*immediately starts googling LEEP procedure*
After continuing my gyno’s email, I was reverted back to how I felt before my preventative double mastectomy. Scared, nervous, sad, frustrated. All valid feelings to have when you don’t know a single other person who has been through either surgery! Ahh the unknown. Hello darkness my old friend. These feelings were more or less short-lived. In both instances, I immediately threw myself into prevention mode. Within 40 days of hearing about my BRCA+ results, I was on an O.R. table. Within two weeks of hearing about my HPV infection, I was back in stirrups.
What’s a LEEP Procedure?
When I received that lovely email from my gyno, I did even more digging. I am insanely curious and have to know everything about everything…which can be good and also very bad. Turns out, the internet can be a scary place. Please allow my little corner of the internet to be vastly different.
It all starts with an abnormal pap smear. I’ve had abnormal paps for the past three years. My doctor has called me back all three years for a colposcopy where she took a closer look at my cervix (the narrow end of the uterus at the top of the vagina, yay anatomy!) as well as a tissue sample for lab testing. This is usually accompanied by minor cramping and then boom. All is said and done! It’s not what I’d choose to do in my free-time, but prevention is key. This year, I got got the triple threat of a pap smear, a colposcopy and a LEEP.
LEEP stands for Loop Electrosurgical Excision Procedure and named after the tool used which has a wire loop on the end. An electric current heats the wire loop so your doctor can remove (excise) some cells on your cervix. I know – that doesn’t exactly have a friendly tone to it, but it all sounds worse than it is. Because my colposcopy lab results showed pre-cancerous cells caused by HPV, I needed a LEEP in order to shed those cells for healthy tissue growth. Otherwise, cervical cancer could develop, and ain’t nobody got time for that.
What to expect during a LEEP
I got undressed from the waist down. I covered up with a pink drape. I exchanged pleasantries with my gyno and her team. A nurse placed a grounding pad on my thigh because we were working with electrical currents. Then I braced for impact.
The insertion of the speculum was probably the most uncomfortable part for me just because it was larger than normal due to its special insulation to protect against the electrosurgical current. Next up came the local anesthetic to numb the area of the cervix. I’d heard this was painful and produced a bee-like sting, but I hardly felt any pressure when the needle went in. Phew. From that moment on, it was smooth sailing due to complete numbness. The loop was then inserted to take off any pre-cancerous cells, a special paste was applied to stop the bleeding, two tampons were inserted to act as band-aids, and out came the ugly speculum! All of that probably lasted 6-7 minutes.
The Aftermath
I felt dizzy afterwards so I stayed on the exam table for a bit. This is typical of such a procedure because manipulating the cervix causes a reaction to make your blood pressure go down (vasovagal syncope). I’ll have a check-up in two weeks and another pap smear in three months.
Helpful Tips
- Take ibuprofen before and after.
- A heating pad helps with cramping.
- Bring a positive attitude – ridding your body of bad cells before cancer hits is a GOOD THING.
- Talk about it. Having a support system is huge, and I’m so glad I put it out via Instagram b/c so many women shared their stories which made me feel like I wasn’t alone.
- A few minutes after the procedure, I felt fine to walk. I could’ve driven after a few more minutes of rest but was happy Alex was there to drive!
- Any man or woman who has ever had any sexual contact with another person can get HPV. The virus is spread by skin-to-skin contact.
- I got the HPV vaccine in college, but that only protected me from certain types of the virus.
- Side effects of a LEEP include bleeding, discharge and mild cramping. Cervical insufficiency is very rare, and there is a small increase in the risk of premature births and having a low birthweight baby.
- It’s recommended that women who are HPV+ get screened once a year and women who are HPV- get screened every 3 years. I’m a firm believer in the EVERY YEAR MODEL.
- No running for a few days, no baths for two weeks, no sex for 6 weeks.
Thanks for sharing this information. There’s is a lot more of a deep dive I think can be done too — I had this happen and it didn’t go as planned and I was left with PTSD. There is also another option to be put under for this procedure — something two of my friends were offered but not me. Thank you for talking about this — I don’t think it it talked about enough.
Totally – but I think it all depends on everyone’s own experience. I had a routine procedure so can’t speak to anything else than already discussed but urge anyone and everyone to share their experience!
Lesley, I read your blog. I think you are awesome. I am 70 years old and grew up in a different time . My message to my younger self would be…”be more like Lesley”. You are inspiring.
This is the sweetest comment to read. Thank you for the love!!
Thank you for sharing. You are an amazing person. Wish all the best always. God is powerful.
Love you,
Thank you for the love!
Thank you for sharing! I have been testing positive for abnormal paps for 2 years and I was always so nervous to tell anyone.
I’m so grateful for your blog… very thorough, honest and HEAD ON. You rock, and we are ALL behind you. You “.get the job done”; you know your homework and surround yourself with knowledge, positive attitude, support system attitude and POWER is the ultimate gift. You are AWESOME, ASS kickin’ AND … did I say BEAUTIFUL IBSUDE OUT!
Awww thank you for this! You are always full of so much love and support. Appreciate you lots!
Sharing your story can help others – and no shame in abnormal paps!
I had one done when I was 19. Very similar experience but man was it intimidating after I had done google searches as well! Happy to report I have had great paps since! Was going every 6 months and now am back to yearly. Only difference for mine was they didn’t place tampons after, they did apply the paste and gave me a diaper of a pad. Ha! But if it means early prevention & treatment, we do what we need to! Much love to you for writing this! I wish there was something so honest & transparent when I was researching years ago!
Thanks for sharing a piece of your story!
I had a LEEP 20 years ago and it was not a good experience. So glad it went well for you. We need to educate girls about this, and not be afraid to talk about it.
Totally agree. Sorry to hear about your experience but hoping it cured you of the disease! xo
20 years experience means do we are in safe zone after leep?
I had a LEEP when I was 22 years old. I really didn’t know much about it but remember feeling so scared. I have regular check ups with my doctor and have since had 2 abnormal paps- the last was this past November at 33 years old. Again, the panic sets in. “Why does this keep happening? When will this stop”? The colposcopy revealed that all was fine- huge sigh of relief. A month later I found out i was pregnant with my first baby. Panic sets in again- will that LEEP have w negative effect on my pregnancy? My doctor assured me of the low risk but still always in the back of your head. I had the anatomy scan tonight and saw the baby for the first time- an unreal feeling. They had to measure my cervix due to the LEEP to ensure it was long enough- a shorter cervix can mean pre term labor and other low risk complications. Trying not to get worked up and waiting for the doctor to get back to me with all the measurements. Thanks for sharing your story. I’ve always felt ashamed or embarrassed about it but knowing how many people this effects make me realize talking about it only raises awareness.
Thank you for sharing. I had this done last year and wish I had something like this to read before to know what to expect. I wish more people were open about these things.
Thanks for sharing your story. I’m getting one done on Friday and I’m a little scared. But hearing your story makes me feel a lot better. Only concern is that I’ve read that woman lose their sex drive… ahhhh is that true. I’m in my early 30’s and I want to continue to enjoy sex
Thank you for sharing so openly about going through this procedure. I had a LEEP while in college and it was such a scary experience as no one talked about it then. I felt very alone and embarrassed as I had not heard of anyone having to go through this before! I felt ashamed and so scared, to the point that I avoided answering my phone for fear of scary results. Fortunately, as you mentioned, it is a good thing and prevented a scarier situation. I had great results and haven’t had a problem since. It’s been almost 13 years and I am so glad I had the procedure. I have since had twins and zero complications outside of extra monitoring of my cervix while pregnant. I have also tried to talk openly about it to take away some of the stigma that should not exist. So thank you. Thank you for telling it as it is and being real. I wish my younger self would have been able to read this when I needed it most!
I too had a LEEP when I was 20 yrs old. I am now 45….I loved reading your blog. It brought me back to the day I found out and the day of my procedure. My gyno was a funny man and tried to make me laugh and he did….”don’t walk out of here to fast as your a walking bbq right now!” I had to laugh….it was great. Hope your recovery is quick. ❤️
Question, did you have active HPV for 3 years? I had a LEEP done last year, and at my 6mo pap the cells looked normal but HPV was still active😬 So I’m going in Friday for another Colpo.
I love that you wrote about this!! I feel as though HPV has such a stigma these days. It’s nice to read an article in a more positive light than some of the articles of doom out there about this subject. So many people feel ashamed when they get an abnormal pap or hear they have HPV. It was lovely to read your side of things! And yes! Preventative measures are key! Everyone should stay on top of their health! Thanks for sharing!
P.S. it is so nice to see you so happy! Rooting for you!
thank you for sharing your experience! I went through the exact same thing this year and it was terrifying. I went down the black hole of the internet which caused so much unnecessary extra stress. It felt like I was experiencing it twice! I love being Informed, but like you said it can sometimes be a bad thing. Having a strong support team really helped me during this time and I am so happy to be proactive and take preventative measures to ensure a healthy and happy future! Again, thank you for your openness! It really makes me not feel alone! xo
Your amazing ! I never knew of any of these procedures! Thankyou for sharing and breaking down what goes on! Hugs to you both xx
I had a colposcopy and then a LEEP done over 7 years ago and ever since, my paps have came back normal. You need to visit once a year for paps for the next 7 years and if they come back all good, you can change the routine to every 3 years like everyone else. I much prefer every year – it gives me a piece of mind knowing all is in check down there since you NEVER know! Glad yours went well and hoping for a speedy recovery. The only issue I ran into down the road was some scar tissue appeared when I was pregnant with my son (3 years after my LEEP). But it was not a hurtle at all. He was born without issues, same with my daughter 2.5 years after him! ❤️
I’m so glad this went well for you! I am terrified to go to the Obgyn every year. I had 7 bad paps 7 years in a row, resulting in 7 colpos and a LEEP. At the time, I did not know anyone having these issues and had never heard of a LEEP before. I took some more drugs than you due to my low tolerance for pain and severe discomfort when it comes to the obgyn (for obvious reasons!). The procedure went well although I was instructed to not work out for three weeks which was really difficult. This was a few years ago so the process may be slightly easier now. It’s good for women to read this post and the comments to know it’s a normal process and many of us have gone through it! Thanks for sharing!
I’ve had to have LEEP in the past, and it was an in-office procedure such as yours. This time they are putting me under for the procedure. Baptist Hospital in Little Rock, no longer does in-office LEEP procedures. I don’t remember it being a very big deal before, but now I’m nervous. My doctor said it will only take 30 min or less, then time in recovery, then I will have to be driven home (my 17 year old daughter). Having my procedure over spring break 3-24-20, then the 26th I get to see Dr. Wright for my 6 month follow-up from my explant procedure! Busy Busy spring break! Thank you for your candid information about your procedure 🙂
Love this accessible and straightforward info for women about this gyn procedures! I am a PA who performs PAPs and colposcopies regularly and women should feel empowered and encouraged to get these things done and take preventative action!
Just FYI your bullet point above about how often to get PAP smears done only refers to women in their 20s. Women in their 30s and above only need to be screened every 5 years is their PAP cytology is normal with HPV-.
Thanks for sharing!
New med school grad here- what a great post. YouTube videos about LEEPs are frequently hysterical and full of false information. Thank you for sharing your story in a factual and level headed way.
Thank you for sharing. I received the news tonight that I need to undergo a LEEP procedure and to put it mildly… I’m terrified. But your story has given me a sliver of peace so for that I am grateful.
How did it go? How are you doing now?
Im having my first leep done this month and i am more then scared.cervical cancer runs in my moms side of the family so it seems to be in the genetics unfortunately. im just scare of having it done im scared of pain im 25 and things like this scare me. id rather have surgery somewhere else then my lady parts, please give me some positive vibes
A little over 12 months ago I had my 1st abnormal Pap smear. A follow up a few weeks ago also came back abnormal so I was referred for a colposcopy. A biopsy was taken and 2 days later I was told I had Cin 3 and needed a LLETZ/LEEP procedure. After hitting the internet to research and read around the topic (or scare myself silly, as you do) it was such a breath of fresh air to find your post and to read some of the responses from others in similar situations who haven’t had entirely horrendous experiences… because really, leaving it be isn’t an option. Hopefully things will go smoothly and all will be well. Fingers crossed. Thanks so much for posting. It’s been really helpful.
Hi Leslie! Have you experienced any negative side affects like low libido? I’ve been reading horror stories about undergoing a LEEP and I’d love to hear your thoughts. Reading your post was such a relief
I read those as well and was a little nervous, but nothing has changed for me since the procedure! No side effects thankfully.
How is libibo, orgram function, sexual function, get pregnant?
Thank you. I needed this. I am having a LEEP in November. I’ve been researching my symptoms and I think I’ve died 7 times so far. I’m terrified. 🙁
lol same here…so scared. hope it goes well for you!
Doctors with female patient with cervical displasia, abnormal cells and cin 1 2 3 and HPV on cervix. Doctors tell female patient they need to remove 1 cm of female patient cervix using leep procedure. Doctors remove 1 cm of female patient cervix cause problem libibo, orgram function, sexual function, shorter cervix harder to get pregnant, nervous around cervix damage by doctors treatment plan
Right there with you! I have mine in just over a week. How did it go for you? How are you feeling now?
Hey Lesley, Thanks so much for sharing. I had two abnormal paps this year, one 6 months ago and one now (I’m currently pregnant). They didn’t want to biopsy anything to impose risk, so they will follow up after birth and see if we need to do the LEEP right away. I feel relief finally knowing it could be gone after LEEP, but also reading it can impact pregnancy due to a shortened cervix, and I’d like to have more children! I see that you’re pregnant now, have you experienced any issues? Thanks so so much for sharing your experiences
I’m so happy to have come across this today. I’m going in for my LEEP procedure tomorrow and really needed to read about an experience, and not a step by step procedure that any medical sites post. Thanks Lesley, my anxiety has calmed a bit and it’s eased my mind being reminded many women go through this situation. Keep well!
good luck! I’m getting mine done in a few weeks
How did it end up going? I am getting it in the next few weeks 😓
Agreed!!
Thank you for sharing your experience. I had my LEEP performed under general anesthesia last week. At first I was panicking about being put under, but later I realized that that was probably the best option, it gave my gyno the chance to take samples from the cervix and the uterus, too. The lab results showed infection in the cervix, so I was prescribed some antibiotics for that. Overall, for those who might still be worried about their LEEP like I was, this is nothing too serious, just try to relax before and after the surgery, eat lots of nutritious foods (your body is going to need it), and take it easy for a few weeks and it’ll be done!
Thank you for sharing your story. I am 46 and currently going through this now. I got my results that I had HPV with cervical dysplasia and I freaked. I’ve been married for 16 years. How did this happens after years of normal pap results.
I just had a colposcopy and biopsy, not fun! I am currently waiting for the results and dreading the next step. I’m such a big baby and almost always pass out with any invasive gynecological procedure.
My OBGYN is used to it. 😂
Whenever I read anything about the LEEP procedure I already want to pass out. Burning, electrical current…. ya… umm.. no way!
We shall see…
Hi ladies,
Thank you so much for sharing your experiences. I recently had the LEEP procedure and I’m so scared about what the future holds. How did your 6 month smear tests go?
Did you all go on to have successful pregnancies?
I would like to start a family in the next few years. Will this procedure alongside my irregular periods affect my ability to be a mother?
I am getting it done sometime in the next week and I am so nervous and quite honestly ashamed that I have HPV. What is your advice for not being ashamed and trying to find peace with it?
Hi everyone,
Thank you for posting this! I definitely felt more comfort reading everyone’s experiences. I am 33 years old and have been having abnormal paps for 6 years now. My most recent colposcopy showed abnormal cells (moderate to high risk). I also have high risk HPV. I am terrified getting this news last week and having to schedule a LEEP procedure sometime this month. I have so many fears about the procedure and after care and also if it will return in the future?
Let me know how it goes! Wishing everyone the best <3
Thank you all for sharing your stories! I’m a single woman, who just turned 40. For 3 years I’ve had abnormal paps and 3 cone biopsies, all showing abnormal, low risk, no change, but yes pre-cancerous cells from HPV. If you’re like me…. you don’t really understand it… but just think well I gotta do something. So my doc recommended the leep. I just had it done this morning. I recommend you take some extra strength Tylenol beforehand. The process was quick, it was painful because of how tense I was, I felt nauseous, so they gave me juice to sip. I actually saw the tissue taken out and I was very shocked how much was removed compared to the small samples taken from the cone biopsies. I rested for about 10 min afterward, then drove myself home. My temp is at 99, and I have mild cramp like discomfort. Just get some rest! Stay beautiful and healthy ladies! We rule the world and are strong!!! 😘
Hello ladies!
I was curious if anyone got their Leep results back or have been to their follow up appointments and how all of that went?
I had my results back and have to wait 6 months to do another pap.
Hope everyone is well!
I am scared. I was told I have to have a Leep procedure. And I read that there is are sexual side effects. Can anyone reassure me or let me know if they’ve had any side effects like loss of orgasm or inability to have sex or if the procedure went well and it’s not as high in percentage of losing enjoyment for sex as what I’ve been reading.
I scared myself silly about this same thing and almost canceled my LEEP the day before/morning of because I was so anxious about it. I went through with it and so happy I did. I think the most important thing is to talk to your doctor, not just about your concerns but to get an understanding of how aggressive they will be (or need to be), risks, etc.
I was pleasantly surprised to see after my procedure that it was NOT a giant chunk, but several small pieces that were cut out. Everyone’s experience will be different, but just know it does seem to be quite rare. With the right skilled and compassionate doctor, success should be high.
Thank you so much for sharing. I wanted to share with any of those who are reading the comments about my LEEP procedure as I just had it done yesterday. I’ve had HPV since 2018 and in 2021, I had my second colposcopy, which determined I had high lesions and had to have LEEP. At age 38 I had it done at the hospital. I couldn’t eat or drink after midnight before the surgery. I arrived close to 8AM and left a little after 12PM. My surgery was scheduled for 9:45AM but my doctor was behind. Actual procedure was around 11AM. Most of my time was spent in pre-op where they hooked me up to the IV. They even gave me a disposable heating blanket because they said it helps with recovery. It felt wonderful. They had me pee right before the operation. When they rolled me into the operating room, they had me shimmy onto another bed that had a dip where my butt was. They put a mask on me and I was lights out! They gave me general anesthesia (I was completely asleep). Next thing I know, a nurse was waking me up with her voice. It felt like a really nice nap that I didn’t want to end. The nurse said they put a pad down between my legs and said I should only experience light bleeding on my pad. When I stood up, I felt a bit wobbly but within about 20 minutes I felt stable walking. I had no pain but did feel sensitive down there, like I had to be a little more careful going up and down the stairs. The next day, still no pain and no discharge so far. I’m walking fine. No intercourse, weight lifting, baths or swimming for two weeks. Doctor said I can go walking, running and can do ab work or lunges after a few days as I feel comfortable. I live in northern Virginia and with insurance, it cost me around $2,300. Good luck ladies and stay healthy!!!
Super helpful- thank you
I have a LEEP scheduled soon and I, like Lesly, have been searching the internet trying to grasp what 5mg of Valium means. I am terrified, sad, ashamed. I worry constantly, but my procedure isn’t for another few weeks. I am struggling with being alone because my mother died 2 years ago on the exact day of my surgery, nonetheless. She would have been the only one who could have understood or cared enough to support me. I don’t even have anyone of confidence to drive me, although my provider says they have to be there to accept responsibility for me. I guess I am thankful in away that a complete stranger will have to take me home because I do feel so ashamed. However, reading these posts really help me validate my feelings and stop playing the “what if… this bad thing happens” game – but instead ask “what if it all works out?” I want to have a positive attitude, but I am really scared of the drugs, possible side effects, but seeing positive non-medicalized stories is really helpful. Thank you all for sharing. I would love your support and calming ideas, because I am freaking out!
Thanks for sharing Lesley! I just wanted to share my story for anyone who is going through multiple leep procedure. I am currently 33 and I have had 2 leep procedures and am about to have my third. This time will be different because it will be under general anesthesia because my doctor would like to dilate my cervix more to get a better view because I had positive margins from my last leep in January 2022. On my follow up appointment in June, I was still HPV positive with CIN2. I had my first leep in 2014 after I was found with CIN2 and my second leep in January 2022. After 2 leep procedures and multiple colposcopies over the years, my doctor said my cervix looks great and the tissue has grown back nicely, even with having the most recent on 6 months prior. Everyone is different but I just want to put it out there that your cervix can grow back. Also, besides having some occasional discomfort if my cervix is hit during sex, nothing else has changed and I still can enjoy sex. If everything goes well tomorrow, I will have a consult appointment with fetal medicine to see what my options are for future pregnancy but I am not too worried about whether or not I will be able to carry a baby, I just want to adequately treat any cervical dysplasia to decrease the risk of cervical cancer.
Thank you for writing this article! I’ve had HPV since I was 20. I’m now 37 years old. I thought I was having a regular colposcopy but saw LEEP scheduled and almost canceled it until I read your blog. I feel better about this being a preventative measure against cervical cancer and hope to put this HPV nightmare behind me.