Before, during and after LLETZ, you will be in the care of professionals who want to make the experience as good as possible for you. You might like to ask some of the following questions: LLETZ is the most common treatment for cervical cell changes. You can search for a private counsellor at bacp.co.uk/therapists. In most cases, this pain lasted for less than 3 months. You can self-refer through local NHS services, speak with your GP, or search for a local counsellor at bacp.co.uk/therapists. They may offer you tests to help diagnose cell changes and decide whether you need treatment, including: If you need treatment, it may be offered during your first colposcopy appointment or you may be invited back to have treatment at another appointment. It’s not uncommon for people to have increased bleeding two or three weeks after their procedure. This is done by testing for an ‘edge’ of healthy cells around the area that was removed. Your healthcare professionals are there to help and they can offer alternative options and support for you. What could happen if I choose not have treatment? An unbiased expert can help you start and explore conversations around sex and intimacy, so you can find solutions together. If you are in a lot of pain or find it is affecting your day-to-day life, talk to your GP. This will usually ease in a few days, but you may notice some spotting for 3–4 weeks. The test will check what kind of cell changes you had. About 15 in 100 (15%) people do not experience bleeding. There are lots of ways they can help, from talking your feelings through, to offering a distraction and positive presence. To begin with, try to make sure you get the answers to 3 key questions, if you are asked to make a choice about your healthcare: *Ask 3 Questions is based on Shepherd et al. Do not use tampons or menstrual cups that you put into your vagina. This HerHaleness article presents the most probable reasons behind such bleeding. I had one and it was very useful when I had questions about my recovery although I sometimes had to leave a phone message. I called my gynaecologist office (she's away for 2 weeks as is my normal GP waaah) but the nurse said at this stage I should be seeing that light pink watery discharge which I was initially but soon turned to fresh red and clots with excess blood every time I wipe after peeing). Important! i had a leep procedure done may 12. normal everything except bleeding during sex. After the anaesthetic has worn off, you may experience pain, vaginal bleeding and changes to vaginal discharge. It may also be harder for your doctor or nurse to do cervical screening in the future, but you can be referred to colposcopy if this happens. Between about 1 and 14 in 100 (0.8% to 14%) people get an infection after LLETZ. Here are some of the ways you could get support. There was SOOOOOO much blood. Three questions that patients can ask to improve the quality of information physicians give about treatment options: A cross-over trial. Welcome to the Jo’s Cervical Cancer Trust Forum! They may refer you to a specialist in preventing preterm birth. You may have a higher risk of bleeding after the treatment (see below for further information on bleeding). When we went to the emergency department and told them what was happening the lady gave her a tampon and told her to wait. Women treated by LLETZ reported bleeding and discharge of significantly longer duration than other women. I'm not sure if it's period blood because I'm on the mini pill so shouldn't be having a period. I shudder to think what would have happened if my wife hadn’t gone to hospital and didn’t have me there to fight for her wellbeing. About 35 in 100 (35%) people don’t have any changes to their vaginal discharge. It may help to get support from an expert organisation, such as the ones we list below: Provides information and support to survivors of sexual violence, sexual assault and sexual abuse across England and Wales. I hope a lot better! If you would prefer this, talk to your colposcopist about the risks and benefits before your appointment. I had my LLETZ treatment last Wednesday for CIN 3. There is a small chance you may experience other effects after LLETZ. This may also have an impact on your relationships. Talking through your worries might ease them or give you new ideas about how to handle them. Remember, your doctor or nurse is there to support you at every stage. I told the doctor I want a full examination and that from what I’ve read whilst playing doctor google, that there is a procedure where the bleeding can be stopped by pouring acetic acid on the wound to cauterize the wound. After cervical screening (a smear test), you may be invited to a colposcopy appointment. It uses a thin wire loop with an electrical current to remove the affected area of the cervix. What physical effects might I experience after treatment? It is often described as a cramping pain, like a period. My gp gave me antibiotics which I’m taking incase of infection. About 98 in 100 (98%) people will not give birth prematurely because of the treatment. This should happen 6 months after the treatment. All 6 eggs fertilized and all 6 embryos were growing well at day 3, so we went to day 5. www.bsccp.org.uk/women, British Association for Counselling and Psychotherapy (BACP), The BACP has a list of registered counsellors, as well as a directory to help you find a counsellor in your area. After-effects reported by women following colposcopy, cervical biopsies and LLETZ: results from the TOMBOLA trial. You can see a full glossary of all medical terms. You may have strong feelings about what LLETZ means for your physical wellbeing and future. My gp advised that the scab on the treatment area had come off and caused the bleed. In some cases, the bleeding lasted for: It is important to see your GP if you have any symptoms such as pain or bleeding. After the Cone Biopsy, I probably bled for two weeks all up, but AF returned during that time as well. Jo’s Cervical Cancer Trust (2019). Have a question? The option you are offered may be due to what the colposcopy tests show and your colposcopist. Jo's Trust also have a welcoming community in our online Forum, where you can get and give support. In this case, it is best to speak with your doctor. LLETZ treatment of the Cervix Please contact us straight away if you experience the following after treatment: Bleeding that is bright red, heavy or has clots Pain in the lower abdomen or back aching that will not go away Feeling unwell (hot, cold, feverish, thirsty) … Some people may experience pain for longer, but it usually goes away within 3 months. This is sometimes called delayed haemorrhaging. Ps all this happened at Frankston Hospital in Melbourne Australia. A vaginal discharge and / or bleeding are usual for some weeks following treatment and are part of the healing process. Forty‐three percent of women managed by biopsies and 71% managed by LLETZ reported some change to their first period post‐colposcopy, as did 29% who only had a colposcopic examination. This may bleed while it heals. Results are usually available within a week. I have been so careful to mitigate any infection... no sex,no bath, no tampons, showers with natural soap but not putting any soap there, laying toilet paper down each time I go so no splash, 3-4 lts of water a day, eating so well buuuuuut still got an infection and if I didn't get a swab there would be no symptoms aside from what I felt and knew wasn't right. Hi -- I'm a mid-40s woman who underwent donor ivf. It is … On Thursday on i … Tel +44 20 7772 6200 The duration of pain was similar across management groups. These services can also signpost to other places that may be able to help. Your colposcopist will inject a local anaesthetic into your cervix. If you are worried about anything, talk to them so they can give you the right support and ease any concerns. Also a scab comes away once you start to heal. Thanks, Hi,sorry to see youre not feeling the best! The benefit of LLETZ is that it can stop cell changes potentially developing into cervical cancer. The injection might sting for a short time and you may be aware of your heart beating faster. We understand that for some people, particularly those who may have anxiety or who have experienced trauma, physical abuse or sexual violence, such examinations can be very difficult. We spoke about our cervixes as comfortably and as naturally as if we were discussing TV. It may help to speak to a trusted person about any loss of confidence – whether that is a partner, family, friends, your GP, or other people who have had LLETZ. If you have any questions about what you can and can’t do after LLETZ, speak with your colposcopist. If there is any bleeding from the accidental contact with the loop, the tissue may require a stitch or two to help stop the bleeding – these stitches are dissolvable. About 10 days after treatment, the bleeding may get heavier. But you can choose to have it done under general anaesthetic, where you are asleep. It takes 4 to 6 weeks for your cervix to heal after treatment. Thank you also to all the experts who checked the accuracy of this information and the volunteers who shared their personal experience to help us develop it. She had lletz surgery which seemed to have been successful but around 3 weeks later she started bleeding profusely. If you are trying to become pregnant, the sperm may not be able to get to the womb. In most cases, they had LLETZ for high-grade cell changes – CIN2 or CIN3. You sound identical to me! I posted earlier this week as I had a very heavy bleed 2 weeks post lletz treatment. so it wouldn't be unusual for your period to be heavy, come early or late or be completely all over the place! Registered Scottish Charity Number: SC041236. You are usually invited if your result shows human papillomavirus (HPV) and cervical cell changes. Your colposcopist should invite you to have a seat away from the examination bed to talk you through the treatment and any questions. The nurse from emergency couldn’t tell how much blood had been lost as she wasn’t monitoring it. This means you are awake, but the area that needs treating is numb (you can’t feel it). About 2 in 100 (2%) people who become pregnant at any time after LLETZ will give birth before 37 weeks (prematurely) because of the treatment. This should stop or return to ‘normal’ as soon as the cervix is healed. She had lletz surgery which seemed to have been successful but around 3 weeks later she started bleeding profusely. Pretty annoyed he didn't just give me a course to start prior to results (as it was a Friday and I had to wait until Monday or Tuesday for results... luckily got the confirmation on Monday). The numerous clots were the size of oranges. This is sometimes called having, tampons or menstrual cups – you can use a period pad instead, penetrative vaginal sex – including fingers, tongues and other objects, heavy exercise that causes you to sweat, such as running or a gym workout. In the women and people with a cervix that Jo's Trust spoke with, pelvic pain lasted for: If you experience lasting pelvic pain, it is important to speak with a doctor. These changes included feeling less attractive or confident, as well as worries about passing on HPV. have had treatment that removes a large area of your cervix. After 4 or more hours in emergency and with more clots coming out I started to get even more annoyed and frantic with the response we were getting. Talk to your GP if your vaginal discharge smells bad, or is a yellow or green colour. My miscarriage bleeding lasted about 5 days and completely stopped on feb 3. www.rapecrisis.org.uk, Provides information and support to survivors of sexual violence, sexual assault and sexual abuse across Scotland. The pain varies from person to person, but should not be too severe. Do I need to bring anything to the appointment? After about 13 hours of very heavy bleeding and very big clots it slowed to a light flow which is continuing. reinserted 6-8 weeks after the procedure. The main local complication of this procedure is excessive bleeding from the cervix where the tissue has been removed. About 33 in 100 (33%) people had pain during or after sex, while 67 in 100 (67%) did not. Available from www.jostrust.org.uk, Public Health England (2020). They will be able to offer you further support based on your individual circumstance. You're also on antibiotics in case there is an infection. I'm also looking for advice. If there is a chance you have an infection, you will be offered antibiotics. Thank you to Jo's Trust for partnering with us to develop this information. “Whilst the day of the treatment was frightening, the wonderful nurses and incredible women I met who were having similar experiences to me made things much more bearable. July 20, 2012 at 9:42 am; 3 replies; ... Then a week after the procedure I woke up hemorrhaging. Only my leaflet said to expect a light period of blood in the first 10 days. using different liquids to stain your cervix and show up any cell changes. You may also want to talk over your options with your family or friends. They can investigate the cause of the pain and offer the right support. Come to a support event to meet other people who have had a cervical cancer diagnosis. 13 Jan 17 no markers - all clear and got all affected area. Oh just to add to the novel.... both my GP and gynaecologis/surgeon and day surgery said this does some strange things to your body and hornmones (you're telling me!!!) Our donor was 25 and produced 6 mature eggs. You can talk to your doctor about over-the-counter medication that should help. Will I bleed after LLETZ/LEEP? Like during cervical screening, your colposcopist will gently put a clean speculum into your vagina. However, if they persist, become heavier or have an offensive smell, then women should see their GP as … After treatment, your GP or a specialist doctor will be able to offer support. This information was developed in partnership with Jo's Cervical Cancer Trust. We talked all about the "healing" process, but prior to the LEEP none of this was discussed. LLETZ is usually successful and over 90 in 100 (90%) people do not have cell changes again. You may also have a sticky pad put onto on your leg. One of the most likely times to experience bleeding complications after this procedure is from 8 to 14 days after your surgery. May 17 Pap done, colposcopy performed and 2 biopsies taken. If you are on blood thinning medication or you have a haematological condition, you must tell your colposcopist because you may have a higher risk of bleeding after LLETZ. Bleeding after LEEP (LLETZ) - Cervical cancer and HPV. It is usually done in an outpatient clinic in a hospital, using a local anaesthetic. SE1 1SZ www.rapecrisisscotland.org.uk, Offers free counselling for people who have experienced sexual violence, sexual assault and sexual abuse across Northern Ireland. There are many charities and organisations who offer support services so you can feel listened to and work through your feelings (see Other useful organisations at the end of this information). If you have experienced sexual violence, we understand that colposcopy may be very difficult. If you have any physical or emotional effects after LLETZ, it is important to speak with your doctor or nurse so they can give you support. I'm so very lucky to have an incredible network of family and friends to rely on. Will I be able to get home by myself after treatment? At the ER they did a chemical cauterization - but I'm not sure which solution it was. LLETZ is 90–95% effective in removing all the abnormal cells. I had a miscarriage 3 weeks ago (I was 6 weeks pregnant ). The test will check whether cell changes have been completely removed. Your colposcopist should explain these to you and give you the chance to ask any questions. Remember that you can always ask them to stop at any time and that you are entitled to ask for a chaperone to be present. Your first period after treatment may be slightly heavier or out-of-sync with your regular cycle. To minimise risk of infection after the LLETZ procedure, it is recommended that you avoid swimming, baths, spas, intercourse and tampons for at least 3 – 4 weeks until the cervix is healed. This feeling should pass within a couple of minutes. This usually lasts between a few days and 4 weeks. Premature delivery in future pregnancies – This is rare after a single LLETZ procedure and most women will have no pregnancy issues. This makes sure the electric current in the wire loop doesn’t burn you. Bleeding after hysterectomy can be normal, but if you have too much bleeding, new bleeding, or heavy bleeding, it could mean there is a problem. I will forever be grateful to the inspiring ladies I met that day.”. At day 3, so you can ask to improve the quality information! 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