Briefly about papillomas
Human papillomavirus (HPV) is a neoplasm that appears on the surface of the skin. As a rule, these neoplasms are small, flesh-colored or slightly darker, brown. Yes, they look not very attractive, not aesthetically pleasing, when placed on the face or neck. But you do not need to get upset, because these "uninvited guests" are not malignant.
In most cases, papillomas in pregnancy are formed on the face, neck (often on the sides), on the chest between or under the breasts, under the armpits and groin.
Although there is no exact data on the causes of papillomas in expectant mothers, they arise regardless of the condition of their skin before pregnancy. That is, they appear in women simply because of pregnancy. If the papillomas on the body of a woman were before the advent of an interesting situation, then, most likely, their number will increase, and they will be located throughout the body. In a word, the area of ??their spread along the body during the period of bearing of the baby will expand. And this happens, as a rule, in the second and third trimesters of pregnancy.
According to medical statistics, papillomas are formed in the fourth part of all mankind. The same statistics state that the percentage of their appearance is higher in people who are more than 50 years old. At risk and those who are overweight, diabetes. There is an opinion that papillomas are more common in people with constant skin friction, in particular in the underarms and natural folds. Since obese people have friction in the groin zone, armpits - daily phenomena, then the chances of occurrence in these places papillomas are also higher.
During pregnancy, the appearance or growth of papillomas is associated with hormonal changes. Ostensibly, an increase in the level of hormones affects the growth of cells in the epidermis. But the provoking factor, as in ordinary people, is precisely the friction of the skin. That is why these neoplasms more often appear in the second, third trimesters of pregnancy. At this time, the future mothers are already gaining weight, wrinkles appear on the body, friction and, as a consequence, - papillomas.
How papillomas affect pregnancy
So, when a papilla occurs, a woman first of all asks herself how they influence the course of pregnancy? What is fraught with this for the fetus? Is there a possible other danger? There are similar views on this matter. Human papillomavirus to a small extent affects the course of pregnancy and the health of the baby's future. If a woman has papillomas in the form of genital warts, then their growth can accelerate, and the discharge from the vagina will increase. More abundant discharge is the creation of a virus by itself to a favorable moist environment. It is also possible hormonal changes or failures in the immune system.
But in most cases, in pregnant women, HPV, that is, warts, do not pose a particular threat to her and the fetus.
In rare cases, HPV can be transmitted to the child during childbirth. However, it's not scary. If the baby had contact with the virus, his body cope on his own, without symptoms and without any consequences.
In rare cases, when a child is infected with a strain of HPV that causes genital warts, he may have warts on his vocal cords in his earliest childhood, possibly in other places. This is a rare phenomenon called papillomatosis of the respiratory tract. It should be noted that this form of HPV is quite serious, but extremely rare. Recently, with the infection of HPV in childbirth, the development in infants of papillomatosis of the larynx, bronchi and warts in the genital area, the anus is associated. And although this is a very rare phenomenon, it is connected with the cases of the birth of children by the method of Caesarean section. That is why the presence of HPV in a future mother is not an indication for cesarean section. Such a testimony can only serve as the presence on the genitals of a woman of a very large condyloma (wart), obstructing labor in a natural way. Such condylomas can occur only in women with pronounced immunodeficiency, for example, with AIDS. Again, this is a very rare phenomenon and in practice occurs in isolated cases.
It is believed that during pregnancy, warts often recur, increase and sometimes cause problems during childbirth.
Medical statistics show that the frequency of transmission of HPV to a future child from his mother is from 4 to 80%. There are no exact data on the ways of transmission of the virus. Most likely, that the virus penetrates into the children's organism by contact through the cervix, the membranes, the mother's birth canal. Most often after birth, HPV detected during gestation are not detected. Clinical symptoms in the form of sprouting warts disappear or decrease significantly. This suggests that childbirth is in most cases a mechanism of spontaneous self-healing from HPV.
Removing papillomas during pregnancy
Many pregnant women who have papillomas for the first time in their life during pregnancy begin to worry about this. But this is completely superfluous. After all, the future mother is under the control of a doctor who will explain, explain the causes and consequences of their education. In most cases, you should not worry. If the warts are small, do not hang, not inflamed from touching clothes and friction, then most likely, no new sensations a woman will not experience. In this case, the attending physician may recommend waiting until the birth of the child. If after this the papillomas themselves do not disappear, they will not decrease in size, then it will be possible to decide on methods of getting rid of tumors.
Otherwise (if the warts really interfere, large in size), they can be easily removed. The dermatologist will cope with this quickly. The procedure for cutting the leg of the hanging papilloma usually occurs without anesthesia and does not take much time. An alternative form of getting rid of papilloma is its freezing.
Treatment with papillomas during pregnancy
Pregnant women should know, that in our time there are no methods of complete cure for HPV. The effectiveness of existing methods of drug treatment is 50-70%. In a quarter of cases, after a couple of months, the disease again manifests itself. That is, after healing warts in one place they appear in another.
Therefore, the question of the advisability of treating papillomas of future mothers is purely individual. And if the doctor together with the patient decides to start treatment for papillomas, then factors that reduce the effectiveness of treatment should be considered. This is hypothermia and stress, fatigue and vitamin deficiency. It should also be taken into account the positive effect on the course of taking retinoids, i.e., beta-carotene and vitamin A, vitamin C. In today's time, there are several ways to treat genital warts (hanging warts). Most often, destructive methods are used, that is, local treatment. They are divided into physical methods, chemical and surgical (removal of genital warts).
You should know that at different times there were methods of treating HPV that have been improved. Currently, work is under way to test a vaccine against HPV of high oncogenic risk.
As for prevention, pregnant women should know: the use of condoms does not protect against HPV infection. This method of barrier contraception does not affect genital warts.
Future mothers can be advised to avoid the appearance of warts not gain weight, avoid strong friction of the skin in places where it comes into contact with clothing. This means that you should not wear tight underwear, Clinging things, rubbing the inguinal folds.
But even these methods will not be able to save you 100% from the appearance of such uninvited guests, like pointed papillomas. By the way, the heredity factor also plays an important role in their appearance. Ask your mother if she had a papilloma during pregnancy. Perhaps they also disappeared after the birth, as you will disappear. But in any case, even if you have small papillomas or the old ones start to increase, your doctor should know about it to monitor the situation.