the initially proof of most cancers that
could create many years later on.
LEEP may perhaps also be utilized to guide in the diagnosis or treatment method of the
adhering to problems:
- Polyps (benign growths)
Genital warts, which may perhaps suggest an infection with human papilloma virus
(HPV), a chance factor for acquiring cervical most cancers
Diethylstilbestrol (DES) publicity in women whose mothers took DES
all through pregnancy, as DES publicity boosts the chance for most cancers of the
Your healthcare service provider may perhaps have other reasons to endorse LEEP.
What are the pitfalls for a LEEP?
Some feasible problems may perhaps include:
- Changes or scarring in the cervix from removal of tissue
- Issues having expecting
- Potential for preterm start or getting a low start bodyweight baby
If you are allergic to or sensitive to drugs, iodine, or latex, notify
your healthcare service provider.
If you are expecting or imagine you could be, notify your healthcare service provider.
There may perhaps be other pitfalls depending on your affliction. Be positive to examine
any fears with your healthcare service provider just before the treatment.
Specific aspects or problems may perhaps interfere with LEEP. These aspects
- Acute pelvic inflammatory disorder
- Acute swelling of the cervix
How do I get all set for LEEP?
Your healthcare service provider will clarify the treatment and you can request
You will be requested to indicator a consent sort that offers your authorization to
do the treatment. Read the sort thoroughly and request inquiries if
one thing is not clear.
- Usually, no preparation, these as fasting or sedation, is wanted.
- If you are expecting or imagine you may perhaps be, notify your healthcare service provider.
Inform your healthcare service provider if you are sensitive to or are allergic
to any medications, latex, tape, iodine, and anesthesia.
Inform your healthcare service provider of all medications (approved and
around-the-counter) and herbal dietary supplements that you are using.
Inform your healthcare service provider if you have a heritage of bleeding
diseases or if you are using any blood-thinning medications
(anticoagulants), aspirin, or other medications that have an affect on blood
clotting. You may perhaps be instructed to cease these medications just before the treatment.
Your healthcare service provider will notify you not to use tampons, vaginal
lotions or medicine, douching, or getting intercourse just before the treatment.
- LEEP is generally finished when you are not getting your menstrual period of time.
Your healthcare service provider may perhaps endorse that you just take a discomfort reliever 30
minutes just before the treatment.
You may perhaps want to bring a sanitary napkin to put on household following the
- Stick to any other guidance your service provider offers you to get all set.
What occurs all through a LEEP?
LEEP may perhaps be finished in a healthcare provider’s office, on an outpatient foundation,
or as aspect of your keep in a hospital. Processes may perhaps range depending on
your affliction and your healthcare provider’s methods.
Usually, LEEP follows this approach:
You will be requested to undress totally or from the waist down and put
on a hospital gown.
- You will be instructed to empty your bladder just before the treatment.
You will lie on an examination table, with your toes and legs supported as for
a pelvic examination.
Your healthcare service provider will insert an instrument called a speculum
into your vagina to unfold the walls of the vagina apart to expose the
Often, the healthcare service provider will use a colposcope, an instrument
with a special lens comparable to a microscope, to magnify the tissues.
The colposcope will be placed at the opening of your vagina but does
not enter your vagina.
Your healthcare service provider will search via the colposcope to locate any
regions for treatment method on the cervix or in the vagina. Images with
the colposcope or sketches of the regions on your cervix may perhaps be produced for
your healthcare file.
Your cervix may perhaps be cleaned and soaked with a vinegar answer, also
called acetic acid answer. This assists make the abnormal tissues turn
white and grow to be far more obvious. You may perhaps come to feel a delicate burning sensation.
An iodine answer is sometimes utilized to coat the cervix, called the
The healthcare service provider will numb the region making use of a modest needle to
A sort of forceps, called a tenaculum, may perhaps be utilized to hold the cervix
continual for the treatment. You may perhaps come to feel some cramping when the tenaculum
- You will hear humming and/or blowing appears from the equipment.
The LEEP wire will be inserted via the speculum and passed via
the abnormal tissues. A person or far more passes may perhaps be wanted. You may perhaps come to feel
force or a slight cramping.
Some women come to feel faint all through the treatment. Inform your healthcare
service provider or the nurse if you have this feeling.
- It is extremely important that you lie continue to all through the treatment.
The quantity and spot of tissue removed relies upon on the whether or not LEEP
is remaining utilized as a diagnostic resource, or to remove abnormal tissue. LEEP
wires arrive in unique measurements and designs.
The electrical recent will seal the blood vessels, so generally there is
extremely little bleeding. Any bleeding from the LEEP site may perhaps be dealt with
with a paste-like topical medicine.
- The tissue will be sent to a lab for further more tests.
What occurs following a LEEP?
Following LEEP, you may perhaps relaxation for a handful of minutes following the treatment just before likely
You may perhaps want to put on a sanitary pad for bleeding. It is typical to have some
delicate cramping, spotting, and dark or black-colored discharge for numerous
days. The dark discharge is from the medicine applied to your cervix to
You may perhaps be instructed not to douche, use tampons, or have intercourse for four months
following LEEP, or for a period of time of time proposed by your healthcare
You may perhaps also have other limitations on your activity, including no physically demanding
activity or hefty lifting.
Choose a discomfort reliever for cramping or soreness as directed by your
healthcare service provider. Aspirin or selected other discomfort medications may perhaps raise
the possibility of bleeding. Be positive to just take only proposed medications.
Your healthcare service provider will notify you when to return for further more treatment method
or care. Usually, women who have had LEEP will have to have far more repeated Pap
Inform your healthcare service provider if you have any of the adhering to:
- Bleeding with clots
- Foul-smelling drainage from your vagina
- Fever and/or chills
- Extreme stomach discomfort
Your healthcare service provider may perhaps give you other guidance following the
treatment, depending on your individual circumstance.