The Loop Electrosurgical Excision Procedure, known as LEEP, is a common medical method used to manage abnormal cells found on the cervix. This procedure involves the precise removal of a thin layer of cervical tissue. Following a LEEP, the body initiates a natural healing process, which includes the formation of a protective layer often referred to as a “scab.” Understanding this healing phase can help individuals navigate their recovery with greater confidence.
Formation of the LEEP Scab
The LEEP procedure uses a thin wire loop heated by an electrical current to remove targeted abnormal tissue from the cervix. This leaves a raw area, similar to a wound. A medicated paste, such as Monsel’s paste, is often applied to the treated area to manage bleeding and facilitate healing. The body then forms a protective layer composed of dead cells, blood clots, and the applied medicated solution over this raw surface. This material serves as a natural bandage, allowing new tissue to grow underneath.
Expected Appearance of the LEEP Scab
The LEEP scab, essentially the shedding of healing tissue and applied solution, often appears as vaginal discharge varying in color and consistency. Immediately after the procedure, brownish-black discharge is common, often due to the medicated paste. This discharge can resemble coffee grounds and may have a metallic scent. Over the following days to weeks, the color can shift, appearing yellowish, greenish, or grayish. The consistency of this discharge can be thick, clumpy, or paste-like, differing from a typical skin scab. It may also be watery and pinkish at times. A mild, metallic, or musky odor is frequently reported as a normal part of the healing process. This odor is distinct from a strong, foul smell that could indicate a complication.
The shedding of this tissue typically begins a few days after the procedure and can continue for one to three weeks, sometimes lasting up to four weeks. Some individuals may notice an increase in discharge or light bleeding around 7 to 14 days post-procedure, which is often when the “scab” begins to detach from the cervix. The amount of discharge varies significantly, ranging from light spotting to a heavier flow.
Signs Requiring Medical Attention
While some discharge and mild discomfort are expected after LEEP, certain symptoms indicate a potential complication requiring immediate medical consultation. Heavy bleeding, defined as soaking more than one sanitary pad per hour for two or more consecutive hours, or bleeding with large clots, requires prompt attention. Persistent or severe abdominal pain or cramping not alleviated by over-the-counter pain medication should be reported to a healthcare provider.
A fever above 100.4°F (38°C), along with chills, can be a sign of infection. Vaginal discharge that develops a strong, foul odor, distinct from the mild odor common during healing, or appears pus-like, suggests an infection. Any of these symptoms should prompt a call to your healthcare provider for further evaluation.
Supporting Your Healing After LEEP
Supporting healing after a LEEP procedure involves several practical measures for a smooth recovery:
Avoid inserting anything into the vagina, including tampons, douching, or engaging in sexual intercourse for at least four weeks, or as advised by your healthcare provider.
Use sanitary pads to manage vaginal discharge during this time.
Limit physical activity; avoid strenuous exercise and heavy lifting for one to two weeks post-procedure.
Showering is permitted, but avoid submerging in baths, hot tubs, or swimming pools for at least two to four weeks to prevent infection.
Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can manage mild cramping or discomfort.
Maintain good external hygiene by gently washing the vaginal area with mild soap and water.
Attend all scheduled follow-up appointments, as these visits allow your healthcare provider to assess healing and review pathology results.