Colposcopy and LEEP

What is the purpose of colposcopy and LEEP?

Colposcopy is a procedure that allows your gynecologist to visually examine your vagina, cervix, and vulva for signs of tissue abnormalities. It is a powerful diagnostic tool that creates a path for further screening or treatment. 

The process uses a colposcope, a magnifying device that visually enlarges the area of focus. A bright light further improves your practitioner’s view of the targeted tissue. If there are areas of concern, your gynecologist removes a small sample of tissue for testing (biopsy). 

Loop electrosurgical excision procedure (LEEP) uses a small heated wire to remove abnormal tissue while leaving healthy tissue behind. It’s a minimally invasive treatment option for the following:

• Genital warts
• Gynecologic cancer
• Polyps
• Precancerous cells

If colposcopy or LEEP is a good fit for your needs, your gynecologist explains how to prepare and what to expect. 

How do I prepare for colposcopy and LEEP?

There are very few steps needed to prepare for colposcopy and/or LEEP. Your gynecologist might ask you to:

• Schedule the procedure for a time when you’re not bleeding
• Refrain from using tampons for a couple of days before the visit
• Refrain from vaginal intercourse for a couple of days before the visit
• Take a break from any vaginal medications
• Take an over-the-counter pain medication before your appointment time

If you have questions, just let your gynecologist know before your scheduled colposcopy. 

What should I expect during colposcopy and LEEP procedures?

Most colposcopy procedures only last 10-20 minutes. You’ll recline in a position similar to having a pelvic exam. Your gynecologist uses a speculum to gently separate your vaginal walls. 

Next, the colposcope is positioned near your vagina, and a bright light is directed toward your body. Your doctor sits behind the device and examines your tissues using the lens. Sometimes a solution is applied to your tissues to highlight any unusual cells. There’s usually no significant discomfort during the procedure.

If you need a LEEP procedure, an injection of numbing medication reduces discomfort. A type of forceps may be used to hold your cervix in position. 

Your gynecologist guides the small looped wire across the surface of the tissue, and the electric current moving through the wire removes the tissue and seals off any blood vessels in the area. 

When you’re ready to explore colposcopy and LEEP in greater detail, call or click to schedule a visit.