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Re: anesthetic and pain relief during Leep? From: D. (anonymous@obgyn.net) Mon, 10 Jan 2000 20:07:22 -0600 (CST) Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Jennifer: "New Pap Test" Previous message: D.: "Re: Managed Care can be a pain -- Part 2" In reply to: Lynn: "anesthetic and pain relief during Leep?" At Mon, 10 Jan 2000, Lynn wrote: In my experience only about 10% of patients undergoing a cervical biopsy experience anything more than a small pinch, but that 10% *really* feels it. This may be due to a different nerve distribution, or that the biopsy was deeper than usual. So, I test the area by applying steady pressure with the biopsy device, to see if the patient feels pain. If so, a topical or injected anesthetic does the trick. LEEPs, however, can really hurt unless adequate anesthesia is used. I can't imagine anyone doing a LEEP without significant anesthesia. We use a paracervical block, which involves injecting local anesthetic into the area around the cervix. After waiting a few minutes, the cervix is usually quite numb. I have to admit that I have had one or two patients (out of a lot of procedures) who have felt part fo the LEEP. However, nobody has ever kicked me (!) or become angry. I would ask your doctor's nurse what her or his policy is regarding anesthesia for LEEPs. Good luck! -- David Ashley Hill, MD Associate Director Department of Obstetrics and Gynecology Florida Hospital Family Practice Residency http://home.mpinet.net/dahmd My apologies, but due to time constraints I am unable to answer private e-mails. Next message: Jennifer: "New Pap Test" Previous message: D.: "Re: Managed Care can be a pain -- Part 2" In reply to: Lynn: "anesthetic and pain relief during Leep?"

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