LEEP: Post-Procedure Restrictions

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LEEP: Post-Procedure Restrictions

Question:

What are the restrictions after a LEEP? When will I be able to exercise again?

Answer:

LEEP stands for loop electrosurgical excision procedure. It is done to remove a cone-shaped biopsy of the cervix, usually to evaluate the tissue for precancerous changes called cervical intraepithelial neoplasia. An electric current is passed through a thin wire loop on a long handle. The loop acts as a knife to cut through the cervical tissue while simultaneously cauterizing blood vessels to control bleeding.

LEEP can be done in a doctor's office or in an outpatient surgical center. An injection of a local anesthetic is given to numb the tissue to be removed. Patients may also be given medicines to help them relax. If sedatives are given, a patient should not drive for 24 hours and will probably feel quite sleepy for the rest of the day.

After a LEEP, patients usually have mild to moderate cramping for one to three days and light vaginal staining for one to two weeks. Brisk, persistent bleeding should not occur. A watery discharge may be present for four to six weeks as the cervix heals. Patients may shower within 24 hours of a LEEP but should not swim or soak in a tub for two weeks. Tampons, douching, and sexual intercourse are avoided for four to six weeks. Patients are seen for an exam to be sure the cervix is healing well at about six weeks after the procedure.

A gradual increase in exercise can begin within a couple days of the procedure. After about two weeks, most patients can resume a regular routine, other than the restrictions for "pelvic rest." If exercise causes an increase in pain, bleeding or a vaginal discharge, a slower return to usual activity should be followed.

Joan Bengtson, M.D., is assistant professor of obstetrics, gynecology and reproductive biology at Harvard Medical School and a member of the Department of Obstetrics, Gynecology & Reproduction at Brigham and Women's Hospital.

Last updated:	July 20, 2009