LEEP Procedure and Pre-Op Instructions

Leep of the cervix is the removal of the outside portion of the cervix which contains the abnormal cells. It is done using an electrosurgical wire loop under local anesthesia with generally minimal pain, discomfort, or bleeding.

PRE OPERATIVE MEDICAL INFORMATION:

1. The office has pamphlets and a movie explaining the surgical procedure called LEEP. We encourage you to read and review this information. The week prior to your surgery you will have an appointment with the doctor to answer any questions or concerns you may have regarding surgery. We recommend you make a list of questions to bring to that appointment.

2. LEEP is done in the office. You should plan on being at the office 1-2 hours the day of your surgery. Plan to have someone to drive you home from the appointment that day.

3. You will be given pain medication just prior to the procedure in the office. The surgery itself takes approximately 20 to 40 minutes.

4. Healing time of the cervix after a LEEP is 6 weeks. Most women return to work the next day depending on their job requirements. A follow up pap smear can be done in 3-4 months.

POST-OPERATIVE PATIENT INFORMATION:

Vaginal bleeding
It is normal to have vaginal spotting and discharge for several days. You should avoid the use of tampons, douche, or placing anything in the vagina for 4 weeks without exception. Mild bleeding may resolve with bedrest.

Pain
Some women experience discomfort following procedure. You can take Extra Strength Tylenol or Advil, 1-2 tablets every 4-6 hours, unless otherwise directed by your physician.

Activity
You should have someone to drive you home after the procedure. Rest as much as possible the night after surgery. Most women feel like going back to work the next day, depending on their type of employment.

Diet
You may resume your diet as you become hungry. It is normal to experience some nausea.

Bathing
You may bathe as desired.

Sexual activity
You should avoid sexual activity for at least 4 weeks.

REASONS TO CALL THE DOCTOR:

  • Excessive vaginal bleeding
  • Fever over 100 degrees.
  • Acute pain that is not relieved by rest and/or pain medication.
  • Foul smelling vaginal discharge.
  • Other Information
  • Leep Procedure/ACOG Pamphlet
  • Reasons For Performing LEEP
  • Cervical Dysplasia
  • HPV Virus
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