<s>[INST] After the leep surgery, i lost my libido, before i had regular check ups and coloposcopy. Why did this happen, i am 48 years , i have the mirena iud. i have feeling very bloated, only my abdomen is large i have size 36 waist. why has my waist been increasing so much. [/INST] Hi. Thanks for your query and history .You had undergone Loop Electrosurgical Excision Procedure (LEEP) for Abnormal Cervical Cell Changes. It is possible that you needed a extensive cauterisation and might have temporary nervous problem related to local excision, age related problems of hormonal changes that have caused loss of libido.You can always discuss this in detail with your Gynecologist when you will have the next visit .It is possible that the large abdomen can be due to fat deposition Bloazting can be due to stress and anxiety. If you discussed al these points together , it will help for a proper diagnosis and treatment </s>