Before you leave, your nurse will explain how to care for yourself at home. Here are some guidelines to follow:. Your feedback will help us improve the information we provide to patients and caregivers.
We read every comment, but we're not able to respond. If you have questions about your care, contact your healthcare provider. For more resources, visit www. Eat and drink as you normally would. Schedule your procedure for 1 week after your period. After LEEP, most women are able to return to most of their normal activities within 1 to 3 days.
You will be told to avoid sexual intercourse, douching and using tampons for 3 to 4 weeks. Every 4 to 6 months, you will have a Pap test. After your Pap test results have been normal for a few times, you and your doctor will decide how often you should have the test. There is a small risk that LEEP will need to be repeated if there is still disease after the first procedure.
Side effects can occur with any type of treatment, but not everyone has them or experiences them in the same way. Common side effects may include: menstrual-like cramps dark brown discharge from the vagina during the first week spotting small amounts of blood or discharge from the vagina during the next 3 weeks.
Most women have no problems after having LEEP. Problems that can occur include: delivering the baby early if you get pregnant after having painful periods and trouble getting pregnant caused by narrowing or scarring of the cervix. A pathologist will examine the tissue removed during LEEP under a microscope. Loop electrosurgical excision procedure LEEP. Why LEEP is done. How LEEP is done. The cervical tissue and cell samples are then sent to a lab to be looked at under a microscope.
You will be instructed to empty your bladder before the procedure. You will lie on an exam table, with your feet and legs supported as for a pelvic exam. Your healthcare provider will insert an instrument called a speculum into your vagina to spread the walls of the vagina apart to expose the cervix.
Often, the healthcare provider will use a colposcope, an instrument with a special lens similar 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 provider will look through the colposcope to locate any areas for treatment on the cervix or in the vagina. Photographs with the colposcope or sketches of the areas on your cervix may be made for your healthcare record. Your cervix may be cleaned and soaked with a vinegar solution, also called acetic acid solution. This helps make the abnormal tissues turn white and become more visible. You may feel a mild burning sensation. An iodine solution is sometimes used to coat the cervix, called the Schiller test.
The healthcare provider will numb the area using a small needle to inject medicine. A type of forceps, called a tenaculum, may be used to hold the cervix steady for the procedure.
You may feel some cramping when the tenaculum is applied. The LEEP wire will be inserted through the speculum and passed through the abnormal tissues. One or more passes may be needed. You may feel pressure or a slight cramping.
Some women feel faint during the procedure. Tell your healthcare provider or the nurse if you have this feeling. It is very important that you lie still during the procedure. The amount and location of tissue removed depends on the whether LEEP is being used as a diagnostic tool, or to remove abnormal tissue.
LEEP wires come in different sizes and shapes. The electrical current will seal the blood vessels, so usually there is very little bleeding.
Any bleeding from the LEEP site may be treated with a paste-like topical medicine. The tissue will be sent to a lab for further testing.
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