Managing Health Issues: Coping with CIN and Warts While Planning for Parenthood - Dermatology

Share to:

Both my husband and I have genital warts, and I also have issues with my cervix..?


Hello, doctor.
A year ago, I had a Pap smear that revealed CIN III, and I underwent a cone biopsy.
I have been regularly getting Pap smears, and in April of this year, the results still showed abnormal inflammation.
My husband discovered he had warts at the end of last year, and he has been undergoing cryotherapy once a month, with lesions appearing each month.
I also found lesions in April, and after seeing a doctor and having a biopsy, it was confirmed to be warts.
Currently, I am undergoing topical treatment, and I will return for a follow-up in two weeks to see if I need anesthesia for electrosurgery.
Due to these health issues, I have been unable to get vaccinated and have no plans for having children.
I would like to ask the doctor, besides exercising to boost immunity and taking probiotics, what other methods can improve our health and help us recover quickly? We really want to have a child, but we are also concerned about cross-infection.
We are hesitant to engage in sexual intercourse, and we don't even want to use condoms for fear of infection.
We worry that even if we are both free of lesions, if there are still viruses in our bodies, having sexual intercourse could easily lead to infection.
Does this mean that for the next few years of observation, it would not be suitable for us to have children? I am also concerned about my health and fear that even if I manage to get pregnant, it could affect the child.
The psychological stress of wanting a child but facing these challenges, along with the disappointment of receiving bad news after each Pap smear, has been very difficult for me this past year.
Thank you, doctor.

Emma, 20~29 year old female. Ask Date: 2016/05/01

Dr. Li Yufen reply Dermatology


Hello: For an introduction to genital warts (condylomata acuminata), you can refer to the article on the Dermatology Expert Health Network at http://www.drskincare.com.tw/Qa/Detail.aspx?ID=154.
Regarding the appropriate time to conceive, due to a history of cervical CIN stage 3 and genital warts, it may be necessary to continue monitoring and treatment.
Please consult with an obstetrician-gynecologist for further evaluation.
Thank you!

Reply Date: 2016/05/01

More Info


Managing health issues, especially when it comes to conditions like CIN (Cervical Intraepithelial Neoplasia) and warts, can be particularly challenging, especially when you are also considering starting a family. It’s understandable that you feel anxious about your health and the potential implications for your future children. Let’s break down your concerns and explore some strategies for managing your health and planning for parenthood.

Firstly, it’s important to understand that CIN, particularly at stage III, indicates significant changes in cervical cells that could potentially lead to cervical cancer if not treated appropriately. The cone biopsy you underwent is a common treatment aimed at removing these abnormal cells. Regular follow-ups with Pap smears and HPV testing are essential to monitor your cervical health. If your recent tests still show abnormalities, it’s crucial to continue working closely with your healthcare provider to determine the best course of action.

Regarding the warts, also known as genital warts, which are caused by certain strains of the human papillomavirus (HPV), it’s important to treat these effectively. The fact that you and your partner are experiencing recurring lesions suggests that the virus is still active. Treatments like cryotherapy (freezing) and topical medications can help, but it’s also essential to discuss with your healthcare provider about the possibility of more aggressive treatments if the warts do not resolve.

Now, concerning your desire to conceive, it’s understandable to have concerns about the implications of your current health status on pregnancy. Generally, if both partners are being treated for HPV and there are no active lesions, it is often considered safe to conceive. However, it’s crucial to ensure that both you and your partner are free of active infections before trying to conceive to minimize the risk of transmission and complications.

Here are some strategies to improve your overall health and potentially prepare for pregnancy:
1. Boosting Immune Function: A strong immune system can help your body fight off infections, including HPV. Regular exercise, a balanced diet rich in fruits, vegetables, whole grains, and lean proteins, and adequate sleep are all vital for maintaining a healthy immune system. Consider incorporating foods high in antioxidants, such as berries, nuts, and green leafy vegetables.

2. Probiotics: While you mentioned taking probiotics, it’s worth noting that they can help maintain a healthy gut microbiome, which is linked to overall immune health. Foods like yogurt, kefir, sauerkraut, and other fermented foods can be beneficial.

3. Stress Management: Chronic stress can negatively impact your immune system. Techniques such as mindfulness, meditation, yoga, or even simple breathing exercises can help manage stress levels. Engaging in activities that bring you joy and relaxation is also important.

4. Regular Medical Check-ups: Continue with your follow-up appointments for both CIN and warts. Keeping an open line of communication with your healthcare provider about your desire to conceive is essential. They can provide personalized advice based on your health status.

5. Vaccination: Once your health issues are resolved, consider getting the HPV vaccine if you haven’t already. It can protect against the strains of HPV that cause most cervical cancers and genital warts.

6. Avoiding Sexual Activity During Treatment: It’s wise to avoid sexual intercourse until both you and your partner have been treated and cleared of any active lesions. This will help prevent cross-infection and ensure that both of you are in the best possible health before trying to conceive.

7. Counseling and Support: Given the emotional toll that health issues can take, consider seeking support from a counselor or joining a support group. Sharing your experiences and feelings with others who understand can be incredibly beneficial.

In conclusion, while it’s natural to feel anxious about your health and its implications for starting a family, focusing on improving your overall well-being and maintaining open communication with your healthcare providers can help you navigate this challenging period. Remember, many individuals with similar health concerns go on to have healthy pregnancies and children. Take it one step at a time, and prioritize your health and well-being.

Similar Q&A

Concerns About HPV and Future Family Planning: Expert Advice

Hello, doctor. About eight months ago, I had unprotected oral sex with someone, and since then, I have had no warts upon examination during follow-up visits. Additionally, I have undergone DNA testing about three times, all of which were negative. Now, I have a girlfriend with wh...


Dr. Du Shixi reply Urology
Hello: Theoretically, the chance of contracting cauliflower (genital warts) is very low. As for the impact on childbirth, it may be best to consult an obstetrician. Wishing you good health.

[Read More] Concerns About HPV and Future Family Planning: Expert Advice


Managing HPV and Warts During Pregnancy and Postpartum Care

Hello doctor, I discovered I had genital warts when I was four months pregnant. At that time, I underwent electrosurgery to remove them. Now that I have just given birth to my baby, I found that they have recurred during my postpartum recovery. Despite experiencing lochia, I chos...


Dr. Wu Xianghui reply Obstetrics and Gynecology
1. It is recommended to receive three doses of the cervical cancer vaccine, which reduces the recurrence rate to less than 5%. 2. If concerned about transmitting the virus to children, wearing gloves temporarily can be helpful.

[Read More] Managing HPV and Warts During Pregnancy and Postpartum Care


Essential Pre-Pregnancy Considerations for Women with HPV History

Hello Doctor, I would like to ask you another question. I previously had a genital wart infection, which was treated with electrosurgery, but my husband did not get infected and has undergone blood tests at the hospital to confirm that he is fine. We are currently planning to get...


Dr. Chen Xuhui reply Obstetrics and Gynecology
Currently, there are no blood tests available for the diagnosis of human papillomavirus (HPV) types 6 and 11 associated with genital warts. Diagnosis primarily relies on visual inspection or colposcopy. It is recommended that pregnant women undergo colposcopic examinations every ...

[Read More] Essential Pre-Pregnancy Considerations for Women with HPV History


Understanding Circumcision and Its Impact on Fertility and Health

Hello Dr. Liu: My father and I are both your patients and have consulted with you before. I have the following questions I would like to ask you, and I hope you can provide your insights. 1. A few months ago, I came across educational materials regarding women's cervical he...


Dr. Liu Jianting reply Urology
Stop overthinking it; just get a girlfriend first!

[Read More] Understanding Circumcision and Its Impact on Fertility and Health


Related FAQ

Warts

(Dermatology)

Folliculitis

(Dermatology)

Family Medicine

(Dermatology)

Allergy

(Dermatology)

Genital Warts

(Obstetrics and Gynecology)

Foreskin

(Dermatology)

Medical Consultation

(Dermatology)

Pubic Lice

(Dermatology)

Which Specialty To Consult

(Dermatology)

Chickenpox

(Dermatology)