Loop Electrosurgical Excision Procedure

The acronym LEEP stands for loop electrosurgical excision procedure. It is used to treat high-grade cervical dysplasia (abnormal changes in cells on the surface of your cervix) that is discovered by your doctor during a colposcopic examination. A colposcopy is a procedure that allows your doctor to examine your cervix carefully with an instrument called a colposcope (a binocular-like instrument that is pointed at your vaginal opening. If your Pap smear results are abnormal, your doctor may recommend a colposcopy to investigate the abnormalities

How do I prepare for a LEEP procedure?

By making sure, you are not on your period (so that your doctor can see your cervix better) you are helping the efficacy of the LEEP procedure.

leep gynecology top10mdWhat are the advantages of a LEEP procedure?

What are the disadvantages of a LEEP procedure?

Complications that result from a LEEP procedure are less frequent when compared to a cold knife conization, but there are still small chances of infection and hemorrhage.

Will a LEEP procedure affect my fertility?

There are some associations between the surgical treatment of CIN lesions and risk of infertility. Scarring of the cervix is thought to cause more difficulty conceiving. Studies have also shown that women who achieved pregnancy less than one year after their LEEP procedures experienced a significantly increased risk of spontaneous abortions and miscarriages.

How is a LEEP procedure done?

Since there is no hospital stay required, a LEEP procedure is done at an outpatient wing of a hospital, at your doctor’s office, or at a clinic. You are required to take off your clothes below your waist and drape a paper or cloth covering over yourself. Then you will lie on your back as you would for any gynecological exam. A speculum is inserted into your vagina, and numbing medicine is injected into your cervix. To remove the unwanted growths of tissues (lesions) on your cervix, your doctor will use a wire loop that has an electric current passing through it to eliminate these lesions. The strength of the electric current and the shape and size of the loop will vary depending on the size and orientations of your lesions. Your doctor will make the first pass and remove what needs to be removed and then some. A second pass may be made with a narrower loop to obtain a specimen for further evaluation.

Your doctor will excise (destroy and remove) your lesions and then some, usually extending the excision 4 or 5 mm beyond the area where the lesions end. Because the instrument used is electrically charged, it simultaneously cuts and cauterizes (stops bleeding and prevents infection) your lesion or lesions.

What are the risks of getting a LEEP procedure?

What should I expect to experience after my LEEP procedure?

leep gynecology top10mdWhat things should I avoid after my LEEP procedure?

Recovery Symptoms

If you experience any of the following symptoms after your procedure you should call your doctor and seek immediate medical care:

You should be able to return to your normal activities within three days after LEEP is performed. Recovery time may be longer depending on how much was excised during the procedure.

How can I protect the health of my cervix?


There are thousands of Gynecologists to choose from; however, not all doctors are created equal. Gynecology takes the knowledge and finesse of an experienced Gynecologist. That’s why we’ve selected your city’s best Gynecologists – to make the decision process easier for you and your family.

For your peace of mind, Top10MD Gynecologists’ credentials are validated yearly to verify medical licenses have no serious patient care sanctions, current Board Certifications in their given medical specialty, current DEA & DPS licenses, and malpractice insurance. A Top10MD has at least 5+ years experience or has performed 300+ procedures in their given specialty and a current Patient Satisfaction Score of 8.5 or higher.

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