Wednesday , December 8 2021

35 years old with CIN3. Should I take an HPV vaccine before or after a pregnancy?


It's good that you have taken cell samples regularly. Women who attend a three-year screening when they are 25-69 years old, following any abnormal findings as recommended can reduce their risk of cervical cancer up to 80%. In Norway, there are 1 in 100 women who develop cervical cancer before the age of 75, but half of them have taken a cell test for the last five years before the diagnosis of cancer. Of 10,000 women with normal cell tests, only 2-3 women develop cervical cancer within 3.5 years.

HPV infections are common. 70-80% of all women and men have been infected with HPV once or more times during their lives. About 25% of those with positive HPV tests have only 16 HPV type. In general, 9 out of 10 women get rid of HPV infection over two years, but in some people the infection lasts for several years. It takes about 10 years of HPV infection on average to detect approximate cell changes (CIN3).

Earlier, women with low-grade cell changes (ASC-US / LSIL) and positive HPV tests were asked to stay 6-12 months before new cell and HPV tests. The updated guides recommend women with low degree changes to coloscopy and biopsy with gynecologists if HPV 16 or 18 types are available, but women with low "HPV" types are "other" can wait for 12 months before new control.

If the tissue sample (biopsy) shows CIN2 or CIN3, the woman's treatment is recommended with a composition where the cellular changes area is removed. It is a small procedure usually done in local anesthesia, and often only 2-3 grams of tissue are often removed.

1. The gynecologist meant I should take a vaccine after birth. Can I see you recommending it from? Can I make a mistake by taking it before the composition of that? Is Gardasil 9 I Should Take As A Recommended Gynecologist?

In general, the HPV vaccine should be taken as soon as possible. The only reason to postpone HPV vaccine is pregnancy. There is a broad misunderstanding that one must wait until after genitalization before the HPV vaccine is taken. There were even studies with the HPV vaccine where HPV testing is expected to be negative after pregnancy before giving the vaccine. HPV infections or established cell changes do not have anything to say about the protective effect the vaccine has for later infections and new cell changes, but it will not affect a continuous HPV infection or cellular changes you already have

Gardasil 9 is the latest HPV vaccine that covers nine types of virus (6, 11, 16, 18, 31, 33, 45, 52 and 58). It replaces the "old" Gardasil 4 vaccine that covers four types of virus (6, 11, 16 and 18). The Cervarix Competitor covers two HPV types (16 and 18), but there is a partial effect on three other HPV types (31, 33 and 45). The "old" Gardasil 4 also appears to have a partial effect on HPV 31, 33 and 45, but in studies that compare Gardasil 9 and Gardsil 4, Gardasil 9 has the best effect clearly on HPV types 31, 33, 45, 52 and 58. There are no studies compared to Cervarix directly with Gardasil 4 or Gardasil 9.

– In the community catalog that has no effect on an active HPV infection or established clinical illness.

That's the way you can not expect HPV infection to disappear because you take the vaccine or can not be treated for cell changes if you take the vaccine, but the vaccine is the same impact on new infections and new cellular claims, regardless of when you take it The vaccine can reduce the risk of resuscitation in relation, and the vaccine can reduce the risk of transferring HPV from one mucus membrane to another, or from a filebile to another place in the same mucosa. Several studies show that there is a lower risk of re-occurring cellular changes after restriction in women who have taken the vaccine, and risk is reduced regardless of whether or not the vaccine has taken before or on after pregnancy. If the first dose is taken at least two weeks before the concept, many antibodies to HPV in the area wound by composition.

2. Should my husband take exactly the exact vaccine?

Each of the three HPV vaccines has a good effect on HPV 16 and 18 types, so it is not exactly which of the three vaccines you take, or if you take the same vaccine, but most who pay for the vaccine in your choice are the one that deals with most HPV types, ie Gardasil 9 .

– Should we abstain from sex to prevent infections?

You have repeatedly been infected, in order to make a composition, it's less important. After pregnancy, it can be a point to use a condom until both have taken an HPV vaccine. The vaccine has a fairly good effect already two doses after the first dose. The reason for recommending three doses is to achieve long-term immunity (likely life expectancy).

"We have recently taken the flu vaccine. Does this have anything to say if you recommend Gardasil 9 vaccine in the near future?

No HPV and flu vaccine can be taken at the same time, but some doctors recommend that the vaccines should be placed in each arm.

3. Will the vaccine help me prevent HPV16 virus from developing elsewhere on the body even though I've already been infected with HPV16?

Yes. The vaccine causes the body to make antibodies against the surface of the virus particles. This will neutralize virus particles so that they can not enter new cells. This will reduce the risk of serum infection to the oral, cavity and throat anus. It also reduces the risk of restarting in relation. However, the vaccine does not have any effect on existing virus particles. Fortunately, in most cases, the immune system will kill viruses with viruses. In addition, the cervical cervical area (cervix) will be erased by a concept.

4. Have been worried about cancer elsewhere on my body since I was more exposed to HPV16. Could you tell me about the risk of cancer elsewhere if the HPV16 is?

Although there are many types that can cause cervical cancer (including HPV 16, 18, 31, 33, 45, 52 and 58), it is mainly HPV 16 that causes cancer elsewhere the body (penis, vagina, vulva, anus, oral cavity and throat). In women, this risk is much lower than the risk of cervical cancer. Although 1 in 100 women with cervical cancer during their lifetime, only 1 in 1,000 women who develop cancer due to HPV in the cavity and oral neck, and 2 in 1,000 women get ankle cancer before 75 years old. In comparison, 4,000 men have cancer because of HPV in the oral and throat cavity.

– What is the probability that I will have an active HPV infection elsewhere? Are there any symptoms that I should be aware of?

HPV usually occurs as a genital (cervical, vagina, vulga) and then analytical. Although 6.5% of all 34-69 year old women have positive HPV tests in the cervical test, 1.0% of all women with HPV in the oral cavity and neck. In comparison, it is 2-3% of all men with HPV in the oral cavity and neck. I do not think it helps so much to try to feel symptomatic, but if you get a wound that will not grow, bleed or hard coal that lasts for more than a month, contact a doctor.

5. Sometimes there may be some fresh blood on the paper that I will carry after a stool. This was a problem during my pregnancy and especially when the stool was hard. Then there could be blood in the toilet too. The problem is now rare and sometimes a little new blood on the paper. Could this be a drinking cancer?

There are many people who suffer fresh blood on the paper, especially in hard stools. The most common cause is hemorrhoids or small mucus membranes. If this does not happen rarely, you are unlikely to have a drink. If you're bleeding often ask for an analog (anoscopy) concern check. Men with sex with men have a higher risk of breast cancer than women's risk of cervical cancer. The risk of breast cancer increases with the number of anal sex partners, but men who have never had anal sex can develop a drinking cancer caused by HPV.

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