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Pregnancy, HPV & the Vaccine questions

Dr.Meenal Thakare Asks:

i have taken 3 doses of HPV vaccine at 0,1 and 6 months. how much should be the gap between my last vaccine dose and planning pregnancy. will the raised antibody titres affect my pregnancy outcome if i plan immidiately in the very next month of last vaccine dose?

Good for you for getting all three doses of the cervical cancer vaccine. It is extremely important to finish all three doses to obtain the maximum benefit.  Getting pregnant now after receiving the vaccine should not give you any concerns. The vaccine is considered a class B drug regarding teratogenicity (possibility of affecting a fetus).  This means it is very safe and in the clinical trial data and pregnancy registry since approval of Gardasil, it is clear this is a safe drug and likely does not affect a fetus.  So all of this equates to the conclusion that you do not have to wait to delay getting pregnant after the 3 dose series.

Confused Asks:

I was just diagnosed with mild dysplasia CIN I. I am engaged.  Is it ok to have unprotected sex and try getting pregnant?

An HPV infection rarely leads to cervical cancer. In most women infected with HPV, the cells in the cervix return to normal after the body’s immune system destroys the HPV infection. However, some HPV infections do not go away and may remain present in the cervical cells for years. It is the long-standing infection that can lead to changes in the cells that can progress to cancer. Getting pregnant when you have HPV is okay.  The HPV infection presents a very little risk to the infant.

 

sabah Asks:

If l took 2 of the vaccinations, and become pregnant a while after the second vaccination,  do l have to redo the vaccinations after l have given birth. Will this be ok, or will it have side effects

No, you don’t need to start the vaccination series all over again. You should proceed to get the last vaccine after pregnancy.  In fact, you should receive the HPV vaccine as soon as you can after pregnancy.  If you are breastfeeding, the CDC recommends you can still get vaccinated while lactating.

Breee Asks:

I just got my 2nd shot, and I also just found out I'm pregnant -- no more than 6 weeks -- but i was pregnant when I got the shot. Is this going to hurt the baby?

While the vaccine is not recommended for women who are pregnant, so far in the ongoing registries, there is no evidence that the vaccine harms the baby.  Do talk the situation over with your health care provider, but don’t be overly anxious. 

mardy Asks:

 Is it safe to get pregnant after getting the vaccine?

Getting pregnant now after receiving the vaccine is fine. The vaccine is considered a class B drug and there are ongoing pregnancy registries tracking pregnancy outcomes in women who have gotten pregnant around the time of receiving the vaccine.  See the question and answer above from Bitsy. You should feel perfectly safe getting pregnant after getting the three vaccine series. 

Bitsy Asks:

I have received all 3 cervical cancer vaccine shots. How soon can I become pregnant?

Good for you for getting all three doses of the cervical cancer vaccine. It is extremely important to finish all three doses to obtain the maximum benefit.  Getting pregnant now after receiving the vaccine should not give you any concerns. The vaccine is considered a class B drug regarding teratogenicity (possibility of affecting a fetus).  This means it is very safe and in the clinical trial data and pregnancy registry since approval of Gardasil, it is clear this is a safe drug and likely does not affect a fetus.  So all of this equates to the conclusion that you do not have to wait to delay getting pregnant after the 3 dose series.

Jackie Asks:

I’m 18 and have already taken 2 cervical cancer vaccine shots and am scheduled to get my last one in December. I just found out I am 7 weeks pregnant. Will the vaccine harm my baby? Will I have problems or something like that? I read that pregnant women should not take the vaccine.  I am worried.

You ask about the effect of the cervical cancer vaccine on pregnancy.  You should not get the third shot while you are pregnant. The vaccine is not recommended for women who are pregnant.  So far in the ongoing registries, there is no evidence that the vaccine harms the baby. You should definitely talk to your doctor about your concerns, but I don't think you need to be overly worried. Good luck with your pregnancy. Make sure you see your doctor regularly while you are pregnant.

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