Bleeding after loop electrosurgical excision procedure performed in either the follicular or luteal phase of the menstrual cycle: a randomized trial. Obstet Gynecol. June ;— This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference.
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Contact afpserv aafp. Read the Issue. Sign Up Now. Oct 1, Issue. Am Fam Physician. Read the full article. Get immediate access, anytime, anywhere. Choose a single article, issue, or full-access subscription. By opening your vagina with the speculum, the walls of your vagina are separated so the doctor can see inside to your cervix. LEEP is used in treating moderate or mild precancerous changes in your uterus. This technique is sometimes used to treat cancers that have gone deeper into the tissue of your cervix or severe cases of dysplasia.
Once your physician can see into your cervix, they will use a numbing medicine and apply it to your vagina. Once you have been numbed, the doctor will use a small tool that has a wire loop electrical wire attached to remove any abnormal cells that have been discovered. A low voltage electric current is used to cut away the abnormal cells or tissue. In some cases, your doctor will apply a local anesthetic medication in the area of the cervix, known as a cervical block.
Medications for pain control can also be given intravenously or pre-operatively in pill form. This procedure is different from the ones where the abnormal tissue is destroyed, such as with freezing or laser techniques.
Once the cells have been removed, the blood vessels in the area they were removed from will be sealed to prevent bleeding.
The abnormal cells collected from inside your cervix are preserved and will be sent to a lab for testing by a pathologist. The complete procedure should take approximately ten minutes. Your doctor will discuss the results with you once the lab has filed their report. A speculum is a metal or plastic instrument used by gynecologists to separate the walls of the vagina and enable them to see the cervix and vagina.
The vagina is your stretchy passage that connects the cervix, vulva, and uterus. This area is where menstruation comes out of your body, as well as a baby through childbirth. This area is also where you place sexual penetration with a finger, penis, or sex toy. The cervix is the lower, narrow portion of the uterus which has a small opening to connect your uterus to your vagina. Pap tests are performed to determine if there are abnormal cell changes in your cervix.
The frequency in which these tests should be done depends on your age, medical history, and results of any previous tests. A colposcopy is a test for cervical cancer. It allows your doctor to get a close-up look at your cervix to determine if there are any abnormal cells present. A biopsy is when your doctor removes a small sample of tissue to have it further tested in a lab to make a diagnosis of a condition. During a LEEP, there may be some mild discomfort or cramping.
With the numbing medication applied, you will not feel any heat from the loop or any of the cutting sensation. Most patients have reported they did not feel any sensations during the procedure. This diagnosis would follow a screening test and cervical biopsies. The finding of your Pap Test generally signals that further examination of the cervix is needed. Colposcopy would be the necessary examination of your vaginal walls, vulva, and uterine cervix.
This procedure uses illumination and magnification to check and examine abnormalities of these structures. Colposcopy is generally recommended to evaluate Pap tests with abnormal results. During this procedure, more testing, including a biopsy, is done to determine whether or not the abnormal cells or tissue are cancer or precancerous.
A precancerous condition refers to a lesion involving abnormal cells. These cells are associated with an increased risk of developing cancer. Sometimes these cells can progress to cancer, but most often, they do not. The cells can stay the same, remain abnormal, but not invasive, or they can even become healthy again.
If the precancerous cells are removed before they can become cancerous, your condition is theoretically one-hundred percent curable. Dysplasia is defined as the presence of cells, which are considered abnormal within your tissue. This condition can signify a stage preceding cancer or the development of cancer.
It does not mean you will develop cancer if these cells are discovered, but you are at a higher risk of developing cancer than a person without this condition. Before having your LEEP, do not take any medications that contain aspirin or aspirin itself for seven days before your scheduled appointment for the LEEP. You should drink and eat as you usually would, and there is no need to change your diet on the day of your appointment. You should have LEEP scheduled one week after your menstrual cycle, as this will help the doctor know the difference between bleeding caused by the procedure and the bleeding from your period.
Using a fine wire loop with an electric current, your provider is able to pass through the cervix removing the abnormal tissue. You may feel some pressure or cramping during this time. The electric current is used to seal the blood vessels so there is very little bleeding during the process. The procedure itself is now done, and a small amount of medication may be used to reduce any bleeding from the cervix. The tissue sample is sent to the lab for examination.
If you get your period or are spotting, please notify our office. We are unable to perform this procedure if we cannot see your cervix.
If you are not allergic to Advil or Tylenol, it is recommended that you take either two 2 Advil or two 2 Tylenol one hour before the procedure. Do not use any type of skin lotion on your legs on the day of the procedure. Keep your eating routine normal. You should try to eat before the procedure. If you did not receive your expected period prior to this procedure, you must call and notify our office.
Refrain from intercourse for two weeks.
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