Age 23 – Colposcopies, Pre and Post LEEP

This is the cervix of the 23 year old woman who has no history of STIs and has never been pregnant.  She underwent two colposcopies due to abnormal precancerous cells being found on her pap smear results.  Once the speculum is inserted, the doctor uses a colposcope (like binoculars) to illuminate and magnify the inside of the vagina and cervix so s/he can see what is not visible with the naked eye.  Sometimes vinegar or iodine is sprayed or swabbed onto the cervix; these solutions will react with irregular cells and change their appearance/color, so s/he can detect the tissue that is of  concern.  S/he may also take a biopsy, or tissue sample, from the surface of the cervix or endocervical canal (slightly inside the os) to send to the lab for further testing. 

During Colposcopy

This photo was taken during her first colposcopy after abnormal cells were found in her pap smear results.  A biopsy confirmed abnormal cells and so a LEEP procedure was preformed to remove the abnormal tissue 3 months later.

 

Post LEEP

2 months after the LEEP procedure, this woman had a Paraguard IUD inserted as birth control.  About 6 months later, her doctor performed another colposcopy (photographed here) because her pap smear again showed abnormal results. 

2 thoughts on “Age 23 – Colposcopies, Pre and Post LEEP

  1. I thought I’d leave this comment here for anyone who’s trying to find more info about colposcopy. I’m 30 and had a ASCUS/HPV+ Pap last month, so I had to have a colposcopy. I also have a lot of sensitivity in that area — Pap smears are always uncomfortable for me, and I have passed out and thrown up from IUD insertion and removal.

    The colposcopy was not as bad as I was afraid of, but it still was quite unpleasant. I took 2 mg of Xanax and 800 mg ibuprofen beforehand, which I think did help somewhat (especially the Xanax). The vinegar solution really stung quite badly, especially when my GYN had to use a big swab to clear away excess vinegar and cervical mucus. Other especially awful moments included an endocervical curettage and a biopsy. Do not let them deceive you into thinking that the biopsy will just feel like a little pinch. It does not feel like a “little pinch”, it feels exactly like what it is — someone cutting part of your cervix off without anesthesia. It also took about 5 minutes for the bleeding to stop even after she applied the Monsell’s solution. Afterward I was cramping and raw, and all I could do was go home and try to sleep for the rest of the day. I also bled through an entire overnight pad in the space of 2 hours. Today it hurts all the time, it hurts even more to sit, stand, or walk, and it also hurts to urinate or to move my legs. If you have to have this procedure, try to schedule it for a Friday afternoon so you don’t have to sit at a desk in agony all day the next day.

    This was the most painful medical procedure I can imagine myself enduring without anesthesia. If I ever have to have another, or a LEEP procedure, and they won’t give me general anesthetic, I will refuse the procedure even though I could get cancer. If a man was going to have a piece of his penis cut off, they’d give HIM anesthesia — why does our pain count for so much less?

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  2. I am about to go in for a LEEP procedure (today!) and am wondering about anyone’s experience with using primrose oil afterwards to reduce the presence of potential scar tissue. How often to take it internally? How long to wait to apply it externally (directly onto the cervix) after the LEEP?

    Would appreciate any advice!
    Thank you.

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