Definition

Loop electrosurgical excision procedure (LEEP) uses a thin wire loop to cut out areas of the cervix. The cervix is the lowest part of the uterus. The Loop allows precise cuts.

Reasons for Procedure

LEEP is often done to remove abnormal cells from the cervix. These abnormal cells or cervical dysplasia are often detected during a pap test.

Possible Complications

Problems from the procedure are rare, but all procedures have some risk. Your doctor will review possible problems, like:

• Bleeding
• Abdominal cramping
• Infection
• Future pregnancy problems (small increased risk of premature birth and having a low birth weight baby)
• Incomplete removal of the abnormal tissue
• Accidental cutting or burning of normal tissue
• Narrowing of the cervix (rare)

The doctor will talk about ways to manage risks. Factors that can increase your risk of problems include:

• Smoking
• Drinking
• Chronic disease, such as diabetes or obesity

The following may also increase the risk of complications:

• Menstruation at the time of the procedure—best to have LEEP done when you do not have your period
• History of pelvic inflammatory disease
• Inflammation of the cervix
• Pregnancy or possible pregnancy

What to Expect

Call Your Doctor

After arriving home, contact your doctor if any of the following occurs:

• Heavy bleeding (more than your normal period)
• Bleeding with clots
• Severe abdominal pain
• Fever or chills
• Unusual odor or discharge

If you think you have an emergency, call for emergency medical services right away.