What tests should be复查 (follow-up) three months after LEEP procedure?

May 14, 2023 Source: Cainiu Health
Dr. Lv Aiming
Introduction
LEEP is a type of cervical conization procedure. Follow-up examinations three months after surgery include gynecological physical examination, color ultrasound, and human papillomavirus (HPV) testing, which help assess the body's recovery status. In addition to these tests, liquid-based thin-layer cytology testing may also be performed. During the recovery period, it is important to maintain good hygiene practices and avoid resuming sexual intercourse too early, as this could lead to infection.

LEEP is a type of cervical conization procedure. Follow-up examinations three months after surgery include gynecological physical examination, color ultrasound, and human papillomavirus (HPV) testing, which help assess the specific recovery status of the body. Detailed analysis is as follows:

1. Gynecological Physical Examination

The surgery may cause some degree of thermal injury and scabbing to the skin and cervical mucosa. Postoperative bleeding and shedding of scabs are common. Therefore, a gynecological examination is necessary to evaluate the healing status of the vagina and cervix.

2. Color Ultrasound Examination

Color ultrasound allows assessment of uterine morphology after surgery and helps detect any cervical masses. If masses are found, appropriate management should be initiated.

3. Human Papillomavirus (HPV) Testing

Patients should undergo HPV testing after surgery to determine whether HPV remains in the body. If the test result is negative, regular follow-up testing can be scheduled later. For patients with positive results, HPV genotyping should be promptly performed, followed by targeted treatment.

In addition to the above tests, other examinations such as liquid-based thin-layer cytology, routine vaginal discharge testing, and colposcopy may also be conducted. During the recovery period, it is important to maintain good hygiene and avoid resuming sexual intercourse too early to prevent infection.