Your need for treatment depends on a number of factors, such as how severe the cervical cell changes are, your age and whether your immune system is impaired. Your doctor or nurse will talk to you about your treatment options and side effects.
The two most common types of outpatient treatments at the Colposcopy Clinic are:
LEEP (loop electrosurgical excision procedure). A wire loop is used to remove the surface tissue of the cervix, including the abnormal cells.
Laser vaporization. An intense, narrow beam of light (laser beam) is used to vaporize the abnormal tissue.
Both procedures take about 20 minutes. A local anesthetic (freezing) is used to help prevent any pain or discomfort in the cervix.
Some women experience mild cramping during or immediately after the procedure. This usually doesn’t last long. After the treatment you may have some vaginal bleeding. This may not start for a few days and it may last 2 to 3 weeks. The bleeding may be only light spotting or it may be as heavy as a normal menstrual period.
- Do not swim or lift anything heavy for 2 weeks.
- Do not place anything into your vagina: do not use tampons, do not douche and do not have sexual intercourse for 3 weeks.
- Once you are able to have intercourse, your partner should use a condom for the next 3 weeks. It is normal to have a slight discharge or bleeding when you resume intercourse.
Go to the nearest emergency department if:
- You have bleeding that is heavier than a normal menstrual period (for example, if you need to change your sanitary pad more frequently than every 2 hours)
- You have a fever, especially if you also have cramps in your lower abdomen and foul-smelling vaginal discharge.
It is very important to keep your follow-up appointments. Your doctor will check to see that the treatment has been successful.
Please keep your appointments with us even if you have your menstrual period, unless your flow is extremely heavy. If you need to change an appointment because of your menstrual period, please call 416 323 7744.
During the follow-up appointment, your doctor will most likely do a Pap test and a colposcopy examination. While you are coming to the Colposcopy Clinic you do not need to have your regular Pap tests done elsewhere. Your doctor will tell you when you should return to your family doctor for routine Pap tests.