Evidence map›Paper›PMID 41746100›Full record

ReviewVaccines2026

Human Papillomavirus in Reproductive Health and Pregnancy: Clinical Implications, Outcomes, and a Comprehensive Review of Vaccination.

Hasan Volkan Ege, Charlotte Goutallier, Laura Burney Ellis, Houssein El Hajj, Joanna Kacperczyk-Bartnik, Bilal Esat Temiz, Nadja Taumberger, Reda Hemida, Gökçen Ege, Utku Akgör and 3 more

Abstract readReview
In one paragraph

Review in Vaccines, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Hasan Volkan EgeDivision of Gynaecological Oncology, Department of Obstetrics and Gynaecology, Faculty of Medicine, Hacettepe University, Ankara 06230, Turkey.
Charlotte GoutallierDepartment of Obstetrics and Gynaecology, Mercy Hospital for Women, Victoria 3084, Australia.
Laura Burney EllisDepartment of Digestion, Metabolism and Reproduction-Surgery and Cancer, Institute of Reproductive and Developmental Biology, Faculty of Medicine, Imperial College London, London W12 0NN, UK.
Houssein El HajjDepartment of Gynecologic Oncology, Gustave Roussy, 94800 Villejuif, France.ORCID 0000-0001-7613-8354
Joanna Kacperczyk-BartnikDepartment of Gynaecological Oncology, Maria Skłodowska-Curie National Research Institute of Oncology, 02-034 Warsaw, Poland.ORCID 0000-0003-2539-3894
Bilal Esat TemizDivision of Gynaecological Oncology, Department of Obstetrics and Gynaecology, Faculty of Medicine, Hacettepe University, Ankara 06230, Turkey.ORCID 0000-0002-4329-1376
Nadja TaumbergerHospital Barmherzige Brüder Graz, 8020 Graz, Austria.
Reda HemidaGynecologic Oncology Unit, Department of Obstetrics and Gynecology, Faculty of Medicine, Mansoura University, Mansoura 35516, Egypt.
Gökçen EgeDepartment of Gynecologic Oncology, Ankara Etlik City Hospital, Ankara 06170, Turkey.
Utku AkgörDivision of Gynaecological Oncology, Department of Obstetrics and Gynaecology, Faculty of Medicine, Hacettepe University, Ankara 06230, Turkey.ORCID 0000-0003-1377-2651
Zvi VakninDepartment of Obstetrics and Gynecology, The Yitzhak Shamir Medical Center, Zerifin 70300, Israel.ORCID 0000-0003-1086-6644
Maria KyrgiouDepartment of Digestion, Metabolism and Reproduction-Surgery and Cancer, Institute of Reproductive and Developmental Biology, Faculty of Medicine, Imperial College London, London W12 0NN, UK.
Murat GultekinDivision of Gynaecological Oncology, Department of Obstetrics and Gynaecology, Faculty of Medicine, Hacettepe University, Ankara 06230, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesHuman papillomavirus (HPV) is the most common sexually transmitted virus worldwide and is frequently detected in women of reproductive age. In this population, HPV-related diseases and their management may affect reproductive health and pregnancy outcomes. This narrative review summarizes the current evidence on HPV infection and HPV-related diseases in relation to fertility, pregnancy, and neonatal outcomes, and discusses preventive strategies, with a particular focus on HPV vaccination.

methodsAn international, multidisciplinary team of clinicians from the European Society of Gynaecological Oncology (ESGO) Prevention Committee reviewed the literature on HPV, HPV-related diseases, HPV vaccination, and reproductive outcomes, without time restrictions, prioritizing studies judged to meaningfully reflect the available evidence.

resultsThe most consistent evidence linking HPV-related conditions to adverse pregnancy outcomes relates to the treatment of cervical precancer, particularly excisional procedures, which are associated with an increased risk of preterm birth and mid-trimester pregnancy loss. In contrast, evidence that maternal HPV detection alone causes adverse pregnancy or neonatal outcomes remains limited and inconsistent. Data on HPV infection and subfertility are scarce and heterogeneous. Management of HPV-related lesions during pregnancy remains challenging and requires careful balancing of maternal safety with avoidance of unnecessary interventions. HPV DNA has been detected in neonatal samples, but convincing evidence for clinically relevant vertical transmission is lacking. Available data indicate that inadvertent HPV vaccination shortly before or during pregnancy is not associated with adverse pregnancy outcomes.

conclusionsCurrent evidence suggests that reproductive risks are more strongly associated with the treatment of HPV-related diseases than with HPV infection itself. Preventive strategies-especially HPV vaccination-remain central to reducing HPV-related disease burden. Although HPV vaccines are not routinely recommended during pregnancy, evidence supports the safety of inadvertent exposure around conception or during gestation, while potential long-term benefits of vaccination regarding reproductive health require further study.

Indexed as

adverse pregnancy outcomescervical cancer screeningexcisional procedurehuman papillomavirusinfertilitypregnancyvaccine

Identifiers

PMID41746100
PMCPMC12945106

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.