• Loop electrosurgical excision procedure or LEEP uses a wire heated by an electrical current to remove cells or a portion of tissue to diagnose or treat abnormal or cancerous tissue of the female’s lower genital tract. The thin layer of tissue that is removed can be sent to the lab for evaluation.


  • Indications for LEEP include when cervical or vaginal abnormalities are found during a pelvic exam, or following a Pap test that revealed abnormal cells. The abnormal cells could be early evidence of cancer that could develop in the years to come, thus their removal could prevent such development.
  • LEEP may also be used to assist in the diagnosis and/or treatment of polyps, genital warts, Diethylstilbestrol (DES) exposure, or other reasons according to the health care provider.


  • Risks of LEEP include, but are not limited to infection, bleeding, scarring of the cervical tissue, sensitivity to medications or iodine, or difficulty getting pregnant.
  • Some conditions may interfere with LEEP such as menstruation, acute pelvic inflammatory disease, or inflammation of the cervix.