A LEEP (loop electrosurgical excision procedure) is performed to remove a small portion of pre-cancerous cells from the cervix using a small wire connected to an electrical current.
It’s very common for women who have a LEEP to experience vaginal spotting or draining for 1-3 weeks following the procedure. There may also be different types of discharge, so pads can be very helpful during recovery.
Nothing should be inserted into the vagina for one month following a LEEP, and you should avoid strenuous activity for 48 hours. Exercise should also be avoided for 1-2 weeks.
While vaginal bleeding and mild cramping after a LEEP are normal, it’s important that you contact us if you begin having heavy bleeding, bleeding with clots, foul-smelling discharge, fever over 100.4 degrees, or intense abdominal pain.
In addition, though uncommon, patients can have cervical scarring that can result in cervical incompetence during pregnancy. This can be usually treated with a cervical cerclage. An ultrasound around 15 weeks is recommended to assess the cervical length with future pregnancies for this reason. Occasionally, cervical scarring can result in cervical stenosis, which means closure of the cervical canal. The cervical canal can be dilated to correct this and if needed, sperm can be inserted directly into the uterus to conceive. Again, these problems are uncommon and solutions are available.