Treatment of human papillomavirus during pregnancy. Pregnancy and papillomavirus infection. How papillomas affect pregnancy

During the period of bearing a child, a woman needs to especially closely monitor her health. In her hands is not only the state of her own body, but also the fate, and sometimes the life of the future baby. One of the threats is . If in the normal state, although it is capable of leading to serious consequences in the form of cancer, then during pregnancy the disease is especially dangerous, because it affects the health of the fetus. What types of HPV are especially dangerous for the unborn child and his mother, is it possible to get pregnant in the presence of this disease, and are there ways to cope with the disease, protecting yourself and your baby?

We will immediately reassure the reader - in most cases, the papillomavirus does not affect the development of the fetus and does not endanger his life, as well as the life of his mother. The main difficulty lies in the fact that at the time of birth and the passage of the fetus through the birth canal, the virus is highly likely to be transmitted to the baby. The subtlety lies in the fact that any types of papillomovirus are almost asymptomatic, so it is quite difficult to detect it before pregnancy or during gestation, this requires difficult and very expensive tests.

At the same time, the presence of HPV in a woman’s body does not in any way affect the likelihood of conception, as well as the successful bearing of a child. There is a popular belief that the chance of conceiving a baby is significantly reduced if the girl is a carrier of the infection. As a result, people do not protect themselves, unplanned pregnancies are obtained. This is where the main problems begin - measures should still be taken, because the transmission of the virus to the baby is undesirable. So it is allowed to have sex, you can get pregnant, but it’s worth limiting yourself a little in intimate life.

Sometimes HPV "reprograms" a woman's immunity. Because of this, conception becomes difficult. The mother's immune cells attack the sperm cells of her partner. As a result, the likelihood of pregnancy is significantly reduced.

How does HPV affect pregnancy?

With the exception of a few types, papillomavirus does not directly affect the baby. But this disease undermines the body's defenses of the expectant mother. As a result, the immune system weakens, there is a risk of contracting other infectious diseases. Frequent colds begin, even pneumonia is possible. These diseases, in turn, pose a serious threat to the health, and sometimes the lives of both.

Particular attention should be paid to situations where we are talking about such strains as:

These types of HPVs are oncogenic, they are especially active in rearranging the DNA of the cells of their carrier, and also change the characteristics of immunity. These viruses spread very quickly. Sometimes they completely “cover” with warts and warts the entire mucous surface of the vagina and cervix in just 4-5 hours. In the future, this will lead to problems about the time of childbirth.

But do not forget about the oncogenicity of microorganisms. Since the body of a woman during pregnancy and without HPV is very vulnerable due to a decrease in the ability of the immune system to resist disease, strain 16 is very likely to develop into:

  • cervical dysplasia;
  • cancerous tumor.

That's not all - the types of HPV considered are especially contagious, they are transmitted not only sexually. This leads to the fact that at the time of birth, the baby becomes infected with almost one hundred percent probability.

Complicating the situation is that even if the disease has been identified, a full-fledged treatment will still not work. The use of antibiotics before the 28th week of pregnancy is prohibited - they can affect the development of the unborn baby. Yes and more later dates only immunomodulators, vitamin complexes (limited) and interferons are allowed. The only thing that can be done without any special consequences is to mechanically remove overgrown condylomas and papillomas. In this case, a simple surgical intervention will not work here, you need to apply:

  • laser technique;
  • cryodestruction (exposure to extremely low temperatures on the affected areas).

It does not matter when exactly the mother was infected - before pregnancy or during, for example, during an active sexual life after the conception of a child or as a result of skin damage and infection entering the body.

Symptoms

The symptoms of papillomavirus are very sluggish, and this does not depend on whether there is a pregnancy or not. Obvious signs of the disease appear only in 10% of cases, the rest of the patients may not even suspect that a dangerous disease is progressing in their bodies. However, some symptoms may still be observed:

  • discharge from the vagina (less often than in the case of the disease in the normal state of the body);
  • the spread of genital warts and warts throughout the body, especially in the genital area and anus;
  • pain in the lower abdomen, extending to the lower back;
  • burning and pain when urinating (this is due to urine getting on condylomas);
  • discomfort during intercourse.

Also, sometimes there are signs of intoxication of the body. Women experience hyperthermia (high body temperature), weakness, drowsiness, nausea, and frequent dizziness. At the same time, sometimes the lady becomes irritable, which is not typical for the usual course of HPV of any type.

What to do with HPV during pregnancy?

In fact, the human body's own immunity is able to cope with the papilloma virus on its own. But this is possible only when the body is strong and does not suffer from other diseases. During pregnancy, the immune system is vulnerable, it cannot give a full rebuff to the virus. So it is impossible to let the disease take its course, it is necessary to be treated.

The main thing that should be done is to undergo a full examination. To do this, collect biomaterial (scrapings of the vagina, smears of the cervix) and send for analysis:

  • bacterial culture (it is accurate, but it is quite expensive, and it takes a lot of time - about three weeks);
  • digest test.

It is pointless to take a general blood test. At best, it will simply show the presence of an infection in the body. At the same time, it will not be possible to establish its DNA type and variety, as well as to determine the sensitivity of a microorganism to certain antibiotics; this requires a more detailed examination.

Please note that during pregnancy you need to constantly monitor the condition of the body.

When it comes to treatment, it's not that simple. They resort to drug therapy very rarely, since a significant risk is created for the baby - the normal course of fetal development may be disrupted. Most doctors agree that the use of any measures is justified only if there are obvious changes in the cervix. To control this situation, a woman should regularly undergo colposcopy - a visual examination of the affected organ. Another thing is the removal of genital warts. The methods used were described above, but this is an important matter, because the fewer neoplasms, the lower the risk of developing cancer.

Since HPV of any type depresses the immune system, you need to take care of strengthening the body's defenses. Suitable for this:

  • taking immunomodulators;
  • the use of vitamins, preferably in complexes;
  • adding vegetables and fruits to the diet (they will not be superfluous in any case).

The main thing is not to let the disease take its course. If you undergo a therapeutic course and be regularly observed by a specialist, then the risk of unpleasant complications for both the mother and her baby is minimized.

If in the rest of the situation the fight against HPV folk remedies permissible, albeit with a big stretch, during pregnancy this cannot be done.

Consequences of HPV during pregnancy

For the mother of the future baby, everything is simple, the complications are the same as in all other cases of infection:

  • cervical cancer;
  • visual impairment;
  • decreased sexual desire;
  • infertility.

For a child, everything can end fatally even before the birth. The fact is that cells of mutated maternal immunity can attack not only sperm at conception, but also the fetus, which has already begun to develop. As a result, a miscarriage will follow, and with a high probability of developing infertility in the mother in the future. If this did not happen, then if the baby is infected, the disease will develop in his body according to the standard scenario that is typical for all other patients.

For girls, HPV is more dangerous than for boys. The risk of developing cancer in the female body is significantly higher.

How to plan pregnancy with HPV?

If this infection was detected in the body even before conception, it is not worth immediately refusing to give birth to a baby. If you follow the rules described above, then the risks for mother and child will be minimal. However, before fertilization should undergo a thorough examination. Its main goal is not so much to identify the virus as to determine its type. For example, if it turns out to be non-oncogenic, then there are no special risks, you can give birth.

But if 16, 18 or 31 HPV strains are detected, you should be additionally examined and listen to the doctor's advice. Be that as it may, but most doctors do not prevent the birth of children by an infected mother. With the right therapeutic tactics, there is practically no danger, the child will be born healthy and will certainly delight parents with their success in the future.

You can also watch a video where a specialist briefly explains how to prepare for pregnancy with HPV.

Papillomas are small benign growths on the outer layers of the skin. They are classified as HPV, the human papillomavirus. Usually their appearance is associated with a weakening immune system, hormonal changes. It is these changes and shifts that occur in pregnant women.

Human papillomavirus in pregnant women

Small growths can not immediately be replaced and classified as HPV. They are often confused with moles. In pregnant women, neoplasms appear closer to the middle of pregnancy. They can be localized in several places at once, single, or in one place, but several at once.

Usually papillomas pop up on the neck, chest, mammary glands, genitals, hands or face. If a woman has had papillomas before, then during pregnancy they can increase in size or spread to new places. This happens due to hormonal changes.

Protecting yourself from the human papillomavirus is extremely difficult. Its carriers are the fourth part of all inhabitants of the planet. You can become infected through contact with the mucous membrane of a person who is a carrier. The genital form of HPV is transmitted sexually. A pregnant woman is more likely to pass the virus on to her baby during childbirth.

Causes of the virus and its impact on pregnancy

If a woman had never encountered HPV before, and the virus was detected during pregnancy, this could happen due to the following factors:

  1. Hormonal reorganization. At this time, the production of hormones that enhance the production of the epithelium increases significantly.
  2. Damage to the skin by clothing. Casual clothes for pregnant women is not just a tribute to fashion and beauty, but also the ability to reduce the risk of neoplasms. Often women neglect this by continuing to wear their clothes, which, due to the weight gained, may already be tight. There is friction of the skin on clothes and it is in these places that rashes appear. Usually they go away on their own after giving birth or changing clothes to looser ones.
  3. Decreased immunity. During pregnancy, chronic diseases are often exacerbated due to weak immunity. It is he who can provoke the "awakening" of the papillomavirus, which could be present in the woman's body, but was not active.

No doctor can name the exact causes of HPV in pregnant women. There is no exact scientific evidence yet. But the above three factors increase the risk of neoplasms in women in position.

How does the virus affect pregnancy

The usual human papillomavirus does not have any negative effect on the course of pregnancy. What can not be said about papillomas that are localized in intimate places, on the genitals, especially if they have big sizes. Papillomas located on the genital mucosa during childbirth can be damaged and cause severe discomfort to a woman. They can also infect a newborn during contact with the cervix. Subsequently, the child may develop a disease such as condyloma of the mouth and respiratory tract. These are the same growths, but inside, not outside. This disease is rather an exception and is extremely rare.

Usually, HPV in the mother does not affect the child in any way. And the virus is not always transmitted. In addition, in the woman herself, sometimes papillomas disappear after delivery.

Treatment and removal during pregnancy

Treatment of papillomas during or before pregnancy does not give a 100% result. The disappearance of the strain in the test results is observed in 70% of cases. In this case, the virus usually returns within two to three months.

The decision on the advisability of treating the expectant mother from papillomas is made by the observing doctor. If a pregnant woman begins to be treated, you need to remember what factors can prevent a good result:

  • avitaminosis;
  • hypothermia;
  • stress;
  • overwork.

Positive dynamics in treatment is provided by additional intakes of vitamins A and C and beta-carotene.

It is impossible to cure HPV forever, but it is possible to stop the activity of the virus. This is done by taking medication. After a course of treatment, papillomas stop spreading on the woman's body. Many doctors do not recommend trying to cure HPV during pregnancy, as hanging papillomas may disappear on their own after childbirth.

Removal of papillomas

If it was not possible to get rid of papillomas with the help of medicines or the growths have reached such a size that surgery is needed, a pregnant woman may be prescribed their removal.

How papillomas are removed:

  1. With the help of surgery. This operation is done under local anesthesia, after which the cut material is transferred to the laboratory for histological examination. After the operation, scars may remain, which can later be removed with the help of plastic surgery. The disadvantage of this method of removing papillomas during pregnancy, as there is a risk of opening bleeding. Therefore, expectant mothers are rarely prescribed this method, only in exceptional cases.
  2. With the help of a radio knife. This is a new method of excision of papillomas. They are removed by radio waves and also sent for histology. One of the advantages of the radio knife is that after excision in the future, it is in this place that the papilloma will never appear.
  3. With a laser. One of the most common methods of getting rid of growths. Also, group clusters of papillomas are removed with a laser. There can be no bleeding after the procedure, as the blood is baked during the removal process. Laser removal can be both on the outer integument and on the mucous membranes, including the cervix.
  4. With the help of cryodestruction. The method in which papilloma is covered with liquid nitrogen is one of the safest. At the site of manipulation, papilloma tissues simply die off. This method is suitable for small neoplasms localized on the outer skin.

Removal of papillomas during pregnancy is undesirable. Some methods can cause bleeding, which can affect the gestation process. If the doctor decides to remove the neoplasm, this is done in the first trimester.

After removing the papilloma by any of the methods, a pregnant woman needs to carefully consider her immunity. The risk of a new spread of the virus is high.

HPV prevention

If a couple has planned a pregnancy, you need to undergo an examination and find out if the man or woman has the papilloma virus. If a woman does not have it, you need to be careful not to get infected. Refuse tight clothing that will create friction, strengthen your immunity.

If a woman's mother had papillomas during pregnancy, then it may be hereditary and she herself will also have them during pregnancy. If this happens, you should not immediately take all measures to eliminate them. Most likely, they will disappear soon after delivery.

In pregnancy, a serious restructuring of the hormonal background occurs. If neoplasms were noticed, this is an occasion to consult a doctor and consult about further actions. In most cases, papillomas are not dangerous and their treatment can be postponed to the postpartum period. If they cause discomfort, hurt and become inflamed, you don’t need to endure it, it’s better to fix it right away.

Papillomavirus infection during pregnancy is a disease that can lead to the development of a precancerous condition in the expectant mother and child.

Today you will learn what papillomavirus infection is, its effect on conception, fetus and pregnant women. Let's talk about the causes of its occurrence, methods of treatment and prevention.

What is papillomavirus infection

Human papillomavirus is a common infectious disease. In one case, it does not negative impact for pregnant women and babies. And in another - it is a serious pathology.

To date, about a hundred types of human papillomavirus infection are known.

Distinguish between oncogenic and non-oncogenic viruses of the urogenital zone. The danger is papillomas that provoke the development of cancer:

  • Low-risk HPV (low oncogenicity) - these include subtypes: 6, 11, 42, 43, 44;
  • the average risk to oncogenic risk includes types: 31, 33, 35;
  • high risk of oncogenicity is the most dangerous, and unfortunately
    one of the most common variations: 16 and 18 are especially dangerous during pregnancy, as well as 39, 45, 51, 52, 56, 58, 59, 68.

Subtypes not listed refer to non-oncogenic types of papillomas.

The virus is a representative of papoviruses and contains deoxyribonucleic acid, which can be modified by a number of factors.

Virogenic properties can manifest themselves both on the skin and mucous membranes, and inside the body. The affected area includes the external genitalia (labia, pubis, vaginal entrance and cavity).

At the site of manifestation of HPV, changes occur in the structure of the tissue, which is manifested by the eye as an educated wart or papilloma.

If the virus is oncogenic (regardless of type), then neoplastic changes in the skin are cancerous. Benign or malignant - depends on the established accessory.

The development of papillomas occurs against the background of reduced immunity, which is a normal condition during pregnancy.

The body of the pregnant woman and the fetus are at risk of developing genital warts and papillomas, causing not only physical discomfort, but also the likelihood of developing precancerous conditions.

The route of transmission of infection is mainly sexual - virus particles located on the mucous membranes of the genital organs pass from partner to partner, but the disease may not appear immediately.

Another way of transmission is contact-household. A vertical mechanism of infection transmission (from mother to child) is also possible.

Impact on the body of the pregnant woman and the fetus

Effect on conception

The detected onco-carrying human papillomavirus is a relative (temporary) contraindication to pregnancy planning.

It is able to infect trophoblastic cells, causing their mutation. In turn, mutated cells provoke spontaneous miscarriage on early dates pregnancy.

Trophoblasts contribute to the rejection of a newly attached egg into the uterine mucosa.

After identifying the cause and eliminating warts, it is possible to re-plan pregnancy.

The impact of HPV on the fetus

In utero, the baby is protected from the negative effects of the virus.

The threat is represented by papillomas and condylomas of the established type 16, located in close proximity to the uterine cavity: the cervix, vagina.

The child, when passing through the birth canal, "catches" the virus, which is localized in the bronchi of the baby.

In other locations, a negative effect on the fetus does not develop.

To prevent undesirable consequences, women with HPV are recommended C-section.

Impact on the pregnant

Local mucosal dysplasia caused by papilloma infection is the basis for the development of precancerous conditions.

According to research, the “causative agent” of cervical cancer is oncogenic HPV.

In addition to neoplasms of various origins, warts cause a feeling of discomfort; when rubbed, blood vessels burst, causing bleeding.

Often they change the structure of the mucous membranes of the birth canal.

Therapeutic measures to eliminate growths are carried out in the process of bearing a child, as well as in the postpartum period, and in the process of pregnancy planning.

The reasons

Papilloma infection can be in a latent period for a long time, without manifesting itself in any way.

About 90% of people are carriers of HPV, but the following causes precede the manifestation of the disease:

  • Decreased immunity during the gestational period;
  • Chronic immune diseases;
  • Sharp forms chronic diseases;
  • Hormonal changes that cause changes in the structure of skin tissues;
  • Endocrine pathologies, including hereditary, for example, insulin-dependent diabetes;
  • Damage to the places of formation of warts, moles, birthmarks;
  • Extreme weight gain, also overweight.

All causes of the development of the disease are directly or indirectly associated with a decrease in protective function organism.

Diagnostics

It is possible to determine the presence of neoplasms on examination by a gynecologist, when referring to a venereologist.
Symptoms:

  • Thickening of the skin;
  • The appearance of formations resembling cauliflower;
  • With localization in the genital cavity: discomfort, purple scanty discharge.

The main diagnostic measures for detecting papilloma infection include:

  1. vaginal mucosa.
  2. - the main diagnostic manipulation that allows you to determine the presence of the virus and its type.
  3. Histological examination - the resulting biopsy (a split piece of papilloma tissue) is subjected to research to identify the structure of the tissue and determine (if any) the staging of the oncological process.

The purpose of diagnostics is to identify HPV and determine its affiliation. The established type allows for the necessary treatment.

Treatment

The main treatment is the removal of existing papillomas and warts. Removal methods:

  1. Laser "burning".
  2. (freezing).
  3. Electrocoagulation.

During pregnancy, the removal of neoplasms can adversely affect labor, so the procedure is postponed until the postpartum period.

To reduce the negative effects on the fetus and mother are prescribed medications:

  1. Antiviral ointments and gels (Viferon, Acyclovir).
  2. Homeopathic remedies that do not affect the fetus, such as Anaferon.
  3. Immunostimulating agents in the form of suppositories (interferon-containing suppositories).

Therapeutic procedures begin no earlier than 28 weeks of gestation.

The human papillomavirus in the absence of external manifestations does not need treatment.
The following factors affect the quality of the treatment provided:

  • STI history;
  • Frequent change sexual partners;
  • Age over 35 years;
  • Early sexual life.

Complications

Possible Complications"untreated" papillomas:

  • Oncological malignant processes. Late detected HPV, if left untreated, can result in the death of the patient;
  • Secondary infection of sites of formation of growths;
  • (not always).

Prevention

It is extremely difficult to prevent the disease, because the virus is present in the body in a latent state.

As a prophylaxis, immunostimulating drugs (homeotherapy) are used, the diet of the pregnant woman and vitamin therapy are observed.

There is no vaccine against HPV.

There is a vaccine "against cervical cancer", which must be given to girls under 14 years old, but it is in the process of development and improvement.

Video: papillomavirus infection during pregnancy

The human papillomavirus causes benign neoplasms on the skin and mucous membranes. Almost every person is a carrier of this infection. It can stay in the body for a long time and not manifest itself in any way. The activation of the virus occurs when the immune system is weakened. HPV and pregnancy are closely linked. The pathogen awakens not only due to a decrease in protective forces, but also as a result of a high concentration of sex hormones in the body of a woman in position.

Why papillomas appear during pregnancy

When asked why warts (papillomas) appear during pregnancy, there is no single answer. To date, it has not been scientifically identified why growths form on the body, on the neck, labia, in the vagina, in the navel, in the organs of the urethra, etc. In medical practice, it is customary to distinguish the following causes of papilloma during pregnancy:

  • Hormonal changes in the body. Papillomavirus (HPV) infection in this case occurs due to the active production of hormones, which enhances the growth of epithelial cells.
  • Injury to the skin as a result of friction with clothing. Growths may appear due to the fact that future mom quickly gaining body weight. Clothes become small. Most often, a growth appears under the armpits, in the chest and groin area. Papillomavirus begins to grow, this causes discomfort during gestation. As a rule, growths appear in the II and III trimester. Papillomas after pregnancy usually go away on their own.
  • Weakening of the immune system and exacerbation of chronic diseases (including HPV). Therefore, if during pregnancy papillomas appeared in intimate and other places, this is not surprising.

If a woman has a lot of moles and papillomas, she is worried, are they dangerous? The appearance of growths during pregnancy usually does not pose a threat. Only discomfort. Therefore, HPV and childbirth are two compatible concepts. However, if the mother is infected, the pathology can pass to the child. The virus is dangerous for the baby. Therefore, treatment, if papilloma occurs, is necessary during pregnancy without fail.

If a lot of small papillomas appear after childbirth, this is also quite common. The reason for their occurrence is that the body is under stress after pregnancy and the birth of a child. Reviews of women who have gone through this say that the resulting growths will pass on their own after some time.

If papillomas come out after pregnancy and their growth continues for a long time, you need the help of a specialist. He must determine the strain of the virus. If HPV 16, 18, 58 or HPV type 45 is detected, it is life-threatening. Such strains of infection are oncogenic and can degenerate into cancer.

The appearance of growths during pregnancy is usually not a threat.

When papillomas grow, they are easily injured. As a result of this, infection can occur in the wound or blood poisoning. Therefore, if the growth has increased, you need to see a doctor to avoid serious consequences.

Is it possible to get pregnant with HPV

When a woman is diagnosed with the virus, she may begin to worry, is it possible to get pregnant with HPV infection? Papillomas on the mucous membranes and on the skin during infection are not an obstacle to conception. You can get pregnant with HPV safely, but the complications that the virus causes can harm the female reproductive function.

To avoid this, if there are papillomas in intimate places and in other areas in women with a weakened immune system, you need to undergo a mandatory diagnosis. The examination is carried out by a gynecologist, endocrinologist, oncologist. As it became clear, the answer to the question of whether it is possible to conceive children with the virus is positive. However, it is necessary to know what detrimental effect the virus has on the mother during the period of gestation in case of complications.

Complications of papilloma on the neck and elsewhere during pregnancy affect female body in the following way:

  • As a result of pathological changes in the structure of the skin, precancerous conditions, the initial stages of oncological diseases, may occur. In the initial stages of cervical cancer development, it is still possible to cure it. Therefore, women of childbearing age need to be regularly diagnosed for HPV when planning pregnancy and during the period of gestation.
  • Many strains of the virus are not dangerous for a woman. However, condyloma on the genitals and on the cervix has an adverse effect on the nature of the discharge. Most patients are sure that such changes cannot lead to anything serious, but this is not so. It is cervical mucus that helps sperm enter the uterus and conceive a child naturally.
  • If changes in HPV secretions do occur, they can be seriously harmful. Spermatozoa do not penetrate into the uterine cavity at all. Violations in the cervical fluid create an optimal habitat for pathogenic microorganisms. This leads to the fact that pregnancy may not occur. In this way, HPV negatively affects the conception of a child. Therefore, the birth of a baby into the world must be planned and accidental proximity should be avoided.

If a pregnant woman has been diagnosed with an active form of the pathogen, then the child may become infected upon birth or, in rare cases, during fetal development. The question immediately arises, is it possible to give birth with active HPV?


Childbirth with an inactive form of the virus cannot harm the baby

Childbirth with an inactive form of the virus cannot harm the baby. In this case, infection will not occur. The danger is represented by genital warts in the genitals, which are very difficult to detect. The child becomes infected while passing through the birth canal. Not all types of HPV can cause a baby to become infected. Only childbirth with active papillomas of 6, 11, 16, 18 strains poses a threat.

Thus, it turns out natural childbirth with HPV can only occur with a "sleeping" pathogen. In other cases, a caesarean section is performed. Those who gave birth with HPV need to undergo a course of therapeutic measures after pregnancy. How long it will last depends on individual characteristics patients, type of infection, neglect of pathology.

Consequences for the fetus and newborn

Papillomavirus and pregnancy are quite compatible if the growths are not formed on the cervix and not in the vagina. In this case, there is no danger to the fetus. The risk of infection of the embryo is minimal when neoplasms are observed on the surface of the genitals. The negative impact of HPV on pregnancy, the child is only when the woman has condylomas on the cervix and in the vagina.

The consequences for the child can be serious. He may develop papillomatosis of the larynx. This is a pathological condition in which growths form on the vocal cords, trachea, and throat mucosa. Complications of the disease can lead to hoarseness, impaired respiratory function. The pathology is chronic. Its exacerbation can lead to the spread of infection in the bronchi, cause the development of asphyxia.

Infection of a newborn can also occur through medical instruments, hands. And also, it takes place in the first days of life when feeding, touching infected people. The risk of infection in infants increases with microdamages on the skin and mucous membranes.

Do not despair, although HPV negatively affects the fetus, infection by the vertical route (from the mother) is quite rare. Besides, there is a large number of effective drugs that can suppress the pathogen. It is possible to give birth to a healthy child with HPV if therapy is started on time.


It is possible to give birth to a healthy child with HPV if therapy is started on time

Pregnancy with HPV types 16 and 18

Pregnancy with HPV types 16 and 18 can lead to infection of the fetus. Such strains are dangerous because they are often asymptomatic. Pointed papillomas that occur with HPV types 16 and 18 in women are difficult to detect, which means that treatment will not be provided in a timely manner. In addition, they are HPV of high oncogenic risk.

HPV types 16 and 18 during pregnancy do not affect the laying and development of the organs of the unborn child. But a pathogenic microorganism can pass to the baby through the birth canal when it is born. From the moment of birth, the child will be a carrier of the virus. At the slightest weakening of the immune system, pathogens are activated and begin to develop. The infection is more likely to outgrow the cancer. Therefore, women with HPV types 16 and 18 are recommended to have a caesarean section.

Diagnostics

Papilloma in the bladder and other organs in women is diagnosed as follows:

  • visual examination by a specialist and colposcopy;
  • laboratory tests;
  • cytological examination;
  • histological examination;

The most popular method for detecting papillomas, genital warts during pregnancy is polymerase chain reaction (PCR). It allows you to determine the oncogenicity of the pathogen and its type.

Treatment

A woman in a position, if she has an infection, often does not know what to do and how to get rid of the neoplasm. Treatment of HPV (papillomavirus infection) during pregnancy is often not required. As a rule, after childbirth, the growths go away on their own. It is not necessary to treat them specifically.

However, this does not always happen. Neoplasms can grow rapidly and cause severe discomfort. In this case, treatment of papillomas, warts during pregnancy is necessary. This will help prevent infection of the child.

Papillomas of the bladder and other organs should initially be examined and only after that treatment should be started.

Papillomas of the bladder and other organs should initially be examined and only after that treatment should be started. Only in this case, effective therapy will be prescribed. How to treat a disease in pregnant women is determined by a highly qualified specialist. Elimination of the infection that caused the formation of growths is usually carried out conservative methods (drugs that are acceptable for women in position). In some cases, it may be necessary to remove a neoplasm in the bladder, cervix, or vagina.

Is it possible to remove papilloma during pregnancy

Is it possible to remove papilloma, wart during pregnancy? Women in position are often interested in this question. Removal of papillomas of various strains during pregnancy is usually not performed by a specialist. However, there are situations when they simply need to be removed surgically (in case of a threat to the health, life of the child and mother).

Removal of growths during pregnancy can be carried out by different methods:

Removal of growths during pregnancy can be carried out by different methods.
  • laser;
  • growths can be cauterized with electric discharges (electrocoagulation);
  • neoplasms are removed with liquid nitrogen;
  • in a surgical way.

Thus, the answer to the question of whether papillomas can be removed during pregnancy is positive. But this can be done only in emergency cases.

Treatment and removal after childbirth

As mentioned earlier, treatment of papillomas after childbirth is usually not required. They go by themselves. If papillomas on the neck, face and in other places, after the birth of the child, cause discomfort, you need to consult a specialist for HPV therapy. Self-medication can lead to serious consequences.

To treat the infection, the doctor usually uses conservative therapy. Appointed antiviral drugs and immunomodulators to strengthen the body's defenses. Medications are selected based on the individual characteristics of the patient (whether breastfeeding, tolerability of the composition, etc.), the type of pathogen and its location.

If the pathology has an oncogenic risk or is located in places that are easily injured, papillomas and condylomas are removed after childbirth. The methods of surgical intervention are prescribed the same as during pregnancy. However, they have contraindications. Only a doctor can prescribe them.

Prevention

To avoid pathogen activation during pregnancy, you need to carefully monitor your health and follow these recommendations:

  • avoid hypothermia, overheating, drafts;
  • timely treat concomitant diseases;
  • avoid stressful situations, excessive experiences;
  • eat right and take vitamins and mineral complexes;
  • visit more often fresh air and do moderate exercise.

If you are among the small number of people who are not infected with the virus, choose your sexual partner carefully to reduce your risk of infection. During sex, you need to protect yourself. You can not use other people's things and personal hygiene products.

Video

HPV during pregnancy.

There are so many different diseases in the world that you can not know about all at once. This can also be said about the human papillomavirus, which women first hear about during pregnancy from their own gynecologist.

Few people are familiar with the disease through other sources, but there are such people too. Let's start the story with common features papillomavirus and finish with patient reviews of the disease. Everything you need to know about the human papillomavirus!

HPV during pregnancy

Often women become carriers of the disease, but do not suspect it. During HPV pregnancy is activated as the woman's hormonal background undergoes changes. The virus has hundreds of strains, of which only 130 have been studied, and each of them makes its own adjustments to the host.

Getting into the human body, papillomavirus penetrates into the deepest layers of the epithelium. It is unrealistic to guess that the infection is inside. The infected cells then invade healthy DNA cells and start randomly producing their own cells—in other words, mutating.

Lack of proper treatment can cause cervical cancer, making pregnancy impossible. And how did the virus itself enter the body of the unfortunate woman? This happens in the following ways:

  • through the bed- sexual intercourse with an unverified partner is the most common way of infection with papillomavirus with a high degree of oncogenicity;
  • through objects home use - common comb, washcloth, razor, etc.;
  • the child may become infected if genital warts or anogenital warts have formed in the birth canal.

Causes of HPV activation

In order for HPV signs to appear on the surface of the skin or mucous membranes in the form of genital warts, papillomas or warts, it is not enough to introduce the virus into the body alone. Provoking factors such as:

  • Availability bad habits- alcoholism, smoking, taking psychotropic drugs;
  • frequent injury to the mucous membranes or skin;
  • colds or chronic diseases;
  • harmful working conditions - more often associated with industrial production;
  • hormonal disruptions - pregnancy itself can serve as a reason for the appearance of growths;
  • increased sweating - the virus flows more easily in a humid environment;
  • excess body fat;
  • sedentary pastime as a way of life.


Symptoms

Since papillomavirus does not appear externally for years, its presence in the body can only be judged by the state of immunity. The sequence of the course of the disease can be as follows:

  1. UNDER modified epithelial cells begin to grow in a certain area of ​​\u200b\u200bthe mucous membrane or skin - in the cervical region, on the neck, face, etc .;
  2. In a short period of time, cells multiply randomly and occupy a large area, which affects the appearance of papillomas already. ON THE body surface or mucosa;
  3. A person may notice the growth of papillomas, warts or genital warts. Why "may notice"? Because papillomas can appear in the larynx or inside the genital organs, where only the attending physician can see their appearance.

Features of the course of HPV in pregnant women

The body experiences a hormonal failure and the entire infection begins to crawl out, and the existing warts are capable of:

  • increase in size;
  • change color;
  • multiply and infect nearby areas.

In 50% of cases, the growths go away on their own, but if the papillomas have not disappeared by the time of breastfeeding, then you should consult a specialist.

How do different types of HPV affect pregnancy?


Effect on conception

If neoplasms are located on the body or mucous membrane of a woman, then you must first cure them, then think about pregnancy. If this is not done, then you can earn cervical cancer much faster than the desired pregnancy. According to their structure, condylomas are a kind of focus of infection that can serve as a development:

  • thrush;
  • venereal diseases.

Risk of HPV to the fetus

The direct danger of the human papillomavirus to the fetus has not been scientifically established. But it is important to remember that with a decrease in immune defense, sexually transmitted diseases can worsen or appear. In this case, there is a risk of complications for the baby being born. Even a simple thrush is able to penetrate the fetus.

Doctors do not treat papillomavirus as an incurable or extremely dangerous disease. Yes, there are risks, but they are everywhere. Considering that 9 out of 10 people on the planet are infected with papillomavirus, it is extremely difficult for a woman to remain healthy for 20-30 years.

Presence of HPV symptoms in female body is not a reason for a caesarean section.

How to plan pregnancy with HPV?

Before the conception process, you should take a smear for cytology and wait for the results. If the indicators are normal, then you can decisively proceed with the planned conception. But if changes in the cervix followed, then it is advisable to undergo treatment.

There is no scientific evidence that the virus is responsible for the presence of defects in born children, but given all the accumulated knowledge about the disease, it can be assumed that the virus may mutate, which can affect the fetus. Treatment of papillomavirus should be completed before pregnancy, and it is recommended to start conception in the next menstrual cycle.

HPV during pregnancy - what to do

If the human papillomavirus was detected only during pregnancy, then the treatment procedure is not always provided. Taking medication against the virus is a huge risk to the fetus. If the doctor claims that it is necessary to carry out the removal of growths or treatment, then you will have to obey.

You should start the procedures after 28 weeks. At this time, the fetus will be completely formed, and the risk of the harmful effects of drugs will be minimized.

Diagnosis of HPV during pregnancy

Often prescribed for 2 tests. This is done to eliminate errors in the methods being carried out. They are different:

  1. General blood analysis- uninformative method, but used in exceptional cases;
  2. PCR diagnostics- the most reliable method known, detects the types of HPV and their number in the body;
  3. Digene test– one of the types of screening;
  4. pap test- will help those who have not yet acquired body growths and just want to check their health;
  5. Genotyping- more suitable if there are suspicions of HPV types 16 and 18, which cause oncological diseases, like cervical cancer;

Can HPV treatment be started during pregnancy?

It is believed that during pregnancy it is highly undesirable for a woman to undergo treatment, since the likelihood of risk to the fetus exceeds the likelihood of a result.

But if there are changes in the cervix, you will have to resort to therapy - first you need to take a smear for cytology, conduct a colposcopy, then the doctor will prescribe safe method treatment.

To get rid of external signs, pregnant women often resort to zinc paste - it does not harm the fetus and eliminates skin growths. Treatment with zinc paste can take several months, but if mommy decided to get rid of the hated papillomas, then she has no other choice.

How to get pregnant with HPV

Start planning your pregnancy with a trip to the gynecologist. He will tell you the best way to treat genital warts, even if you are already pregnant. Also, the gynecologist will prescribe drugs that can activate immune defenses and not harm the fetus.

These actions will help the body recover faster and prepare for the birth of the baby. There is an opinion that the human papillomavirus lowers the chances of getting pregnant. This statement is not entirely true, since conception for the most part depends on the body's immune defenses.

Eat healthy food, observe the regime of sleep, rest, work, be in the fresh air more often - simple manipulations are enough to strengthen natural protection your body and soon conceive a child.


HPV and pregnancy - reviews

Nicole 26.04.2017

I just didn't get treated. HPV in almost all people and all give birth. I have not heard that the disease is curable.

Julia 21.08.2018

Three types of HPV were found in me at once and all oncogenic ones - 33 and 16 - the doctor said about this when I found out about my pregnancy. Previously, the analyzes were always clean, I didn’t have papillomas, but my husband had one thing on his neck. The daughter was born with a small papilloma that looks like a drop, the doctors still say that it is not necessary to touch it, then it will disappear on its own or it will be possible to remove it in the clinic. But I'm afraid that she herself may inadvertently injure her.

Anna 09/06/2017

I have HPV types and 18 and 16 types. Half of the pregnancy has already passed - I told the doctor about this, but no one plans to treat the virus.

Elizabeth 10.06.2018

I have HPV 16 and 18. They said that they are extremely dangerous and affect the development of cervical cancer. I recently gave birth, my child will soon be a year old - healthy, normal baby. It didn't affect my pain in any way.