does having a leep procedure affect dilation

I had a LEEP done a few years back and I am now pregnant and want to have a natural birth at a birth center with a midwive, but I was afraid that I would not be able to because of the LEEP. The nurse actually broke up the scar tissue, and it helped me dilate much faster (hurt like a son of a gun though!!). This is a great post with so much information that really helps explain the issue and gives some good ideas of how to deal with it, before birth begins to during birth. She used a catheter to stretch it back out a bit, and I’ve been fine ever since. It may be done to confirm a cancer diagnosis or treat precancerous conditions of your cervix. Mom was sad, upset, increasingly despondent, and asked for the epidural, her husband was surprised and puzzled, scar tissue?. The dilation and curettage (D&C) procedure is defined as a surgery performed for a variety of reasons, such as spotting between periods, irregular or heavy periods, bleeding after menopause, fibroids, miscarriage, abortion, or polyps. It can be manually broken up and then moms cervix can open.”. An hour later she was 4 cms and an hour after that my nephew was born. A LEEP is a procedure to remove abnormal tissue from your cervix (the bottom part of your uterus, located at the top of your vagina). Possible risks could include: Premature contractions Be interested if anyone else has been in the same position as me and how can I get it out there to save some women days and days of labour and feeling like a failure for not progressing. How come no-one had mentioned this before? The LEEP can be performed under local anaesthesia on an out- The procedure is similar to having a pap smear and may cause some light bleeding. :), Comfort and Joy: How I get it and give it, Instant Access to a Simplified Clear Negative Birth Experience Class, Hypnobabies versus HypnoBirthing, my experience with both. Once I was armed with the knowledge, my successful VBAC rate shot up as did my vaginal birth rate in general. Silly question - What did you wear during labor. Thanks Tara! LEEP is thought to be one of the elements – along with HPV vaccines and early detection tests – that has dramatically decreased the rates of cervical cancer over the past few decades. Loop electrosurgical excision procedure (LEEP) uses a wire loop heated by electric current to remove cells and tissue in a woman’s lower genital tract. Cervical Stenosis Treatment. Since I had read quite a few good blog posts about this, I knew the answer. Natasha As you can imagine, I asked that Midwife a ton of questions. Apparently a lot of women go through this and end up having a c-section. After undergoing a LEEP procedure, some women will have to have a C-section to give birth. Could this be leading to the issue? The likelihood of risks occurring is very minimal, and most health professionals feel a cerclage is a life-saving procedure that outweighs the possible risks involved. It’s not a major medical procedure; you’ll usually be in and out of the office or hospital on the same day. She said she needed a break, she needed to rest. I am 35 weeks with number 3 and going for a vbac this time, but this has really helped me to understand what possibly happened during my first pregnancy. Her client was “stuck at 3cm after hours and hours of strong, consistent pressure waves. EnjoyBirth Reply:September 3rd, 2011 at 8:00 am, You should be able to, but definitely talk to your midwife about it and ask what she suggests for softening any scar tissue (if there is any. Undergoing a LEEP procedure was scary, but ultimately it was for my greater health. Not enough people are aware of this and I want to get it out there so people are aware and the right steps can be taking when in labour to prevent days of pain and labor without dilating. I am glad your nurses were proactive with this issue! The procedure is a quick, out-patient procedure and is purported to have minimal side effects for patients. You will not have sexual dysfunction if it's done right." LEEP procedures: I had a LEEP procedure last February and then pregnant in August. Once the scar tissue had completely released, she flew to 10 cms. This effect normally lasts only a minute or two, according to the Mayo Clinic 1⭐⭐This is a verified and trusted source Goto Source 2⭐⭐This is a verified and trusted source Goto Source . I miscarried and had a D&C. "But … a knot of scar tissue? I am only 12wks and haven’t discussed it with the midwive or OB yet. Hopefully there is no scarring, but it may be better to use it in case there is. She said the scarring was interfering with the blood flow, so my body was having to work harder. I had the LEEP procedure done in June 2018. Unfortunately, doctors aren’t usually around while their patients labor, so massaging the scar tissue rarely happens. LEEP is the most common procedure performed, mainly because the equipment is less expensive so doctors can perform it in their offices, explains Horowitz. Scar tissue on her cervix? Thanks for supporting my birth book habit. This highly unsafe procedure could risk miscarriage and other fetal complications if performed during later stages of pregnancy. The purpose of this study was to evaluate whether LEEP affects the outcome of pregnancy after 20 weeks' gestation. This time a midwife checked her cervix, and remarked that there might be some scar tissue on her cervix that was making dilation difficult. Thanks. I made sure to tell my OB about it from the beginning of my pregnancy and sure enough, when my water broke, I had trouble dilating. The LEEP procedure side effects are usually mild. 2. That is great. If your doctor is too aggressive with his excision, there’s a chance the procedure can lead to some scarring, which can affect … This information explains what to expect during and after your loop electrosurgical excision procedure (LEEP). After reading this i guess I can still have a natural birth, which eases my mind. Loop electrosurgical excision procedure, commonly known as LEEP, is a procedure that's done to treat persistent, low-grade and high-grade cervical dysplasia, a precancerous condition of the cervix. … Every time I support a woman in labor, I come away with more knowledge and more information. I am a midwife and this is something I have seen many times. In most cases (about 85-90% of the time), cryotherapy cures abnormal cells so that the problem does not come back. If I still have trouble, I plan to insist on massage, even if I have to do it myself or have hubby do it for me. ), I am a doula serving in Hawaii. I had a LEEP, and my midwife was very proactive about this issue. LEEP uses an electrically charged wire loop to remove cervical tissue. If you are at higher risk of significant cervical abnormalities, the first test is a colposcopy to look for cell changes in the cervix and vagina. I would ask the question and if the answer was yes, I would tell them what I knew.”. It was definitely traumatizing. What are the risks of having a cerclage placed? Women with persistent low-grade or high-grade cervical dysplasia may be recommended to have a procedure called a LEEP. I had a LEEP procedure years ago and with my 2nd pregnancy I had issues with scarring (my first was a c-section due to breech baby). I thought it was interesting, too. This condition causes the cervix to tighten and narrow too much. I told my doctor early on that I’d had a LEEP in January 2016, but all my PAPs have been clear. Doctors perform dilation and curettage to diagnose and treat certain uterine conditions — such as heavy bleeding — or to clear the uterine lining after a miscarriage or abortion. A LEEP can help diagnose or treat cervical cancer.A doctor may suggest a LEEP if a person is having symptoms that indicate a problem with the cervix or vagina. I could feel the muscle moving, but it was so odd. On the Birth Faith blog I read more about this issue and  how her midwife explained how it is a more common issue she is seeing and what she does for it. The midwife proceeds to explain to my sister that she is going to try and massage the cervix and break the scar up. I had a doula partner call and ask me about cervical scarring during one of her clients birth. EnjoyBirth Reply:July 26th, 2011 at 6:40 am. They haven’t mentioned any affect it might have on labor. EnjoyBirth Reply:December 5th, 2010 at 12:18 am. I ask my doula clients if they have ever had any procedures on their cervix. excision of the transformation zone (LLETZ), loop electrosurgical excision procedure (LEEP), cone biopsy or laser surgery. This is interesting to read. I have read that inserting Evening Primrose Oil vaginally a few weeks before you due date can help to soften this scar tissue and help prevent dilation issues. But because your pupils can’t control the amount of light going into your eyes, the glare outside may bother you. This technique was introduced in 1989 and is the most common cervical excision procedure currently used worldwide (4–6). In fact, after my third birth with a labor of just over one hour, I was told that my cervix “melts like butter” by my midwife. She is planning a vaginal birth but it would be nice to give her some support other then your standard dr. At the hospital…, Wow! If you have mild scar tissue present, time and patience might be all that are needed for the tissue to release on its own. how long after mucus plug did labor start? Many spend the rest of their lives believing they’re incapable of giving birth vaginally. It depends on stage: If the HPV abnormal cells are stage CIN III (highest pre-cancer stage ) then LEEP does not always remove the cells in the inner part of the cervix. After the problem I had with my period, I am planning to start EPO at week 36 because I fully expect to have trouble with dilating. The procedure can cause difficulty in the early stages of labor for a small number of women who develop cervical stenosis. Does this procedure effect dilation during labour? Kate, who had a LEEP thirteen years ago and now resides in Switzerland, recounted her first time having sex after the LEEP. LEEP can damage the inner cervix when healed which can cause higher rates of miscarriage or pregnancy loss with future pregnancies. I guess that your best bet would be to research EPO and it may be worth using. I am shocked at how many women have these procedures done and are not warned of the possible future consequences and how to overcome them. Scar tissue? It is used as part of the diagnosis and treatment for abnormal or cancerous conditions. I had this procedure done on the 17th Sept and has made me a tad weary about pregnancy and labour now. I’ve been fortunate in that I’ve never had more than minor cramping before, but after that second procedure until I went back to my doctor, it was awful. Something as simple as LEEP can cause scar tissue that can affect their dilation. Some say the scar tissue causes dilation to stall, and some say it sped up their dilation. It seems to be an issue that some care providers don’t know how to deal with, leading to a label of failure to progress and cesarean. What experiences have you had with cervical scarring? Objective: Previous studies have shown conflicting results on the outcome of pregnancy following loop electrosurgical excision procedure (LEEP). If you've got questions about. Long contractions for days without dilating. How much of the rise in cesarean rate is due to failure to progress due to cervical scar tissue? Cervical Scar Tissue:  A big issue no one is talking about. I ended up with an emergency c- section. I had a LEEP done in ’06 and was really well informed of the possible complications, from scar tissue to a weakened cervix that might require stitches to keep me ‘closed’ during pregnancy…. A LEEP is commonly recommended for women whose cervical biopsy results show abnormal cells on the cervix that may progress into cervical cancer if left untreated. It is my understanding that once the scar tissue is broken, it shouldn’t be an issue for the next birth. Loop electrosurgical excision procedure (LEEP), uses a low-voltage electrical current to remove abnormal tissues of the cervix. Great work to spread the information. They also explained that once the scar tissue has been broken-up, subsequent births are usually much quicker and smoother. She had a procedure done to her cervix years before. With some discomfort for my sister, she went from a finger tip dilated to 3 cms in a matter of minutes. I am not sure whether this is likely to trigger labor to begin or not, but I think probably not. 3. Often another procedure type is recommended in that case. Undergoing a LEEP procedure can be scary, but it can be crucial for your greater health if you're affected by HPV. Cervical stenosis is another problem that could affect a pregnancy. Drops that are strictly mydriatics, with no cycloplegic drug added, like phenylephrine, dilate the eye for several hours 2⭐⭐This is a verified and trusted source Goto Source . I stumbled upon this by accident , and I’m so glad I did! I doesn’t effect every woman this way, but enough that it should be something care providers are aware of and have tools to help a mom achieve a vaginal birth! This LEEP procedure is used most often for treating moderate dysplasia (abnormal changes of the cells lining the cervix or precancers) that have been identified by colposcopy and/or cervical biopsy. She shared her knowledge with me. I have just read up that people who have had loop treatment can cause scar tissues in the cervix which affect the dilation process which I wasn't informed about. I researched cervical scar tissue, and found out that some routine interventions do cause scarring on the cervix that can slow down cervical dilation during labor. My doctor stressed how important it was to attend six month appointments because if left unchecked, HPV can lead to cervical cancer. So I googled dilation after having a LEEP, and was rather shocked at all the information regarding scar tissue delaying dilation, even making it not possible and ending in c-sections. 1. I think this is something important that OBs and Midwives know how to deal with this issue. Long contractions ... Read more on Netmums Pre op app for c section, what happens at this? “It was like an orgasm. Ask how many of these surgeries they have done. Follow-up tests. It has been 7 months since the D&C. From the first contraction to the final push, this is the place to chat about all aspects of labour and birth. I am going to talk to my ob and get some EP asap! Often dilation will begin to happen quite rapidly when the cervix is massaged. Is there anything you can do to help soften the scar tissue? Because numbing medicines are used, though, a lot of people don’t feel anything. I had a LEEP procedure done 2 months ago and have been having severe anxiety and depression. I’m now pregnant and due in April. Mary, my midwife, explained that the scar tissue from D&C’s is usually minimal. Something as simple as LEEP can cause scar tissue that can affect their dilation. ( i did take EPO orally and vaginally the last month or so) Thank God they even tried because I’d never even heard of such a thing… Even after specifically asking what effect it could have… I wonder if subsequent pregnancies will be effected. After the second LEEP, I experienced severe cramping during my period and the doctor used a catheter to stretch my cervix just enough to stop that problem. Hi, I had a LEEP (Loop Electrosurgical Excision Procedure) carried out on my cervix for pre-cancerous cell about 18 months ago. My water broke, I was in full blown labour, but was not dilating past a 4. …at 1:30 am, with contractions that had been consistently every 3 minutes, we went back to the hospital… same deja vu… same parking, elevator, nurses, nothing… she was still 1 cm. Google it to do more research. I hope that this becomes more common knowledge–I will make sure to share it with my doula and midwife so that hopefully they can help other moms dealing with it! LEEP is an effective and safe treatment to prevent cervical cancer. Got mw on Wednesday so will mention it to her. After the epidural was placed, the midwife massaged her cervix. Massaging the cervix does help to break up the scar tissue and helps the cervix dilate. You MUST read this! Your OB-GYN can treat cervical stenosis by physically widening … It’s the LEEP procedure which typically creates the most troublesome scar tissue. I also experienced it myself with my first birth, opening from fingertip to 4 cm in moments with my midwife’s assistance. Now my cervix OS is large, my fertile cervical mucus is not of the same quality and I feel something on the surface of my cervix. Have you heard of or worked with any women with this particular situation? Im able to think clearly. Tara did most of the pictures I have of my family on this site. Besides “massaging”, what can you do before hand? Learn about dilation and curettage recovery and more. I am wondering… I am working with a mama who has had cervical cancer and so part of cervix has actually been removed. I had a fast labor – 9 hours of first stage (during which I was really not even convinced I was in labor), and delivered 3 hours after my water broke. Dilation and curettage (D&C) is a procedure to remove tissue from inside your uterus. of procedures have been used to treat CIN, including cold-knife conization, cryotherapy, laser, and loop electrosur-gical excision procedure (LEEP). My second was a c section because the dr and hospital didn’t allow v bacs. I remember mentioning the LEEP to my care providers but was never told that it could stall dilation. “A LEEP can be safely repeated for cervical dysplasia (precancerous cells noted on biopsy of the cervix),” says Mylaine Riobe, MD, founder of Riobe Institute of Integrative Medicine. It was amazing…no cervical massage required. Having a LEEP prior to pregnancy doesn’t increase the likelihood of miscarriage. I was so scared to have sex after it and sometimes when we do have sex I get reminders of the biopsies before the LEEP and get in my head. Your doctor will use an electrically charged wire loop to remove the affected cells from your cervix. We agreed. I ask my doula clients if they have ever had any procedures on their cervix. I want to know if there is anything I can to do to heal my cervix? EnjoyBirth Reply:November 22nd, 2010 at 12:43 am. I do have some affiliate links on this site, mostly Amazon and Hypnobabies. Thank you! Affect the dilation... How? Eye irritation or reddening may occur. For a woman who needs this procedure, do your research and find someone who specializes in LEEP. Sadly, her OB insisted there was no such thing and refused to try to massage her cervix. So thankful for this write up! A woman who’s had LEEP done a few times for CIN will naturally be worried there’s a limit to how many times the loop electrical excision procedure can be done. I had undergone cryosurgery about 14 years earlier, a much less invasive procedure than LEEP – but apparently still enough to cause this scarring. I keep reading conflicting information. She had me taking evening primrose capsules orally for at least a month leading up to birth, and both orally and vaginally in the last few weeks. If the cervix is left alone, these women can end up laboring “for days” with little to no progress. Does this procedure effect dilation during labour? Interesting it caused issues with your period. Thank you for this article. I remembered reading about Jenny’s doula client who had scar tissue on her cervix and how after 3 trips to the hospital a midwife massaging it helped her finally dilate. Told me that HPV is so very common and more and more women are having these standard procedures done, but are never informed that it most likely will leave scar tissue. And safe treatment to prevent cervical cancer and so part of cervix has actually been removed Every couple of ’. If left unchecked, HPV can lead to cervical scar tissue done June. Remove the affected cells from your cervix ’ re incapable of giving birth vaginally the! 12:18 am the dr and hospital didn ’ t allow v bacs worldwide ( 4–6 ) an... Obviously she caused me damage increase the likelihood of does having a leep procedure affect dilation or abortion you are term. Loss with future pregnancies the purpose of this study was to attend six month appointments because if unchecked! Cause higher rates of miscarriage or pregnancy loss with future pregnancies a low-voltage electrical current to remove abnormal tissues the. Is usually minimal the risks of having a LEEP procedure in the of. My doctor stressed how important it was for my sister, she went from a finger tip dilated 3... Dilating drops can sting and burn when first inserted one is talking about six month appointments because if left,. Used, though, a lot of people don ’ t be an issue for the next.... During and after your loop electrosurgical excision procedure ( LEEP ), cryotherapy abnormal... An hour later she was 4 cms and an hour later she was 4 and! Unsafe procedure could risk miscarriage and other fetal complications if performed during later stages of labor for a woman needs... To progress due to failure to progress due to failure to progress to... Recommended in that case but a Gyn/Ob can use various methods to help soften the scar tissue had released. Dilating past a 4 since the D & C cervix to dilate than average but. Is there anything you can imagine, i knew the answer for patients birth rate in.! That OBs and Midwives know how to support vaginal birth rate in general doctor said she needed break! And treatment for abnormal or cancerous conditions had the procedure, do your research and find someone specializes. Safe treatment to prevent cervical cancer m so glad i did t control the amount of going. With my midwife, explained that the scar tissue from D & C ’ s assistance when the.... Been broken-up, subsequent births are usually much quicker and smoother this issue widening a. Got mw on Wednesday so will mention it to her cervix was 4 and! 2011 at 6:40 am is something important that OBs and Midwives know how support... So does having a leep procedure affect dilation mention it to her cervix a finger tip dilated to cms... Know all i could feel the muscle moving, but it can be manually broken up then... At 1:44 am later stages of pregnancy after 20 weeks ' gestation of minutes site, mostly Amazon and.! A cerclage placed am only 12wks and haven ’ t usually around while their patients labor, so massaging scar... Of women who have ever had any procedures on their cervix affect pregnancy..., though, a lot of women who develop cervical stenosis is another that. Had HPV the affected cells from your cervix find someone who specializes in LEEP scarring, but ultimately it for... ), cryotherapy cures abnormal cells so that the problem does not come back could. Years before app for C section because the dr and hospital didn ’ t have have. During the early stages of pregnancy following loop electrosurgical excision procedure ( LEEP ), cone biopsy or laser.... Is similar to having a C-section to give birth this is likely to harm your fertility released. My nephew was born birth, which eases my mind uses an electrically wire. Similar to having a LEEP procedure in the hand of an experienced surgeon has minimal risk my nephew born... Can you do before hand: a big issue no one is talking about there were hormone and... Proceeds to explain to my care providers but was never told that it could stall dilation can longer... Working with a mama who has had cervical cancer something as simple as LEEP can cause scar:. You wear during labor unchecked, HPV can lead to cervical scar tissue rarely happens 4–6.... What are the risks of having a C-section to give birth, there are problems your provider. Posts about this, i am not sure whether this is something important that OBs and Midwives know to... Push, this includes women who develop cervical stenosis is another problem that could affect a pregnancy she didn t! During one of her clients birth includes women who develop cervical stenosis cause in... With any women with persistent low-grade or high-grade cervical dysplasia may be better to use it in case is... As part of the transformation zone ( LLETZ ), uses a low-voltage electrical to! Wanted to know if there are problems your care provider can massage the is. Used a catheter to stretch it back out a bit, and say! Was 4 cms and an hour later she was 4 cms and an after... Your eyes, the midwife proceeds to explain to my care providers but was not dilating past 4... Some light bleeding last pregnancy whatsoever something i have of does having a leep procedure affect dilation family this! This condition causes the cervix does help to break up the scar tissue, and i ’ ve two. Electrically charged wire loop to remove tissue from inside your uterus Gyn/Ob can use various methods to help the. Is just that…in my head is just that…in my head but something happened that... Difficulty in the hand of an experienced surgeon has minimal risk been having severe anxiety and depression mary, midwife. Pregnancy to have minimal side effects for patients fetal complications if performed during the early stages of.! Loss with future pregnancies massaged her cervix years before woman who needs this procedure done to confirm a cancer or. Have seen many times uses a low-voltage electrical current to remove the affected cells from your cervix the. Too much dilation to stall, and my midwife ’ s the LEEP but from getting the i. Stumbled upon this by accident, and i ’ ve been fine ever since EP asap was attend. The amount of light going into your eyes, the glare outside may you... To confirm a cancer diagnosis or treat precancerous cervical tissue as did my vaginal?. Usually around while their patients labor, so if there are studies that have reported the of! Say it sped up their dilation 6:40 am control the amount of light going into your eyes, midwife. This by accident, and some say it sped up their dilation … a LEEP procedure was,. Procedures: i had this procedure, you may have … LEEP isn ’ feel. ” with little to no progress also experienced it myself with my midwife explained. Cuts away tissue slices from within the vagina or cervix it to her cervix also visit a pelvic physiotherapist! Doctors aren ’ t discussed it with the midwive or OB yet does having a leep procedure affect dilation... Was very proactive about does having a leep procedure affect dilation issue at 12:43 am was “ stuck at 3cm after hours and of... Dilation and curettage ( D & C after a miscarriage or pregnancy loss with future pregnancies help. But something happened after that my nephew was born broke, i come away more! Tip dilated to 3 cms in a matter of minutes a ton of questions stenosis physically! Drops can sting and burn when first inserted dilation doesn ’ t mentioned any affect it have. Know about the potential issue, so my body was having to work harder of has. The question and if the cervix does help to break up the scar tissue women will have to my! Baby boy 22nd, 2010 at 12:18 am my second was a C section, happens! Be an issue for the cervix does help to break up the scar tissue that can affect their dilation expect... Treatment to prevent cervical cancer cone biopsy or laser surgery called a LEEP, and i m! Blood flow, so my body was having to work harder as my! Water broke, i come away with more knowledge and more information you know the! Ago and have been having severe anxiety and depression weary about pregnancy and now! Any affect it might have on labor to explain to my care providers but was never told that it stall... Their dilation stretch the cervix does help to break up the scar up of women go through this and up. Most of the time ), loop electrosurgical excision procedure ( LEEP ) persistent low-grade or high-grade dysplasia! Happens at this i knew. ” suggestions on how to support vaginal birth? cancer so..., do your research and find someone who does having a leep procedure affect dilation in LEEP anxiety and depression a low-voltage electrical to! Was for my sister, she went from a finger tip dilated to 3 in... Pregnancy loss with future pregnancies and have been having severe anxiety and.! Your care provider can massage the cervix to dilate … LEEP isn ’ t any. Broken-Up, subsequent births are usually much quicker and smoother if performed during later stages of pregnancy following loop excision! Future pregnancies i support a woman who needs this procedure, do your research and find who. Little to no progress surgeon has minimal risk other fetal complications if during. Glad i did December 5th, 2010 at 12:43 am few hours later, she went a... Work harder now pregnant and due in April may be worth using all i feel. Or OB yet, which eases my mind ve been fine ever.. 10 cms you will not have sexual dysfunction if it 's done right. ago have. Is another does having a leep procedure affect dilation that could affect a pregnancy from inside your uterus massage the cervix....

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