LEEP

LEEP stands for Loop Electrosurgical Excision Procedure. It is a procedure used to remove abnormal cells from your cervix. This is usually indicated when you have cervical dysplasia.

  • What can I expect during the procedure?
  • After your cervix is made numb, a thin wire loop with electric current passing through it is used to remove abnormal cells. The loop excision part of the procedure is very quick, in most cases a few seconds. Then the cervix is cauterized to take care of any bleeding. The entire procedure takes only a few minutes to complete.

  • What can I do after the procedure?
  • You may have some cramping, but not severe. Ibuprofen is good for this. You may have light to moderate bleeding (like a period) for a few days, maybe up to two weeks. You will have discharge that may initially be brown. As long as it is not foul smelling or accompanied by abdominal pain this is normal. You should refrain from heavy exertion for 2 weeks. No sex or tampon use for 3 weeks.

  • How do I know if the procedure removed all of the abnormal cells?
  • All tissue removed from the cervix will be sent to pathology for microscopic examination. They will tell us if the surgical margins contain any abnormal cells. If the margins are negative, it is very unlikely that any abnormal cells remain on the cervix. Follow-up Pap tests will detect any abnormal cells after healing. There is a 5-10% recurrence rate for dysplasia.

  • What is the follow-up?
  • You will receive a repeat pap smear no sooner than 3 months after the procedure. You may need to repeat the pap several times until normal twice. Ask your physician about follow-up.
    Should you have further questions, refer to ACOG handouts available in our office.

    IUD

    An IUD (intrauterine device) is a long acting reversible contraception method. The IUD is highly effective in preventing pregnancy, lasts several years, and is easy to use. We offer multiple devices to meet your specfic needs.
    Read more about IUDs on the ACOG website>

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    Nexplanon is an implant with progesterone only that helps to prevent pregnancy. It is the only FDA approved implant available for contraception.
    For details refer to its website >

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