Another is infection which can occur one to two weeks after the procedure. Saturday started to feel unwell just in general. One of the most likely times to experience bleeding complications after this procedure is from 8 to 14 days after your surgery. I’m writing this for my wife who is Indonesian. I also had lower back pain but no foul smelling discharge or anything like that, no high temps or anything just general flatness with clots and fresh blood. Heavy bleeding and lower back pain swab taken on 20 Jan 17, 23 Jan 17 Infection confirmed and antibiotics. Side effects of a LLETZ or LEEP. With the LLETZ, I had some very minimal bleeding for a week, and that was it. The cells and tissue that has been removed is sent to a laboratory: Once the anaesthetic has worn off, you may have some bleeding. For the women and other people with a cervix that Jo's Trust spoke with: All of your feelings and concerns, including any we don’t mention in this guide, are valid and it is important you get the right support to deal with them. You can also make an appointment privately, for a cost. You sound identical to me! To prevent automated spam submissions leave this field empty. About 85 in 100 (85%) people experience bleeding after LLETZ. Results are usually available within a week. Has anyone else experienced this? This means you are awake, but the area that needs treating is numb (you can’t feel it). Discharge after colposcopy/ biopsy .. how long . This is important because there is a chance of these cell changes developing into cervical cancer without monitoring or treatment. Some people find that a support network of friends and family helps their emotional recovery after LLETZ. This is sometimes called delayed haemorrhaging. This information is based on literature searches and expert review. so it wouldn't be unusual for your period to be heavy, come early or late or be completely all over the place! In the women and other people with a cervix that Jo's Trust spoke with, about 46 in 100 (46%) had changes to how they feel, while 54 in 100 (56%) did not. You can see a full glossary of all medical terms. We normally say no tampons and no sex until the bleeding has completely settled down. This means you have it in a hospital examination room, but can go home afterwards. LLETZ stands for large loop excision of the transformation zone. I hope you feel better soon. It is a treatment to remove cell changes (abnormal cells) in the cervix. 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. About 85 in 100 (85%) people experience bleeding after LLETZ. Most LLETZ treatments remove less than 10mm of your cervix. Important! Have a question? LLETZ (Large Loop Excision ... • Within 24 hours of your operation your bleeding should settle to be like a menstrual period. Your healthcare professionals are there to help and they can offer alternative options and support for you. 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. Try taking it easy for a bit, put your feet up if you can and see if it slows down again. In most cases, they had LLETZ for high-grade cell changes – CIN2 or CIN3. “The wait for the LLETZ result was mentally tough, especially in the 4 days after treatment when I fell ill with an infection. Sometimes after physical activity (running, biking, dancing) I also have some bleeding as well. About 98 in 100 (98%) people will not give birth prematurely because of the treatment. You can also ask to bring a friend or relative if you wish. This may also have an impact on your relationships. This should happen 6 months after the treatment. You should expect to have some vaginal bleeding or discharge for some days after the treatment. Advice following the Lletz Procedure It is advisable to bring someone with you to drive you home following the treatment. About 33 in 100 (33%) people do not experience pain. Visit jostrust.org.uk/forum. Both options are as good as each other. There are lots of conversations about cervical cell changes and LLETZ, so you can choose to read existing threads or post your own messages. Jo's Trust spoke with a few women and people that had LLETZ who said their periods have permanently changed, cervical screening is more uncomfortable or they no longer feel the same sensations during sex. Gynae-Oncology Nurse Specialists and Gynae-Oncologists. About 33 in 100 (33%) people had pain during or after sex, while 67 in 100 (67%) did not. The nurse from emergency couldn’t tell how much blood had been lost as she wasn’t monitoring it. In some cases, the bleeding lasted for: It is important to see your GP if you have any symptoms such as pain or bleeding. using different liquids to stain your cervix and show up any cell changes. My miscarriage bleeding lasted about 5 days and completely stopped on feb 3. This information is for you if you have been offered or have had LLETZ. 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. Will I bleed after LLETZ/LEEP? Also a scab comes away once you start to heal. However, if they persist, become heavier or have an offensive smell, then women should see their GP as … When I came back to the front desk with one of the clots as evidence along with a whole bunch of agrovation on my part, she was admitted. These services can also signpost to other places that may be able to help. It uses a thin wire loop with an electrical current to remove the affected area of the cervix. It's bright red, no offensive smell (sorry for details) should i be concerned? If you have a holiday planned, you can discuss dates for treatment with your colposcopist. You usually have LLETZ as an outpatient. Straight after treatment, you may have a watery, brown vaginal discharge. The nature of gynaecological and obstetric care means that intimate examinations are often necessary. long baths – you can continue to shower as normal. You may also have a sticky pad put onto on your leg. It’s not uncommon for people to have increased bleeding two or three weeks after their procedure. I got told to go to hospital where they had a look and pulled out huge clots. You may also want to talk over your options with your family or friends. This HerHaleness article presents the most probable reasons behind such bleeding. You are advised not to have penetrative sex, use tampons or swim after LLETZ until bleeding has stopped. But did ease In the afternoon. After treatment, your GP or a specialist doctor will be able to offer support. Use a pad for bleeding. It is usually done in an outpatient clinic in a hospital, using a local anaesthetic. Or, if you have another doctor you know and trust, ask to talk with them about any worries. Bleeding after LEEP (LLETZ) - Cervical cancer and HPV. Women treated by LLETZ reported bleeding and discharge of significantly longer duration than other women. Women treated by LLETZ reported bleeding and discharge of significantly longer duration than other women. You will meet a doctor or nurse called a colposcopist. I was feeling so low in energy and took these from the Friday (20th) and the blood stopped and watery pink came back within a day! cell changes may be monitored or treated. exercising, including swimming, for at least 2 weeks, or while there's still any bleeding or discharge You'll also be advised to have another cervical screening test 6 months after treatment, to check for abnormal cells and the human papilloma virus (HPV). This should stop or return to ‘normal’ as soon as the cervix is healed. You may have some physical effects after LLETZ (see below for further information). It is successful in over 9 in 10 (over 90%) of cases, meaning no further treatment is needed. “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. If you and a partner are struggling to reconnect after LLETZ, you may want to consider couples counselling. After cervical screening (a smear test), you may be invited to a colposcopy appointment. Will I be able to get home by myself after treatment? The time span between onset of the next period ranges between 28 to 30 days, and this phase is known as a menstrual cycle. I had my LLETZ treatment last Wednesday for CIN 3. This makes sure the electric current in the wire loop doesn’t burn you. You're also on antibiotics in case there is an infection. Your first period after treatment may be slightly heavier or out-of-sync with your regular cycle. I’m writing this for my wife who is Indonesian. Jo’s Cervical Cancer Trust cannot give you medical advice or answers about any results. If you feel uncomfortable, anxious or distressed at any time before, during, or after an examination, please let your healthcare professionals know. Patient Education and Counselling, 2011;84:379-85, If you have recently read one of our leaflets, please give us feedback by completing this short questionnaire, 10 –18 Union Street If you have questions or need to talk, call our helpline for information or support. How long it lasts depends partly on the type of treatment you've had. You may have bloody vaginal discharge after the procedure, but this should settle within 1-2 weeks. Jo's Trust also have a welcoming community in our online Forum, where you can get and give support. Once your cervix is numb, your colposcopist uses the loop to remove the area of your cervix that has cell changes. Here is a sample of the references used for this resource: For more information about the references used, please contact info@jostrust.org.uk. Bleeding 3 weeks after miscarriage. About 15 in 100 (15%) people do not experience bleeding. 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. Speculums come in different sizes so, if you find the standard size uncomfortable or painful, you can ask for a smaller one. About 35 in 100 (35%) people don’t have any changes to their vaginal discharge. 24 in 100 (24%) experienced depression after treatment, while 76 in 100 (76%) did not. You can submit your question confidentially to their panel of experts at jostrust.org.uk/ask-expert and get a tailored reply. reinserted 6-8 weeks after the procedure. Im so scared il have another huge bleed. Not So Simple: The impact of cervical cell changes and treatment. The Jo's forum was full of women sharing similar experiences and this was immensely helpful to read.”. But then last sunday i woke with such heavy bleeding i had to sit on the toilet as my pads were filling too quick. Some people may experience pain for longer, but it usually goes away within 3 months. 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. 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. 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. You may have a higher risk of bleeding after the treatment (see below for further information on bleeding). I am now considered to be 6 weeks, 3 days pregnant. The numerous clots were the size of oranges. They will use a type of microscope with a light at the end, called a colposcope, to take a closer look at your cervix. After the lletz they cauterise the wound so sometimes it takes a few days for your body to heal from this and you may smell a bit burnt!! If you have periods, they might become irregular or painful. i had a leep procedure done may 12. normal everything except bleeding during sex. Thankfully by this time I had done some reading of websites including this one, which armed me with valuable information. 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. The option you are offered may be due to what the colposcopy tests show and your colposcopist. After a LLETZ or LEEP, you may have some vaginal bleeding and cramping. www.rapecrisis.org.uk, Provides information and support to survivors of sexual violence, sexual assault and sexual abuse across Scotland. Giving birth prematurely is more likely if you have had LLETZ more than once or had more than 10mm of your cervix removed. Normally after the treatment you get a bit of bleeding, which can last for three weeks to a month. Changes to vaginal discharge can last for about 4 weeks. I have a allergy to sanitary towels so I am finding the bleeding difficult. Only my leaflet said to expect a light period of blood in the first 10 days. We spoke about our cervixes as comfortably and as naturally as if we were discussing TV. Do I need to bring anything to the appointment? now its like a murder scene. It takes 4 to 6 weeks for your cervix to heal after treatment. You are more likely to develop cervical stenosis if you: You may not have any symptoms of cervical stenosis. If you are worried about anything, talk to them so they can give you the right support and ease any concerns. Fax +44 20 7723 0575, Royal College of Obstetricians and Gynaecologists, www.bacp.co.uk/about-therapy/how-to-find-a-therapist, Large Loop Excision of the Transformation Zone (LLETZ). Supporting a partner with cervical cancer. 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. Between about 1 and 14 in 100 (0.8% to 14%) people get an infection after LLETZ. We don’t know if this is directly because of the treatment or because of other conditions or life events that have happened since treatment. Possible risks of LLETZ include an increased risk of late miscarriage or premature birth and cervical stenosis (narrowing of the cervix). Today, 16 days later, I started very lightly bleeding light brown/pink. Important! She had lletz surgery which seemed to have been successful but around 3 weeks later she started bleeding profusely. The LLETZ and Cone biopsy are quite similar, the LLETZ is an electric wire that does a loop and "burns" the cells as it goes through. You may have: light bleeding for days or weeks; watery vaginal discharge The special risks of LLETZ itself Heavy bleeding from the cervix can occasionally happen at the time of the procedure – this is not common and your gynaecologist will use treatments to stop it a week or two after the procedure - this bleeding may be due to infection. Late May17 all margins clear and go ahead to start trying for a baby. It sounds like you've done all of the right things babe and going for the swab is great as the lab will see if there is an infection. However, like all treatments, LLETZ has risks and you may have some physical or emotional effects because of the treatment. Three questions that patients can ask to improve the quality of information physicians give about treatment options: A cross-over trial. This is normal and a sign that the soft scab on your cervix is healing. These changes included feeling less attractive or confident, as well as worries about passing on HPV. The TOMBOLA Group (2009). These usually last up to 4 weeks. Jo’s Cervical Cancer Trust has spoken with women and people with a cervix who have had treatment for cervical cell changes to understand their experiences. Finally we got to see a doctor who was willing to examine her and straight away saw that the scab on the artery on her cervix was bleeding and squirting blood every time her heart beated. This feeling should pass within a couple of minutes. the grade of the cell changes are diagnosed – for example, low-grade or high-grade. My husband called an ambulance. question/need help. MD. www.bacp.co.uk/about-therapy/how-to-find-a-therapist. Your colposcopist should explain these to you and give you the chance to ask any questions. They can investigate the cause of the pain and offer the right support. You may have some light bleeding or spotting for as long as two weeks. The British Society for Colposcopy and Cervical Pathology (BSCCP), The BSCCP has FAQs for women and people with a cervix about cervical cell changes, treatment and follow-up. best of luck and I really hope you are feeling better and get your results quickly! Any effects will usually have stopped by then. Some pelvic pain is expected for a couple of days after LLETZ, but you may have pain for longer. have had treatment that removes a large area of your cervix. ... To reduce the risk of bleeding or infection after the treatment it is important that you: Use sanitary pads and not tampons for four weeks after the treatment. The LLETZ procedure is generally very safe and complication rates are low, but any medical procedure involves an These feelings could be positive, such as relief that you have had treatment, but you may also feel worried about how your body will recover. Went to GP who said infections are rare (bs from all of the copious amount of ladies who said they had an infection post Lletz). Come to a support event to meet other people who have had a cervical cancer diagnosis. If you experience these effects, or anything we don’t mention in this guide, speak with your doctor or nurse. She had lletz surgery which seemed to have been successful but around 3 weeks later she started bleeding profusely. About 15 in 100 (15%) people do not experience bleeding. This information was developed in partnership with Jo's Cervical Cancer Trust. The injection might sting for a short time and you may be aware of your heart beating faster. Jo’s Cervical Cancer Trust (2019). If you have any questions about what you can and can’t do after LLETZ, speak with your colposcopist. I read that your period after lletz can be heavier due to increased blood flow around that area..i assumr because your cervix is trying to heal. After-effects reported by women following colposcopy, cervical biopsies and LLETZ: results from the TOMBOLA trial. www.rapecrisisscotland.org.uk, Offers free counselling for people who have experienced sexual violence, sexual assault and sexual abuse across Northern Ireland. The benefit of LLETZ is that it prevents potential cervical cancer from developing which, in many cases, will outweigh the risks. Today feeling very faint and dizzy and still heavily bleeding. 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. They can answer your questions and give you support. Remember, your doctor or nurse is there to support you at every stage. If you feel that expert support would help, you can self-refer or ask your GP to make a referral for NHS counselling. totally normal but trust your body Hun and keep on hanging in there! Before I worry myself and go to docs or contact hosp for advice, I had loop excision 2 weeks ago today. 86 in 100 (86%) had fears about cancer, while 14 in 100 (14%) did not, 71 in 100 (71%) had anxiety after treatment, while 29 in 100 (29%) did not, 45 in 100 (45%) had fears about their fertility, while 55 in 100 (55%) did not. If you become pregnant after LLETZ, tell your doctor or midwife that you have had the treatment. This should not be painful, but you may feel some pressure. What emotional effects might I experience after treatment? You usually have a local anaesthetic for LLETZ. This may bleed while it heals. 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. Like during cervical screening, your colposcopist will gently put a clean speculum into your vagina. If you have experienced sexual violence, we understand that colposcopy may be very difficult. It took 5 weeks for me to stop bleeding. 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. They can examine you and talk through ways to make it better, such as using more lubricant during sex to lessen any pain. This is like cervical screening, where a sample of cervical cells is tested for high-risk HPV. If you are in a lot of pain or find it is affecting your day-to-day life, talk to your GP. The duration of pain was similar across management groups. Wednesday to Saturday light bleeding pink and watery in colour. 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. In this case, it is best to speak with your doctor. The opening of the cervix (the os) can narrow or close and become scarred after LLETZ. Check the opening hours at jostrust.org.uk/helpline. My gp advised that the scab on the treatment area had come off and caused the bleed. This was diismissed as a possibility. What could happen if I choose not have treatment? Do not have sexual intercourse for four weeks. The loop cuts the tissue and then another small instrument is used to seal the cut. LLETZ treatment is generally very safe but as with all surgery there can be complications: Up to 50% of women will experience 10 days of bleeding and discharge which may be moderate to heavy Many experience pain for a day or two afterwards You will have LLETZ lying on your back on an examination couch. Been to doctors taken a swab and doctor said does not look infected but on the safe side given me antibiotics. If you are offered treatment during your first appointment, it is okay to ask for time to think about it either at the appointment or at home. Bleeding after lletz treatment . The treatment usually takes less than 2 minutes. Observing blood stains after your period is over is common. Finally we were admitted to the gyno ward where the first arrogant doctor cane in and announced there’s nothing to worry about and they’ll monitor her overnight. They can advise on pain medication, offer reassurance based on your medical history and, if needed, will be able to check you are healing properly. SE1 1SZ They may refer you to a specialist in preventing preterm birth. 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!!!) 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