What was your Pap result and what HPV test did you have done?
The LEEP is not a test, it is an actual surgical procedure. I’m not sure why they are doing a LEEP instead of colposcopy. You can have the LEEP procedure done in either the office or the OR. Colposcopy is easier and recovery time is also easier (a little cramping and often some mild discharge for a few days for colpo and a little more and longer for LEEP). Personally, I would prefer to have a LEEP in the OR but you don’t have to and it does increase the cost. I would only go to the OR based on colposcopy results. If your Pap was ASCUS this approach seems extreme and if your Pap was the highest level of abnormal, HSIL this approach is a little more acceptable but still appears a little extreme because CIN does reverse. I’m hoping your Dr. did tell you that both the Pap and the HPV test are screening tests and can have false positives and the colposcopy is really the “gold standard” to find out if there are any abnormal cells. For me, I would think it would be better to check for abnormal cells and the level of abnormal cells with a colposcopy/biopsy first. Then you get an actual pathology report before an invasive procedure and can decide on options or maybe the LEEP is not needed at all. The see and treat approach may benefit the physician more than the patient. It would also seem unusual to go from a normal pap to a really high level of abnormal in one year unless the last normal pap was not read properly. This also seems a little extreme if this is your first abnormal pap.