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Most of the time, abnormal cervical cells heal without treatment. But sometimes, they can develop into cancer. Treatments for precancerous cells are highly effective at preventing cervical cancer. That is why it is so important to have regular Pap tests and to follow up on any abnormal results.
LEEP is one type of treatment for abnormal cervical cells.
Whether you have been told that you need LEEP, or are a concerned friend, family member, or partner, you may have many questions. Here are the answers to some questions women commonly ask about LEEP.
LEEP is a treatment for abnormal cells on the cervix. LEEP — short for loop electrosurgical excision procedure — removes abnormal tissue by cutting it away using a thin wire loop that carries an electrical current. It may be performed after abnormal cells are found during a Pap test, colposcopy, or biopsy.
LEEP cures the problem about 90 percent of the time.
If LEEP does not cure your problem, you may have LEEP again, or your health care provider may recommend another treatment.
During the LEEP procedure, the health care provider usually looks through a colposcope to see your cervix more clearly.
A LEEP procedure takes about 10 minutes.
Is LEEP Painful?No — most women do not feel anything. Some women feel mild discomfort or cramping.
Try to schedule the LEEP procedure for shortly after the end of your period. This will give your cervix time to heal before you have your period again.
Ask your health care provider if you should take an over-the-counter pain reliever about an hour before your procedure to reduce the chance of discomfort.
After the LEEP procedure, you may feel mild cramping for a day or so. If you're uncomfortable, use oral pain relievers, such as acetaminophen (like Tylenol) or ibuprofen (like Advil).
You probably will have a watery discharge for several weeks. It may be heavy and may be mixed with a little blood. There also may be some odor to the discharge. In addition to normal bathing, wash your labia (lips of the vulva) with plain water several times a day for a few days.
Do not douche or use tampons for several weeks after having the LEEP procedure — talk with your health care provider about how long you should wait.
Your health care provider will help you decide how long you should wait to have sex again. In general, women should wait 3–4 weeks after having the LEEP procedure before having vaginal intercourse. This allows the cervix time to heal and reduces the risk of infection. You can enjoy other kinds of sex that doesn't involve inserting anything into your vagina.
Continue taking your medications as usual — including the birth control pill. You can also continue to use any other method of birth control.
Most women do not have any serious side effects after the LEEP procedure.
Rare complications of LEEP include
You should call your health care provider if you have
LEEP may increase the risk of preterm birth in future pregnancies. Talk with your health care provider if you plan on getting pregnant in the future.
LEEP During Pregnancy
Health care providers usually try to wait until after birth to treat a pregnant woman's abnormal cervical cells. Delaying treatment is usually safe because it generally takes a long time for abnormal cervical cells to become cancerous.
Yes. Other treatments include
Another way to manage abnormal cervical cells is to monitor them and see if treatment is necessary. Your health care provider may recommend more frequent Pap tests and follow-up colposcopies to see if the cells heal themselves. Your health care provider can discuss your best treatment plan with you.
You can get LEEP at many Planned Parenthood health centers, or at a clinic, or private health care provider.
Q&A with Dr. Cullins