A cone biopsy may be done after a Pap test shows moderate to severe cell changes and:. The cone biopsy may remove all of the abnormal tissue. This would mean that no further treatment is needed other than follow-up Pap tests. The edges of the cervical tissue removed by a cone biopsy may contain abnormal cells, meaning that abnormal tissue may be left in the cervix. The cone biopsy may be repeated to remove the remaining abnormal cells.
If follow-up tests show normal cells, then no further treatment may be needed. If abnormal cells remain, you and your doctor may discuss other treatments, such as removal of the uterus hysterectomy. The cone biopsy may show cancer that has grown deep into the cervical tissue cervical cancer. Further treatment, such as surgery, radiation, or chemotherapy, will be recommended.
Cone biopsy conization can be done using a carbon dioxide laser or loop electrosurgical excision procedure LEEP. One possible disadvantage of these methods is that the abnormal tissue at the margin with the normal tissue can be changed by the heat from the laser beam or the wire loop. This may make the laboratory study of the biopsied tissue more difficult. The healing and scarring process after a cone biopsy may make it hard to identify abnormal tissue in the future. Kiley MD - Obstetrics and Gynecology.
Author: Healthwise Staff. This information does not replace the advice of a doctor. Healthwise, Incorporated, disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. Learn how we develop our content. You will have tests to be sure that the abnormal cells are gone and that they have not returned.
If you have another abnormal test result, you may need more treatment. LEEP is an effective and simple way to remove abnormal cells from the cervix. Recovery time is brief in most cases. Like all procedures, LEEP carries some risks, including those related to future pregnancy. It is important to understand all of the risks, as well as the benefits, before having the procedure. Cone Biopsy: Surgical removal of a cone-shaped wedge of cervical tissue.
Electrocautery: A procedure in which an instrument works with electric current to destroy tissue. Pap Test: A test in which cells are taken from the cervix and vagina and examined under a microscope.
Sexually Transmitted Disease: A disease that is spread by sexual contact, including chlamydia, gonorrhea, human papillomavirus infection, herpes, syphilis, and infection with human immunodeficiency virus HIV, the cause of acquired immunodeficiency syndrome [AIDS]. Speculum: An instrument used to hold apart the walls of the vagina so that the cervix can be seen. Loop Electrosurgical Excision Procedure If you have an abnormal cervical cancer screening test result, your health care provider may suggest that you have a loop electrosurgical excision procedure LEEP as part of the evaluation or for treatment.
Your Recovery After the procedure, you may have a watery, pinkish discharge mild cramping a brownish-black discharge from the paste used It will take a few weeks for your cervix to heal. You should contact your health care provider if you have any of the following problems: Heavy bleeding more than your normal period Bleeding with clots Severe abdominal pain Staying Healthy After the procedure, you will need to see your health care provider for follow-up visits.
You can help protect the health of your cervix by following these guidelines: Have regular pelvic exams and screening tests for cervical cancer. Stop smoking—smoking increases your risk of cancer of the cervix.
Limit your number of sexual partners and use condoms to reduce your risk of sexually transmitted diseases. Cervical dysplasia may be a precursor to cervical cancer and is often caused by a human papillomavirus HPV infection. The good news is that when cervical dysplasia is identified and treated early, most women do not go on to develop cancer.
Even if the cells are cleared, you will still have HPV and require ongoing monitoring to ensure that any abnormal cells are treated promptly if and when they emerge. Less commonly, a LEEP may be used to help diagnose or treat the following conditions:. If your healthcare provider tells you that you need to undergo a LEEP, they will likely ask you to schedule the procedure when you are not menstruating. This will allow for optimal visualization of your cervix. Once you are scheduled for a LEEP, your practitioner will give you instructions on how to prepare.
The LEEP procedure is performed by a gynecologist in their office; it can also be done in a hospital or surgery center. You will need to undress from the waist down for your LEEP. As such, it's a good idea to wear loose-fitting, comfortable clothes that are easy to remove on the day of your procedure.
You do not need to abstain from food or drink prior to a LEEP unless you are getting sedating anesthesia. Your doctor's office will let you know. If you take aspirin , or another type of blood thinner, your healthcare provider might ask you to stop or decrease the dose before your LEEP. Be sure to tell your practitioner all of the drugs you are taking, including prescription and over-the-counter medications, herbal products, vitamins, and recreational drugs. Your healthcare provider may advise you to take four regular-strength Motrin ibuprofen tablets or two extra-strength Tylenol acetaminophen tablets one hour prior to a LEEP assuming you are not allergic to these drugs.
This can help ease the mild discomfort you may feel during the procedure. Items to bring with you on the day of your LEEP include:. Your healthcare provider will advise you to not have sex, douche, or use tampons or any vaginal creams or medicines 24 hours before the procedure.
While a LEEP is a short procedure, it's natural to feel uneasy about it. It may help you to know what to expect, from start to finish. Upon arrival at your healthcare provider's office for a LEEP, you will be asked to use the bathroom to empty your bladder. In the exam room, you will then undress from the waist down and put on a gown. When it's time to begin the procedure, you will be asked to get on the exam table, put your feet in the stirrups at its end, and lie on your back.
Your healthcare provider will then proceed with the following steps:. There will be slight variations in what occurs at each step if the procedure is done in a hospital or surgicenter, but the general process is the same. You may feel a deep, dull pain after the procedure due to the small wound created in the cervix. You will have some time to rest, use the restroom, and place a sanitary pad.
After you discuss any questions or concerns that you have about your procedure or recovery, you can leave your healthcare provider's office.
After a LEEP, your healthcare provider will give you various instructions to follow at home. These instructions generally include:.
Eat and drink as you normally would. Schedule your procedure for 1 week after your period. This will help your doctor know the difference between vaginal bleeding caused by your procedure and vaginal bleeding during your period. If you think you may be pregnant, tell your doctor. You must have JavaScript enabled to use this form. Tell us what you think Your feedback will help us improve the information we provide to patients and caregivers.
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