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If your pap smear or colposcopy shows high-risk, abnormal cervical cells, your doctor might suggest removing them with a procedure called LEEP.
LEEP, which stands for Loop Electosurgical Excision Procedure, is used to treat cervical dysplasia.
Cervical dysplasia or abnormal cells at a high risk of becoming cancerous are often first detected on a pap smear.
A few years ago, the relationship between invasive cervical procedures and later problems with childbirth was recognized. Experts decided that the risk of the pap leading to an unnecessary procedure leading to childbirth problems outweigh the benefits of the pap, so women under 21 are not encouraged to have a pap. If you have symptoms like abnormal bleeding or signs of infections, check with your healthcare provider about appropriate screening and follow-up.

LEEP has been associated with an increased risk of future pregnancy problems, according to The American Congress of Obstetricians and Gynecologists (ACOG). They state that most women don't experience pregnancy difficulties following a LEEP, but there's a small chance of having a premature or low birth weight baby. Recent research indicates that LEEP doesn't raise your risk of preterm birth and low birth weights, so that is some good news. Stenosis or cervical scarring can cause stiffness that makes opening the cervix difficult or painful. If you're having problems getting pregnant, you're doctor might suggest Intra-uterine insemination to get the sperm past the cervix and up into your womb. It was also found that most women under 21 spontaneously revert to a normal pap smear and clear HPV viruses that are associated with cervical cancer without any treatment.

In rare cases, the LEEP procedure can cause cervical incompetence or problems dilating during labor. If you've had LEEP, discuss this possible complication and its resolution with your midwife or doctor. Women hear tales of sterility, miscarriage, and preterm labor when researching the procedure.
It's done under local anesthesia and usually performed in the doctor's office or on an outpatient basis in the hospital.

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Published at: getting pregnant at 39

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