Written by: Aunt Weng | Editor-in-charge: Ke Xin | Image: Huang Zai
Hello everyone, I am Aunt Weng, welcome to this issue of "Berry has the answer".
With people's understanding of health knowledge, more and more women are beginning to pay attention to HPV-related issues, knowing that it is closely related to women's health.
But most of the sisters who have no medical background or systematic learning of relevant knowledge still have a lot of confusion about it. Even deeply disturbed by it, it only increased a lot of anxiety.
In this issue, we have included 5 HPV-related questions and answered them one by one, hoping that through today's content, we can help more friends with similar troubles.
In this issue you will see:
After the first dose of the nine-valent vaccine, genital warts are found, what should I do?
Can anti-HPV bioprotein dressings treat HPV infections?
If you don't wear a condom in the same room, can you take the pill? Can I still pay nine prices on the same day?
Can I find hpv positive and be pregnant with a child?
Does menstrual /short-acting contraceptive pills have an effect on the HPV vaccine?
The HPV nine-valent vaccine covers subtypes 6, 11, 16 and 18, 31, 33, 45, 52 and 58.
Among them, only 6 and 11 are low-risk subtypes, and the infection of low-risk subtypes is closely related to genital warts; the other 7 subtypes are high-risk subtypes, and infection of high-risk subtypes is a risk factor for cervical cancer, of which subtypes 16 and 18 are the most important.
About 70% of cervical cancers worldwide are caused by HPV16 and 18, and 20% are caused by HPV31, 33, 45, 52 and 58.
Genital warts suggest infection with low-risk subtypes of HPV, and vaccination has no preventive effect on infected subtypes, but it can still be covered for uninfected subtypes, playing a preventive role in vaccines.
Therefore, the vaccine mentioned in the question still has a positive effect on the prevention of cervical cancer and precancerous lesions.
Genital warts are a disease caused by human papilloma virus with hypertrophic lesions of the skin and mucosa, high recurrence is its characteristic, the principle of treatment is to remove the warts and infected tissues, and the treatment of warts disappears for more than 6 months before it can be diagnosed as cured.
The normal vaccination process for HPV nine-valent vaccine is completed within half a year, and the U.S. Advisory Committee on Immunization Practices believes that during the vaccination process, it can be interrupted for some reasons, no matter how long it has been interrupted, and it is possible to continue the vaccination without having to restart the series.
Therefore, it is recommended that the girls in the text actively cooperate with the treatment of genital warts, if it is really because of the treatment of the disease, the normal vaccination time can not be injected, you can wait until the disease is controlled before continuing to vaccinate.
HPV infection, like the vast majority of viruses, currently has no effective anti-virus drugs.
In 2015, the US Centers for Disease Control and Prevention issued guidelines for the diagnosis and treatment of sexually transmitted diseases, in which for genital warts caused by low-risk subtype infections, drug treatment such as imiquimod and foot chlorophytoxin can be considered, and warts can be removed with liquid nitrogen freezing, lasers, surgery and other methods.
For high-risk HPV infection, there is no antiviral drug that has been fully effective after clinical practice, because it is related to reproductive tract tumors or precancerous lesions, we should pay attention to standardized screening, timely detection and blocking of disease progression.
Instead of constantly struggling with whether the virus turns negative, it is better to improve physical fitness, strengthen immunity, check the body regularly, and find problems and actively treat them. It is currently unclear whether the existing commonly used interferon or antiviral drugs have a certain efficacy for HPV infection.
In addition, the name of the machine and the quasi-brand name of the national medicine are different. The quasi-brand name of Sinopharm is a drug that needs to be approved by the drug management and supervision department for the treatment of diseases, while the mechanical name is a product that has an auxiliary therapeutic effect on disease treatment and belongs to medical devices. When treating diseases, of course, the first choice is drugs, and medical devices only play an auxiliary role, and it is best to use them under the advice of doctors.
If there is no intention of childbearing, it is necessary to take remedial measures after unprotected sex, and two commonly used methods are recommended:
The first is to take emergency contraception (such as Yuting). Take after sex, the sooner the better, no later than 72 hours. Because emergency contraceptives contain highly efficient synthetic progesterone, they often menstruate about a week after taking the drug, and if there is a delayed menstruation or a case of bleeding impurity, it may mean that contraception fails and needs to be seen in time.
Second, place the intrauterine ring. The insertion time of the IUD is preferably within 5 days after sex. Some people prefer the safe period contraception method, thinking that there is no possibility of pregnancy after having sex during the safe period, or that vaginal irrigation after intercourse can play a role in contraception, which is actually an unsafe practice.
In cases where it is not clear whether she is pregnant, it is recommended that HPV vaccination can be postponed, but if a woman inadvertently receives the vaccine during pregnancy, the general doctor will inform that the current data show that the current data does not increase the risk of adverse pregnancy outcomes, but the remaining vaccine needs to be postponed, and it is enough to continue to complete the vaccination after delivery.
There are many factors involved in this question, and we will talk about them one by one.
First, there is the safety of medication during pregnancy.
The "full" or "none" theory is often used to assess the safety of medication during pregnancy: "full" is manifested in the time of medication within 4 weeks of pregnancy (2 weeks of fertilization), the drug has a huge impact on the embryo, the embryo can not survive, resulting in miscarriage; "none" is manifested in the time of medication within 4 weeks of pregnancy (2 weeks of fertilization), the drug has little effect on the embryo, and the embryo can continue to develop.
The "all" or "none" theory applies to most drugs and some undesirable factors (such as X-rays, etc.), but not to a few drugs such as antiviral drugs (ribavirin) or chemotherapy drugs (MTX), which are slow to metabolize in the body and last for a period of time. The interferon suppositories mentioned above belong to the former, and the medication is taken before 4 weeks of pregnancy and does not increase the risk of fetal abnormalities.
The second is whether NUCLEAR magnetism is safe. MRI is different from X-ray and CT, it is not radiation, when the pregnancy condition is needed, obstetricians sometimes choose to do MRI for the fetus, and the time of the pregnancy mother's examination in the text is 4 weeks before the pregnancy, this time can still be treated with the theory of "full" or "none".
Third, whether the first-degree cervical lesions affect pregnancy preparation. Cervical first-degree lesions are also CIN1, and the treatment principle is to regularly review TCT and HPV, which can be temporarily observed and normally trying to conceive.
Both of these questions are related to some special circumstances and whether the use of drugs affects the efficacy of the HPV vaccine, and I will answer them together.
As a synthetic new vaccine, the HPV vaccine is safe and secure, and the effect is not affected by the aunt period or oral contraceptives, and it can also induce the body to produce an immune response.
The data show that except for minor reactions at the injection site (such as redness, swelling, erythema), the HPV vaccine is safe and well tolerated, and there are no serious adverse reactions.
Some hospitals do not recommend menstrual injections, which may be considered that menstrual periods are prone to physical discomfort, and if the vaccine is injected at the same time, it may be difficult to distinguish whether it is caused by the menstrual period or the vaccine.
Generally, about 1 month after the vaccine injection, it can induce the body to produce antibodies, of course, all the injections of the vaccine are injected to produce the best effect, before the body produces the best effect, it is best to use condom contraception to reduce the chance of exposure and HPV infection.
Well, the above is the answer to this issue of the berry, I hope to help you.
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