Can You Get the HPV Vaccine Before and After Endometriosis Surgery? - Obstetrics and Gynecology

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Is it possible to administer the cervical cancer vaccine before and after surgery for endometriosis? And some related questions?


Hello Doctor, I received the Gardasil cervical cancer vaccine in mid-July, and afterwards, I went for an examination due to menstrual pain.
An abdominal ultrasound revealed a suspected chocolate cyst measuring 6 cm on one side and 4 cm on the other, along with adenomyosis.
I am scheduled for surgery soon, and I am very worried about a series of issues (the doctor hasn't explained much).
Therefore, I would like to ask:
1.
I am due for my second dose in a month, which may coincide with the timing of my surgery.
Is it safe to receive the vaccine around that time?
2.
I have read online that recurrence is common.
I am 28 years old and not married yet, planning to marry in about two years.
I am concerned about how this might affect my fertility and marriage.
3.
Are there really no preventive measures to stop recurrence? The only things I can think of are diet, exercise, and lifestyle changes.
Are there any specific foods I should avoid?
4.
My mother believes that propolis has antibacterial properties and insists that I take it, but I am concerned that it contains estrogen and may not be safe.
Is it advisable to take propolis?
I apologize for the many questions, and I appreciate your help.
Thank you! (If there are any duplicate questions, I apologize, as I wasn't sure if my mobile submission was successful and tried again on my computer.)

cc, 20~29 year old female. Ask Date: 2016/07/31

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, the Gardasil cervical cancer vaccine is unrelated to surgery, and chocolate cysts are not related to diet; they are primarily associated with individual constitution.
Wishing you good health.

Reply Date: 2016/07/31

More Info


Endometriosis is a complex condition that can significantly impact a woman's reproductive health and overall well-being. Your concerns about the HPV vaccine in relation to your upcoming surgery for endometriosis, as well as your worries about fertility and recurrence, are valid and deserve careful consideration.

1. HPV Vaccine Timing: It is generally safe to receive the HPV vaccine before or after surgery, including endometriosis surgery. However, it is advisable to consult with your healthcare provider regarding the timing of your vaccine doses in relation to your surgery. If your surgery is scheduled for a month from now, you may want to discuss the possibility of receiving the second dose either before the surgery or shortly after, depending on your recovery and your doctor's recommendations. The HPV vaccine is designed to help protect against certain strains of the human papillomavirus that can lead to cervical cancer, and it is important to complete the vaccination series for optimal protection.

2. Concerns About Fertility: Endometriosis can affect fertility, but many women with the condition can conceive. The presence of chocolate cysts (endometriomas) and adenomyosis can complicate matters, but surgical intervention may improve your chances of conception. It is important to have open discussions with your healthcare provider about your fertility concerns, especially since you are planning to marry in the near future. They can provide guidance on fertility preservation options if necessary and help you understand the potential impact of endometriosis on your reproductive health.

3. Preventing Recurrence: Unfortunately, there is no guaranteed way to prevent the recurrence of endometriosis after surgery. However, maintaining a healthy lifestyle can be beneficial. Regular exercise, a balanced diet rich in anti-inflammatory foods, and stress management techniques can help improve your overall health and may reduce the risk of recurrence. While there are no specific foods that are universally recommended to avoid, some women find that reducing red meat and increasing fruits, vegetables, and omega-3 fatty acids can be helpful. It is best to discuss dietary changes with a healthcare professional or a nutritionist who specializes in women's health.

4. Propolis and Hormonal Concerns: Propolis is a natural substance produced by bees and is often touted for its antimicrobial properties. However, there is limited scientific evidence regarding its effects on endometriosis or its estrogenic properties. If you have concerns about the potential hormonal effects of propolis, it is wise to consult with your healthcare provider before incorporating it into your regimen, especially given your endometriosis diagnosis.

In summary, while it is generally safe to receive the HPV vaccine around the time of your endometriosis surgery, it is crucial to coordinate with your healthcare provider. Addressing your fertility concerns and understanding the potential for recurrence are also important steps in managing your health. Maintaining a healthy lifestyle and being cautious with supplements like propolis can further support your well-being. Remember, open communication with your healthcare team is key to navigating these challenges effectively.

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