What is a loop electrosurgical excision process (LEEP)?

Loop electrosurgical excision process (LEEP) utilizes a wire loop heated by
electrical latest to take away cells and tissue in a woman’s lower genital
tract. It is employed as portion of the diagnosis and therapy for abnormal or
cancerous conditions.

The lower genital tract consists of the cervix and vagina. The cervix is the
lower, slim portion of the uterus and the vagina connects the cervix and the

With LEEP, an electrical latest passes via the good wire loop to reduce
absent a thin layer of abnormal tissue. This tissue will be despatched to the lab
for tests. LEEP can also take away abnormal cells to allow for healthful tissue to

Why may well I have to have a LEEP?

LEEP may perhaps be finished when cervical or vaginal problems are uncovered throughout a
pelvic exam, or abnormal cells are uncovered throughout a Pap check. LEEP is also
finished to detect most cancers of the cervix or vagina.

Cells that seem to be abnormal, but are not however cancerous, may perhaps be termed
precancerous. These abnormal cells may perhaps be the initial proof of most cancers that
could produce yrs later on.

LEEP may perhaps also be employed to assist in the diagnosis or therapy of the
following conditions:

  • Polyps (benign growths)
  • Genital warts, which may perhaps indicate an infection with human papilloma virus
    (HPV), a threat component for producing cervical most cancers
  • Diethylstilbestrol (DES) exposure in girls whose mothers took DES
    throughout being pregnant, as DES exposure will increase the threat for most cancers of the
    reproductive technique

Your health care supplier may perhaps have other causes to advocate LEEP.

What are the dangers for a LEEP?

Some doable problems may perhaps consist of:

  • Infection
  • Bleeding
  • Variations or scarring in the cervix from removing of tissue
  • Problems finding expecting
  • Probable for preterm start or possessing a very low start fat baby

If you are allergic to or delicate to medications, iodine, or latex, explain to
your health care supplier.

If you are expecting or assume you could be, explain to your health care supplier.

There may perhaps be other dangers based on your condition. Be positive to explore
any fears with your health care supplier prior to the process.

Certain things or conditions may perhaps interfere with LEEP. These things
consist of:

  • Menstruation
  • Acute pelvic inflammatory disease
  • Acute swelling of the cervix

How do I get prepared for LEEP?

  • Your health care supplier will clarify the process and you can question
  • You will be asked to indication a consent variety that presents your permission to
    do the process. Examine the variety carefully and question issues if
    one thing is not crystal clear.
  • Generally, no planning, this kind of as fasting or sedation, is needed.
  • If you are expecting or assume you may perhaps be, explain to your health care supplier.
  • Convey to your health care supplier if you are delicate to or are allergic
    to any medicines, latex, tape, iodine, and anesthesia.
  • Convey to your health care supplier of all medicines (prescribed and
    over-the-counter) and herbal supplements that you are getting.
  • Convey to your health care supplier if you have a heritage of bleeding
    disorders or if you are getting any blood-thinning medicines
    (anticoagulants), aspirin, or other medicines that influence blood
    clotting. You may perhaps be instructed to halt these medicines prior to the process.
  • Your health care supplier will explain to you not to use tampons, vaginal
    creams or medication, douching, or possessing intercourse prior to the process.
  • LEEP is generally finished when you are not possessing your menstrual interval.
  • Your health care supplier may perhaps advocate that you just take a discomfort reliever 30
    minutes prior to the process.
  • You may perhaps want to bring a sanitary napkin to use house immediately after the
  • Stick to any other guidance your supplier presents you to get prepared.

What transpires throughout a LEEP?

LEEP may perhaps be finished in a health care provider’s office environment, on an outpatient basis,
or as portion of your remain in a medical center. Techniques may perhaps range based on
your condition and your health care provider’s procedures.

Generally, LEEP follows this system:

  1. You will be asked to undress absolutely or from the midsection down and place
    on a medical center robe.
  2. You will be instructed to empty your bladder prior to the process.
  3. You will lie on an exam table, with your feet and legs supported as for
    a pelvic exam.
  4. Your health care supplier will insert an instrument termed a speculum
    into your vagina to spread the walls of the vagina apart to expose the
  5. Typically, the health care supplier will use a colposcope, an instrument
    with a particular lens comparable to a microscope, to enlarge the tissues.
    The colposcope will be placed at the opening of your vagina but does
    not enter your vagina.
  6. Your health care supplier will appear via the colposcope to track down any
    parts for therapy on the cervix or in the vagina. Photos with
    the colposcope or sketches of the parts on your cervix may perhaps be designed for
    your health care document.
  7. Your cervix may perhaps be cleaned and soaked with a vinegar alternative, also
    termed acetic acid alternative. This allows make the abnormal tissues turn
    white and grow to be additional seen. You may perhaps experience a mild burning feeling.
    An iodine alternative is in some cases employed to coat the cervix, termed the
    Schiller check.
  8. The health care supplier will numb the region applying a modest needle to
    inject medication.
  9. A kind of forceps, termed a tenaculum, may perhaps be employed to maintain the cervix
    steady for the process. You may perhaps experience some cramping when the tenaculum
    is utilized.
  10. You will hear humming and/or blowing seems from the products.
  11. The LEEP wire will be inserted via the speculum and passed via
    the abnormal tissues. A person or additional passes may perhaps be needed. You may perhaps experience
    strain or a slight cramping.
  12. Some girls experience faint throughout the process. Convey to your health care
    supplier or the nurse if you have this emotion.
  13. It is really vital that you lie still throughout the process.
  14. The amount and area of tissue removed depends on the irrespective of whether LEEP
    is remaining employed as a diagnostic instrument, or to take away abnormal tissue. LEEP
    wires occur in various dimensions and shapes.
  15. The electrical latest will seal the blood vessels, so generally there is
    really tiny bleeding. Any bleeding from the LEEP website may perhaps be treated
    with a paste-like topical medication.
  16. The tissue will be despatched to a lab for even further tests.

What transpires immediately after a LEEP?

Following LEEP, you may perhaps rest for a number of minutes immediately after the process prior to going

You may perhaps want to use a sanitary pad for bleeding. It is usual to have some
mild cramping, spotting, and dark or black-colored discharge for several
days. The dark discharge is from the medication utilized to your cervix to
command bleeding.

You may perhaps be instructed not to douche, use tampons, or have intercourse for 4 weeks
immediately after LEEP, or for a interval of time proposed by your health care

You may perhaps also have other restrictions on your action, which include no physically demanding
action or large lifting.

Just take a discomfort reliever for cramping or soreness as directed by your
health care supplier. Aspirin or particular other discomfort medicines may perhaps improve
the probability of bleeding. Be positive to just take only proposed medicines.

Your health care supplier will explain to you when to return for even further therapy
or care. Generally, girls who have experienced LEEP will have to have additional recurrent Pap

Convey to your health care supplier if you have any of the following:

  • Bleeding with clots
  • Foul-smelling drainage from your vagina
  • Fever and/or chills
  • Critical belly discomfort

Your health care supplier may perhaps give you other guidance immediately after the
process, based on your particular situation.