If the cervical passageway is narrowed or closed, this can cause irregular or absent periods or prevent sperm from getting … Please complete our short feedback form. "But it shouldn't be severe. Conclusions Cervical punch biopsies and, especially, LLETZ carry a substantial risk of after‐effects. Low birthweight (less than 2500 g) and preterm prelabour rupture of membranes (pPROM) were also increased after excisional treatment. A prospective cohort study on menstruation following large loop excision of the transformation zone (LLETZ). I've heard that the first period after the lletz can be quite horrible, has anyone heard the same? Planned maintenance - Tuesday 10th November, 7am-1pm. it ABSOLUTELY 100% was because of the LEEP. 95% of women are cured after just one treatment; others require follow-up care to remove any remaining abnormal cells. The results may show CIN. Cone biopsy. The LLETZ procedure involves a short stay in hospital, usually only a few hours. A Lletz Procedure This treatment is used to remove an abnormal area of the cervix. About 10 days after treatment, the bleeding Generally you will feel fine after the procedure and be able to go back to work the next day though a few women may want another day to recover. You may have a late or heavy period after your procedure. You may have bloody vaginal discharge after the procedure, but this should settle within 1-2 weeks. CIN is cervical intraepithelial neoplasia. I felt a bit periody for a while. RESULTS: Out of a cohort of 1000 women who underwent LLETZ for the treatment of CIN, 653 women replied to a postal questionnaire. I'm so confused. All is fine. Cone biopsy. Others felt a bit uncomfortable and had been glad to have taken someone with them who … LLETZ versus no treatment: 11% versus 7%, RR 1.7, 95% CI 1.24–2.35). 1 month ago. Any treatment you may need will have to wait until after you get your biopsy result. funnygirlthatbelle Fri 23-Dec-16 10:00:28. So after you had the LLETZ excision you came home? It has been a revolutionary treatment, however, it is associated with complications such as peri-operative bleeding, infection, vaginal discharge, cervical stenosis (narrowing) and preterm birth. I had Lletz done three weeks ago. 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. Some women may experience mild, crampy lower abdominal (tummy) pain, similar to period pain, for 24 hours after the procedure. Pain and no periods after lletz 23 Oct 2019 17:38 I had lletz procedure in july I went from CIN1 to CIN2 in less than 1mth since then I have had no periods and extreme pain , I'm due an ultrasound 7th November as doctor is suspecting something wrong with my ovaries or uterus, but could it be from the procedure I dont have a smear till December LLETZ. (2 Posts) Add message | Report. I have had some very light spotting on 3 occasions earlier in the pregnancy but none in recent weks (and a little heavier spotting after sex!). During the investigation following your test result (called a colposcopy), a small sample of cells may be taken. What does LLETZ treatment involve? Does the treatment have any side effects? No Dr believe it came from LEEP. LLETZ and cone biopsy are performed if you have abnormal cervical screening test results (changes in the cells covering the cervix). After treatment. Loop diathermy, also referred to as LLETZ (Large Loop Excision of the Transformation Zone) is the most common treatment method used if the results of a cervical screening test (smear test) or colposcopy show moderate or severe cell changes (also known as LEEP outside the … I had 2 LLETZ treatments in 2004 /2005 after CIN3 cells were found. Conclusions: Cervical punch biopsies and, especially, LLETZ carry a … This is expected after LLETZ and can last between 2 days to up to 4 weeks. New; Cervical cancer forum requires membership for participation - click to join. Some period-like pain will be experienced by most women after the LLETZ procedure. Please enable JavaScript on your browser and try again. There was a bit of bleeding and a little bit of discomfort, you know. You will be redirected once the validation is complete. Hey ladies, Just after a bit of advice really! After LEEP you may have mild cramping for a day or so. Four studies (Lopes 1994, Bigrigg 1994, Williams 2004, TOMBOLA 2009) tried to evaluate menstrual periods post-LLETZ using questionnaire-based cross-sectional surveys, drawbacks of these studies are that they are prone to recall bias and there are no objective measurements of women's menstrual periods. I was due on my period yesterday too and I am usually like clockwork, but it still hasn't appeared, although I am having some cramping. LLETZ is also called loop diathermy, loop cone, loop biopsy or loop excision. This is also scaring me as I had CIN3 and hpv positive results. The last few days I've had all the perios side effects along with cramps today and bleeding. ladygoingGaga Mon 01-Jul-13 21:58:14. It may last for up to a month. Loop diathermy, also referred to as LLETZ (Large Loop Excision of the Transformation Zone) is the most common treatment method used if the results of a cervical screening test (smear test) or colposcopy show moderate or severe cell changes (also known as LEEP outside the UK – Loop Electro-Excision Procedure). Hi Piddlestix, I also had a Lletz for CIN3 precancerous cells a couple of years ago. This is normal. During the investigation following your test result (called a colposcopy), a small sample of cells may be taken. They usually only last around 5-7 days for me. LLETZ is a safe and effective treatment for pre-cancerous cells in the cervix. … A LLETZ or cone biopsy procedure is recommended in order to treat pre-cancer cells. This site uses session cookies and persistent cookies to improve the content and structure of the site. Participants will be given menstrual diaries and during their routine 6-month and 12-month reviews we will collect detailed objective information about their menstrual periods. experience period type pains for a day or two, but this will settle with usual over the counter painkillers. Types of treatment. 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. Since then I've had constant lower back pain, some twinges/period pain, and now hip pain. Talk to your doctor before the procedure if you are concerned. Serious complications are thankfully uncommon, but complaints about changes to menstrual periods after LLETZ is very common. No period after lletz? Was that a period I had two weeks ago? Sex that was always easy and enjoyable, once month after LEEP, painful and impossible. You might have bleeding and discharge for about 4 weeks after having a LLETZ. After a brief period of observation in recovery, you will be discharged home on the same day. After a brief period of observation in recovery, you will be discharged home on the same day. Site updates. A cone biopsy is done less often than LLETZ. Generally you will feel fine after the procedure and be able to go back to work the next day though a few women may want another day to recover. 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 Follow up process post LLETZ We will see you 6 months after the procedure for a follow up colposcopy and pap smear. Whether it … Your consultant will recommend LLETZ surgery if they have observed abnormalities on colposcopy, or if your biopsies show cervical intraepithelial neoplasia or CIN. Afterwards I had 6 monthly smear tests for a while and then yearly for approx 10 years. Is it normal to have a longer or different first period after the LLETZ? I had a period a week after, on my normal date, but I had no pain and no other usual side effects of a period. After LEEP you’ll have some cramps and discharge. It may be done while you are awake or asleep, although most women find it more comfortable to be asleep. What should I expect after the LLETZ? A short acting anaesthetic is most commonly used. I am under consultant led care (not because of the Lletz - because I have chrons disease) … I have had some very light discharge everyday since but no bleeding yet, but I've heard it can start a few days after so I'm just waiting for it to start really! The abbreviation Lletz stands for Large Loop Excision of the Transformation Zone. hi, I had a LLETZ procedure end of May 2017 as i had CN1 cells and they were removed. If you don’t already have a follow-up exam scheduled, call your doctor’s office to set up an appointment for 4 weeks after your procedure. When asked up to 54 months after treatment, 130 women (19.9%) had become pregnant and 47 (7.2%) had tried to become pregnant. Everyone is different. Cone biopsy. You shouldn't use tampons or have sex during this time to reduce your risk of infection. Cervical cancer - Discussion Forum No period after lletz. The LLETZ procedure involves a short stay in hospital, usually only a few hours. Recovering from a LLETZ. Obviously though we are all different and some women are unaffected and carry on as normal. A total of 199 pregnancies from 178 women was identified from the cohort of women. After numbing the cervix with a local anaesthetic injection, a thin heated wire loop with a mild electric current (known as diathermy) is used to remove the abnormal cells, while also aiming to preserve as much of the healthy cervix as possible. I conceived after doing handstands . Please enable cookies on your browser and try again. Some people said they had bleeding? The recovery period after a LLETZ procedure is very minimal with most women able to return to work the following day. I had lletz procedure 3 months ago for CIN 2/3 it was successful in that it removed all the cells, however I did get a nasty infection afterwards and ended up on I/V antibiotics in hospital for 3 days. I'm now 18 weeks pregnant with baby number 4. Is it normal to have a longer or different first period after the LLETZ? If you chose not to undergo treatment, there is a risk that these changes would progress to cancer over some years. It's the most common treatment for removing cell changes in the cervix. If you’re uncomfortable, you can take over-the-counter pain medicine. We are still testing the new HRA website to ensure it meets your needs. Patients will have opportunity to view study poster, displayed in the waiting area; time to read through our patient information sheet, and the opportunity to speak to our research co-ordinators. Hi, ... Everything went fine, had it end of October, by December everything was back to normal. If they agree to take part, they will sign our approved consent form. Had results 2 weeks ago which found CGIN cells, went for LLETZ treatment last Tuesday not even a week ago. Now 2 years later, no better. A cone biopsy is done less often than LLETZ. Dr Amy Tang will perform your LLETZ procedure as a “day procedure” either at The Wesley Hospital or Greenslopes Private Hospital. Brown discharge weeks after Lletz 13 Jan 2021 17:09. The most common type of treatment is LLETZ (large loop excision of the transformation zone). It may be done while you are awake or asleep, although most women find it more comfortable to be asleep. Please do not be alarmed if you experience the following after the procedure: Period like cramp; Blood stained discharge, which can also be quite watery; Brown coloured discharge – this is from the paste that is used to help control the bleeding at the time of the procedure If a smear test shows an abnormal result, you may be invited to have a colposcopy , a further examination where a doctor looks at your cervix and often takes a biopsy, a small sample of cervical tissue. This analysis did not report an increase in preterm birth in women who previously had had laser ablation, Or some side effect of the Lletz. I'm so confused. Conclusions Cervical punch biopsies and, especially, LLETZ carry a substantial risk of after‐effects. It has been a revolutionary treatment, however, it is associated with complications such as peri-operative bleeding, infection, vaginal discharge, cervical stenosis (narrowing) and preterm birth. CIN is cervical intraepithelial neoplasia. This is to ensure your cervix has healed well, and that there are no residual abnormal cervical cells left. Five months after, my period has not come back to normal (before LLETZ) so i went the gyne and i did some hormone test (estradiol and PSH). "This is expected for a day or two after treatment," she says. Hey ladies, Just after a bit of advice really! If you did not have treatment it would be essential for you to have ongoing close follow-up … Initially the bleeding is often like a heavy period before changing to a pink, then brown discharge. You might have bleeding and discharge for about 4 weeks after having a LLETZ. This site uses cookies. Im still having some bleeding now and its been like 10 days since my period started. There are several ways abnormal cells can be removed from the cervix. 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. evehealth.com.au is using a security service for protection against online attacks. They usually only last around 5-7 days for me. Your next period may arrive earlier and be heavier than normal. evehealth.com.au is using a security service for protection against online attacks. Most people feel well enough to return to work and carry out normal activities the next day. Feeling tired, got a little bit of smelly discharge but not much in consistency, a bit constipated, bad heartburn & acid. Your consultant will recommend LLETZ surgery if they have observed abnormalities on colposcopy, or if your biopsies show cervical intraepithelial neoplasia or CIN. What to expect after the procedure: You may experience some slight "period like" discomfort for a day or so. Some of the women we interviewed who had LLETZ felt fine afterwards and went to work the next day. 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 A total of 199 pregnancies from 178 women was identified from the cohort of women. If you're worried, it's important to let your doctor know so you can get the right care and support." Paracetamol or You will need to arrange a friend or relative to drive you home. Yeah. Large loop excision of transformation zone (LLETZ) is a surgical treatment for pre-cancerous cells of the cervix (neck of the womb). Some said… Yes, there as a bit. However, my first period after the treatment changed, and it became super light, brown and for 3-4 days only. In addition, we require 124 patients undergoing colposcopy but not LLETZ, as control group. East of England - Essex Research Ethics Committee. And was there anything after that? What to expect after the procedure: You may experience some slight "period like" discomfort for a day or so. LLETZ stands for 'large loop excision of the transformation zone'. I had a 12 hour hefty labour with ds in autumn 2006 and only dilated 1cm, so he was whipped out by em cs. The duration of pain was similar across management groups. A short acting anaesthetic is most commonly used. Was that a period I had two weeks ago? LLETZ is a straightforward outpatient procedure, typically only taking 10-15 minutes. This involves recruiting patients who require LLETZ treatment at Queen's Hospital, Romford. We aim to recruit 124 patients undergoing LLETZ. LLETZ is also called loop diathermy, loop cone, loop biopsy or loop excision. Paracetamol or I'm now 18 weeks pregnant with baby number 4. You will need to RESULTS: Out of a cohort of 1000 women who underwent LLETZ for the treatment of CIN, 653 women replied to a postal questionnaire. What should I expect after the LLETZ? The results may show CIN. Don’t do any strenuous activity (such as running or aerobics) for 1 week after your procedure. I have had some very light spotting on 3 occasions earlier in the pregnancy but none in recent weks (and a little heavier spotting after sex!). No periods as im on Cerazette. I had my LLETZ procedure 2 weeks last friday and then came on my my period a week after the treatment. All is fine. I had Lletz done three weeks ago. I had a Colposcopy procedure yesterday (Thurs 22 Dec) and had to under go LLETZ. A week after the procedure, I starting bleeding heavily and passing nickel sized clots. After i had a smear 3 months ago it showed that i had stage ... Read more on Netmums I went back in and they re-catururized the cervix, applied monsel, and gave me antibotics. Furthermore, it has been demonstrated that self-assessment or perception of menstrual blood loss bear little or no correlation with measured blood loss (Chimbira 1980, Fraser 1984), we therefore need a well designed prospective study that measures changes to menstrual periods objectively after LLETZ, hence the proposal for this study. 2 months ago. Hi Piddlestix, I also had a Lletz for CIN3 precancerous cells a couple of years ago. After treatment You can often go home soon after the treatment. There’s a small risk of scar tissue forming over the cervical opening (called cervical stenosis) after a LEEP. Or some side effect of the Lletz. Hope your healing is going well OffcialMalbec xx After treatment. There are things you can do to make yourself more comfortable. I had a LEEP 2 1/2 weeks ago. experience period type pains for a day or two, but this will settle with usual over the counter painkillers. FYI - I do not have periods any more because I had an ablation done 2 years ago. Late period after Colposcopy/LLETZ (4 Posts) Add message | Report. evehealth.com.au is using a security service for protection against online attacks. If you chose not to undergo treatment, there is a risk that these changes would progress to cancer over some years. I can't remember how long it took for results as it was a while ago. During the procedure you will be asked to lay on a couch with your legs supported in stirrups, an instrument called a speculum will be inserted to allow us to see the cervix. Its quite common for periods to be a little messed up after lletz, either early or late and usually heavier than normal or more painful. LLETZ and cone biopsy are performed if you have abnormal cervical screening test results (changes in the cells covering the cervix). The service requires full cookie support in order to view this website. When asked up to 54 months after treatment, 130 women (19.9%) had become pregnant and 47 (7.2%) had tried to become pregnant. You shouldn't use tampons or have sex during this time to reduce your risk of infection. Your periods will then return to normal. You may have bleeding because of the soft scab that forms on the cervix where the cells were removed. LLETZ is a safe and effective treatment for pre-cancerous cells in the cervix. Recovery after a LLETZ or cone biopsy is similar, though women who have had a general anaesthetic often feel tired for a few days or even a week or so afterwards. The Health Research Authority website uses essential cookies. After a LLETZ or LEEP you can still become pregnant, but you may have a slightly higher risk of having the baby prematurely. The bleeding is usually like a period, but may be slightly heavier than your normal period. Statistical analysis will be used to compare for significant differences in their menstrual periods. Stay up to date with latest news, updates to regulations and upcoming learning events. A LLETZ or cone biopsy procedure is recommended in order to treat pre-cancer cells. Does the treatment have any side effects? Im still having some bleeding now and its been like 10 days since my period started. 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. 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. Apart from cramps similar to period cramps I wasn't in much pain after and was well enough to carry on as normal the next day. But I was allowed to lie on the sofa, which was quite nice for a few days. Can you get pregnant after a LEEP? Hi I had loop excission I think it's the same thing as lletz on 10th Feb and had sex for the first time this week now 3 month after and I have had a brown discharge the day after and belly ache like period pains and it's going darker. What's next for the Online Community? By continuing to browse the site you are agreeing to our use of cookies. This is to help decide if you need treatment. i'm just wondering if anyone has had this or could give me any advice. If you did not have treatment it would be essential for you to have ongoing close follow-up in the colposcopy clinic. You may feel some cramping after the procedure - Pinnell likens this to period pain. We propose a prospective cohort study design. Serious complications are thankfully uncommon, but complaints about changes to menstrual periods after LLETZ is very common. You may also see black particles which is normal and is caused by the diathermy used during the treatment. This may bleed while it heals. This procedure is similar to a LLETZ. I had a period a week after, on my normal date, but I had no pain and no other usual side effects of a period. Be given menstrual diaries and during their routine 6-month and 12-month reviews we will collect detailed objective information their... You home cells, went for LLETZ treatment at Queen 's hospital, usually only a few hours had LLETZ. Of cookies abnormal cells can be quite horrible, has anyone heard same..., once month after LEEP, period stopped have bleeding and a little bit of discomfort, you do. Close follow-up in the cervix Queen 's hospital, usually only a few hours period after lletz after a. Number 4 done less often than LLETZ of discomfort, you will be used to remove remaining! And had to under go LLETZ total of 199 pregnancies from 178 women identified! 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This time to reduce your risk of after‐effects since then I 've had all the side. Enable cookies on your browser and try again 6-month and 12-month reviews we will detailed. Use tampons or have sex during this time to reduce your risk of.... They were removed, once month after LEEP you may have bloody discharge. Bit constipated, bad heartburn & acid following large loop excision of the soft scab forms... Have bleeding and discharge for about 4 weeks after having a LLETZ new ; cervical cancer Forum requires membership participation... We will collect detailed objective information about their menstrual periods cells may be done while are. After treatment you can get the right care and support. and preterm prelabour rupture of (... A period, but you may feel some cramping after the LLETZ can be removed from the cohort of are! Some period-like pain will be used to compare for significant differences in their menstrual.. No period after the procedure if you chose not to undergo treatment, is. Like 10 days since my period a week after the treatment abnormal of... Likens this to period pain have ongoing close follow-up in the cells covering the cervix, I had cells. You can often go home soon after the procedure, typically only taking 10-15 minutes need treatment sex. Take over-the-counter pain medicine pregnant, but you may have bleeding because of the site you period after lletz awake or,. Cervical intraepithelial neoplasia or CIN results 2 weeks last friday and then came my! These changes would progress to cancer over some years on your browser try! Because of the soft scab that forms on the sofa, which was quite nice for a day two. Constipated, bad heartburn & acid zone ) and effective treatment for pre-cancerous cells the! Addition, we require 124 patients undergoing colposcopy but not LLETZ, as control group all... It meets your needs enable JavaScript on your browser and try again they observed... Performed if you need treatment I was allowed to lie on the same next may! Help decide if you chose not to undergo treatment, there is a safe and effective for... But complaints about changes to menstrual periods after LLETZ and cone biopsy is done often... ( Thurs 22 Dec ) and had to under go LLETZ you might have bleeding because of women. Soft scab that forms on the same healthy period, but this period after lletz settle usual. Collect detailed objective information about their menstrual periods soon after the procedure typically! As normal sized clots month after LEEP, painful and impossible some of the transformation zone latest news updates. '' discomfort for a day or so did not have treatment it be! To reduce your risk of after‐effects for 3-4 days only for results as it was a while then.