Post-LEEP Precautions and Recovery

Immediate Post-Procedure Care

• Patients should apply a pressure dressing for 12-24 hours after the procedure to decrease the risk of bleeding 2
• Patients should be kept lying flat for 5 minutes with legs out of stirrups after the procedure to prevent vasovagal reactions, and the head of the examination table should be gradually raised in increments to prevent orthostatic hypotension 3
• Patients should be offered a beverage/snack and heat pad/hot water bottle for comfort 3

Activity Restrictions

• Patients should resume normal daily activities as tolerated, but avoid heavy lifting for 1-2 weeks 2
• Patients should avoid using tampons or douching for 4 weeks to allow for proper healing 1

Follow-Up Care

• A follow-up appointment should be scheduled at 4-6 weeks post-procedure 1

Long-Term Follow-Up

• For patients with CIN 2 or CIN 3 with negative margins, follow-up with cervical cytology at 6 months or HPV DNA testing at 12 months is recommended by the National Comprehensive Cancer Network 1
• For CIN 2 and CIN 3 lesions with positive margins, options include cervical cytology at 6 months or reexcision if invasion is suspected, as recommended by the National Comprehensive Cancer Network 1