Can you have the LEEP procedure twice?

If the margins are positive, you may need a repeat procedure. In addition, six months following a LEEP, you'll have a follow-up appointment that includes Pap and HPV tests. In some cases, abnormal cells are found again. If this happens, you may require another LEEP.

What if abnormal cells come back after LEEP?

What happens if abnormal cells come back. Usually you can have more laser treatment or a LLETZ. You may need to have a cone biopsy. But if the abnormal cells come back more than once, or if your doctor thinks the risks are too great, they may ask you to have a hysterectomy.

Does dysplasia come back after LEEP?

Women with high-grade cervical dysplasia are much less likely to have recurrence after primary conization if they undergo laser conization than a loop electrosurgical excision procedure (LEEP), according to a 5-year follow-up study.

What happens if a LEEP procedure doesn't work?

If LEEP doesn't remove all of the abnormal cells, you may have to have LEEP again, or your doctor or nurse may recommend more tests or a different treatment.

Do cervical cells grow back after LEEP?

This may be done with a small knife, an electric wire (LEEP), or with a laser. The removed tissue is then sent to the laboratory. The laboratory studies the tissue and makes sure the abnormal cells have been cut away. New tissue grows back in the cervix in four to six weeks.

My honest LEEP procedure story

How many times can LEEP be performed?

If the margins are positive, you may need a repeat procedure. In addition, six months following a LEEP, you'll have a follow-up appointment that includes Pap and HPV tests. In some cases, abnormal cells are found again. If this happens, you may require another LEEP.

Can you get abnormal cells twice?

Most of the time, cervical cell changes (abnormal cells) don't come back after treatment. However, sometimes they do and may need further treatment. These cell changes are also called persistent or recurrent cell changes.

Why does HPV keep coming back?

There's no guarantee that genital warts won't grow back again because HPV changes the cells of your body in a way that makes them likely to grow. If you have high-risk HPV that sticks around or goes dormant and keeps coming back, that's when it becomes cancer causing (or what doctors call oncogenic).

Does HPV come back after LEEP?

Results. In our study, the rate of persistent infection from HPV 16, after LEEP, was 15.9% (29/182) with 94% (17/18) of the recurring disease occurring within 18 months of follow up.

Can CIN 2 come back after LEEP?

As one type of cervical conization surgery, the loop electrosurgical excision procedure (LEEP) has been widely applied with ideal therapeutic effects. However, 2–48 % of patients with HSIL who are treated with LEEP have been reported to have persistent/recurrent disease after an initial LEEP for HSIL [1–7].

Can you get the same strain of HPV twice?

For most people who become infected with genital HPV, the infection will clear on its own. Once a person has been exposed to a specific type of HPV, they cannot be reinfected with the same type again, but can be infected with other types of the virus.

What if HPV does not go away?

In most cases (9 out of 10), HPV goes away on its own within two years without health problems. But when HPV does not go away, it can cause health problems like genital warts and cancer.

What does Stage 3 precancerous cells mean?

CIN 3 is not cancer, but may become cancer and spread to nearby normal tissue if not treated. Treatment for CIN 3 may include cryotherapy, laser therapy, loop electrosurgical procedure (LEEP), or cone biopsy to remove or destroy the abnormal tissue. CIN 3 is sometimes called high-grade or severe dysplasia.

What are high-grade precancerous cells in cervix?

High-grade squamous lesions (cervical intraepithelial neoplasia [CIN] 2 or 3) have a high risk of persisting or developing into cervical cancer over a period of years. If you are age 25 and older and not pregnant, CIN 2 or 3 is treated by removing or destroying the abnormal area.

Can persistent HPV go away?

Most cases of HPV infection tend to be cleared by the immune system without intervention 1–2 years post-exposure; it is thought that persistent infection is most likely due to a lack of HPV-specific T-cell immunity [74].

Can you keep passing HPV back and forth?

Most sexually active couples share HPV until the immune response suppresses the infection. Partners who are sexually intimate only with each other are not likely to pass the same virus back and forth.

How do I get rid of persistent HPV 16?

Can reactivated HPV clear?

In up to 90% of cases, the infection “clears” within 1 or 2 years, meaning that specific HPV types cannot be detected by polymerase chain reaction (PCR) assays of cervical or vaginal swab samples [1].

Why do I need a second LEEP procedure?

In some instances, you may need a repeat procedure to remove all the cells completely. You may also need an additional LEEP if abnormal cells return. You're at a greater risk of recurrence if you're infected with a high-risk strain of the human papillomavirus, or HPV.

Will I always test positive for HPV?

People often never know they have caught it or passed it on. “HPV could've been there for years before it shows up, if it ever does,” says Ramondetta. When talking to your partner about your diagnosis, remember 80% of people will have HPV at some point in their life.

What causes HPV to flare up?

– there's no evidence that HPV has triggers like herpes or asthma that cause flare ups, but many believe that a weakened immune system can lead to outbreaks being more likely. Genital warts are more likely to flare-up if your immune system is not able to effectively fight the HPV infection causing them to appear.

Does LEEP get rid of HPV?

Although LEEP does not completely eradicate HPV infection, our results indicate that most HR-HPV infections are cleared after LEEP with negative margins. The clearance rate is increasing gradually after surgery. Our persistence rate was 40.9 % at 6 months, 20 % at 12 months and 11.8 % at 18 months.

How do you get rid of chronic HPV?

Can HPV recur years later?

HPV infections can persist and recur. Even women in long-term monogamous relationships can get reinfected. In a randomized clinical trial, HPV-associated lesions regressed at higher rates when male partners of women with such lesions used condoms (Int J Cancer.

Can cervical dysplasia come back?

Once treated, cervical dysplasia can return. People who have severe cervical dysplasia, high-risk HPV, or whose condition goes untreated could develop cervical cancer.