What Happens When Scab Falls Off After LEEP?

What Happens When Scab Falls Off After LEEP

LEEP (Loop Electrosurgical Excision Procedure) is a common medical procedure used in the diagnosis and treatment of serious cervical conditions.

Usually, a scab forms at the incision site as part of the body’s natural healing process. But when it eventually falls off, it might worry some patients who aren’t sure what to expect.

In this article, we discuss the healing process after a LEEP procedure, focusing specifically on the significance of scab formation and detachment. We also aim to alleviate any concerns by explaining what a patient can expect when the scab falls off.

What is a LEEP Procedure?

A LEEP procedure, or Loop Electrosurgical Excision Procedure, is a treatment that prevents cervical cancer. It uses a low-voltage electrical current to remove abnormal tissues from the cervix.

This surgery may be performed when doctors find abnormal cells during a Pap test, colposcopy, or biopsy.

During this procedure, the doctor will use a thin wire loop electrode to remove the affected tissue that may lead to cervical cancer. This tissue will then be examined in a lab to determine if it is cancerous or not.

This procedure is often used to treat conditions like cervical dysplasia or human papillomavirus (HPV). After the procedure, a scab usually forms at the site of the excision, which is a crucial part of the healing process.

If you notice any unusual symptoms like excessive bleeding, foul-smelling discharge, severe abdominal pain, or fever, you should seek immediate medical attention.

Side Effects of LEEP

Like any medical procedure, LEEP may have potential side effects. Although many women recover without complications, some may experience:

  • Mild pain or discomfort
  • Light bleeding or spotting
  • Dark, coffee-ground-like discharge
  • Watery discharge
  • Mild cramping
  • Foul-smelling drainage from your vagina.
  • Severe abdominal pain.
  • Fatigue
  • Nausea
  • In rare cases, infection or excessive bleeding may occur, requiring immediate medical attention.

It’s essential to follow your doctor’s post-procedure instructions carefully and report any concerning side effects immediately.

Why should you choose Leep?

Choosing the LEEP procedure can be the best way to address cervical abnormalities for several important reasons.

It is a minimally invasive option that effectively removes abnormal tissue with precision, minimizing damage to surrounding healthy tissue.

Additionally, LEEP is performed under local anesthesia, which allows for a quicker recovery and less time spent in the hospital.

One of the principal advantages of the LEEP procedure is its high success rate; it has an excellent track record in preventing the progression of pre-cancerous cells to cervical cancer.

Furthermore, LEEP offers the benefit of a diagnostic evaluation as the removed tissue can be examined for a more definitive diagnosis. This ensures that patients receive tailored treatments based on the specific pathology.

Most importantly, the procedure is also cost-effective as compared to other surgical interventions which makes it more accessible to a wider range of patients.

When it comes to patient outcomes, several studies corroborate the efficacy and safety of the LEEP procedure.Patients can make an informed choice about their cervical health by consulting their healthcare provider. The procedure has a high success rate and a low risk profile.

What does a LEEP scab look like?

A LEEP scab usually appears as a dark, coffee-ground-like substance in your discharge. This may be accompanied by mild cramping or discomfort.

The presence of the scab is a positive sign which shows that the body is healing from the procedure. Over time, this scab will naturally detach and pass out of the body.

This process is generally painless, but some patients may experience slight spotting or bleeding. It’s essential to maintain good hygiene during this period and consult your provider if you notice any signs of infection like foul-smelling discharge or severe abdominal pain.

When does the LEEP scab fall off?

The timing of a LEEP scab falling off can vary, but it usually occurs 2 to 3 weeks after the procedure. However, this timeline can differ based on individual factors like the body’s healing rate and the extent of the procedure.

As the healing process progresses, the scab detaches and may result in a dark, coffee-ground-like discharge. It’s normal to have some minor spotting or bleeding during this stage, but if you experience heavy bleeding, severe pain, or see any signs of infection, it’s important to seek immediate medical advice.

Recommended: Colposcopy vs LEEP: What’s the Difference?

What happens when the scab falls off after LEEP?

When the scab falls off after a LEEP procedure, it is usually a sign that the body is healing. Some women may notice a slight increase in vaginal discharge or spotting when the scab detaches. This discharge may contain small, dark particles that are remnants of the scab.

The scab usually falls off between 2-3 weeks after the LEEP procedure, but this can vary for each individual. It’s important not to pick at or disturb the scab and to let it fall off naturally. This helps prevent infection or excessive bleeding.

After the scab has fallen off, the tissue underneath should look healthy and show no signs of the abnormal cells that were removed during the LEEP.

However, if you notice heavy bleeding, severe pain, fever, or any other signs of infection, it’s important to contact your doctor immediately.

Note: It’s also advised to avoid sexual intercourse, tampons, and douching until the scab has fallen off and your healthcare provider has given you the go-ahead.

Also Read: Clitoral Pain And Interstitial Cystitis: What’s The Connection?

How long is the healing process after LEEP?

scab falls off after LEEP

The healing process after a LEEP procedure varies among individuals but is typically around 4-6 weeks. During this time, you may still feel slight cramping or discomfort, as well as some spotting or discharge as the wound heals.

At first, the discharge may be dark and might become lighter as time goes on. Patients are usually advised to avoid strenuous physical activity until the healing process is complete to prevent possible complications.

Regular follow-up appointments are essential during this period to monitor the healing process and ensure that no complications arise.

The Pros and Cons of LEEP

Like any medical procedure, a LEEP carries certain risks and benefits that patients should be aware of.


  • Effectiveness: LEEP is highly effective in removing abnormal cervical cells that could potentially cause cancer, helping to ensure early treatment and preventing the condition from worsening.
  • Minimally invasive: LEEP is a minimally invasive procedure that only needs a local anesthetic and can be done in an outpatient setting. This usually means a quicker recovery time compared to more invasive procedures.
  • Diagnostic value: The removed tissue can be examined in a lab for a more precise diagnosis which provides valuable information about the stage and extent of the disease.


  • Potential complications: While complications are rare, they may include infection, heavy bleeding, or negative effects on future pregnancies like preterm birth or low birth weight.
  • Recurrence: There is a chance that abnormal cells could reappear at a later time, necessitating further treatment.
  • Follow-up procedures: Regular follow-up visits are required after LEEP to monitor healing and check for recurrence, which can be time-consuming.

What should I expect after receiving a Leep?

After a LEEP procedure, you can expect to return to your normal activities within a couple of days, though you should avoid strenuous physical activity for at least a week.

You may feel mild cramping or discomfort, similar to menstrual cramps, which can be managed with over-the-counter pain relievers as recommended by your provider.

The dark, coffee-ground-like, or watery discharge will likely continue for 2 to 3 weeks, which gradually decreases over time.

It’s crucial to pay attention to any changes in the discharge – an increase in volume, a change in color to bright red, or a foul smell could be a sign of infection, and you should notify your healthcare provider immediately.

Possible complications of LEEP

Here are some possible complications that may arise after LEEP:

  • Infection: These are rare but may include foul-smelling discharge, fever, severe abdominal pain, and generally feeling unwell.
  • Heavy bleeding: Some women may experience heavier than normal bleeding after the procedure. This may cause some problems so you call your doctor immediately.
  • Negative impact on future pregnancies: There have been some reports of an increased risk of preterm birth or having a low birth weight baby after a LEEP procedure.
  • Recurrence of abnormal cells: The LEEP is effective at removing abnormal cells, but there is a chance these could reappear at a later time which requires further treatment.
  • Psychological distress: Like other treatments, LEEP may also cause feelings of anxiety or distress.
  • Discomfort during sexual intercourse: Some women report experiencing discomfort during sexual intercourse after a LEEP procedure.

So if you experience any side effects or complications after LEEP we highly recommend to visit your doctor and don’t self-medicate.

Is it normal to have black smelly discharge after LEEP?

Yes, it is relatively common to experience some changes in vaginal discharge following a LEEP procedure. A black, smelly discharge can sometimes occur when the scab formed on the cervix starts to heal and shed.

This coloration is usually due to the presence of old blood and tissue. In the majority of cases, this type of discharge is part of the normal healing process.

However, if the discharge smells really bad, it could be a sign of an infection. This is especially true if you have other symptoms like a fever, strong belly pain, or just feeling sick in general. It’s important to monitor the discharge and your overall well-being closely after the procedure.

If you encounter any discharge that seems abnormal or concerning, it’s crucial to reach out to your healthcare provider immediately.


In conclusion, a Loop Electrosurgical Excision Procedure (LEEP) is an effective and minimally invasive method for removing abnormal cervical cells. While the procedure has a high success rate, patients need to be aware of the potential risks and complications. It’s essential to follow post-procedure care instructions and attend regular follow-up appointments to ensure proper healing and monitor for any repetition.


Can you have an orgasm after a LEEP Procedure?

Yes, you can have an orgasm after a LEEP procedure. However, it’s advisable to wait until your doctor gives you the all-clear to resume sexual activity. Usually, this happens after the cervical tissue has healed, which is around 4 to 6 weeks after the procedure.

When does bleeding start after LEEP?

Bleeding after a LEEP procedure may start immediately and could continue for several days or even weeks. However, the bleeding is usually mild and similar to a regular menstrual period. If the bleeding is much heavier or lasts longer than you’d expect, it’s a good idea to get some medical advice.

Is it normal to have bright red blood 2 weeks after LEEP?

Yes, it can be normal to have some bright red spotting or bleeding two weeks after a LEEP procedure. This is usually a part of the healing process as the scab on the cervix comes off. However, if the bleeding is heavy, or if you’re concerned, it’s always good to seek medical advice to make sure everything is healing as expected.

Will I need a LEEP procedure again in the future?

Yes, it’s possible that you might need another LEEP procedure in the future if your follow-up Pap tests indicate that abnormal cervical cells have returned. However, it’s important to note that the LEEP procedure has a high success rate and many women do not require further treatment.

Can I get pregnant after a LEEP procedure?

Yes, you can get pregnant after a LEEP procedure. However, you may face a slightly increased risk of pregnancy complications like preterm labor or having a baby with a low birth weight. It’s crucial to discuss your future pregnancy plans with your doctor who can offer guidance and support.

Are there alternatives to LEEP if I need further treatment?

Yes, there are many alternatives to LEEP like cryotherapy, laser therapy, or a cone biopsy, depending on the extent and severity of cervical cell changes. Your provider can discuss the benefits and risks of each treatment option with you to determine the best course of action for your situation.

How often should I have follow-up visits after a LEEP?

Follow-up visits are usually scheduled at 6 weeks, 6 months, and 12 months post-LEEP, but the frequency can vary based on individual circumstances. If the results are normal, you can return to the regular schedule for Pap tests as advised by your healthcare provider.



The information provided in this article is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Don’t ignore professional medical advice or put off seeking it just because of something you read here. Although we aim to offer precise and current information, we do not guarantee its completeness, accuracy, reliability, suitability, or availability for any purpose. Using the information in this document is at your own risk. We are not responsible for any losses or damages caused by our content.

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