HPV Infection: Safe Practices and Pregnancy Planning - Obstetrics and Gynecology

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Infection with the HPV virus?


Hello Doctor, I recently tested positive for HPV type 56 and have scheduled a biopsy.
I would like to ask:
1.
Is it safe to engage in sexual intercourse while infected with HPV? If so, besides using condoms, what else should I be aware of? (I completed the nine-valent vaccine a few years ago.)

2.
Since I am planning to have children, I cannot use condoms during intercourse.
Should I wait until the virus is no longer detected before having unprotected sex? How can I prepare for conception while being infected?
3.
Besides getting the HPV vaccine and using condoms, what other preventive measures should my partner take? Should they also undergo viral testing?
4.
Apart from maintaining daily hygiene in the genital area, what other measures can be taken after infection? A friend mentioned taking probiotics, but those are vaginal probiotics; are they effective in reducing the risk of reinfection with HPV?
I apologize for the many questions, but I wanted to ask these first.
Thank you for your response!

J, 20~29 year old female. Ask Date: 2022/01/02

Dr. Wu Xianghui reply Obstetrics and Gynecology


1.
Using condoms is sufficient.
2.
It does not affect normal fertility planning.
After receiving the HPV vaccine, individuals cannot produce antibodies on their own, theoretically remaining carriers of the virus for life.
3.
A single sexual partner is recommended.
Males can also be tested, but the rate of "false negatives" is high, and it does not help in identifying the source of infection, so routine testing is not recommended.
4.
Excessive cleaning of the genital area is not advised, and probiotics have no preventive or therapeutic effect.

Reply Date: 2022/01/02

More Info


Understanding HPV Infection: Safe Practices and Pregnancy Planning
Human Papillomavirus (HPV) is a common sexually transmitted infection that can affect both men and women. While many HPV infections resolve on their own, some types, particularly high-risk strains like HPV 56, can lead to serious health issues, including cervical cancer. Given your situation, it's important to address your concerns regarding sexual activity, pregnancy planning, and preventive measures.

1. Can you engage in normal sexual activity with an HPV infection?
Yes, you can engage in sexual activity if you are infected with HPV, but it is crucial to take precautions. Using condoms is highly recommended as they can significantly reduce the risk of transmitting the virus to your partner. However, it's important to note that condoms do not provide complete protection since HPV can be present on skin not covered by the condom. Additionally, maintaining open communication with your partner about your HPV status is essential for mutual understanding and safety.

2. Planning for pregnancy without using condoms:
If you are planning to conceive, it is advisable to discuss this with your healthcare provider. While HPV does not typically affect fertility, it is wise to ensure that any cervical changes or lesions are monitored and treated if necessary before trying to conceive. If you are considering unprotected intercourse, it is best to wait until you have received a clear follow-up on your HPV status, especially after your biopsy results. Your healthcare provider can guide you on the appropriate timing for trying to conceive based on your health status.

3. Preventive measures for your partner:
Your partner should also consider getting the HPV vaccine if they haven't already. The vaccine is effective in preventing the most common types of HPV that cause genital warts and cervical cancer. While routine HPV testing for men is not standard practice due to the high rate of false negatives, it is still beneficial for your partner to be aware of their sexual health and to have regular check-ups. Open communication about sexual health and practices is vital for both partners.

4. Post-infection care and hygiene:
Maintaining good hygiene is important, but over-cleaning the genital area can disrupt the natural flora and lead to other infections. It is advisable to use mild, unscented soaps and to avoid douching. Regarding probiotics, while they can support overall gut health, there is limited evidence to suggest that vaginal probiotics can prevent HPV infection or recurrence. However, maintaining a healthy lifestyle, including a balanced diet and regular exercise, can support your immune system, which plays a crucial role in managing HPV.

In conclusion, while living with HPV can be concerning, many individuals lead healthy lives and successfully manage the virus. Regular follow-ups with your healthcare provider, maintaining safe sexual practices, and planning for pregnancy with medical guidance can help you navigate your situation effectively. Always prioritize open communication with your partner and seek professional advice tailored to your specific health needs.

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