Cervical Loop Excision Procedure (LEEP)

If your gynecologist discovers abnormal cells during a pap smear, colposcopy, or biopsy, it may prompt them to perform a loop electrosurgical excision procedure (LEEP).

A LEEP procedure is used to further evaluate the affected area and may treat the problem depending on the situation. The LEEP procedure involves using an electrical wire to remove abnormal areas of your cervix. The doctor can perform the procedure at the office or as an out-patient procedure.

What to expect?

The doctor places an instrument (speculum) into the vagina in order to dilate the cervix.

The gynecologist is able to see the abnormal area  by looking at specific sections of the cervix that has been dilated. They then will proceed to remove the infected area using a small electrical wire which also cauterizes the blood vessels to stop bleeding.

On average, this procedure only lasts about 10-20 minutes. The professionals will then send the specimen to the lab for further evaluation.


You may experience some mild cramping during and immediately after the procedure.

In most cases, you may return to normal activities the next day; however, the patient should not place anything into or up the vagina until the follow up visit. If there is heavy bleeding or any abnormalities, the patient should call the office.

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Further Reading Resources

  1. ACOG Resource