Cervix Procedures

About the LLETZ procedure

If the results of the colposcopy reveal a high grade abnormality (CIN II or III) then a LLETZ (large loop excision of the transformation zone) is performed.  This procedure can be performed in rooms or as a day procedure (in hospital). 

A cone biopsy may be required, in some occasions if a greater depth of biopsy is needed.  Very similar to the LLETZ, however only performed in hospital and again as a day procedure.

In both cases the specimen is sent for histopathological testing.

More information about the lletz procedure

What symptoms to expect after a lletz procedure?

  • Light bleeding - 85% women experience light bleeding which can continue for up to 4 weeks

  • Vaginal discharge can arise in 65% of women

  • Pain – crampy pain like a period can arise for a couple of weeks. 

What can’t I do after a lletz procedure?

No swimming in pools/baths or intercourse is advised for this recovery period for 3 weeks.

Will a lletz procedure cause me to be infertile?

NO.  A lletz will not affect your fertility.  It does however slightly increase your risk of preterm delivery prior to 37 weeks to 2%.  The risk is higher with repeated treatments or when the depth of excision is greater than 10mm.