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VULVA: HUMAN PAPILLOMAVIRUS INFECTIONS & VULVAR INTRAEPITHELIAL NEOPLASIA
| Human Papillomavirus and External Genital Warts: |
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| Vulvar Intraepithelial Neoplasia (VIN) and Squamous Cell Carcinoma of the Vulva: |
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SPECIAL CONCERNS IN PREGNANT WOMEN:
In pregnancy, podofilox and podophyllin, recognized teratogens, as well as imiquimod are not recommended for use. Although neonates are at greater risk of exposure to HPV following vaginal as compared to cesarean delivery, the significance of such exposure remains unclear. What is clear is that the majority of such infections in newborns are transient. At present, the data regarding long-term sequelae in infants and children infected with HPV at delivery are inconsistent and do not justify routine cesarean section in women with genital warts (CDC, 2006).

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