Concerns About Birth Control Pills and HPV Testing: What You Need to Know - Obstetrics and Gynecology

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Emergency contraceptive pill issues?


Hello doctor, my girlfriend took birth control pills prescribed by an obstetrician for about 2 to 3 months around three years ago and has not taken them since.
Will this affect her chances of getting pregnant when we decide to get married and have children in the future?
Additionally, I noticed that the area just inside her vaginal opening feels like there are multiple raised areas with an uneven texture.
She has described it as always being this way and does not experience any discomfort.
Is this normal? Should I be concerned that it could be genital warts? Is it necessary for her to get tested for HPV?
Furthermore, since we kiss frequently, should I also get tested for HPV (including oral)? Am I being overly cautious? Thank you, doctor, for clarifying these concerns!

Xiao Q, 30~39 year old female. Ask Date: 2019/04/20

Dr. Huang Jianzhong reply Obstetrics and Gynecology


Your girlfriend took birth control pills prescribed by an obstetrician for about 2 to 3 months three years ago and has not taken them since.
Will this affect her chances of getting pregnant in the future when we decide to have children? Answer: It will not affect her chances of getting pregnant.
Another question: The area just inside her vagina (the small section right at the vaginal opening) feels like there are multiple raised areas and has an uneven texture.
She reports that it has always been like this and there is no discomfort.
Is this normal? Should I be concerned about genital warts? Answer: This is normal, and there is no need to worry about genital warts.
Is it necessary for her to specifically get tested for HPV? Answer: There is no need for her to specifically get tested for HPV.
Additionally, since we often kiss, should I also get tested for HPV (including oral)? Answer: There is no need for you to get tested for HPV.

Reply Date: 2019/04/20

More Info


When it comes to concerns about birth control pills and HPV testing, there are several important aspects to consider. First, regarding the use of birth control pills, it is essential to understand that taking hormonal contraceptives for a few months, as your girlfriend did three years ago, typically does not have a long-term impact on fertility. Most women who have used birth control pills can conceive shortly after discontinuing them. The body usually returns to its normal ovulatory cycle within a few months after stopping the pill. Therefore, if your girlfriend is healthy and has no underlying reproductive issues, her previous use of birth control pills should not significantly affect her chances of getting pregnant in the future.

Now, regarding the physical examination of your girlfriend's vaginal area, it is common for women to have variations in the texture and appearance of their genitalia. The presence of small bumps or irregularities at the vaginal opening can be normal anatomical features, such as the labia or the hymen remnants, and may not necessarily indicate a health issue. However, if there are concerns about the possibility of genital warts (caused by low-risk HPV types), it is advisable for her to consult a healthcare provider for a thorough examination. A healthcare professional can provide a proper diagnosis and recommend any necessary tests, including HPV testing if warranted.

As for your concern about HPV, it is important to note that HPV is primarily transmitted through skin-to-skin contact during sexual activity. While kissing does not typically transmit HPV, it is still wise to be aware of your sexual health. If you or your girlfriend have had multiple sexual partners or if there are any visible signs of warts or lesions, it may be beneficial for both of you to get tested for HPV. Regular screenings and open communication with healthcare providers can help manage any potential risks associated with HPV.

In summary, your girlfriend's past use of birth control pills is unlikely to affect her future fertility. The irregularities you feel may be normal, but if there are any concerns, a visit to a healthcare provider is recommended. Lastly, while HPV is primarily a concern with sexual contact, being proactive about sexual health through testing and regular check-ups is always a good practice. Regular Pap smears and HPV testing are essential for women, especially those with a history of HPV or abnormal Pap results, to monitor cervical health and prevent complications.

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