Colposcopy and LLETZ/LEEP

This photo series is taken during this 33 year old woman’s colposcopy and LLETZ procedure (Large Loop Excision of the Transformation Zone), also called a LEEP procedure (Loop Electro-surgical Excision Procedure). She has had no vaginal births and you can see her os is round.

Her pap smear came back with abnormal results due to HPV.  During the next appointment, the gynecologist applied acetic acid/iodine to her cervix to better highlight abnormal cells (colposcopy), but said the abnormal area appeared mild.  However, the tissue sample collected came back as severely abnormal, so she went to the clinic again for the LLETZ procedure (photographed below).

This woman describes the procedure as “a walk in the park.”  It was performed with local anesthetic in an outpatient clinic.

 

This cervical photo is the point of view of the colposcope (projected onto a TV screen) during the beginning of the procedure.

She did not feel the injection of anesthetic at all, but the adrenalin in the mixture made her legs shake and made her feel a little panicky (though this was chemically induced, not her true feeling about the procedure).


This is the photo of the acetic acid and iodine solution applied to the cervix to temporarily stain the cervix and help visualize any abnormal cells in the transformation zone (where many precancerous and cancerous lesions often arise).  The whiter area indicates the abnormal cells.

She experienced slight discomfort when the loop excised the tissue. It felt like a short sharp poke but the sensation was gone immediately and she didn’t feel the extra cauterisation.  She said the hot wire loop caused a burning smell.

 

The wire did not stop the bleeding completely, so the colposcopist used another instrument to cauterize the incision (pictured above).  If you look closely, you can actually see a small blue flame above the tool on the cervix.

 

This is the abnormal tissue in a specimen jar. The biopsy showed Cin2 (pre-cancerous) with no clear margins (however as the edge of the tissue was burnt, they couldn’t see the true margins).

Later that night (three or more hours later), she had some slight cramping but no pain after that. She experienced no bleeding until 5 days or so after when the dark cauterized bits of flesh fell off.  She bled lightly for a couple of weeks and was given antibiotics for an infection.  She was required to refrain from sex, tampons, swimming, heavy lifting, strenuous exercise etc. for a 2 or 4 weeks after the procedure.

She had a follow up pap smear 6 months after the procedure (they give it time to heal completely) which, thankfully, came back normal. During that smear she didn’t get to see her cervix on the monitor,  but the nurse said it looked like a smooth mini donut. The hole/os is now larger than it was.

Click here for information about holistically healing cervical dysplasia and HPV.

186 thoughts on “Colposcopy and LLETZ/LEEP

  1. Dear All,

    I was diagnosed with CIN3 and had a LLETZ loop procedure done. I was advice to take painkiller before going to ease the pain. True enough I don’t feel much pain but able to tolerable during the procedure. The discomfort and pain is after the procedure. One of my blood vessel burst after day 3 and started bleeding so much and I rang the doctor they told me is normal. Yet after day 6 still heavily bleeding and i insists to get it check. Another gynae was there and seal the burst vessel. Ladies you have to watch your bleeding, it sud be gradually getting lesser not more. Just don’t do any housework or lift any heavy things for 2 weeks on the safe side.

    I am due for followup 6 months check up after the procedure and found out that i was pregnant 2 weeks and I am turning 39 this year end. So ladies who ever wants to have baby it shouldn’t be any problem. There is always a HOPE. Keep positive.

    Thanks!

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  2. As i saw the pictures i felt like yayks!. But then, i realized i’m a lady that should take extra careful about my health. I can’t imagine doing pap smear. But i know i have to through to that soon. Thank you for sharing this. All the best for you.

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  3. I have no clue to where these woman went to get there colospy done. But my story is completly diafferant…… To begin with I too was diagnosed with an abnormal pap smear due to HPV. My procedure was horrific and the pain was extremly un bearable. The acid burned like it was no tomowwow. Then the take aspeculum like an oversized swiezers with like a claw at the tip. And pinch out sections of your cervix. This is your flesh here being carved out of your vagina. Then they have the process after that when the freeze your cervix. This was also VERY, VERY, VERY PAINFUL!!! Picture someone holding a huge solid peice of ice that won’t melt on your mins senitive part of your body. And when it starts to be sooooo cold it hurts u want them to take it off but they don’t. They hold it for a little while longer. Imagin the when ur having the worst period cramps every and u just want to get warm with aheating pad but instead u get ice shoved inside your vagina. Thats how it felt. The worst. Then after of course when something gets frozen it had to thaw out right. Agaun this wasn’t no regular achey pains. The pains were close to labor pains. As my cervix thawed I had to drive home on extreme pain. Then when I got home the pain got worse. I was advised to where a pad or pantie liner because on the acid having to fall off. This was so gross. It was flakes of brown and clear fluid coming out for hours. I just had to lie down for a few hours until the pain was gone. I had no local annestesia at all. And it was horrific. I was informed to refrain from sex for 2-4 weeks. But I had sex in 2weeks and became pregenate from just pre ejaculation. Honestly the sex didnt last 2 minutes and I was pregnate. So after you are extremly fertile and will get pregnate no dout.

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    beautifulcervix Reply:

    So sorry your experience was so horrible and painful for you. But, to clarify for other readers, having a colposcopy doesn’t make you more fertile. You were in the fertile phase of your cycle when the pre-ejaculate that impregnanted you and that doesn’t have anything to do with any procedures.

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    Tracy spencer Reply:

    My OB Strongly suggested that I should not have sex for atleast 4 weeks after the procedure BECAUSE my cervix would be tender and extremly fertile. He also informed me that I would pregnate very easy after the procedure if I didn’t wait. And to correct your input. Im a living witness that the Dr. was right. I got pregnant right after. I also have a close friend conceived right after this procedure as well. So I understand your knowledgeable & educated book wise but even then you could stand to be corrected, with all do respect, even books & professors make errors. In this case experience alone proves it to be true. The procedure did infact make me more perseptive to become pregnant, and I have 12 year old son as a result of it. Whom I adhore I must add. :) . Truly not trying to take anything away from your education at all. I just know what I was told.

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    evja Reply:

    I have had a colposcopy and 2 LEEPS performed. Tracy Spencer, I’m not sure what kind of doctor you went to, but neither of mine were that painful. I would say the worst part of it all was the local anesthetic- my legs shook and I felt like I was going to vomit but I knew it was from the drugs so I knew I was okay. Afterwards, my doctor informed me that I should refrain from sex, tampons and pools IF I wanted to heal properly- which of course I did. He specifically pointed out that I was welcome to have sex as soon as I wanted, but it could damage my cervix which could lead to infertility. I’d like to have kids one day, so I didn’t do any of those things for 6 weeks!!!
    Thank you Beautiful Cervix for being so wise.

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    Katie Reply:

    I would like to say i too had this surgery about 2 years ago, I also had sex after 2 weeks. But to be honest I have been trying really hard to fall pregnant for a bit more than year without any luck, my doctor told me it could be because of the surgery that i had done. SO maybe for you it helped but I actually have friends who have not been able to conceive again after this surgery. I was highly fertile before i had this surgery and was able to easily conceive now my husband is really wanting another child and I have not been able to help due to having this surgery. Every person is different and I’m glad it helped you but it doesn’t help everyone and I learnt that first hand too!

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    beautifulcervix Reply:

    It is true that LEEP/LLETZ can damage the glands in the cervix that produce fertile fluid that keep sperm alive until ovulation. It can also cause cervical stenosis (an extreme narrowing of the cervical canal). It is hard to know why you are not able to get pregnant easily again – there are so many factors. If it is indeed because of this surgery, have you tried a) tracking your cervical fluid to see if you are getting watery or slippery fluid near ovulation? or b) using a lubricant like Pre-Seed to help you out? or c)working with a sexilogical bodyworker or someone who does myofacial release (a type of massage) to help you let go of any scar tissue on the cervix? Good luck!

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    missie Reply:

    twas a cryosurgery not a leep. cryo means freeze where they use liquid nitrogen. my sister had one.

    my leep story goes like this:
    moderate – cin ii – in july. leep in sept
    i took motrin 800 (prescribed for back pain for me) tylenol was suggested but thats all i had.
    it was pinchy and uncomfortable she put grounds on my legs so i wouldnt be electrocuted. i thanked her :)
    she took a length about 3/4 the length of my pinky.

    my results came back completely negative.

    a month later i got my tubes tied. my leep was my deciding factor. weakened ir scarred cervix. neither appeal to me.

    thats actually why i found this site. to look at post leep scarring.

    its been over a year since ive had it done. it seems to work fine cyclically. i dont really check it often though.

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  4. Hey,
    I have just been through the same procedure yesterday, I am also 33 and I haven’t have any babies. The procedure for me was painless and the only stress I had that I had it done in Mallorca, Spain. (Im not spanish!) So I was worried about the language barriers…however the staff were very friendly and the even had music playing the back ground, which made me feel relaxed. I did feel a little dizzy afterwards, which lasted about 20mins. I don’t have any pain.

    I have a question, The doctor placed a white foam tube inside my vagina and told me not to worry if it felt like it was coming out…I just wondered if it does start to fall out should I removed it? Im not due to see the doctor for a month..I guest that’s a long time to have some packing inside you. (he described it as, similar to a tampon)

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  5. iv just had a colposcopy 2day,i found it quite stressful, they looked at my cervix and said ,,its what we thought,, i had a local needle, which hurt like hell, thats when my adrenaline kicked it and my legs and arms went into the shakes,, and my heart was racing, not nice ,i could not control it ,the doctor an staff were fab,, had the abnormal cells removed and a biopsy done..wasnt feeling the best after i must say ,but something the doctor said during the procedure made me smile.. you now doing an elvis with your shaky legs lol, x you gotta laugh ,,gotta wait for results on biopsy now!! fingers crossed,

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    Katherine Reply:

    Are you allowed to have your spouse with you during this? I am always so much better off when he is there and can’t imagine doing this without him.

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    beautifulcervix Reply:

    YES!!

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    Kerrie Reply:

    Hi, finally someone with an experience like mine. I had a Colposcopy just yesterday which lead the Doctor to do the LLETZ procedure it was horrible, i cried the entire time. The “diluted” acetic acid burned real bad and during the first attempt to apply local anaestetics the syringe burst. I was so frightened. Well even with the injections it still hurt. Thank God i survived don’t think i could do it again. Am awaiting the test results now which should be available in a week. Am hoping to get good news and have a stress free holiday.

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  6. My experince was probably painful because I had it 12 years ago and by now they have come up with better technology since then. Also I was not under any type of anesthesia. So im glad to hear that every one else experince was not hardly as awful as mine.

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  7. I had mine done on monday. My sister came with me which was great because she took my mind off it as much as she could.
    Firstly the doctor took ages to even start the procedure as the loop he was using was faulty. So i was laid exposed for about 10 minutes with a strange man staring at my bits. And 2 other ladies too.
    Once he put the spectrum in he asked me to cough to fit the loop, which was very painful. And then he put in the iodine which straight away started to feel uncomfortable inside. Then he let me know that he was going to start administering the aneasthetic injections of which i had 4 and were all painful and took my breath away. I was very nervous all the time as my colposcopy previously had been painful. He then started to do the burning away bit, which i thought was a bit soon after the injections. He had previously told me that i would feel a heat in my vagina but it wouldnt be painful. Well sod that, i was ready to scream out just before it ended as i felt like i was being branded with a red hot poker up there.
    Afterwards i was very light headed and dizzy and tearful.
    3 days later i have had some cramping pains and a small mucky discharge. Still waiting for the bleeding part.

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  8. Pingback: Lletz why | Millerslandsca

  9. Hey all, I am a 24 year old female. I wanted to share my experience just to give everyone the idea of how different everyones experiences can be. When I was 14 I was diagnosed with CIN3 the worst it can be (mind you I had only just become sexually active with my then boyfriend, and now my husband). I had the colposcopy done and the acid wasn’t bad, that was literally painless for me. However, when the take the biopsy samples, it hurt. Not where I was crying in pain hurt, but it hurt! ( I manage pain very well by the way). After this procedure was done I went for the LLETZ produce. My doctor did the surgery (I was in the hospital and put to sleep for this)and woke up and felt fine. I was in some discomfort, but the doctor had given me pain medication to help with this. My doctor believed I was eventually going to need a hysterectomy, and advised me to start think about children. When I was 16 me and my husband had a wonderful baby boy. Now 7 years later I am having these issues again. I had another colposcopy doneand and scheduled later this month for hte LLETZ procedure again. I should have taken care of it 2 years ago. I bleed everytime my husband and I have intercourse and it is painful at times. I never told my OB/GYN and I wish I would have knowing my history. Just a side note–all on my Pap Smears have been NORMAL for the past 7 years and the colposcopy showed cell changes so the Pap Test are not always 100%!!! If you have issues speak up! I wish I would have…good luck to you all!

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  10. I recently had a LEEP procedure done 10 days ago due to HPV results from an abnormal PAP. The procedure considering what’s taking place, went very well. I was actually put to sleep. I didn’t bleed til about 5 days later, and a sponge my Gynecologist had inserted had fallen out around the same time. The smell isn’t pleasant, but I am careful and have a follow up in about 2 weeks. I was surprised I thought the procedure would have been worse, I had put if off for 2 years, but being forty and just having a baby, I needed to get it taken care of. I go for a 6 month follow up as well. I’ve had barely any discomfort, very mild cramping.

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  11. I had a LEEP procedure done as well, with CIN3, and the presence of cancer causing HPV. My procedure was relatively painfree, but it turned out that my cervix is VERY vascular. The procedure removing my cancerous cells took about 45 minutes to an hour but we spent another hour and 20 minutes getting the bleeding to stop. They used cauterization to stop the bleeding.

    After the procedure I was sore but not overly painful. Because of the cauterization I had a discharge similar to coffee grounds for about 10 days as my body sloughed off the burnt bits.

    Post leep I had to be seen every 3 months for a year, then every six months, and I am about to have my first full year exam. My HPV is still present unfortunately, which means I am still at risk for cancer. I’d be glad to answer any questions anyone might have because I had so many and no one to answer them for me. You can reach me at shawzam@hotmail.com and my name is Shaw.

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  12. Back in December 2011 I had an abnormal pap and had a colposcopy done. The worst part to me was the freeze spray and then the pinching of her actually taking the samples. Afterwards I had minimal discharge and mild pain for about 3 days afterwards but other then that I was perfectly fine! In June 2012 I go back for my 6 month check up and I’m hoping and praying for a normal pap!

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  13. I had a pap smear show up slightly abnormal cells,.. so went to clinic for a follow up,.. and they decided to put me in for a letz procedure,… I informed them I was 8 weeks pregnant, but they said it was fine,.. the procedure was quick and only slightly uncomfortable,.. but I did spot bleed a bit ,.. then I miscarried 2 weeks later.
    You all need to understand that Cervical cancer is the slowest growing cancer,.. from first sign of abnormal cells due to HPV,.. it can take up to 10 yrs to form cancer …. the hospital and doctors are meant to wait till after your pregnancy to perform this procedure,. because of the risk of miscarriage.
    The information booklet I have from the hospital says that even grade 1,2,3 cin cells can be treated by letz AFTER a pregnancy,… This is something someone needs to weigh up seriously. procedure versus miscarriage.
    I was not informed that letz could cause a miscarriage, if I had of known the risk,.. I would have waited,.. especially since I only had basic low grade squameous cells showing up in the pap smear pathology test,… the iodine and coloscopy look showed me to be perfectly smooth pink healthy cervix !.. no need to rush and put a hot wire burning loop on my cervix where a mucous plug forms to hold in your pregnancy !… this can cause a possible disruption or infection ,… and consequently … Miscarriage.
    Be aware .

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    Nicole Reply:

    It looks you know a bit about cin and hpv. I am 51,had cinIII in 2007 and been ok. no hpv since.
    But I had my daughter in 97 and pap smear been ok. Then did not do the test for 10 hrs. Stupid ah? Now does this mean that I contracted hpv in this 10 yr time or the hpv could’ve been dormant and how long?

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  14. Hi ladies. I am 25 and I am in hospital right now. I am waiting for the lletz procedure to be done on me. The thing is I am really scared now after reading your experience.

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  15. I just had it done on wed it was so simple and easy I heard all these awful things didn’t hurt t all mild cramping but barely. Barely spots. Procedure was very fast. I’m A big baby and it we very simple really.
    Hope this helps. Colposcopy

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  16. Hi ladies, I had colposcopy with freezing 4 weeks ago, and after 3 weeks I had sex and I start doing body pump class, and in the middle of week 4 I start bleeding Just a little bit, is this normal, I am going nuts, I don’t know what i did wrong? Can this hill again?

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  17. I had my LEEP procedure on May 23, 2012. My first colposcopy after and abnormal PAP was low-grade cervical dysphasia. Doc left it for 6 months and scheduled another colposcopy the biopsy result I did not call for since we had decided it had been almost 2 years since my abnormal PAP smear. I choose not to worry until then. The results of my 2nd biopsy turned out to be high grade. A lot changed in 6 months.

    I was nervous for my procedure and only felt the local anaesthetic injection. It took about 10 minutes at the hospital. After the procedure I felt some lower back pain but not anything that was unbearable. Been resting this past week. Doc gave me his cell to text him if I had any problems but he did not expect any. I had very little initial discharge as most have described such as coffee grounds. I started bleeding yesterday (May 28th) not really heavy but enough to be annoying. Somewhat watery but it has been bright red. And I noticed an unpleasant odour. As of right now it has subsided. And the area is somewhat itchy as if I had a yeast infection.

    My doc did not seem over concerned when I was sent home. Very nice man. He has treated my best friend and is aware of her case. Stage 3B cervical cancer and very aggressive. So her knew my fear. I had slipped him a periodical on where the HELA cells had been acquired. He just reiterated the after LEEP instructions. Watery vaginal discharge for a few days, some cramping may occur, no driving for 6 hourly as I may feel faint, no sexual intercourse for 3 weeks, no baths or heavy lifting for 7 days, and if I experience a fever above 38 degree C to contact him or the emergency department.

    I can call him in 4 weeks for the results and see him in about 4 months for a repeat colposcopy

    Not sure what else to expect I go back to work tomorrow and my job requires some lifting.

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  18. Hey ladies im 22 and had a cin 3 had the biopsy and coloscopy done then the lettz procdure i was told to wait 3 week before having sex kind u every one is told to wait longer depening on there condition its been 4 weeks now and sex is painful no matter what so we are going to wait longer did anyone else have painful sex after wards?

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  19. Hi ladies.I did my lletz procedure on th 14th of May.I did not feel anything coz I was sleeping.After the procedure I did not experience any pains.It was only a brownish discharge and some drops of blood for 2 weeks only.I am even having sex now.Is there any problem.What can I do coz right now I really want a baby.I have one who is turning six in July

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  20. I contracted HPV in 2009 and it took about 14 months to resolve. Now I have it again. I asked the doctor back in 2009 if I should get the immunization and he said no, he knew I was sexually active. Would this have helped me not get it again? And this time should I insist on the immunization, Im 41 and probably will continue to be sexually active.

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    beautifulcervix Reply:

    Deciding to get the HPV vaccine is a personal matter. It only protects against 4 of the dozens of strains of HPV and doesn’t protect against the same strain re-emerging if you already had it in your system. I suggest you research the vaccine and its side-effects, as there has been some controversy about how it was tested and how it is marketed.
    Also, here is some info about HPV and eradicating it from your body by boosting the immune system:
    http://sisterzeus.com/files/CervicalDysplasia.pdf

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    medschneverends Reply:

    The vaccine is less effective if you laready have been infected. There has been a lot of research over the past few years and your doctor should be able to advise you better, knowing your background.

    That being said, regular screening is your best bet

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  21. I’m due to have the LLETZ procedure in just over two weeks. My partner and I want to have a baby. Should I go ahead with the procedure? Can i wait until after? Im a level 2. The thought of not being able to have kids just kills me!

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  22. hi im 30yrs with 4 children and my pap test came back abnormal cells in the glandular cells….had a colposcopy and biopsy taken which ill prob get results back in the next few days…im due to have the LLetz procedure in 2 weeks can anyone tell me whats the difference with glandular a squirmous cells like whats worse and should i be worried??

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  23. I am a 33 yo mother of 1 scheduled for the LLETZ procedure tomorrow.

    I want to thank this site for existing. It is exceedingly reassuring to have this information presented to me by other women whom have undergone the procedure. I am feeling much more confident and glad to hear the great news of others fertility!

    I am still worried about the pain. I have had two biopsies and the most recent one was mildly uncomfortable. I had a hard time sitting for about a week, could not walk for more than a short distance bc of cramping, and had the coffee ground discharge for about the same period. I took a large dose of ibuprofen before the biopsies and plan to repeat it tomorrow. I m not looking forward to the healing time. Does anyone have any tips to help ease the after discomfort I am anticipating? Was the bleeding about the same as the biopsies or worse?

    Thank you all for being so strong and brave!!

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    Lynn Reply:

    Hi MJ

    I am 46 yrs old. In March I had a yearly PAP come back ASCUS cant rule out Hi grade. Colposcopy and biopsy in late April showing mild dysplasia but not cancerous most likely HPV related. On followup in September, my ob/gyn was doing just a PAP and said she didnt like how something looked. She did a colpo/biopsy on the spot. Not pleasant since I wasnt prepared (didnt take ibuprofen…would recommend always taking 2 or 3 half hour before ANY exam). Results came back biopsy showing mild dysplasia but PAP showed Hi grade SIL. Very confusing so Dr decided on LEEP on Oct 5. I was pretty worked up but made sure I ate a late lunch about 2 hrs before and about one hour before I took about 600 mg ibuprofen. Have someone drive you. My doctor prepped me. I laughed because these must be pretty routine to them. She couldnt find half the supplies. They put a large metallic looking patch on your thigh to ground you. Then they clip a vacuum hose to your knee to suck any smoke produced. My doctor stressed that the most important thing was to tell her if I was ok or not ok at each step. Make sure your Dr tells you what he/she is doing every step. My cervix according to her is big and vascular, so I got about 3 numbing injections…first one hurts, others dont. Also received a version of epinephrine. This constructs blood vessels. It will make you feel funny, your knees will shake a little. I felt like I had had a few glasses of wine, quickly..like a buzz. Now my Doc didnt do just one pass with the loop. She took 5 samples. The first insertion she did swipe my vaginal wall slightly. Try not to jerk if this happens. Tell her what you feel the entire time. Talk, swear if you have to. You will feel really tense. Its mostly the apprehension of pain that could happen. The only pain I had was the vaginal bump for a second. Have her show you the biopsied piece. I was actually laughing at her calling my cervix “big and red”. Try to keep some humor about it because it will make it easier. Right before she did mine, I cried…she offered OR surgery. I was like nope, im here now lets do this. Put your feet in the stirrups and git her done. I want all abnormal cells out of me. Afterward, any bleeding and hopefully addtl abnormal cells are cauterized. I had no bleeding til one week.later..this past Friday when my period started. It is HEAVY. Be prepared with pads. Watch for any signs of infection. Call your Drs nurse with ANY questions. I got results one week later. They didnt SEE clear margins, so classifying it CIN 2/3. Followup PAP in 3 months. They want to do an ECC biopsy but I said NO more cutting til I know the results of the PAP. Ask questions and get paper copies of results. Good luck!!!

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    Lynn Reply:

    Oh and I also received NO hpv test until my second Pap and colpo/biopsy in Sept. I had to ask for an hpv hi risk test. Confirmed I have one of 13 that cause cervical cancer. I demanded that they run an hpv 16/18 test. They didnt offer and I want to know if I have a stubborn strain. Demand answers. Get your tests explained and once you have a LEEP dont let them cut until after folliwups and only after consultation. Im going to see a gynecological oncologist for a second opinion. My doc is too busy delivering babies and I dont think their office has what it takes to give options

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  24. Hi i had lletz treatment done about seven months ago for cin 3, i know every woman is different but my expericence was horrible it took the nurses over an hour to do what should have only taken twenty mins i felt alot of it they could not get the bleading to stop i felt so weak and had to ask them to stop. after i had only mild cramps, i am due for my six month check up today and im dreading it im so worried that the abnormal cells have returned if i have to have lletz done again i will be telling them to put me asleep.

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  25. Thanks for your experiences.I am a woman aged 43 years and am due for a LLETZ procedure in two weeks time.I am scared because the Colposcopy was so painful.After the LLETZ i am supposed to travel by air and also attend school three days after.Do you think the latter will be possible.Does it smell that even someone nearer to you can smell it.Worried.

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  26. Hi please can anyone help ms? I had a loop excision back in February and received my follow smear up on Thursday however on this day too I ended up doing a pregnancy test which turned our positive!! I am trying to be happy about being pregnant but in the back of my mind I am worried about eagle miscarriage,the cells needing more treatment and nor bring dole to carry on with the pregnancy! I want the baby but also need to know that I will be ok? Has anyone else been in this situation?

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  27. Hi all
    I found out that I had abnormal cells on my cervix when I was 20. At that stage they were just watching to see if there were any changes. By 22 I had by first biopsy, at 23 my first LLETZ and then another biopsy six months later. I did not feel much pain on my first LLETZ and recovered very quickly, I only had spotting for a couple of days. My second LLETZ which was two weeks ago (I am 24), was a different story, I still did not have that much pain when it happened, but I have been a much slower healer. It has been two weeks and I am still bleeding and feeling a bit unsettled about it. Luckily I have a very supportive boyfriend and my university lectures are being very understanding

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  28. Hey, I just scheduled for my LLETZ surgery and after reading some of these I’m even more freaked out than I was before. Needles really freak me out and now that I’m going to be shaking and maybe even feel the procedure being done I’m thinking of calling out of this. I have been waiting 2yrs to get this done but now I don’t know if I can go through with it.

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    Terie Reply:

    Hey

    Coming from experience DON’T WAIT…I had an abnormal pap smear last Dec. And was scheduled for a colposcopy in Jan. And didn’t do it because I didn’t have the insurance for it which I was just (21) and my mom wouldn’t help me. Well I went back in Nov 8th of this year just for birth control which I finally ran out completely of and they told me I had to have a pap smear since it was almost a year old ..so I did and a week later they called and said I had an abnormal pap smear again and I was scheduled for a colposcopy and that the cancer research center would pay for it so I had it done on the 29th of Nov. And they told me all I was having done was a simple colposcopy but no when I got there they told me I had to have a LEEP done to because it said I have high risk cervical dyplasia so I did..well this Monday it can back some form of cervical cancer and I go back tomorrow to understand it more..its not curable and I may have to have a totally hysterectomy if the cancer has spread..so what I’m trying to say is DON’T WAIT!! I want kids more than life itself but I want to have a great career first.

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  29. Hi All,

    Just want to say that I had the LLETZ procedure on the 20th of July, after a biopsy confirmed CIN 3 the previous week. I was quite nervous before the procedure ( I have spend hours browsing the web and had seen all the ‘worst case’ stories), but can honestly say it wasn’t that bad.

    The whole procedure for me lasted about 30 minutes…the colposcopy is just like a smear test (only a little longer), the actual LLETZ procedure was painless & he local anaesthetic was a little uncomfortable, but not as bad as dental injections in my opinion! I would advise breathing through your mouth (not your nose!) while they do the LLETZ though, as the smell of burning can be a little unpleasant.

    My Gynae’ told me not to exercise for 6 weeks and not to have sex for the same period of time. I must admit I did do some walking a few days after and did bleed a little more than I expected so would just stress that it is important to follow the consultant’s advice, even though you feel OK.

    I am now waiting for my 6 month smear to see if the HPV has gone and am keeping my fingers crossed that no more cells appear.

    Good luck to everyone going through this.
    Best wishes, L x

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  30. Hi…just after some advice..im 30 yrs and had the lletz 4 weeks ago for cin3 glandular cells and the first week was fine then i got my period and didnt really stop bleeding but just lightly…now 3 days ago my bleeding is so heavy!!!! my gyno has put me on antibiotics and told me to sleep and rest for 2 days….what happens if the bleeding dosent stop?? i did everything right no sex no exercise no lifting…(but do have 4 children so busy with them) has anyone experienced this before? thanx

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  31. Hey. I had Lletz procedeure on the 27th oct. It did not go well at all. The machine that heats the wire failed to work halfway through the procedure. I felt a lot of pain. I think I had 3 injections into my cervix in the end but I still felt everything. I was on the table for 2 hours in the end, very upset and ended up on oxygen. The registrar sent me on my way. All weekend I felt groggy and started to bleed a little more with a foul smell. I went to see my GP on 1st Oct, and she called hospital asking for them to see me. When I arrived I was greeted by the same registrar who quarterised me some with 5 nitro sticks and sent me on my way with antibiotics. I was extremely unhappy with the treatment I had received from him. 3 hours later I was laying down reading my book when all of a sudden I started to pour blood. I stood and blood that was fierce red started to pour all down my legs, everywhere. My partner rushed me to A & E. They admitted me straight to the gyne ward. I was seen very promptly. They could not stop the bleeding and the clots which were the size of my fist! I have had 2 children before and I can honestly say the bleeding was at least 6 times worse than the bleed during child birth :-( they rushed me straight to theatre at 2am. I was quarterised further more and pack and had a catheter. I came around very drousy, on sailine drip and strong antibiotic drip. I was unable to move for 24 hours. The following day they removed the packing and catheter, such a relief and home the next day. I just want to say that this is very rare! It should be a simple procedure, but please girls, any sign of bleeding do NOT leave it, get it seen to asap. It could be fatal. At the moment I am experiencing light watery blood loss, I am hoping this is ok ?? Is this the m=normal loss I should be experiencing as I do not know normal lol
    Many Thanks x x

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  32. Not sure if anyone is still reading this but I have just had LLETZ surgery today after 2 abnormal smears, 2 colposcopies and 2 biopsies during the 2nd colposcopy. I had local aneasthetic and wasn’t in too much pain, just uncomfortable because I cannot relax and if you can it is so much easier! I was in for around 35 minutes, apparently I was one of the longer ones they had done. I bled quite heavily and they cannot seal it until you stop bleeding. It’s such a relief and I am praying my next smear/pap is clear. However, 5 hours later I am lay on the sofa with my hot water bottle in quite a lot of pain that is not being eased by paracetamol unfortunately.
    I do not have children and eventually would like them (I’m 25 and getting married this year) but will have to wait and see on that front. I was told that becoming pregnant is not an issue but some people cannot carry a child full term following the surgery.

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  33. I just wanted to say to people that some of you seem to be confusing procedures. The coposcopy and biopsys are different to the lletz procedure. The pain differs for most people but a huge factor in this is the area the biopsy is taken, i had 6 different bits of tissue biopsied some from my cervix on the outside and some from inside the cervical tissue inside my womb, the ones from the inside were the most painful, but the ones taken from the outside wall were just like a small pinch! My consultant advised me that 90% of people only suffer with abnormal cells on the outter part and that i was just unlucky!
    I was then called back 4 weeks later for the LLETZ procedure, this was now done 3 days ago. for this i was pretty nervous after everything i had read about it. the consultant explained that he would numb me in 3 areas on the outside of my cervical wall then once on the inside of my cervical wall! This made me very nervous considering the pain i felt when the biopsy was taken in that area! I Didnt even feel the needle!!!! I did shake from the local but only for 20mins or so! The procedure lasted 15mins and i have had no pain or cramping at all, no bleeding but some fluid discharge thats almost clear.
    I just wanted to make sure people were clear on the differences of the 2 procedures and to put minds at reat for those who had been reading the same horror stories i had!

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  34. What a wonderful site! I stumbled across it while researching tilted cervix. I had the leep procedure performed one week ago today and the dr (new to me) informed me that I had a tilted cervix. As for the procedure, I worked myself up over nothing, the “cure” time is worst than the procedure. I’m still cramping but expect it to lighten up as time progresses. I feel so sorry for the women who did not have a doctor as knowledgeable, kind & gentle as mine is.

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  35. Are you planning on submitting a follow up image? I had a LEEP surgery done in 2004, and I’m curious to know what other people’s cervixes look like after they are healed. Mine seems…flat.

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  36. I had a colposcopy, followed by a LEEP in 2005. The colposcopy was uncomfortable, but not painful.
    The LEEP was not painful for me at all. I didn’t feel the local go in, though it did give me a head rusha nd weird taste in my mouth, which was to be expected. I felt nothing during the procedure and had an easy recovery, but was told nothing in the vagina for 4-6 weeks.
    My repeat colposcopy was painful, and I felt like I was treated poorly by the staff, as it was different than the ones who did my LEEP.

    It did cause scarring which made dilation take FORVER! Apparently it is very common for your cervix to fully efface before even starting to dilate, but having contractions as if you are in active labour. Thankfully I had great midwives who helped me through it and was able to birth vaginally at home.
    Since the first birth, my cervix was able to dilate well, though slowly again, with my second baby.

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  37. I had this procedure earlier on today, I found it very painful, uncomfortable and had no pain relief like what most of the others seem to have had. I was told it was going to be numbed by a receptionist yet, no it wasn’t and it hurt like anything. Still cramping and its been almost 12 hours since I had it done!

    yuck

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  38. Hi

    I have a question I had my first LEEP done 3 weeks ago and had my 3 week check up today and had sex for the first time today since then and now I’m bleeding not alot but enough to scare me but I have to go back on Jan 3td to check it again…now keep in mind ill start my period in like 3 to 4 days…help is this OK I’m still healing

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  39. I am 52 and went for a colposcopy 12 days ago.The nurses were ok,but the doctor was awful.He did not want to let the nurse get me comfy before he started and he stopped bothering to explain what he was doing after the acetic acid.The first I knew that he was doing the LLetz procedure was when the nurse put a pad on my thigh.I have had some pain and discomfort and discharge,but very little bleeding.As I already have a prolapse I am worried about having had this done.I am getting married for the first time in four months and I am worried about pain during intercourse.
    I feel that I was treated like a trussed turkey and have become depressed.The proceedure was tolerable,but was it right for me?My pets get better treatment.I now have to wait 2-3 weeks for the results.

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  40. Hey guys, I had a lletz 1 week ago & for the 1st 5 days I just had pink watery discharge but since then (2 days go) i’ve been h.aving blood. Its like a period but when I started bleeding if it is a period it would have made it 12 days early which seems impossible for someone who is never more than 3 days early. I dont feel unwell but its worrying me. Could anyone tell me if this is ok please. Kirsty x

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  41. I’m 26 and Panamanian; Just got a colposcopy 3 days ago, 2 years ago I got a PAP test and never picked up the results.
    I went to the same clinic (not same doc) and the doctor ask me the reason of my visit, I told I have a vaginal infection is itchy and swore, plus my husband and me are trying to conceive for the past 2 years and still nothing.
    The first thing she said “The PAP perform 2 years ago came with HPV, we need to make a colposcopy, and remove tissue from your cervix to test it”. IT WAS A BOMB for my husband and me. She was soooo cold.
    She prescribe 3 days femisan (yesterday I applied one, nothing hurt or itch or even bleed) tablets and albisec for me and my husband.
    Feb 8th 2013I got the colposcopy, vaginal ultasound (to check my ovaries) and biopsy. Did not felt much, it was ok, I have the discharge like coffe tissue yoder smelling, but no blood.
    I’m so nervous about the results I don’t now how to handle this and if I ever will have a chance to conceive a baby.
    My doctor said “I should not recommend this but since you are ovulating I thing you guys have to try.
    Any of you have and idea if I should try or not and if I should get the pill down there?
    I would really appreciate your advice.
    Thanks.

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  42. I am 34, have 2 young children, and was diagnosed with severe dyskaryosis after a routine smear test last month. I was shocked to say the least, and terrified of what would happen. My GP was amazing, saw how anxious I was and arranged for my to have my colposcopy and Lletz treatment 2 weeks later( I got a cancellation appointment) instead of waiting up to 4 weeks. Nevertheless I didn’t sleep properly for those 2 weeks leading up to the procedure. I googled a lot, which only made things worse when I read something negative.
    I had my Lletz 3 days ago and I wanted to just say how smoothly and easily it all went. Yes it was uncomfortable but no more than a smear test really. And it was over so quickly, 10 mins and it was all done. I was terrified about the thought of the local anaesthetic needle but honestly didn’t feel it or the loop wire either. My dr was so positive, she thinks she removed it all and it wasn’t a very large area either. I had been so nervous about what she would find, I did not know that it takes 10 years for cervical cancer to develop, that eould have helped me not to worry quite so much. This is SO treatable, don’t put it off or be scared, the nurses and doctors are truly wonderful and so calming, friendly and reassuring.
    I hope this is of help to do someone else, it really is not as bad as you fear, the waiting and not knowing is much much worse.

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