Causes of condylomas
Condylomatosis is an infectious disease caused by the human papillomavirus (HPV). Infection can occur through sexual contact and household contact (through household items: bed, towel). According to WHO, approximately 70-75% of adults are infected with at least one type of HPV. However, in women, this virus can remain in the body for years and not make itself known. And only during pregnancy, when the immune system is weakened, does it begin to show clinical manifestations. This virus causes the appearance of not only condylomas, but also papillomas. The latter are not so dangerous and require only observation.
However, even the presence of HPV in the body does not mean that condylomas should definitely appear during pregnancy. Their occurrence is influenced by the presence of concomitant diseases, hormonal levels, nutrition, daily routine, stress and much more. Therefore, it is so important to plan your pregnancy in advance, and after pregnancy, lead a healthy lifestyle and undergo all the necessary examinations from a antenatal clinic doctor.
Effect of the virus on the child and mother
It is known that many diseases are associated with transmission of infection from mother to child during pregnancy and childbirth. These are serious illnesses that can adversely affect the respiratory system.
The most dangerous is laryngeal papillomatosis. In children aged 2 to 5 years, growing papillomas reduce the lumen of the larynx, thereby making it difficult for oxygen to enter the lungs.
Asphyxia of the child from a detached balancing papilloma, as well as infection of the trachea and bronchi, is possible. Even taking this into account, the presence of condylomas in the anus or genital area is not the main symptom for a cesarean section. The operation cannot be performed just to prevent transmission of infection to the baby.
Doctors' opinions on the most effective methods of treating warts and papillomas
The chief physician of Moscow City Hospital No. 62 describes his vision on this matter. Anatoly Nakhimovich Makhson Medical practice: more than 40 years.
“I have been treating people’s papillomas and warts for many years. I’m telling you as a doctor, papillomas along with HPV and warts can really lead to serious consequences if they are not dealt with.
The human papillomavirus is present in everyone on whose body there are papillomas, moles, warts and other pigmented formations. According to rough estimates, 80-85% of the planet's population has it. By themselves they are not dangerous. The problem is that an ordinary papilloma can become melanoma at any time.
These are incurable malignant tumors that kill a person in just a few months and from which there is no salvation.
Unfortunately, in Russia and the CIS countries, pharmaceutical corporations sell expensive medications that only relieve symptoms, thereby hooking people on one drug or another. That is why in these countries there is such a high percentage of cancer diseases and so many people suffer from “non-working” drugs.
The only drug that I want to recommend, and it is also officially recommended by WHO for the treatment of papillomas and warts, is Papinol. This drug is the only remedy that has an effect not only on external factors (that is, it removes papillomas), but also acts on the virus itself. At the moment, the manufacturer has managed not only to create a highly effective product, but also to make it accessible to everyone. In addition, within the framework of the federal program, every resident of the Russian Federation and the CIS can receive it for 149 rubles.”
To find out more, read this article.
How to behave if condylomas occur during pregnancy
You need to stop panicking and study the information as much as possible. If consulting a doctor seems insufficient, then you can find information on forums for pregnant women, because usually condylomas are a fairly common problem during this period.
You can also read reviews and comments about treatment methods and chat with women who also find themselves in this situation. Below are some of them.
Review of the treatment of condylomas during pregnancy with solcoderm, vifiron, acyclovir and oxolinic ointment: “I developed genital warts at 22 weeks of pregnancy, went to the hospital, took a PCR test, which detected HPV type 6. At week 31, cauterization was done with Solcoderm and prescribed to take Acyclovir 200 mg 2 times a day, Viferon suppositories 500,000 IU 2 times a day, and Viferon cream, also 2 times a day. I also put Genferon suppositories at night (dose -1 million) and applied oxolinic ointment 2 times a day. After that, I went for a consultation with a doctor, who said that the condylomas had decreased and now there was no risk for the child. Therefore, I will give birth naturally"
Feedback on laser cauterization and the complex use of antiviral drugs in the 3rd trimester: “When I registered with the antenatal clinic, they took tests for infections and found type 18 HPV. The doctor said that if there are no manifestations, then nothing needs to be done. At week 19, I noticed a small condyloma on the labia and immediately went to the hospital. They said that there was no need to treat yet and it would be better to do it after pregnancy. Before the birth, several more condylomas appeared, but the doctor allowed a natural birth. And only a year after giving birth I decided to have it removed with a laser. The procedure is painless, I just applied Epigen-gel 3 times a day for another 2 weeks and put on Polygynax suppositories at night. Now I’m completely free of condylomas and I’m planning a second pregnancy.”
But advice from the Internet should only be support, not a guide to action. First of all, the tactics of pregnancy management and treatment of condylomas are chosen by the attending physician. Only after assessing the general condition, laboratory parameters and other factors, the doctor will be able to choose an adequate treatment method.
Important! Remember that during pregnancy, especially in the first trimester, self-medication and therapy with folk remedies are strictly contraindicated. During this period, all organs and systems of the fetus develop, so any illiterate intervention can lead to the development of intrauterine pathology, as well as developmental defects.
Prognosis and possible complications
The prognosis depends on many factors: the age of the pregnant woman, the course of pregnancy and the presence of concomitant pathologies and infections, the type of human papillomavirus that was detected in her, the size of the formations and the rate of their progression, the individual characteristics of the immune system and the body as a whole. In 95% of cases the prognosis is favorable. Most often, small tumors do not require drug treatment during pregnancy and do not cause any discomfort to the woman. They are also relatively safe for children.
However, if condylomas quickly progress and increase in size or are initially large in size, located in the vagina or on the cervix, then you should be wary and take all necessary treatment measures in the 3rd trimester. If this is not done, the process of natural childbirth may become impossible (due to the size of genital warts). The risk of complications such as bleeding, rupture, fetal infection, laryngeal papillomatosis, and cervical cancer cannot be excluded.
In order to exclude all possible complications and choose the most appropriate treatment tactics, if a woman notices the appearance of tumors, she must immediately contact a medical institution. Timely diagnosis and therapy is the key to successful childbirth and normal pregnancy.
be careful
The presence of papillomas, warts, condylomas, moles and spines on the body is the first sign of malignant melanoma!
We hasten to warn you that most medications “treat” warts, papillomas, moles, etc. - this is a complete deception of marketers who make hundreds of percentage points on drugs whose effectiveness is zero. They do not cure the disease, but only mask the symptoms.
The pharmacy mafia makes huge money by deceiving sick people.
But what to do? How to treat if there is deception everywhere? Doctor of Medical Sciences Anatoly Makhson conducted his own investigation and found a way out of this situation. In this article, the Doctor also told how to 100% protect yourself from melanoma, for only 149 rubles! Read the article in the official source via the link.
Risk factors
According to statistics, one third of the number of people who are carriers of HPV are unaware of its presence in the body. You can catch the disease through scratches and wounds even in childhood, attending clubs and kindergartens. Factors in the development of the disease are a whole group of viruses.
Provoking causes of the development of condylomas:
- frequent change of sexual partners;
- early onset of sexual activity, when constant disruptions of the immune system occur in the not yet formed body;
- dysbacteriosis in the vagina and changes in the microflora of other organs;
- the presence of infections such as herpes, gonorrhea and chlamydia;
- lack of barrier contraception.
Lack of vitamins and stressful situations also play a huge role, which entail an additional risk of infection and lead to a decrease in immunity.
Manifestations of condylomatosis in pregnant women
This disease usually does not manifest itself with any symptoms, other than the appearance of specific formations - condylomas. They look like growths or warts on the labia, which can merge or increase in size.
Typical locations of condylomas:
- On the labia minora (in the area of the frenulum, clitoris);
- At the entrance to the vagina or inside it;
- On the cervix;
- In the area of the anus, perineum;
- On the skin around the genitals.
In most cases, small condylomas are observed, which do not affect either the course of pregnancy or the unborn child. However, if you have this problem, you need to tell your doctor. Only under the supervision of a doctor can the risk of intrauterine infection of the fetus with HPV be eliminated.
What is the danger of condylomas?
With rapid progression, condylomas can begin to bleed, and if they are located on the cervix, they can become not only an obstacle during childbirth, but also the main source of infection of the child with the human papillomavirus. It is also important that such growths lead to a decrease in the elasticity of the vaginal walls, so women with condylomatosis have an increased risk of ruptures during childbirth.
Since the risk of transmitting the virus to a child is high, sometimes children under five years of age may develop a disease such as laryngeal condyloma. The condition is not dangerous, but requires medical supervision. Indeed, with uncontrolled growth of the formation, it can block the lumen of the larynx and cause difficulty breathing.
HPV is also associated with the risk of developing cervical cancer in the future. But if you regularly visit a gynecologist, you can exclude such a terrible complication. The good news is that having HPV in a pregnant woman does not lead to miscarriages or premature birth.
There is also an opinion that women who have condylomas should give birth only by caesarean section. However, it is not. In this case, the risks for the mother (bleeding, ruptures) and the child (infection during passage through the birth canal) are weighed. And only then a decision is made. In most cases, if the course of condylomatosis is not complicated by another pathology, then there is no indication for a cesarean section and the woman may well give birth naturally.
Symptoms and diagnostic methods
During pregnancy, genital warts most often occur. Symptoms of these neoplasms are:
- Burning or itching in the genital area.
- Increased burning sensation when urinating.
- Suspected foreign body in the vagina.
With large-scale growth of neoplasms, a discharge with a strong unpleasant odor appears. If the integrity of condylomas is disrupted, irritation and redness occur, which can cause bleeding. During pregnancy, only the attending physician can decide whether to treat or wait until birth.
Removal of condylomas during pregnancy
After a pregnant woman is diagnosed, the doctor monitors the development of condylomas, controls their size, and decides whether they can be removed at this time. In 95% of cases of the disease, treatment is not carried out during pregnancy, especially if they are located on the mucous membrane of the labia or on the surrounding skin. As a rule, small growths go away on their own after childbirth. If the warts are on the cervix or on the walls of the vagina, their size is large enough and can interfere with the birth process, then the question of their removal before the birth of the child is raised.
However, it is not possible to remove condylomas at any time. It is not recommended to do this before the third trimester, because... After this manipulation, the patient is prescribed strong antiviral drugs that prevent the recurrence of condylomatosis. Until 28-30 weeks, vital organs are formed, so the use of such aggressive drugs during this period is not recommended. So, if there is a question about removing condylomas during pregnancy, then this procedure should be carried out no earlier than in the third trimester.
Localization of rashes
Pointed neoplasms in pregnant women are usually observed:
- on the labia majora and minora;
- inside the urethra;
- on the mucous membrane of the vagina and cervix;
- in the anal area.
Usually the location of the growths is ring-shaped. Condylomas have a color close to the shade of the skin or mucous membrane on which they are located. For this reason, small tumors often go unnoticed.
Condylomas during pregnancy: treatment and prevention
Treatment of condylomas in pregnant women is a complex undertaking that requires the time and effort of a doctor; it includes surgical removal and subsequent antiviral therapy. Using these methods separately from each other does not make sense, because there is a high risk that condylomas will progress again. The main surgical methods for removing condylomas include the following:
- Freezing formations using liquid nitrogen;
- The use of acid solutions (Solcoderm, Solkovagin);
- Electrosurgery;
- Laser removal.
The drugs that doctors tend to use for the treatment of condylomas during pregnancy are drugs from the trichloroacetic and dichloroacetic acid series. Their use is allowed after 30 weeks, but only under the close supervision of a doctor.
Note! Drugs such as Podophyllin and Imiquimod, as well as their analogues, should never be used during pregnancy. They are teratogenic, meaning they can cause developmental defects.
Prevention of condylomas includes avoidance of promiscuous sex life, proper nutrition, strengthening the immune system, early pregnancy planning and preventive gynecological examinations. For specific prevention, it is recommended to use vaccines against the human papillomavirus. However, this should only be done before infection, because after that they are no longer effective.
In any case, condylomas are not an obstacle to the normal course of pregnancy and natural childbirth. You just need to carefully monitor your health and listen to the recommendations of your gynecologist.
We invite you to watch a video about condylomas in pregnant women:
Prevention of condylomatosis
Preventive actions, as with any other disease, are very simple. It is necessary to avoid stress, eat right, control the state of the immune system, give up promiscuous sex, and lead an active and healthy lifestyle that completely excludes bad habits.
A woman needs to visit a gynecologist at least 2 times a year. If you follow this rule, you can identify various diseases in a timely manner.
No matter how far along the pregnancy a woman is, if symptoms of condylomatosis are detected, it is necessary to consult a specialist for diagnosis and treatment. If the disease is detected at an early stage, it increases the chances of a quick recovery and also reduces the chances of the child becoming infected.
