What is a LEEP procedure?

The LEEP procedure, short for Loop Electrosurgical Excision Procedure, is a surgical method to remove abnormal cervical tissue using a fine wire loop and electrical current. This sample of tissue is then sent to the pathology lab for microscopic evaluation to evaluate abnormal cervical cells, like cancer, among other things.

Why might I need it?

Provider’s will recommend the LEEP procedure if abnormalities, such as pre-cancerous or cancerous lesions, are detected during your pap smear or colposcopy. LEEP helps in both diagnosis and treatment, meaning in some cases, post-procedure you will only need routine pap smears for monitoring purposes.

How should I prepare?

No major preparations are needed. It’s advisable to schedule the procedure when you’re not menstruating, and refrain from sexual activity or inserting anything else into the vagina 48-72 hours prior.

What should I expect?

First we’ll address all your questions or concern. Once we’ve covered everything the procedure will commence.  Your provider will insert a speculum (See image: Speculum) allowing them to see your cervix. Then he or she will use a thin wire loop to remove the abnormal tissue. Your provider will likely administers local anesthesia to minimize discomfort and applies a brown paste to minimize bleeding.. You may feel some pressure or mild cramping, but the procedure is generally brief.

What happens after the LEEP procedure?

After the LEEP, you might experience mild cramping or light bleeding. Should you experience excessive bleeding, its important you contact your provider right away. Because of the brown paste, it’s also common to experience a dark vaginal discharge shortly after. It’s advisable to avoid strenuous activities for a few days and refrain from sexual activity for a short period. Your provider will give guidance on post-procedure care and schedule follow-up appointments to monitor your recovery and discuss any further steps.

Still have questions?

Don’t worry, because you’re not alone. Remember that we’re here to help and support you, so don’t stress. Having questions is a good and healthy thing! Check out our additional resources below:

• Prefer reading? Here’s an article from ACOG (The American College of Obstetricians and Gynecologists) on the matter.
• Rather watch or listen? Here’s video of Nelly herself, one of our esteemed providers, discussing the topic.
• General questions? Reach us via any contact methods listed at the bottom of this page (live chat, email, text messages, or a phone call).
• For specific medical questions or advice, it’s always best to schedule an appointment.

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