Loop electrosurgical excision procedure (LEEP) is the primary diagnostic and therapeutic procedure employed in women with high-grade intraepithelial neoplasia of the cervix. The procedure usually performed in the outpatient setting under local anesthesia. However, it could be associated with significant pain and anxiety.

The aim of this study is to examine the effects of listening to music during the procedure in reducing pain and anxiety.

Inclusion Criteria:

• Women with confirmed or suspected high-grade intraepithelial neoplasia of the cervix

Exclusion Criteria:

• Allergy to local anesthetic agent (lidocaine)
• Pregnancy
• Previous major surgical procedures on cervix (conization, LEEP, laser therapy, cryotherapy) or uterus
• Using cardiac pacemaker or history of cardiac arrhythmia
• Neurological disorder affecting perception of pain
• History of lower urinary tract cancer
• Coagulation defects
• History of drug dependence
• Lower genital tract infection
• Apparent invasive cancer of the cervix
• Hearing difficulty