Impact of Genital Warts on Pregnancy: What Expecting Mothers Should Know - Obstetrics and Gynecology

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Will having genital warts (condylomata acuminata) affect the developing baby during pregnancy?


Dr.
Jan De-Chin: Hello, I am a 35-year-old woman.
Ten years ago, I was infected with "genital warts" (at that time, my cervix was also infected).
I have since recovered and have been regularly undergoing Pap smears.
Now, I wish to conceive a baby and have some questions for Dr.
Jan De-Chin.
I would like to know if my past recovery from "genital warts" will affect the baby during pregnancy, and if a recurrence of "genital warts" would also impact the baby.
I am concerned because my cervix was previously infected, and I fear that the virus might affect the baby during pregnancy, which has caused me emotional distress for years as I want to have a child but have been hesitant.
If, unfortunately, I were to infect the baby, what effects could the virus have on the baby? I hope Dr.
Jan De-Chin can provide me with some guidance.
I am very grateful and wish good health to all the staff at the hospitals in Taiwan.

Ben Zhu Fen, 30~39 year old female. Ask Date: 2004/03/07

Dr. Zhan Deqin reply Obstetrics and Gynecology


If the condition has been successfully treated, it will not affect the child.
However, during pregnancy, it is important to monitor for any recurrence.
If there is a relapse, a cesarean section is recommended to prevent transmission to the child.

Reply Date: 2004/03/07

More Info


Genital warts, caused by certain strains of the human papillomavirus (HPV), can raise concerns for expecting mothers, particularly regarding their potential impact on pregnancy and the health of the baby. Here’s what you need to know about genital warts and their implications during pregnancy.

Firstly, it’s important to understand that while genital warts are a sexually transmitted infection, they do not typically pose a direct risk to the fetus during pregnancy. If a woman has a history of genital warts and is currently free of visible lesions, the likelihood of any adverse effects on the baby is minimal. The HPV strains that cause genital warts (such as HPV types 6 and 11) are not the same as those that are associated with cervical cancer (such as HPV types 16 and 18). Therefore, if you have been treated for genital warts and are currently asymptomatic, your risk of complications during pregnancy is low.

However, if genital warts recur during pregnancy, it is essential to manage them appropriately. While the warts themselves do not directly harm the fetus, they can lead to complications during delivery if they are large or numerous. In some cases, extensive genital warts may obstruct the birth canal, necessitating a cesarean section to ensure the safety of both the mother and the baby.
Moreover, there is a rare but serious condition known as recurrent respiratory papillomatosis, where the HPV can be transmitted to the baby during delivery, leading to warts in the throat. This is extremely uncommon, but it is a consideration for mothers with active genital warts at the time of delivery.
For mothers who are concerned about the potential impact of HPV on their pregnancy, regular prenatal care is crucial. This includes routine screenings and discussions with healthcare providers about any concerns regarding HPV and its implications. If you have a history of cervical dysplasia or other HPV-related issues, your healthcare provider may recommend more frequent Pap smears or other monitoring to ensure that any changes are detected early.

In terms of emotional well-being, it is understandable to feel anxious about the implications of past infections on your pregnancy. It may be beneficial to speak with a healthcare professional who specializes in maternal-fetal medicine or a counselor who can help address these fears and provide support throughout your pregnancy journey.

In summary, while genital warts can be a source of concern for expecting mothers, they generally do not pose a significant risk to the baby if managed properly. Maintaining open communication with your healthcare provider, adhering to regular check-ups, and addressing any new symptoms promptly can help ensure a healthy pregnancy. If you have any further questions or concerns, do not hesitate to reach out to your healthcare provider for personalized advice and support.

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