Papillomas in Pregnancy

Benign neoplasm on the human skin caused by the human papillomavirus (HPV) is more simply called papilloma (papilloma). There are no rare cases of detection of papilloma in pregnancy. The place of their localization, often, is the face, groin, chest, armpits and neck.

[1], [2], [3], [4], [5], [6]

The papilloma virus and pregnancy

A quarter of the world's population are carriers of HPV, so there is a fairly high percentage of the probability that they will become infected. Passes HPV sexually if the contact was unprotected. You can get this virus not only from a sick HPV, but also from a virus carrier, a person who does not have visual signs of the disease.

Some strains of HPV are known, which can be transmitted not only through sexual contact, but also through everyday contact through touch. With blood, the virus spreads throughout the body, falling into the cells of the epithelium, where it provokes a "program failure", causing the skin cells to rapidly divide, expanding into benign neoplasms.

Therefore, the manifested human papilloma virus during pregnancy is not nonsense. Pregnancy is stress for the body. There is a hormonal adjustment to prepare the woman's body for childbirth. Apparently, this is precisely what is the catalyst for their inception and development, formed on the skin integuments or mucous membranes.

The size of the warts is small - from one to five millimeters. The color range is from bodily to brown color. Neoplasms are found both solitary and "collected" in conglomerates. Slightly calms that these neoplasms are not malignant in nature. Doctors do not know the reasons for provoking this pathology to the end. "Unpleasant" it and in the aesthetic aspect, especially if the place of localization is the face or neck. It is difficult to reconcile the papilloma virus and pregnancy, since the neoplasm can appear regardless of the skin condition. It turns out that pregnancy is the impetus for the growth and development of such tumors.

If, however, the future mother and before the onset of an interesting situation suffered from papillomatosis, then, most likely, their numbers in the gestational period will increase, and they will spread throughout the body. Predominantly the activation of this process occurs in the second and third trimester of bearing the child.

Statistics of long-term observations state that a quarter of the world's population suffers from papillomatosis. Of these, the highest percentage falls on people older than 50 years. To a group of people predisposed to this pathology, we can refer people suffering from diabetes and overweight.

There is an opinion that warts are formed mainly in natural folds (inguinal, podhrudnoy areas), places of frequent friction. For example, in full people there is constant friction in the armpits and groin. Therefore, they have a higher risk of such tumors.

It is assumed that papillomas during pregnancy appear due to a change in the hormonal background, which stimulates the growth of epidermal cells. But the push to pathology, nevertheless, is friction. By the second, third trimester, a woman is gaining weight, fatty folds are formed, which cause friction. As a result, the appearance of papilloma. Often, after delivery, neoplasms dissolve independently.

But women "in position" are more concerned about the impact of pathology on the course of bearing a child. In most cases, HPV does not pose a significant threat to the development of the baby. Although there are known cases of HPV child infection during the period of obstetrics, but this does not represent a great danger. After birth, the body of the child already independently cope with this pathology.

It is worth noting that it is rare, but there are cases when a newborn baby infected with a strain of HPV develops genital, anal or vocal warts (airway papillomatosis). This rare disease is serious enough and is connected, in the majority, with cesarean section. Therefore, the presence in the human body of HPV is not an indication for caesarean section. Such an obstetrician - gynecologist can give a woman, in the case of a wart or wart of a large size (condylomata), a woman who, due to her size, interferes with normal obstetrics. This pathology manifests itself only in women with serious progressive immune deficiency (for example, in the anamnesis - AIDS). The phenomenon is rare, occurring singly.

There is an opinion that in the gestational period warts can recur: increase in volume and number, which creates certain difficulties in childbirth. But medicine can not confirm or deny this fact. The statistics cited in different sources speak of the transfer of CHD from mother to child in 4 to 80% of cases. The inconsistency is obvious. It is most likely that the virus enters the children's body during the passage of the birth canal and contact with the cervix.

After childbirth, most often, such tumors decrease in size or completely disappear.

Why do papillomas appear during pregnancy?

Cases of the appearance of warts during pregnancy are not uncommon, but every time women fall into a stupor, suggesting that now ugly it will remain forever. But most importantly - will it not hurt the future child? Therefore, if papillomas appear during pregnancy, you should not panic, it is better to consult a doctor.

We can say that the experience of pregnant women is groundless. Papilloma is a benign neoplasm that does not affect the course of pregnancy and the development of the baby. It delivers only aesthetic discomfort to its owner. The size of the warts is small and only a small percentage of them reach significant sizes, which, with genital localization, can interfere with natural childbirth, forcing the obstetrician-gynecologist to focus on the caesarean section.

Some discomfort they bring and if located in places of constant friction with clothing. In this case, they can become inflamed, swell and cause pain.

Doctors insist that if warts appear during pregnancy, then, mainly, they will dissolve on their own in the postpartum period. Therefore, there is no catastrophe in this, but to inform the doctor who is watching you is still worth it.

How does papilloma affect pregnancy?

Preparing for motherhood is a serious step for a woman. And if even before conception, a fair sex woman was diagnosed with HPV, it is necessary to undergo a course of treatment by applying for appointments to a specialist. It is desirable, during the treatment period and immediately after its termination, to be protected, not allowing the conception of the child. After all, the treatment course includes powerful antiviral drugs (for example, podophyllotoxin) leading to necrosis of neoplasms. Such drugs are not selective and can adversely affect the emerging and developing new life.

Therefore, how does the papilloma affect pregnancy? Actual. It is a serious restructuring of the woman's body that provokes the appearance of the wart, exacerbating the "sleeping" virus. Small solitary papillomas or their groups do not harm the pregnant woman and do not have a detrimental effect on the development of the fetus. Problems can occur if the neoplasm has significant dimensions and is located on the mucosa of the genitalia of the future mother. Such tumors can significantly complicate the process of obstetrics, provoking heavy bleeding.

During childbirth, a newborn, in contact with the cervix, is able to get HPV through it. In the future, there is a danger of developing a baby's papillomas (condylomas) of the respiratory tract (in the larynx and pharynx). If it is located on the genital mucosa and has dimensions that overlap the vaginal outlet, the obstetrician-gynecologist has to abandon natural births and resort to caesarean section. But such cases are quite rare. Most often births are within normal limits, a healthy baby is born, and warts dissolve over time.

Papillomas on the neck during pregnancy

The localization of this viral manifestation is quite extensive, but there are places especially "beloved". This is the neck, the groin area, the face, the armpits.

Even at the early stages of the gestational period, each woman undergoes a series of examinations for the presence in her body of various viruses, including HPV. After all, at the time of reorganization, the protective forces of the mother's organism are weakened, enabling the pathogenic flora to become more active. If before the conception the woman did not observe any neoplasms or they were insignificant, then during such a period their growth and spread becomes more active. Papillomas on the neck during pregnancy - the most common pathology, which in no way will affect the development and birth of a little man. If small warts were observed in the woman on the face and neck before conception, then this pathology will worsen and expand its localization.

If the future mother knows about the predisposition of her body to HPV, before planning the conception of a child, it is first necessary to undergo a course of treatment for a viral infection, since she though does not have a negative effect on the fetus, but is able to significantly undermine the maternity immunity.

Remove such tumors during pregnancy only as a last resort, on the recommendation of a doctor, at a late gestation period, when the fetus is already fully formed and ready for independent life. If such medical necessity is not present, HPV it is necessary to treat already after sorts or labors. Chances are great that tumors will disappear on their own.

Papilloma of the cervix in pregnancy

If the future mother has strong immunity, even if it is a carrier of the virus, it may not manifest itself. With a weakened body, HPV is activated, and with gynecological or dermatological examination, papilloma of the cervix uteri can be detected during pregnancy. The variants of its manifestation: pointed congelomas, cervical intraepithelial neoplasias (pathology of the cervix, which has a high oncogenic risk) or cervical cancer.

Papillomavirus infection does not have a significant effect on the health of the pregnant and fetus, except for the presence of anogenital warts (genital warts) in a woman. They are dangerous during the period of obstetrics, when the child who is born begins to contact the cervix of the uterus. The probability of uterine bleeding, which is dangerous for the health and life of the mother, is significantly increased, and the possibility of contracting the virus of the baby being born increases. When passing through the birth canal, HPV can enter the respiratory system of the newborn. As a result, warts on the vocal cords and larynx of the baby begin to form. To avoid this result, the woman is assigned a cesarean section.

Throughout the entire period of gestation, the expectant mother should take vitamin complexes, take more out of the open air, rest, thereby strengthening her immune system. After all, HPV, not the first look harmless, can provoke the progression of other diseases, for example, thrush.

Therefore, when identifying the papilloma of the cervix during pregnancy, the woman in childbirth should be under the constant supervision of the doctor.

Papillomas after pregnancy

Many warts that appeared in the gestational period after the birth disappear on their own without requiring additional treatment. But if a medical correction is necessary, the obstetrician-gynecologist will try to do this after the birth of the child. Papillomas after pregnancy are not dangerous. In most cases, they bring more aesthetic discomfort than harm to health. An exception can be called warts, which are located on the genitals and in places where they can rub with clothes.

Constant friction irritates the neoplasm, provoking inflammation, swelling and pain.

Papillomas on the chest during pregnancy

For any woman, the breast is a special pride, and for the future mother - a nutritious arsenal for the child. The appearance of papilloma on the chest during pregnancy is associated with the presence of HPV in the body of a future mother. Such a neoplasm rarely delivers discomfort to her mistress, but this process is pathological and represents a special case of papillomatosis. Warts localized on the skin surface of the breast do not present any danger to the health of women and children, and if necessary, they can be removed after childbirth.

Papillomas on the nipples during pregnancy

Warts on the chest are referred to as intra-cellular neoplasms, since their most frequent localization is the nipple or near the nipple region. It is very important to find warts in this area immediately to consult a specialist. Over time, the nipple appears a clear or bloody discharge. These can be symptoms of malignant cell degeneration. That is why it is necessary to treat such new formations more than seriously.

They are able not only on the epidermis, but also inside the chest. To define them it is possible by palpation - painful nodules of the rounded form. The most frequent place of manifestation is the area of the areola, in large ducts, in the center of the nipple.

It is often enough to detect papillomas on the nipples during pregnancy. This is due to the restructuring of the hormonal background of a woman and the weakening of her immune system. This pathology does not have a significant effect on the development and growth of the fetus, but a woman needs to think about strengthening the defenses of her body.

Do not ignore and consult a doctor, especially if the papilloma when breastfeeding will fall into the mouth of the baby. Neoplasm can be traumatized, which is undesirable for both the mother and the child. In this case, warts can also be removed during the gestational period. If not, then after childbirth there is a high probability that the tumor will leave on its own.

Treatment of papilloma in pregnancy

Quite often during the gestation of the baby on the body of a woman there are single or group warts that deliver psychological, and sometimes physical discomfort. I want to quickly get rid of this scourge. But, although the treatment of papilloma during pregnancy is harmless, there is no need to hurry. There are reasons for this:

• Any treatment - it should be insignificant, but stress for the body of a woman, and, consequently, for her baby.
• After a successful resolution of labor, such tumors often dissolve themselves.
• Removing the tumor surgically is a quick and painless process (carried out under local anesthesia), but still unpleasant.
• During pregnancy, anesthesia is not recommended. Therefore, surgical intervention can only do with the freezing of skin.

It is necessary to know that for today there is no adequate medicine completely curing from HPV. The course of treatment includes therapy, which allows to stop the symptoms of the disease, drown out the infection (the concentration of the virus decreases). The effectiveness of various medications is 50 -70%.

In each individual case, the question of the advisability of treatment is taken by a woman in conjunction with her doctor. Treatment of papilloma during pregnancy should not include laser techniques or cryodestruction (moxibustion with liquid nitrogen). Such intervention can provoke premature birth.

Reduce the effectiveness of treatment:

• Stress.
• Decrease in the general tone of the body.
• Avitaminosis.

Have a positive effect on the treatment process:

• Reception of multivitamins, retinoids (analogues of vitamin A).
• Balanced diet.
• Correctly organized mode of the day.

Retinol. This drug is not prescribed to women in the first trimester of the gestational period, then only in consultation with the doctor. Assign 1 tablet per day. Reception is carried out with food or after meals, but always in the morning. The duration of the course is one to two months. Repeatedly - as prescribed by the doctor.

Methods of treatment:

• Physical:
  • Electrocoagulation. Burnout of a new formation by an electric current (effective, but painful method of removal). The wound from the burn burns for a long time, bringing discomfort.
  • Cryodestruction. Removal of warts with liquid nitrogen. This technique is acceptable in the case of HPV, cutaneous localization, but not suitable for cervical pathology. Therapy is effective for single neoplasms.
  • Laser therapy. The most progressive technology. Does not give any complications. After its carrying out does not remain scars. Full recovery is observed after a week.
• Medicated or chemical. As shown by medical practice, such therapy is rather inefficient.
• Surgical (surgical removal of neoplasm).

But it is worth noting that the fight against such tumors, still worthwhile to lead either to conception, or even after the birth of the child.

Removal of papillomas in pregnancy

Modern medicine is ready to offer several different methods of getting rid of HPV. But the removal of papillomas during pregnancy is carried out individually, if the woman wants and with the consent of her obstetrician - gynecologist.

Removal is best done during the first trimester, when the wart is small.

There are several ways to get rid of a wart:

• Classical surgical excision. The method is good in that it is possible to obtain tissue material that is sent for histological examination. During the operation, there is a possibility of bleeding. Remains scars. There is no guarantee that there will not be a relapse, and neoplasm can be malignant in nature.
• Removal with a radio-knife. Using a special medical knife (using the principle of high energy waves), a piece of tissue suitable for histology is excised. Removal is painless, takes a minimum of time. Relapses are absent.
• Laser removal. The most progressive method of liberation from pathology. Allows you to effectively get rid of both single and group, merged warts, including the cervix. Complications of this technique have not been identified. Subsequently, no colloid scars remain. Removal of such tumors occurs layer by layer, without touching adjacent tissues. The method excludes the provocation of bleeding (the blood simply baked, sealing the vessels). All pathological cells are eliminated qualitatively, which prevents further relapses. In one session, several lesions can be removed.

But one removal is not enough. It is necessary to pay attention to the increase in immunity to the parturient woman, in order to save her from further relapses. The most appropriate is the reception of immunomodulators and immunostimulants before the onset of conception, since their effect on the body during the gestation of the child is not desirable. And in the gestational period it is necessary to pay special attention to the diet and the organization of the regime of the day, where long walks in nature should be a separate item.

If there is no medical need to remove papillomas during pregnancy, it is still better not to do it.

Waiting for the baby is a wonderful period in the life of every woman. But the appearance of papilloma in pregnancy can somewhat overshadow this condition. If you notice an emerging tumor - show it to an obstetrician - a gynecologist. He will advise, answer all questions of interest and, if necessary, take action.

Do not get upset about your appearance - in fact, any woman who is expecting a baby, already from the very beginning - BEAUTY !!!