Abnormal Pap tests are often followed by a microscopic examination called a colposcopy. This can help to evaluate abnormal cells by the use of different liquid solutions to aid in identification of cervical squamous (or skin) cells that have precancerous changes in them. Biopsies performed with colposcopy may identify Cervical Intraepithelial Neoplasia (CIN), or precancancerous abnormality in the cervical cells. These are identified as being at one of three levels: 1 (minimal) through 3 (more involved). Often we recommend further treatment if the level of concern is at or greater than CIN 2.
One way to further evaluate as well as treat the precancer is a Loop Electrosurgical Excision Procedure (LEEP). A LEEP uses a thin wire loop through which electric current passes, acting like a surgical knife, to effectively remove damaged cervical cells. This procedure is typically done in the comfort and convenience of our office.
WHAT TO EXPECT:
Once you arrive for your appointment you will be brought to a procedure room where you will be examined and prepared for the procedure. You will be asked to lie on the exam table and a speculum will be placed to visualize the cervix. Your doctor will administer anesthesia to the area of the cervix, and after the anesthesia has set, the procedure will be completed in a short time. The tissue removed from the cervix will depend on your individual situation and should provide an accurate diagnosis of your cervical abnormality as well as treatment. Your results will usually return within a week of the procedure.
AFTER THE PROCEDURE:
Your cervix will need time to heal. Following the LEEP you should not use tampons, douche or have sex until your physician approves. Please call the office if you have bleeding heavier than your normal menses, pass blood clots, have a fever, or have pain that is increasing.
For more information, or to schedule an appointment, contact us here.