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LEEP is an acronym for a medical routine called loop extrosurgical excision procedure . It also sometimes predict enceinte loop excision of the transformation zona ( LLETZ ) or grummet excision . In this procedure , a humble electric wired loop is used to remove tissue cells from a woman ’s low venereal part ( this includes both the uterine cervix and the vagina ) . The electricity flowing through the telegram cause it to inflame up and enables it to bring similar to a sawbones ’s tongue . The tissue cell that are cut during the procedure are intact and undamaged , which cause it a preferable choice when compared to other destructive procedures . In addition , it is also associated with a lower cost and few side effects .
Why Would You Need To Get a LEEP?
Your health care provider may recommend a LEEP if there is any abnormality notice in your lower venereal parcel . Either this abnormality could be detected during a routine teat smear or it could be a finding from a cervical biopsy .
In cases where there is a suspect abnormalcy , LEEP is used a symptomatic dick to obtain tissue paper samples from the uterine cervix or vagina . These samples are then send for biopsy to corroborate the bearing of Crab . In some cases , the LEEP may reveal the mien of precancerous cells ( cell unnatural but not cancerous ) which could be an early indicator of cancer development .
In case where there is confirmation of abnormal tissue growth , LEEP can be used to treat the circumstance by polish off the interested prison cell and earmark healthy cell to grow back in their place .
What Takes Place During the LEEP?
At your LEEP appointment , you will undress and lie on the exam table as you do for any pelvic exam . Your healthcare supplier will use speculum to open up yourvaginaand break your neck . He may then practice a colposcope ( an legal document like a microscope ) to easily visualize the internal tissues . The MD will then employ a local anesthetic , so you do not experience nuisance during the subprogram . The LEEP wire will then be tuck through the speculum into the vagina and it will cut through the abnormal tissue paper . The galvanising stream from the conducting wire will varnish the cut blood vessels and so give up the bleeding . Depending upon on amount and location of tissue paper that needs to be take away as well as the size and shape of the telegram used , it may take more than one attempt to get rid of all the unnatural tissues .
Can You Have a LEEP if You are Pregnant?
LEEP is an invasive procedure that cuts away tissue slices from within the vagina or cervix . This extremely insecure procedure could risk miscarriage and other foetal complication if performed during later stage of gestation . However , there are studies that have report the safety of LEEP when do during the early degree of gestation . In one such study , nine patients safely performed LEEP within 14 weeks of their pregnancy and none of them experienced unwritten miscarriage , untimely delivery or heavy haemorrhage after the procedure . In general though , it is advisable to debar this procedure during pregnancy unless decisive .
In case the LEEP was recommended to plow precancerous cell ontogenesis , it is advisable to waitress until after childbirth to perform this procedure . This is because in most suit precancerous take a long time ( months to years ) to become actively cancerous . Therefore , the recommended access would be to keep monitoring the abnormal tissues using colposcopy . Colposcopy is a good non - trespassing procedure in which the health care provider places acolposcope(an instrument that has the same role as that of a microscope ) at the opening of the vagina to analyse the tissue paper within the vagina or cervix .
Even in cases of activecancer , it is not advisable to go with LEEP . It is better to consult a gynecologic oncologist and decide on an alternate treatment option that is the good for the mother and the child .
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