LEEP (Loop Electrosurgical Excision Procedure)

Cells on the cervix are constantly changing. Sometimes the cells become abnormal and may be a warning. If tests show abnormal cells on the cervix, sometimes Dr. Strobel may suggest they be treated with a LEEP. LEEP is used to remove abnormal cells from the cervix.

LEEP is a simple, effective, and inexpensive way to treat abnormalities of the cervix or dysplasia. Other treatment options that are sometimes used are cryosurgery, laser and cone biopsy. The type of treatment used depends on the exact location on the cervix of the abnormality, the size of the lesion, and the amount of tissue to be removed. It is best to have the procedure done when you are not on your menstrual period. Dr. Strobel also asks that the patient take a drug such as naproxen and ibuprofen about 30 minutes prior to the procedure.

Dr. Strobel will spray a topical anesthetic onto the surface of the cervix and vagina. She will then inject a local anesthetic into the cervix so that the patient will not feel any pain. A solution will then be placed into the cervix so that the abnormal areas are seen easier.

The LEEP procedure uses electricity and a thin wire that acts like a surgical knife. When passed through the cervix, the loop cuts away a thin layer of the cells. The tissue is then sent for evaluation by a pathologist. The results are usually back within 7 days.

Problems seldom occur with LEEP, but some complications can occur. A few patients may feel faint or dizzy. There is a small risk of infection. Bleeding is to be expected and is usually not as heavy as a period. You should contact Dr. Strobel if you have bleeding heavier than your normal period, severe abdominal pain, or high fever.

It takes several weeks for the cervix to heal. During this time, most women experience light vaginal bleeding or spotting and mild cramping. The bleeding usually turns into a brownish-black discharge. You should not use tampons or douches for 3 weeks. You should not have sexual intercourse until the bleeding and discharge disappear.

After the procedure, you will usually be asked to return to the office more frequently for Pap smears and examinations to make sure that the cervix has healed and that the abnormality does not return. If you are a smoker, you should stop smoking since smoking increases the risk of cervical cancer. Also, if you have more than one sexual partner or a sexual partner who is not monogamous, then you should have him wear condoms to prevent contraction of sexually-transmitted diseases.