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Pregnancy after LEEP?
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supin posted:
Hello all! I've had some concerns lately after having a LEEP procedure done to remove mderadte-severe pre cancerous cells from my cervix two weeks ago that I might have problems or even not be able to get pregnant when DH and I are ready to in the future. Has anyone here had a LEEP done? Have you had any issues conceiving afterwards? Has anyone ever been considered high risk after getting pregnant post-LEEP? I just worry that I won't be able to carry a pregnancy after having ad the procedure done so any reasuring words of wisdom would be wonderful!
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georgiagail responded:
As the attached article states, how a LEEP may affect a future pregnancy would be dependent on how much cervical tissue is removed during this procedure.

Fertility is not affected by the LEEP. And if the concern is early labor, there are treatments that can be done to the cervix to avoid this.

http://cancer.about.com/od/treatmentoptions/a/pregnancyLEEP.htm

Gail
 
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Joel Bernstien, MD responded:
A LEEP should not affect fertility or conception. A newly published British study that following 20K plus women after LEEP found no significant increase risk for preterm delivery. This is great news because many women undergo this procedure.
 
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saraloo25 responded:
I am currently 32 weeks pregnant with #2 since my LEEP, which was done in 1998. First pregnancy was uneventful completely. During the 2 years since then my OB office has started a new protocol to monitor 'cervical length' between weeks 16-24 weeks, every 2 weeks testing (may have been 14-24) for those that have had the LEEP. Apparently, in some instances, people that have had the LEEP may have incompetent cervixes, which is not a problem so long as it can be monitored. The cervical length is monitored via ultrasound....so you get to see your baby every 2 weeks, which is AWESOME! Don't stress until you have something to stress about! My pregnancies have both been excellent! Best wishes!
 
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Joel Bernstien, MD replied to saraloo25's response:
Saraloo.....

Many groups, including ours does a cervical length protocol. Enjoy it because in light of the newly published study, we may see a decrease in the extra monitoring. But I agree with you.... extra ultrasounds are fun!

Dr. B


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