Can You Have Children After HPV? Risks and Vaccination - Urology

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Cauliflower inquiry?


I would like to ask the doctor: 1.
If someone has had genital warts, can they still have children? Will the child be infected with HPV? I know it is not HIV, but even after treatment, the virus remains in the body, right? 2.
After treatment, the doctor recommended that I get vaccinated, but what effect will the vaccine have if I have already been infected? Will it only boost my immunity? He mentioned that it can reduce the severity of the infection by 90%, but isn't that only effective if administered before infection?

Niming, 20~29 year old female. Ask Date: 2016/02/17

Dr. Xu Weikai reply Urology


Hello, healing is possible.
For genital warts, if there have been no outbreaks for over three months, it can be considered healed.
Vaccination can help prevent future infections.
If there are any unclear points, feel free to ask again for further discussion and research.
Responses on the internet should only be used as a reference; it is still necessary to seek medical care at healthcare facilities.
This message is from Dr.
Hsu Wei-kai, Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare, who cares about your well-being.

Reply Date: 2016/02/17

More Info


Human Papillomavirus (HPV) is a common sexually transmitted infection that can lead to various health issues, including genital warts and certain types of cancer, such as cervical cancer. Understanding the implications of HPV infection, particularly regarding fertility and vaccination, is crucial for individuals who have been diagnosed with the virus.

1. Can You Have Children After HPV?
Yes, individuals who have had HPV, including those who have experienced genital warts (often referred to as "cauliflower" due to their appearance), can still have children. HPV does not directly affect fertility. However, it is essential to consider the type of HPV infection and any associated health issues. For instance, if a woman has developed cervical dysplasia (abnormal cell changes in the cervix) due to HPV, it may require treatment that could affect her reproductive health. Nonetheless, with appropriate medical care and monitoring, many women with a history of HPV can conceive and have healthy pregnancies.

As for the concern about vertical transmission (passing the virus to the child during childbirth), it is important to note that while HPV can be present in the genital area, the risk of transmitting HPV to the baby during delivery is generally low. However, there have been rare cases of respiratory papillomatosis, where the virus causes warts in the throat of the newborn, but this is uncommon. Most children born to mothers with HPV do not develop any health issues related to the virus.

2. Impact of Vaccination After Infection
Regarding vaccination, it is true that the HPV vaccine is most effective when administered before an individual becomes sexually active or before they are exposed to the virus. The vaccine can protect against the most common and high-risk types of HPV, including types 16 and 18, which are associated with cervical cancer, as well as types 6 and 11, which cause genital warts.

If you have already been infected with HPV, receiving the vaccine can still be beneficial. While it won't treat existing infections or diseases caused by HPV, it can help protect against other HPV types that you may not have been exposed to yet. The vaccine can also boost your immune response, potentially reducing the risk of future complications related to HPV. Some studies suggest that vaccination after infection may lower the risk of recurrence of HPV-related conditions, although the primary goal of the vaccine is prevention.

In summary, having had HPV does not preclude you from having children, and the risk of transmitting the virus to your child is low. Vaccination after an HPV infection can still provide benefits by protecting against other strains of the virus and enhancing your immune response. It is always advisable to discuss your specific situation with your healthcare provider, who can offer personalized guidance based on your health history and current condition. Regular screenings and follow-up care are essential for managing HPV and maintaining reproductive health.

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