Leaflet Details
| Title | Colposcopy and Lletz Biopsy |
| Department | Gynaecology |
| Author(s) | Jennifer Crouch |
| Review Date | November 2026 |
| Next Review | October 2028 |
| Download | A5 Booklet PDF |
| Accessibility Options | Click on the Recite Me button to show our accessibility resources |
Patient Information
What is a LLETZ treatment?
LLETZ stands for Large Loop Excision of the Transformation Zone.
A LLETZ treatment removes abnormal cells from your cervix. The tissue that is removed is tested in a laboratory. This helps us confirm the diagnosis and plan any follow-up care you may need.
During your treatment today, we removed a small piece of tissue from your cervix. The piece is about 1 cm by 1 cm. This removes the abnormal cells. The abnormal cells are not cancer. However, if they are left untreated, they could develop into cancer in the future.
What happens next?
The tissue sample will be sent to a laboratory where a specialist will examine it. The results will tell us more about the abnormal cells.
You should receive your results by letter within 4 weeks.
If you have not received your results after 4 weeks, please contact the Colposcopy Office on 01932 722200
A copy of the results will also be sent to your GP. The letter will explain whether you need any further appointments or follow-up tests.
After your treatment
You can usually drive home after your treatment unless your colposcopy clinician advises otherwise.
You may have mild period-like pain after your treatment. You can take your usual pain relief, such as ibuprofen or paracetamol, for the first 24 hours. Only take these medicines if you normally can take them safely. If you are not sure, ask a pharmacist or healthcare professional.
You may also notice light bleeding or a brown-coloured discharge. This should not be heavier than a normal period.
Please bring a panty liner or sanitary pad to your appointment.
For up to 4 to 6 weeks, you may have a watery discharge. You might also notice small dark specks. This is a part of the healing process. The discharge should gradually reduce as your cervix heals.
Helping your cervix heal
To allow your cervix time to heal, please:
For the next 4 weeks:
- Do not use tampons.
- Do not have vaginal sex.
For the next 2 weeks:
- Do not go swimming.
You can:
- Have a shower or bath as normal.
- Carry on with your normal activities.
- Do light exercise.
- Go to work if you feel well enough.
Travel advice
You can travel after your treatment if you feel well enough.
If you become unwell while you are abroad, you may need medical treatment. Your travel insurance may not cover the cost of this treatment.
Check your travel insurance before you travel.
Please check your insurance policy before travelling.
Periods and future pregnancies
Your next few periods may be different from usual. They may be slightly heavier or last a little longer.
Having more than one LLETZ treatment may slightly increase the chance of giving birth early in a future pregnancy. Your doctor will discuss this with you if it is relevant to your care.
Alcohol
Alcohol can be consumed in moderation after treatment.
When should I seek medical advice?
Please contact your GP, NHS 111, or your nearest urgent treatment centre if you have any of the following:
- Bleeding heavier than a normal period.
- Discharge with a strong or unpleasant smell.
- A high temperature (fever).
- Increasing pain.
- Feeling generally unwell.
A doctor or nurse can check that your cervix is healing properly and look for signs of infection. Some people may need antibiotics.
In an urgent situation, call NHS 111 or attend the Emergency Department.
Follow-up appointments
We will usually ask you to attend for a cervical screening test and HPV test 6 months after your treatment.
The results of these tests will help decide whether you need further follow-up in the colposcopy clinic or whether you can return to routine cervical screening with your GP practice.
If you need an appointment, we will send this to you.
Contact Details
If you have any questions, please contact your GP.
Colposcopy Office, Abbey Wing, St Peter's Hospital
Telephone: 01932 722200
Monday to Friday, 8:00am to 4:00pm
If there is no answer, please leave a message and we will return your call as soon as possible.
Colposcopy Clinic: 01932 723984
Useful information
- https://www.nhs.uk
- https://www.bsccp.org.uk/
- https://www.nhs.uk/tests-and-treatments/nhs-screening/
- https://eveappeal.org.uk
- https://www.macmillan.org.uk
