Condiloma acuminado e gestação: transmissão vertical e tratamento

Atualmente, a infeccao genital pelo Papilomavirus Humano (HPV) e a doenca sexualmente transmissivel mais comum entre adultos jovens sexualmente ativos. Estima-se que aproximadamente 10 a 60% das mulheres com vida sexual ativa estejam infectadas pelo HPV. As verrugas anogenitais decorrentes da infeccao pelo HPV denominadas condilomas acuminados sao a forma clinica mais comum da doenca. Na gestacao, o condiloma acuminado e a manifestacao mais comum da infeccao pelo HPV, com incidencia variando de 11,6 a 51,7%. Sabe-se que durante o periodo gravidico ocorrem mudancas fisiologicas na genitalia feminina que, somadas a alteracoes imunologicas inerentes a gestacao, criam ambiente propicio a proliferacao do HPV. Alem disso, os modos de transmissao vertical e as consequencias para o produto conceptual tem sido amplamente estudados. Durante a gestacao, sao de fundamental importância os tratamentos eficazes, visando a baixas taxas de recorrencia materna e minimos efeitos deleterios para o feto. (AU) Nowadays, the Human Papilomavirus (HPV) infection of the lower genital tract is the most common sexually transmitted disease among young people who are sexually active. It is said that approximately 10% a 60% of women that have a sexual contact are contaminated with HPV. The genital warts from the HPV infection denominated condyloma acuminata are the most common clinical form of the disease in pregnancy, the condyloma acuminata is the most common manifestation of the infection of HPV with and incidence that ranges from 11,6% to 51,7%. It is of knowledge that during the gestation period physiologic changes of the female genitalia occur, and this fact added to immunology alterations expected at pregnancy, made the local environment optimal for the viral proliferation. Moreover, the modes of vertical transmission and the fetal consequences are being extensively studied. During pregnancy, it is of fundamental importance an efficient treatment, which provides lower rates of recurrences and without deleterious effects for the concept. (AU)