LLETZ treatment for cervical cell changes

LLETZ is usually performed as an outpatient procedure under local anaesthetic, which means you can go home on the same day. The treatment itself normally takes around 10 to 20 minutes.

Before the procedure begins, your consultant will explain each step and answer any questions you may have. 

During the procedure:

1. You’ll lie on an examination couch, similar to during cervical screening.

2. A speculum is gently inserted into the vagina so the cervix can be seen clearly.

3. The cervix is examined using a medical microscope called a colposcope.

4. A local anaesthetic is then injected into the cervix to numb the area and reduce discomfort.

5. A thin, heated wire loop is used to remove the abnormal area of tissue.

6. The tissue sample is sent to a laboratory for further testing.

7. Bleeding is controlled using a small ball electrode or a special solution.

Most people remain awake throughout the procedure. You may feel some pressure, mild cramping, or discomfort similar to period pain, but severe pain is uncommon.

After a short recovery period, you’ll usually be able to return home the same day.

LLETZ is considered to be a very safe and effective procedure. Serious complications are uncommon, especially when the treatment is carried out by an experienced specialist.

Possible risks and side effects include:

• temporary watery or brown vaginal discharge

• light bleeding or spotting for up to 4 weeks

• mild cramping or period-like pain

• infection

• heavier bleeding in rare cases

• narrowing of the cervix in rare cases

• a small increased risk of premature birth in future pregnancies, particularly if large amounts of cervical tissue are removed

Most people recover without complications. Your consultant will explain any risks that apply specifically to you before treatment.

You should seek medical advice if you develop:

• heavy bleeding that soaks pads

• severe abdominal pain

• a high temperature

• unpleasant-smelling vaginal discharge

• symptoms that worsen rather than improve

Your consultant will give you personalised instructions before your procedure. In most cases, preparation for LLETZ is straightforward.

You may be advised to:

• avoid scheduling the procedure during a heavy period

• eat and drink normally before the appointment if you’re having a local anaesthetic

• bring a sanitary pad to wear afterwards, as light bleeding is common

• wear comfortable clothing

• arrange for someone to accompany you home if you feel anxious or unwell afterwards

It’s important to tell your consultant if you:

• are pregnant or think you may be pregnant

• take blood-thinning medication

• have allergies to medicines or anaesthetics

• have an infection or unusual vaginal symptoms before your appointment

You may wish to take simple pain relief, such as paracetamol or ibuprofen, before attending your appointment if your consultant advises this.

days. However, your cervix will need time to heal properly.

It’s normal to experience:

• mild cramping for a few hours or days

• light bleeding or spotting

• dark brown or watery vaginal discharge for up to 4 weeks

To reduce the risk of infection and support healing, your consultant will usually advise you to avoid the following for around 4 weeks, or until bleeding has stopped completely:

• penetrative sex

• using tampons

• swimming

• heavy exercise or strenuous activity

You can usually shower and bathe as normal.

Most people can drive themselves home after the procedure if they feel comfortable. However, if you feel anxious, dizzy, or uncomfortable, you may prefer to arrange for someone to accompany you.

Over-the-counter pain relief, such as paracetamol or ibuprofen, can help manage any mild discomfort. Antibiotics are not routinely needed unless there are signs of infection.

You’ll usually receive your laboratory results within a few days. Your consultant will explain whether any further monitoring or treatment is needed. Most people will be invited for follow-up cervical screening around 6 months after treatment to confirm the abnormal cells have been successfully removed.

Please contact our Women’s Health centre for up-to-date pricing information and payment options.

To book a LLETZ procedure, you must be referred by either your GP or a specialist gynaecologist following a consultation with them. Self-referrals are not accepted for this treatment.

If you would like to schedule a consultation with a specialist, please get in touch to make an appointment. Your health is important to us, so we strive to offer same-day appointments whenever possible.

Our consultants are recognised by the major health insurance companies. If you have private health insurance, your treatment at Welbeck can begin once you have obtained authorisation. We also provide care to self-paying patients. Learn more about the different payment options at Welbeck.