Loop Electrosurgical Excision Procedure

Loop electrosurgical excision procedure (LEEP) uses a thin wire loop to precisely cut out areas of the cervix. The cervix is a neck-like structure that connects the vagina and uterus. LEEP is done to remove abnormal cervical cells.

  • Call Your Doctor


    After arriving home, contact your doctor if any of the following occurs:

    • Heavy bleeding (more than your normal period)
    • Bleeding with clots
    • Severe abdominal pain
    • Fever or chills
    • Unusual odor or discharge

    In case of an emergency, call for medical help right away.

  • Definition

    Loop electrosurgical excision procedure
    (LEEP) uses a thin wire loop to precisely cut out areas of the cervix. The cervix is a neck-like structure that connects the vagina and uterus. LEEP is done to remove abnormal cervical cells.

  • What to Expect

  • Reasons for Procedure


    LEEP is often done after abnormal
    cells have been found on the cervix. These abnormal cells are often found on a
    Pap test. If the cells found on a Pap test show
    cervical dysplasia
    (abnormal cells) or cancer cells, a LEEP may be done.

  • Possible Complications


    If you are planning to have LEEP, your doctor will review a list of possible complications, which may include:

    • Bleeding
    • Abdominal cramping
    • Infection

    • Future pregnancy problems (small increased risk of
      premature births
      and having a low birth weight baby)
    • Narrowing of the cervix (very rare)
    • Incomplete removal of the abnormal tissue
    • Accidental cutting or burning of normal tissue

    Before your procedure, talk to your doctor about ways to manage factors that may increase your risk of complications such as:

    • Smoking
    • Drinking
    • Chronic disease such as diabetes or obesity


    The following may also increase the risk of complications:

    • Menstruation at the time of the procedure—It is best to have LEEP done when you do not have your period.

    • History of
      pelvic inflammatory disease
    • Inflammation of the cervix
    • Pregnancy or possible pregnancy