Treatment FAQ

what is followup treatment to leep procedure

by Miss Raphaelle Altenwerth II Published 3 years ago Updated 2 years ago
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In general, women who have had LEEP procedures need to have a follow-up Pap in 1 year. There are situations when a 6 month follow-up and a 1 year follow-up Pap smear are required. What Should I Do After a LEEP Procedure? You will be able to go home after the LEEP procedure, although you may want to rest for a few minutes before leaving our office.

If the margins are positive, you may need a repeat procedure. In addition, six months following a LEEP, you'll have a follow-up appointment that includes Pap and HPV tests. In some cases, abnormal cells are found again. If this happens, you may require another LEEP.Jun 30, 2021

Full Answer

What is the recovery time after a LEEP procedure?

Oct 23, 2021 · After a LEEP, your healthcare provider will give you various instructions to follow at home. These instructions generally include: 8 Take pain medication (usually an over-the-counter medication like Tylenol) for any mild discomfort or cramping you experience. Wear a sanitary pad for any vaginal spotting and/or vaginal blood or dark-brown discharge.

How will I feel after the LEEP procedure?

Feb 15, 2021 · Don’t douche, use tampons or have sex for 2 – 4 weeks after the procedure. It’s also a good idea to avoid heavy lifting or strenuous tasks the day of the procedure, and you may want to take an over-the-counter pain reliever for cramping that sometimes occurs after a LEEP.

How long do you discharge after A leep?

Mar 07, 2008 · During a LEEP: 1  the doctor inserts a speculum into the vagina an anesthetic is injected into the cervix to numb the area the use of an electrically charged wire loop is used to remove abnormal tissue a topical solution may be put on the cervix to stop any bleeding

Does the cervix regenerate after LEEP?

Postoperative care Pain. After a LEEP procedure patients may experience some discomfort such as cramping and/or pain. This is normal. Activity. Patients usually return to their normal activity within a day or two. Refrain from vigorous physical activity... Bathing/Swimming. You …

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What is the next step after a LEEP procedure?

After LEEP, you may rest for a few minutes after the procedure before going home. You may want to wear a sanitary pad for bleeding. It is normal to have some mild cramping, spotting, and dark or black-colored discharge for several days. The dark discharge is from the medicine applied to your cervix to control bleeding.

What happens at a LEEP follow up?

You will have a follow-up appointment about two weeks after your LEEP to review the cervical tissue results from the laboratory. Be sure to follow up with your healthcare provider about your results if you do not hear back from them/don't already have this appointment scheduled.Oct 23, 2021

Is a second LEEP procedure common?

3.2% (7 patients) were diagnosed with HSIL and underwent a second LEEP. This study found that 14.0% of patients (n = 31) required further follow up based on findings at the second colposcopy follow up visit.Feb 26, 2020

When can I follow up after LEEP?

Usually, a follow-up appointment will be recommended six months after your LEEP.

Why do I need a second LEEP procedure?

In some cases, abnormal cells are found again. If this happens, you may require another LEEP. Following a normal Pap and negative HPV test, patients are required to come back a year later for another screening.Jun 30, 2021

Can precancerous cells come back after LEEP?

A LEEP procedure is exceptionally effective at removing any abnormal or precancerous cells from your cervix. However, depending upon your individual situation, it is possible that abnormal cells will return again, which is why we want to have follow-up appointments and regular cervical cancer screenings with you.Feb 15, 2021

What if LEEP procedure doesn't work?

If LEEP doesn't remove all of the abnormal cells, you may have to have LEEP again, or your doctor or nurse may recommend more tests or a different treatment.

Why do abnormal cells come back after LEEP?

The most common reason for cell changes to come back would be your immune system not getting rid of high-risk HPV.Jan 14, 2022

Can CIN 2 come back after LEEP?

About 23% of patients develop CIN2+ after LEEP treatment due to residual or recurrent lesions. The majority of patients with HPV infection were HPV negative before treatment, but 16,4% were still HPV 16 positive after treatment, indicating that conization do not necessarily clear HPV infection rapidly.Nov 27, 2019

Can cervical dysplasia return after LEEP?

As one type of cervical conization surgery, the loop electrosurgical excision procedure (LEEP) has been widely applied with ideal therapeutic effects. However, 2–48 % of patients with HSIL who are treated with LEEP have been reported to have persistent/recurrent disease after an initial LEEP for HSIL [1–7].Oct 20, 2015

What does Stage 3 precancerous cells mean?

CIN 3 is not cancer, but may become cancer and spread to nearby normal tissue if not treated. Treatment for CIN 3 may include cryotherapy, laser therapy, loop electrosurgical procedure (LEEP), or cone biopsy to remove or destroy the abnormal tissue. CIN 3 is sometimes called high-grade or severe dysplasia.

Do I still have HPV after a LEEP?

Although LEEP does not completely eradicate HPV infection, our results indicate that most HR-HPV infections are cleared after LEEP with negative margins. The clearance rate is increasing gradually after surgery. Our persistence rate was 40.9 % at 6 months, 20 % at 12 months and 11.8 % at 18 months.Oct 6, 2016

What is a leep test?

LEEP is also done to detect cancer of the cervix or vagina. Cells that appear to be abnormal, but are not yet cancerous, may be called precancerous. These abnormal cells may be the first evidence of cancer that could develop years later. LEEP may also be used to assist in the diagnosis or treatment of the following conditions: ...

What is a leep?

With LEEP, an electric current passes through the fine wire loop to cut away a thin layer of abnormal tissue. This tissue will be sent to the lab for testing. LEEP can also remove abnormal cells to allow healthy tissue to grow.

What is a loop excision?

What is a loop electrosurgical excision procedure (LEEP)? Loop electrosurgical excision procedure (LEEP) uses a wire loop heated by electric current to remove cells and tissue in a woman’s lower genital tract. It is used as part of the diagnosis and treatment for abnormal or cancerous conditions. The lower genital tract includes ...

What is the lower genital tract?

The lower genital tract includes the cervix and vagina. The cervix is the lower, narrow part of the uterus and the vagina connects the cervix and the vulva. With LEEP, an electric current passes through the fine wire loop to cut away a thin layer of abnormal tissue. This tissue will be sent to the lab for testing.

What is a polyp?

Polyps (benign growths) Genital warts, which may indicate infection with human papilloma virus (HPV), a risk factor for developing cervical cancer. Diethylstilbestrol (DES) exposure in women whose mothers took DES during pregnancy, as DES exposure increases the risk for cancer of the reproductive system.

What to do if you are allergic to iodine?

If you are allergic to or sensitive to medications, iodine, or latex, tell your healthcare provider. If you are pregnant or think you could be, tell your healthcare provider. There may be other risks depending on your condition. Be sure to discuss any concerns with your healthcare provider before the procedure.

What is a LEEP?

LEEP stands for Loop Electrosurgical Excision Procedure , and it’s not only used to remove possible precancerous cells from your cervix, but it’s also used to diagnose or treat: Diethylstilbestrol (DES) exposure. DES is a type of synthetic estrogen.

Does a Pap smear test detect cervical cancer?

Thankfully, the Pap smear test has greatly reduced the number of deaths from cervical cancer because it detects it at the ear liest stages. However, according to the American Cancer Society, you may be at a higher risk of developing cervical cancer if: You’ve been infected with HPV.

What happens if you have abnormal cells?

If you have abnormal cells, there are a number of responses. The next step depends upon your age, the results of your previous Pap smears, and the degree of change seen on your current Pap.

Is DES a synthetic estrogen?

DES is a type of synthetic estrogen. Those whose mothers took DES during pregnancy are at a higher risk of reproductive system cancer. The use of DES was discontinued in the 1970s. We’ll discuss whether or not a LEEP procedure is the best choice to aid your treatment for the appearance of abnormal cervical cells, polyps or genital warts.

When did DES stop?

Those whose mothers took DES during pregnancy are at a higher risk of reproductive system cancer. The use of DES was discontinued in the 1970s. We’ll discuss whether or not a LEEP procedure is the best choice to aid your treatment for the appearance of abnormal cervical cells, polyps or genital warts. During a LEEP, a tiny, wire loop ...

Does cervical cancer mean you have abnormal cells?

Let’s be clear—having abnormal cervical cells does not necessarily mean that you have cervical cancer. However, it does mean that those cells need to be closely examined. Depending upon the degree of change and your pap smear history, a LEEP may be the best approach to your care.

How does a leep work?

A LEEP uses an electrically charged wire loop to remove abnormal cervical tissue. It is done under local anesthesia and normally on an outpatient basis in hospitals or in a doctor's office. During a LEEP: 1 . the doctor inserts a speculum into the vagina. an anesthetic is injected into the cervix to numb the area.

What is a leep for cervical cancer?

Women with persistent low-grade or high-grade cervical dysplasia may be recommended to have a procedure called a LEEP. A LEEP is commonly recommended for women whose cervical biopsy results show abnormal cells on the cervix that may progress into cervical cancer if left untreated. 1 . STOCK4B / Getty Images.

What is the pain after a LEEP?

After a LEEP procedure patients may experience some discomfort such as cramping and/or pain. This is normal. Your doctor may recommend non steroidal anti-inflammatory drugs (NSAID’s) such as Ibuprofen to manage your pain. However your doctor may prescribe a pain medication, based on the situation, which should be taken as directed.

What is a loop escision?

A Loop Electrosurgical Excision Procedure (LEEP) is a procedure to diagnosis and treat disorders of a women’s uterine cervix. A LEEP procedure is performed using a wire loop that is heated by an electric current to remove abnormal tissue in the cervix.

How long does it take for a cervix to heal after surgery?

Light spotting and staining is expected for roughly 10 to 14 days after surgery. Use a sanitary pad during this time. DO NOT use tampons. If you experience heavy bleeding with large clots, call your doctor's office. You may also experience a dark colored discharge for several days. The dark discharge is from the medicines and/or solutions that were applied to your cervix to help heal it.

How long after a sexectomy can you shower?

You may shower when you feel comfortable. It is recommended that you do not swim or soak in a hot tub or bathtub for two to four weeks following your surgery. This is to prevent anything from entering the vagina, which may cause infection.

What is the lower end of the uterus?

Cervix: The lower, narrow end of the uterus at the top of the vagina. Electrocautery: A procedure in which an instrument works with electric current to destroy tissue. Local Anesthesia: The use of drugs that prevent pain in a part of the body.

How to protect your cervix?

You can help protect the health of your cervix by following these guidelines: Have regular pelvic exams and cervical cancer screening. Stop smoking—smoking increases your risk of cancer of the cervix. Limit your number of sexual partners and use condoms to reduce your risk of sexually transmitted infections (STIs) .

How to prevent cervical cancer?

Have regular pelvic exams and cervical cancer screening. Stop smoking— smoking increases your risk of cancer of the cervix. Limit your number of sexual partners and use condoms to reduce your risk of sexually transmitted infections (STIs) . Cervix: The lower, narrow end of the uterus at the top of the vagina.

How long does it take for a cervix to heal?

It will take a few weeks for your cervix to heal. While your cervix heals, you should not place anything in the vagina, such as tampons or douches. You should not have intercourse. Your health care professional will tell you when it is safe to do so.

What is a LEEP cone biopsy?

LEEP cone biopsy — A cone-shaped wedge is cut out of your cervix. It’s then tested in a lab. Cone biopsy is used to diagnose and treat abnormalities that go deeper into the cervix. It is usually performed in an operating room under anesthesia. Your doctor will probably want to schedule additional Pap tests.

Can you get pregnant with a leep?

Talk with your doctor or nurse if you plan on getting pregnant in the future, and if you get pregnant, let your doctor know that you’ve had LEEP.

Does leep cause preterm birth?

LEEP may increase the risk of preterm birth in future pregnancies. Talk with your doctor or nurse if you plan on getting pregnant in the future, and if you get pregnant, let your doctor know that you’ve had LEEP. In a small number of cases (10%), LEEP doesn’t completely cure the problem.

What is the procedure to remove abnormal tissue from the cervix?

Other treatments include: Laser — A laser beam is used to remove abnormal tissue. LEEP cone biopsy — A cone-shaped wedge is cut out of your cervix. It’s then tested in a lab. Cone biopsy is used to diagnose and treat abnormalities that go deeper into the cervix.

What is a laser biopsy?

Laser — A laser beam is used to remove abnormal tissue. LEEP cone biopsy — A cone-shaped wedge is cut out of your cervix. It’s then tested in a lab. Cone biopsy is used to diagnose and treat abnormalities that go deeper into the cervix. It is usually performed in an operating room under anesthesia.

What is a leep procedure?

What is a LEEP? A LEEP procedure is a simple procedure that involves the use of an electric current passed through a loop of wire to destroy suspicious cells in the cervix. It is usually done after a Pap smear test that shows abnormal results.

How long does it take to get a leep?

A LEEP procedure is usually done in a doctor's office or clinic and typically takes 10 to 20 minutes. The woman will be asked to lie down on a table in the same position (stirrup position) as during a pelvic examination or Pap test.

Is it safe to have a leep?

LEEP is a relatively safe procedure with minimal risk of complica tions. Rarely, there are chances that a woman may get. Infection (treated by a short course of antibiotics) Bleeding. Scarring in the cervix. Trouble conceiving or getting pregnant. Early labor.

Can HPV go away on its own?

In most cases, human papillomavirus (HPV) infections can go away on their own.

What is Cervista HPV?

The Cervista HPV test (human papillomavirus infection test in women) is a screening test used with other tests such as Pap smear and colposcopy for screening the two HPV types most likely to cause cancer, and to identify all "high-risk" HPV types.

What is genital wart?

Genital warts is a sexually transmitted infection (STI, STD) caused by the human papillomavirus (HPV). It is the most common STD in the US. The warts can appear anywhere on the skin where sexual contact has occurred. The warts look like raised, flesh-colored lumps or bumps that have a cauliflower-like appearance.

What does a wart look like?

The warts can appear anywhere on the skin where sexual contact has occurred. The warts look like raised, flesh-colored lumps or bumps that have a cauliflower-like appearance. Signs and symptoms of genital warts in women include vaginal, vulva, or groin pain, itching, and burning where the wart (s) is.

How long does it take to get a leep?

Your LEEP can be performed at your doctor’s office. The procedure takes about 10 minutes, though you may be in the room for about 30 minutes total.

What are the symptoms of a lupus?

Call your doctor right away if you experience: 1 heavy bleeding in the weeks after a LEEP 2 smelly vaginal discharge 3 severe belly pain 4 a fever of 101°F (38.3°C) or higher 5 chills

How long should I take aspirin before a syringe?

You shouldn’t take any medications that contain aspirin for five to seven days before your procedure, or as directed by your doctor. Aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs) can increase your risk of bleeding during the procedure.

Can a polyp be benign?

Abnormal cells could be benign growths ( polyps ), or they could be precancerous. If left untreated, precancerous cells may develop into cervical cancer. Removing the cells will allow your doctor to determine what they are and whether further observation or treatment is needed. Your doctor may also order a LEEP to diagnose and treat genital warts, ...

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