The most popular among those treatment modalities is loop electrosurgical excision procedure, known as LEEP procedure. I had prodromal labor for 2 days before I lost my mucus plug and water breaking.... Find advice, support, and good company (and some stuff just for fun). It’s natural for women who are considering the loop electrosurgical excision procedure (LEEP) to be worried about the impact on their fertility and future pregnancies. It is a procedure used to remove abnormal cells from your cervix. Heavy lifting (over 15 lbs) should also be avoided. really hoping that happens with me as well, and that my OB was just giving me "worst case scenario" information. We respect everyone’s right to express their thoughts and opinions as long as they remain respectful of other community members, and meet What to Expect’s Terms of Use. thank you so much for the reply! The aim of this study was to evaluate the risk of preterm birth in subsequent pregnancies after loop electrosurgical excision procedure (LEEP). They gave me IV pain meds because I wasn’t far enough for an epidural and that’s when everything let go. it ABSOLUTELY 100% was because of the LEEP. LEEP and natural birth. Though the technique can be helpful in these situations, women may have some concerns about pregnancy after a LEEP procedure. (Because there are no nerves in the cord, the baby feels no pain during this procedure.) Anyway, there are three things that can happen in pregnancy after a LEEP. I’m a labor nurse. This might be a little uncomfortable, so local anesthesia might be used to anesthetize the area. LEEP is a procedure done when you have a high grade abnormal pap smear. If this happens, a few things may result. I did have an epidural but she massaged it both before and after I got it, it was similar to a membrane sweep. I went from 2 cm to almost ready to push in about an hour and a half. Any other time when I didn't have something going on I was not on the pill. and thanks for sharing! LEEP procedure is also known as loop electrosurgical excision procedure or large loop excision of the transformation zone (LLETZ). That part of my cervix wouldn’t “efface” but the rest of it did. I had a LEEP procedure done in 1994 (for cervical dysplasia resulting from HPV 14 years earlier), and an easy healthy full term pregnancy/birth in 1999 at age 37. LEEP is safe and effective. During your recovery, you may experience vaginal bleeding and mild cramping. So now I think I should avoid leep treatment and start with natural treatment. I keep hearing about how natural birth is much harder for women who have prior cervical procedures like the LEEP. To relieve abdominal cramping, take a non-aspirin, over-the-counter pain reliever such as ibuprofen (Motrin®, Advil®) or acetaminophen (Tylenol®). I’m scheduled for leep procedure in about a week. Please whitelist our site to get all the best deals and offers from our partners. Women with history of leep deliver vaginally all the time! This article does not provide medical advice. There is also about a 10% risk of preterm delivery that's associated with LEEP, though many people do go … I had the procedure 3 years ago while having an IUD. When a woman’s cervix is weak (sometimes called incompetent cervix) she is more likely to have a baby born prematurely because the cervix shortens or opens too early.In order to prevent premature labor, a woman’s doctor may recommend a cervical cerclage. did you have an epidural prior to? This is often recommended when you have cervical dysplasia. If the Pap smear including biopsy is positive for precancerous condition then different treatment modalities are used to treat them and to avoid cervical cancer. I've had a LEEP procedure in the past and the only thing that my doctor has checked for (during both my first pregnancy and now this one) is the length of my cervix. First birth after Leep procedure : Any other mama's have to get a leep procedure in the past and are now hoping their cervix participates? Results: The average age of patients was 31.96±5.24 years; the interval between the surgical procedure and pregnancy was 12.04±4.67 months; the gestational age at births was 37.53±2.91 weeks. This guaranteed they could do procedures when scheduled, they were accurate and easier, and so I was aware if my body was bleeding more than it should. It is done under local anesthesia and does not require any general anesthesia to perform it, so it is less concerning. I wish they had mentioned it beforehand. A colposcope may also be used for better magnification and illumination of the vaginal and cervical tissues. Because numbing medicines are used, though, a lot of people don’t feel anything. The patient lies in supine position with legs resting in stirrups similar to a pelvic exam. LEEP is not only popular because it is simple, effective and inexpensive, but because it has less post procedure risks and side-effects which also includes less risk with fertility. I had the procedure 3 years ago while having an IUD. Some women will need to give birth via caesarean section after a LEEP procedure. There is an increased risk of preterm birth and this risk increases with the increased depth of the excision. LEEP or no LEEP exercising after leep LEEP procedure LEEP vs Natural Treatment Pain in cervix 2 and a half months after LEEP Pregnency after LEEP procedure? and did you go into labour naturally? LEEP Procedures. One of the most common risks of pregnancy after a LEEP procedure is cervical stenosis, in which the cervix becomes narrow and tight. We have two little boys after a leep and CKC! The study also included a control group of women who visited the colposcopy clinic but did not receive treatment. While this is not problematic during much of the pregnancy, it can be during childbirth. thanks for sharing! The main thing you need to be aware of is that it will probably take you forever to start dilating, but that once you do and the scar tissue releases, you will most like dilate the rest really quickly (like no time for an epidural quickly). First birth after Leep procedure : Any other mama's have to get a leep procedure in the past and are now hoping their cervix participates? Our articles are resourced from reputable online pages. There has also been an increase in higher pregnancies in women who have been treated with cervical pre-cancers and have successfully given birth to a healthy child. Cervical cancer affects millions of women around the world and is amongst the leading cancers in women. I was wondering if anyone else had this done? Are you sure you want to delete your discussion? Sometimes, the procedure can shorten the cervix which could impact labor. I had a LEEP previously and have had three vaginal deliveries where i went into labor on my own each time. Giving Birth After LEEP Procedure T I had a LEEP procedure done about 5 or so years ago and have completely forgotten to bring it up in my OB appointments-it was 2 … Report as Inappropriate. July 2012 - localized leep (was pregnant but very early and miscarried not long after the Leep - OB does not think it was related to leep) Is there anyone to explain me a difference between leep and natural treatment? If you are being induced you could ask for the epidural then if they need to do the massage you hopefully wouldn’t feel how painful it is. I’ve had 2 vaginal deliveries now after my LEEP in 2011. In fact, research on women who attempt a trial of labor after cesarean (TOLAC) shows that about 60 to 80 percent have a successful vaginal delivery.VBAC isn't right for everyone, though. PATIENTS AND METHODS: From January 2013 to January 2016 the study identified a total of 1435 women, nulliparous, who underwent LEEP for CIN 2-3, and who wished to have their first pregnancy. Get To Know What Possibly Could Be Causing Your Symptoms! Reply. Ten women were excluded (three ectopic pregnancies, two induced abortions and five spontaneous abortions) from the study. In LEEP procedure, a low voltage current is passed through a wire to heat it which is used to excise and cauterize the abnormal tissue in cervical dysplasia. babymamavanb @Hbrooksx5, thanks for sharing! I had a leep 5 years ago and delivered vaginally with no issues. I had a LEEP back in 2000, when I was 20. I've had 2 vaginal deliveries after having a leep procedure done in 2007 after my first daughter. One of the most common risks of pregnancy after a LEEP procedure is cervical stenosis, in which the cervix becomes narrow and tight. 1 Effective treatment of high-grade lesions is important to prevent cervical cancer. reviewed by our medical review board and team of experts. 3.5 cm to 8 cm in 2 hours. Research has yielded mixed results, but at least one study indicates that your ability to get pregnant is not affected. LEEP is; however, preferred over cold knife conization which has a greater morbidity rate. My doctor had me specifically on birth control for the leep so I didn't have double the bleeding and knew what was what. Both mine were inductions at 39 weeks for elevated blood pressure. my OB did suggest an epidural for the stretching, which he knows I wanted an uneducated birth, but just giving me all of the information to mentally prepare. sorry, also forgot to ask how long they needed to massage it for? ... Nexplanon is a birth control implant with progesterone only that helps to prevent pregnancy. LEEP is done usually after an abnormal Pap smear; it is used as a diagnostic as well as a treatment modality. These include: infection; bleeding during or after the procedure, though the tool helps seal … While this is not problematic during much … There have been various studies that suggest women getting pregnant before 12-month interval of LEEP are at greater risk of miscarriage, which is around six fold. A speculum is inserted into the vagina to visualize it properly. I had a biopsy done of my cervix and it came back as the first stages of cervical cancer. That November i had to have the Leep "loop" Procedure where they cut the cancerous cells off my cervix.. It is an office procedure and does not take more than 30 minutes for the completion of the procedure. Results: Of a total of 428 women of reproductive age who had LEEP performed during the study period, 89 had a pregnancy after the procedure. A cerclage is used to prevent these early changes in a woman’s cervix, thus preventing premature labor. A scar is the body’s natural response to injury. Dietary Do’s and Don’ts for Migraine Sufferers, Shirshasana (Headstand) Versus Inversion Therapy Using Inversion Table, Understanding Joint Pain and Tips to Get Relief Using Home Remedies, Erectile Dysfunction: Does Opioid Cause ED, Libido: Opioid Induced Female Sexual Dysfunction. LEEP or cone only remove small part of cervix, which is further than your vagina responsible for sensation and lubrication. © 2020 Everyday Health, Inc. I had a LEEP procedure done in 1994 (for cervical dysplasia resulting from HPV 14 years earlier), and an easy healthy full term pregnancy/birth in 1999 at age 37. Good luck! Find a Physician                            Privacy Policy, Images and Text Policy                Editorial Policy, Information Policy                        Advertising Policy, Financial Disclosure Policy          Cookie Policy, About Us                                        Contact Us. So now I think I should avoid leep treatment and start with natural treatment. The clamp will remain in place for twenty-four to forty-eight hours, or until the cord is dry and no longer bleeds. Patients and methods: From January 2013 to January 2016 the study identified a total of 1435 women, nulliparous, who underwent LEEP for CIN 2-3, and who wished to have their first pregnancy. Stop any natural supplements, garlic, turmeric, fish oil, Vitamin C etc 2 weeks before the procedure. These risks are rare and only happen in 1% of cases. Even after my LEEP, the information I was given was just that I may have an incompetent cervix. This is normal, as per my OB, and he said that I'm 80-90% effaced, with my cervix being thin enough. The views expressed in community are solely the opinions of participants, and do not reflect those of What to Expect. Induction was a lengthy process for me but it was still successful. The risk of the procedure are infertility, and pre-term labor. Im 41 weeks pregnant, only found out today that the reason I’m not dilating is because of my previous LEEP surgery. Can You Have a LEEP Procedure While You Are On Your Period? (Because there are no nerves in the cord, the baby feels no pain during this procedure.) The authors It should be kept in mind that it is the treatment of cervical dysplasia, which left untreated will lead to cervical cancer. It is an office procedure and does not take more than 30 minutes for the completion of the procedure. Feb 2012 - delivered first son premature and he passed a couple of hours after birth. Whether it was necessary or not, I … Absolutely nothing. However, due to the scar tissue, my cervix is only dilated about 1-1.5cm. The decision to carry forward with excision or ablative procedure depends on various factors including the reproductive age, severity of pre-cancer and the decision or desire to bear children in future. This article on Epainassist.com has been reviewed by a medical professional, as well as checked for facts, to assure the readers the best possible accuracy. We follow a strict editorial policy and we have a zero-tolerance policy regarding any level of plagiarism. My doc massaged my cervix and held down the scar tissue in order for baby to get her head out, after crowning, the rest was cake! I was hoping for as natural as possible, so I'm a little out of sorts about the whole thing. Donating Blood? Stop any natural supplements, garlic, turmeric, fish oil, Vitamin C 2 weeks before the procedure. can I ask how painful the massaging was? No epidural. 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