What is LEEP?

Dysplasia is diagnosed as the development of pre-cancerous cells in the cervix. Pap smears with abnormal results commonly have an underlying dysplasia. In order to treat dysplasia, the abnormal cells must be removed from the cervix. One way to do this is with a Loop Electrosurgical Excision Procedure, referred to simply as a LEEP procedure.

A LEEP procedure typically takes twenty to thirty minutes to perform. You will lie on your back, much like a pelvic exam or pap smear. A dispersive pad will be placed on your thigh to provide a safe return path for the electrosurgical current. A speculum is placed in the vagina. The doctor will use a loop electrode to remove the abnormal skin from the cervix. A high-intensity electrical current is passed through the loop electrode, shaving off a thin layer of cervical tissue. A local anesthetic is used to numb the cervix, thus the procedure is usually painless. If cramping occurs after the procedure, medication can be administered or prescribed to ease discomfort.

Follow up from a LEEP procedure is essential. Pap smears are usually done every three to four or every four to six months for two years. A Colposcopy may also be performed in the office if pap results continue to come back with abnormalities.

The LEEP procedure cannot be performed during your period. Ibuprofen can be taken prior to the procedure to help with potential discomfort afterwards. Tampons, douching and sexual intercourse must be avoided for about four weeks after having a LEEP procedure.