Hello and thanks for posting.
A bit of background on LEEP: The Loop electrosurgical excision procedure (LEEP) involves using a thin wire loop through which an electrical current is briefly passed, making it a very precise cutting tool. The procedure is very common and is generally deemed effective: a prime advantage of LEEP is that if gives the clinician the ability to see the lesions(s) being removed and it yields a tissue sample which may be evaluated further.
The cervix is numbed prior to the procedure, and medicine is applied topically to minimize bleeding. Discomfort is usually described as little if any, although some do report feeling a mild pressure or cramping sensation.
Complication rates post-LEEP are usually very low according to most studies. It's not unusual for there to be bleeding or discharge afterwards; we encourage you to ask your health care provider what you may expect and what sorts of things they may want you to inform them about.
Follow-up exams are typically scheduled 4 months after LEEP, and it's usually recommend not to do any heavy lifting or insert anything vaginally for several weeks afterwards (again, consult with your clinician as to specific recommendations for your case).
The choice of treatment when cervical lesions are removed depends on numerous factors: size, location, and distribution of lesions; age and pregnancy status; health care provider and patient preference. Some providers are simply more aggressive than others and, of course, a woman's medical history can also dictate different approaches to her management in this regard. In other words, no one size fits all approach!
The general line with fertility is that most women are able to have normal pregnancies following LEEP, but discuss this carefully with your provider. There is some research that indicates LEEP is associated with an increased chance of premature delivery, and I think the issues here are especially complicated if multiple procedures are needed.
I hope this helps. Please let us know if you have other questions.