N and Stepanova treatment of acute warts. Genital warts: features of the disease and its treatment. Risk factors for infection with genital warts

Genital warts are genital or venereal warts. The causes of the disease are HPV types 6 and 1, less often types 16, 18, 31 and 33 (the last four types are oncogenes). Genital warts are a sexually transmitted infection (STI).

Infection of adults occurs, as a rule, from sexual partners with clinically pronounced manifestations of the disease. Genital warts most often occur between the ages of 18 and 25. Average age diseased women is 22 years, men - 19 years. Over the past 20 years, there has been a sharp increase in the number of patients genital warts.

They are one of the most common STIs, second only to gonorrhea and chlamydia. Asymptomatic carriage of pathogens of genital warts is observed in 6-10% of people. The causative agents of the disease are detected in more than 50% of women visiting hospitals for the treatment of STIs. It is believed that in developed countries genital warts are present in 3-28% of women.

Symptoms and localization of genital warts.

The incubation period lasts from several weeks to several years (average 1–9 months). Genital warts are small neoplasms that are located on an unchanged base in the form of a thin thread or short stalk, resembling a small wart, raspberry, cauliflower or cockscomb.

Their color, depending on the localization, can be flesh or intense red, and during maceration - snow white. In shape, genital warts can be flat or exophytic, sometimes they reach the size of large tumors, less often they acquire a warty, filiform or hanging shape. The latter is especially characteristic of genital warts localized on the penis. Genital warts are most often localized in places that are injured during sexual intercourse.

In men, genital warts are localized on the frenulum, coronal groove, head and foreskin of the penis; less often - on the shaft of the penis and scrotum, where they are often multiple. Exophytic warts sometimes affect the urethra, alone or in combination with extraurethral warts. They can be located throughout the urethra and give a clinical picture of chronic urethritis and sometimes bleed.

In women, genital warts are found on the external genitalia, in the urethra, vagina, on the cervix, in about 20% of cases - around anus and in the perineum. Often they are localized only on the lips of the urethra, its inner wall. In this case, they can give a picture of chronic urethritis. On the arches of the vaginal part of the uterus, genital warts are observed mainly in pregnant women. Exophytic warts on the cervix are observed in approximately 6% of sick women, they can be isolated or combined with lesions of the vulva.

Genital warts, localized in the anus and rectum, are the result of genitorectal sexual intercourse, especially in men. They are usually caused by HPV type 6. In 50% of men who have genital warts in the anus, they are also found on the mucous membrane of the rectum, especially in homosexuals.

In women, against the background of pregnancy, HIV infection, hemoblastoses and immunosuppressive therapy, genital warts can grow to gigantic sizes - giant genital warts. These condylomas can significantly destroy the underlying tissues, but they are not malignant, but they can make childbirth difficult, cause sepsis and even death of the patient.

Giant carcinoma-like condylomas of Buschke-Lovenshtein are initially a malignant tumor. They arise from long-standing genital warts, especially in people who have been unsuccessfully treated with, for example, podophyllin. These warts are most often observed in men on the penis and near the anus.

Signs of malignancy of genital warts are a rapid increase due to peripheral growth, thickening, the appearance of bloody discharge and pain. Numerous clinical, cytological and histological studies have established that HPV types 16 and 18 are one of the causes of dysplasia or intraepidermal cervical cancer. HIV promotes HPV reactivation and expression, and when the pathological process is localized on the cervix and in the anus, transformation of genital warts into cancer.

In this regard, all women infected with HIV should undergo colposcopy and cytological examination of smears from cervical canal every 6-12 months, and for men infected with HIV - rectoscopy to exclude visible manifestations of cancer.

Diagnosis of genital warts.

For early diagnosis of subclinical manifestations of genital warts, a test with acetic acid is used, for which a gauze napkin soaked in a 5% solution of acetic acid is wrapped around the penis or placed between the labia. After 5-10 minutes, the genitals are examined under a magnifying glass (? 10) or colposcopy is performed.

The initial manifestations of genital warts look like small white papules. Genital warts should be differentiated from syphilitic papules (condylomas lata), molluscum contagiosum, cancer, lichen planus, lichen brilliant, hyperplasia of the sebaceous glands.

Treatment

Treatment of genital warts is carried out using pharmaceutical preparations that cause necrosis of papilloma tissues, but do not contain acidic elements. The most famous such drugs are:

• Kondilin (Podophyllotoxin). This solution is used to destroy tumor cells. It is successfully used for the treatment of genital warts in men on the glans penis. Before use, prepare the skin surrounding the wart - protect it by applying zinc ointment or hand cream. The solution is applied precisely to the formation itself, trying not to damage healthy skin.
• Vartek (Wartec). Cream containing podophyllotoxin. It is considered an analogue of Kondilin, but it is more convenient for application, since it does not spread and is accurately applied to problem areas.

These drugs are able to cauterize and destroy neoplasms. Approximately the same properties have tools:

1. Supercleaner.
2. Duofilm.
3. Verrukatsid.
4. Solcoderm.

Attention! Almost all women with oncological diseases, HPV is detected. Therefore, treatment is essential.

Removal

The most radical method of treatment is the complete removal of genital warts. There are various ways to do this. They include:

1. Cryodestruction. The warts tissue is exposed to low temperatures, which destroy the neoplasms. Liquid nitrogen is used for the procedure. The procedure requires a specialist, since there is a high risk of causing an awkward movement of a burn to the patient in the treatment of genital warts.
2. Thermocoagulation. The tissue of warts is exposed to high temperatures. Treatment is inexpensive, but should be carried out by a competent specialist; otherwise, with a lack of experience, healthy tissue may be damaged, resulting in a scar.
3. Particularly popular in recent times receives the method of radio wave surgery. With the help of a special device that generates radio waves, tissue is dissected and neoplasms are removed. The process does not cause severe pain and can be used to treat genital warts in delicate areas, such as the head of the penis. Anesthesia is carried out using ointments or creams.
4. laser destruction. Represents one of the modern methods. The laser removes the papilloma in layers and does not leave any marks in the places of removal. Pain is absent due to powerful cooling. The laser beam is effectively used in all hard-to-reach places, including the removal of genital warts in the anus.

It is necessary to carry out antiviral and immunostimulating therapy individually, taking into account the general picture of the disease, the location of warts on the body, the results of instrumental and laboratory examinations. Radical removal of neoplasms with a laser is the most effective and safe method to date

ethnoscience

Warts can be cured with folk remedies. However, self-treatment using folk recipes should be under medical supervision. Self-medication can be ineffective and even dangerous to health.

Common methods include:

• Applying garlic to warts. The plates of garlic are pressed against the formations and such a compress is left overnight. should not fall on healthy areas.
• Lubrication of formations with celandine juice, several times during the day.
• Rubbing the juice of sour apples for 10 days.
• Use of fresh Kalanchoe leaves. Apply to affected areas, such as perianal warts and keep for several hours.
• The use of a compress from a raw onion, previously aged in table vinegar for several hours. Apply the compress to the right places and leave it overnight.

Prevention

Among the modern methods of treatment, there is not one that would guarantee the complete elimination of HPV. The danger of this disease developing into such a serious complication as cancer necessitates the implementation of special preventive measures to prevent this insidious disease.

First of all, you need to protect your immune system in every possible way. To this end, it is necessary to exclude the impact on the body of such factors that reduce immunity, such as:

• alcohol abuse;
• strong emotional experiences;
• chronic fatigue;
• avitaminosis;
• smoking.

You should organize your sexual life, beware of casual and unprotected sex, use a condom during every sexual intercourse. Before sexual intercourse, it would be useful to ask the partner about the availability of available and past illnesses. Intimate relationships during treatment should be excluded.

To prevent HPV infection, girls and women, as well as boys and men from 9 to 26 years old, are currently being given a special Gardasil vaccination. This quadrivalent vaccine against HPV types 6, 11, 16, 18 fights warts and cancer. A high risk of infection also occurs in cases where the patient has not one, but several sexual partners. Thus, monogamy can also be considered a means of prevention.

Condylomas are benign formations on the papillary layer of mucous membranes or skin that look like warts. As long as the growth does not affect the epidermis, a person is considered non-infectious. After that, we can talk about the development of condylomatosis. Condylomas are divided into types depending on external signs and causes of appearance.

The main factor of occurrence is the human papillomavirus. This name hides many strains, most of which are unable to affect humans. Most often, formations appear due to the fault of 6 and 11 types of HPV. These strains are characterized by low oncogenicity, that is, the likelihood of condyloma degeneration into cancer is very small.

The human papillomavirus has spread rapidly throughout the world, and every day there are only more infected people. This is due to the fact that the disease is very easily transmitted. Unlike most sexually transmitted diseases, HPV can be caught not only through sexual contact. In addition to it, the disease is transmitted through handshakes and kisses, through the use of the same objects, as well as in a vertical way.

The vertical route of transmission is infection during birth, if the child passes through the pipes of a sick mother. This is how the adolescent type of the disease develops.

Despite the widespread spread of the virus, symptoms do not appear in everyone. In most cases the immune system copes with the suppression of the pathogen, and therefore no genital warts are formed. Thus, the causes of their occurrence lie in factors that worsen the state of immunity.

Among them:

• A large number of sexual partners;
• Pregnancy period;
• chronic stress;
• alcohol abuse;
• Failure to comply with hygiene rules;
• Smoking;
• Improper nutrition;
• Pathologies that directly affect the immune system (HIV);
• Venereal diseases (gonorrhea, herpes, candidiasis, chlamydia, trichomoniasis);
• Dysbacteriosis of the vagina (in women).

Even after giving birth female body still weakened, and therefore immunity may not be strong enough. Hormonal changes, lack of vitamins and minerals, combined with nervous and physical exhaustion, open all doors for the virus.

At the same time, it will not work to protect against the disease through barrier contraceptives. Warts are often located next to the genitals, and not on them, condoms do not prevent contact with these parts of the body.

Common Types of Warts

These benign lesions are classified according to different criteria. For example, they are divided into exophytic and endophytic. The first type, which includes the most common, genital warts, is characterized by outward growth. This means that it forms growths directly on the skin.

The second type, the so-called flat condyloma, is subcutaneous formations that gradually penetrate deep into the epithelial layers. It is these growths that have a high oncogenicity, that is, they can lead to the onset of a cancerous process. Of particular danger is the fact that internal warts cannot be seen with the naked eye.

Most often, symptoms appear on the genitals and in the urethra. Classic locations:

• Foreskin;
• Member body;
• The area next to the urethra and anus;
• Scrotum;
• Labia;
• Cervix;
• Vagina;
• Crotch.

Very rarely, but still there are growths that have formed on the mucous membranes of the oral cavity. It is most difficult for women to notice formations if they are localized in the vagina and uterus. If the condylomas are subjected to friction or other mechanical stress, their size can gradually increase greatly.

Other types of genital warts

When it comes to genital warts, it is the pointed type that is most often considered. It looks like formations on a leg, their color practically does not differ from the skin. Gradually, they are able to grow. As a result, multiple genital warts in the photo resemble cauliflower or rooster's comb.

Other types of growths:

• Papular (papular) warts. In shape, they resemble a dome, the surface is smooth, the color is dark red. Appear on the epithelium if it is completely keratinized;
• Keratonic warts. They usually develop on the skin of the pubis, the outer side of the foreskin, or on the shaft of the penis. The surface is dense, there is a leg;
• Bushke-Levenshtein condylomas. These are peculiar giant warts, so outwardly they look like separate affected areas of the skin or mucous membrane. A bloody secret with a pungent odor can stand out from them. On the surface there are lobules or papillary formations. Typical localization is the labia, cervix, anus and vulva in women. In men, they mainly appear in the perianal region, occasionally at the base of the penis;
• Endourethral warts. If they develop at the external opening of the urethra, then they acquire a cone-shaped shape with a sharp top. When occurring in the anterior urethra, they do not differ from standard types, they can be either single or multiple.

Numerous growths of formations sometimes speak of warty epidermodysplasia. It is also called Lewandowski-Lutz disease. This is a genetic mutation that disrupts the immune system. Unlike genital warts, such manifestations are caused by strains numbered 3, 14, 20, 21, 25.

Wide warts

In some patients, extensive formations develop in the anus, which can be confused with hemorrhoids. They may also appear on the labia or penis. In this case, the growths are defined as ordinary warts, that is, a consequence of the action of the human papillomavirus. In fact, the situation is different.

Wide condylomas on the skin, which are in contact with the surface of a large area, are caused by another disease - syphilis. This sexually transmitted disease spreads almost the same way as HPV.

Main routes of transmission:

• Contact household;
• Vertical;
• With a blood transfusion or organ transplant from a sick person.

The risk group is made up of employees of organizations where there is access to infected tissues, such as saliva and blood. This includes not only employees of medical institutions, but also people working in cosmetic and tattoo parlors.

Syphilitic warts appear in the second stage of the disease. First, small sores form on the skin. In some patients, they itch and cause pain, while in others they do not lead to any sensations. Soon enough, the rashes will disappear, and wide condylomas will come in their place.

If the patient is not given adequate treatment in time, the formations can reach internal organs, circulatory, nervous system and even bones. As a result, it leads to death. These warts are distinguished by an uneven surface on which serous fluid is located. Usually their size is about two centimeters.

Filiform and confluent formations

Filiform warts, also called acrochords, form in the armpits, under the mammary glands, on the neck and face. Usually their size does not exceed a few millimeters. In the process of development, the growths are elongated, become oblong and hang on the leg. The consistency of the formation is dense and elastic.

By themselves, filiform warts do not pose a serious danger, since they cannot degenerate into cancer. However, in the event of an injury, the human papillomavirus will move to neighboring areas of the skin, leading to the development of more and more inflammation. Unlike the vast majority of types of genital warts, spontaneous disappearance is almost uncharacteristic of this variant.

Filiform warts can become keratinized and transform into a cutaneous horn.

Drain condylomas are spoken of when the progression of the pointed type occurs. The formations coalesce with each other, forming areas with a continuous growth. Under the influence of acetic acid, drain warts turn pale, which facilitates the diagnosis process.

Treatment of genital warts

The method of therapy is determined depending on the location and extent of the spread of formations. It is enough to treat small condylomas with creams and ointments in conjunction with taking antiviral drugs. This allows you to stop the symptoms. It is impossible to completely get rid of HPV after infection.

In more serious situations, you have to turn to the procedures for removing genital warts. Various techniques are used for this:

• Electrocoagulation;
• Cryotherapy;
• Surgical removal;
• Laser removal;
• Chemical removal;
• Radiosurgery.

Today, doctors most often offer to remove condylomas using laser therapy or a radio wave method. They are less painful and less likely to have complications. Cryotherapy is also often used.

Feedback on the treatment of genital warts:

“About seven genital warts were removed with liquid nitrogen. There was no discomfort in the vagina, but when exposed to the clitoris, there was a terrible pain. A few years later, the disease recurred, this time the doctor said to remove it with a laser. The procedure is performed under anesthesia, so it is not suitable for everyone. After cauterization with Solkaderm, I had to go to radio wave therapy.

Related video

The first signs of filiform or genital warts.

The main signs of genital warts- this is the presence of flesh-colored formations that rise above the surface of the skin or mucous membrane. This is what the most common genital warts look like. The signs are sometimes different.

Signs of genital warts in women

The first signs of filiform or genital warts may appear at different times after infection. The incubation period can be several weeks or months.

HPV stays in the body for a long time. It may not cause any symptoms at all. But in the case of immunodeficiency, red, pink or white warts appear on the skin. They can also be of different shapes and sizes.

There are white flat warts, pointed, filiform.

With HPV, spotted or papular rashes occur. Formations can be single or multiple. Sometimes they merge with each other.

White discharge after genital warts removal

White plaque after removal of genital warts should not appear. As a rule, after the destruction of the formation, a crust forms in its place. It dries up, and after a week leaves. After removal of genital warts, a white coating may indicate a bacterial complication. Although this happens very rarely.

To date, high-tech methods of destruction of formations are used. using a laser or

During the procedure, all microorganisms are destroyed in the wound. But occasionally suppuration still occurs.

This is possible when the patient:

• removed the crust without waiting for its independent discharge
• polluted the wound (swimmed in open water, neglected hygiene, etc.)
• did not take the drugs prescribed by the doctor and did not treat the wound with antiseptics

Internal factors also play a role in the risk of infection. A person's immunity can be reduced, which is why bacterial inflammation joins and pus forms.

As a rule, if white patches appear due to infectious complications, there are other signs. These are soreness, swelling, redness in the problem area of ​​the skin or mucous membrane.

Condyloma from Ferezol turned white

Feresol- This is a drug for removing genital warts. It causes chemical burns on the skin.

Due to this, the wart or condyloma dies. However, often patients who use Feresol on their own do not follow the basic rules for its use. Therefore, condyloma may not disappear. It is not uncommon for it to turn white after using the drug.

According to the instructions:

• Ferezol is used only in a medical institution.
• You can not treat the skin with a cream or ointment after using Ferezol.
• Do not bandage the surface that has been treated.
• Do not wear synthetic clothing that will come into contact with the treated skin.

In addition, Ferezol is used specifically to remove formations on the skin. Its application to the mucous membrane is not provided. When using the drug according to the rules, condyloma should not turn white. It is rejected because the cells of the formation die due to a chemical burn. A week later, re-treatment is carried out to avoid relapse.

White warts under the head

Not always the formations that appear on the genitals are warts. For this reason, you cannot diagnose yourself and treat yourself. Only a doctor can figure out what is the cause of pathological changes in the skin, and how best to eliminate them.

If white formations appear under the head, it is likely that they are not associated with human papillomavirus infection. Perhaps this is a papular necklace, wen or clogged sebaceous glands.

Although the option that these are condylomas is not excluded. They may have different colour. Sometimes - flesh or red. In other cases, warts are grayish-white. It is desirable to remove such formations. Because they violate the quality of sexual life.

What tests are given for signs of genital warts

When the first signs of genital warts appear, the patient should be tested. This is required not so much to clarify the diagnosis, but to assess the degree of danger of papillomavirus infection.

There are dozens various types HPV. Some of them are more common, others less common. Most often determined It is they who usually cause the appearance of genital warts on the mucous membranes. But other, more dangerous types of virus can also be detected.

For example, warts 16 and 18.

They are quite widespread in Europe and Russia. These types of virus are highly oncogenic. They increase the likelihood of the formation of a cancerous tumor of the cervix and, to a lesser extent, other organs (vagina, vulva, penis, rectum). Therefore, when dealing with signs of genital warts, the doctor will prescribe PCR for you.

This is a diagnostic method that allows you to accurately determine the type of infectious agent. If it is low-oncogenic, further testing is not required. If it is a highly oncogenic type, an examination by a gynecologist will be recommended.

Regular examinations will allow timely detection of changes in the epithelium of the cervix and prevent cancer. In addition, tests are often taken to assess the immune status. This is necessary for antiviral treatment. The broken links of immunity are restored by preparations. After that, the amount of virus in the body decreases.

How quickly the signs of genital warts pass on antiviral treatment

You should not expect that warts will disappear on their own after antiviral or immunomodulatory treatment. Perhaps this will indeed happen, but there is no guarantee, and the probability of the formations disappearing is low. Especially if they are large.

The effectiveness of treatment also depends on the immune status of the patient. For example, signs of genital warts in HIV are more pronounced. Getting rid of them will be more difficult.

Therefore, it is better to remove them by physical methods. And antiviral treatment aims to eradicate HPV and prevent the appearance of new formations.

Why do signs of genital warts reappear after treatment?

If you have not completed a course of antiviral therapy, HPV has remained in the body. Therefore, condylomas may reappear. They are unlikely to reappear in the same place where they were removed. But nearby or in other areas of the genital organs may well be formed. This can happen at different times: shortly after removal or after a few years.

A high probability of relapse is observed with a decrease in immunity.

Which doctor should I contact with signs of genital warts

If there are signs of warts on the genitals, you need to contact a dermatovenereologist.

Doctors of this specialization conduct appointments in our clinic.

You can contact us for:

• and find out what type of HPV caused warts
• get advice from various specialists: a venereologist, and, if necessary, a gynecologist, immunologist or oncologist
• perform warts removal
• receive a course of immunomodulatory treatment

Our clinic uses modern methods of genital warts removal. Effective methods of anesthesia are used, so during the procedure you will not feel anything.

If signs of genital warts appear, contact a competent dermatovenereologist.

• Essence of pathology
• Causes of formations
• Mechanism of infection
• Symptomatic manifestations
• Diagnostic measures
• Possible Complications
• How is the treatment carried out
  • Chemical processing
  • Surgery
• Preventive actions

Genital warts or genital warts is an infection caused by the human papillomavirus (HPV) that affects the skin and mucous membranes. This disease is called condylomatosis and is a manifestation of PVI - human papillomavirus infection.

Essence of pathology

HPV infection is characterized by a long chronic course, with relapses, a high level of contagiousness, especially during an exacerbation of the pathology. This is the reason for its wide distribution. Recently, condylomatosis is a new disease, predominantly sexually transmitted diseases (STDs), because the sexual route of transmission prevails - more than 50%. It is widespread, it has no sexual gradation, but it occurs a little more often in women. It mainly affects girls who have an active sex life.

When infected, genital warts, condylomas appear on the skin. There are more than 100 species of pathogen serotypes, but not all of them are oncogenic. A skin wart is usually benign. Urogenital condylomatosis is most often caused by serotypes 6 and 11, and strains 13, 18, 16, 31 and 33 have additional oncogenicity (they cause genital warts less often, but they are no less dangerous).

What do genital warts look like? With the localization of the virus, growths form on the skin, usually flesh-colored, less often pink and even red. Outwardly, they resemble cauliflower or a cockscomb: upon close examination, they are papillary, have a thin stem, are soft and mobile. Their colonies grow rapidly and merge with each other. They are of unequal size, from 1–2 to 5–6 mm. To the touch painless, do not cause discomfort. Condylomas often grow in the anogenital zone: in women, genital warts of the vulva occur, in men, on the head of the penis and around the anus. During oral sex, the mucous membranes of the cheeks, mouth, even lips are affected.

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Causes of formations

The causes of condylomatosis are HPV infection, although contact with the virus may not necessarily result in infection, this requires reduced immunity and trauma during sexual contact. Weakened body resistance this case- it's a trigger. Predisposing factors:

The vertical route of transmission from mother to child during pregnancy or childbirth is not excluded, while the child is diagnosed with papillomatosis of the larynx.

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Mechanism of infection

When infected, you can get several types of HPV as a reward at once. Usually, the virus is transmitted from exfoliating skin particles with genital warts during sexual intercourse. When genital warts occur in women, the reasons may even be that during menstruation, when using tampons, the virus enters the vagina. It begins to multiply in the body of a new host after 24 hours. It settles in epithelial cells, especially at the point of transition of the stratified squamous epithelium into a cylindrical one, i.e., at the border of the skin and mucous membrane.

For a long time, the pathology does not manifest itself in any way - this is a latent period. But even in this case, a person is dangerous: genital warts are not yet visible, but there are already altered cells, that is, upon contact with the skin of another person, the virus gets to him. In an infected cell, the virus can be located, if it is benign, outside the chromosomes, that is, episomal. If it is malignant, then it is integrated into the cell genome, that is, inside the chromosome - this is an introsomal location. The episomal form occurs in the latent state of the disease, when there are no pathological changes in cells and associated symptoms.

For signs to appear, the concentration of the virus must increase significantly. It is activated when the host's immunity decreases: it is integrated into the cell genome and causes its uncontrolled division. At the same time, the area of ​​the skin, mucous membrane and the formation of the so-called cauliflower grow. The growths pierce the epidermis of the skin and come out. They appear in dozens at once. Genital condylomatosis is characterized by a one-time exit of genital warts, less often the process takes several days. Merging of elements often occurs when diabetes or HIV.

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Symptomatic manifestations

The source of infection is a sick person. In most cases, the course is asymptomatic, many are carriers of the virus, but their contagiousness remains. The incubation period ranges from several months to several years, more often in 65% of patients - 3 months. Condylomas are not easy to cause discomfort, they can be injured, bleed, become infected and inflamed, malignant. At the same time, it appears bad smell, discharge, itching and pain. After that, they heal badly. As they grow, they interfere with sex.

Common symptoms of HPV infection:

• fatigue;
• weakness;
• headache;
• irritability;
• constant feeling of fatigue;
• the temperature may rise, there is a chill.

Condylomas are small at first, like rashes of nodules. These elements look like papules (cavityless formations). The skin around them is reddened, with slight itching. Typical localization sites in women: labia, clitoris, vulva, perineum. Genital warts in men are often formed on the penis or foreskin. In a few hours, the formations reach a size of 2 to 5 mm. Further, warty growths can increase even more to 1.5–6 cm. New bubbles appear nearby.

Symptoms in women:

• a feeling of discomfort and a foreign body in the place of genital warts;
• a feeling of constantly remaining moisture in the area of ​​\u200b\u200brashes;
• quite persistent unpleasant odor;
• irritation on contact with linen;
• soreness in the lower abdomen;
• growths interfere during hygiene procedures, degrade the quality of sex.

In men, genital warts have the following symptoms:

• discomfort that increases with walking and physical exertion;
• slight pain in the lower abdomen;
• soreness during sex;
• pain when urinating;
• if the condyloma is around the sphincter, blood may appear in the stool.

When injured with genital warts, they bleed, itch, and hurt. One of the options for the course of the disease in men is the independent disappearance of genital warts.

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Diagnostic measures

In some cases, even the patient himself can suggest a diagnosis: the presence of a characteristic cauliflower, sexual contact 2-3 months before. You can make a test with acetic acid - moisten a cotton pad with 3% acetic acid, apply it for 5 minutes to the formation, if it turns white, then this is condyloma.

Medical diagnostics:

1. Complaints of the patient and the collection of anamnesis - determining the time when unprotected sexual contact occurred.
2. Gynecological examination.
3. For women - a clinical examination and mandatory examination of the cervix by colposcopy.
4. With extended colposcopy, the walls of the vagina are additionally treated with acetic acid or Lugol's solution.
5. Taking a smear for cytology and conducting a cytology smear according to Papanicolaou (PAP smear). In the presence of typical genital warts, it is not necessary to determine the strain of the virus, the treatment is similar.
6. Histological examination by biopsy - sampling of a piece of warts.
7. Anoscopy - examination of the anus under a microscope.
8. PCR diagnostics - it can be used to find out the type of virus and its amount, the presence of antibodies to HPV in the blood.
9. It is advisable to get tested for other STDs, as they often coexist.
10. Genital warts in men include some additional research methods - examination of places of probable localization: oral cavity, anus, penis, frenulum, scrotum; performing ureteroscopy.

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Possible Complications

Among the complications of the disease, the following can be distinguished:

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How is the treatment carried out

Treatment methods for women and men are no different. The goal of therapy is to increase immunity, antiviral general and local therapy. It is necessary to treat and remove condylomas by all means at any stage and always. The virus cannot be destroyed, but it is quite possible to slow down its reproduction. Apply conservative and surgical treatment of genital warts and chemical treatment.

From modern drugs:

Therapeutic treatment of genital warts only complements the surgical one, so that there are no relapses after removal.

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Chemical processing

For small rashes, a chemical method of treating genital warts is used, but it should only be carried out by a doctor, since healthy tissues can be touched or burns can be caused. Recommended tools include the following:

When cauterized, the growths of condylomas die and fall off, in their place there is a small wound that heals quickly.

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Surgery

Treatment of genital warts in women is no different from that in men. Surgical methods allow you to get rid of warts for 1 time. These include: laser removal, cryodestruction, electrocoagulation. The technique of any technique is the same: local anesthesia of the affected area is performed, excess tissue is removed, and a sterile bandage is applied.

After cryodestruction with liquid nitrogen, a small area of ​​necrosis remains, the laser leaves a burn. The most physiological method is the removal of genital warts with a radio wave scalpel. It leaves a very neat scab, the wound heals by first intention. Thermocoagulation - burning warts with high temperature - enough effective method, after burning, a scab forms, under which healthy skin grows.

The Surgitron apparatus is also used. Removal of acute condylomas is performed by high frequency radio waves. The method is similar to a laser, it does not give complications. With any method of treatment, relapses occur in 30% of cases, therefore, after the operation, general strengthening and antiviral treatment is prescribed.

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Preventive actions

Prevention is divided into general and specific. In 1 case it is recommended:

During pregnancy, be sure to be under the supervision of an obstetrician-gynecologist. With regard to condoms, you should be aware that they will not provide 100% protection: upon contact of the labia and scrotum, the virus can definitely be infected. In rare cases, HPV can occur in virgins. This is due to the fact that viruses outside the body retain their viability for some time and it is possible to become infected by household means, although it is unlikely. For men and women, visits to doctors every six months for preventive examinations remain relevant. Self-medication at home is excluded.

Specific prevention is vaccination against HPV, which will also protect against cervical cancer. Today it is the only one effective method prevention of cervical cancer. Vaccination is carried out for girls from 11–12 years old, three times, with 2 types of vaccines from 2 well-known manufacturers: Gardasil and Cervarix. They reliably protect against HPV 6 and 11 strains, which are the culprits of genital warts in women. The term of their effective protection is more than 5 years.

Comments

Megan92 () 2 weeks ago

And did anyone manage to get rid of armpit papillomas? They really bother me a lot, especially when you're sweating.

Daria () 2 weeks ago

I have already tried so many things and only after reading this article, I was able to get rid of armpit papillomas (and very budgetary).

P.S. Only now I myself am from the city and we did not find it for sale, I ordered it via the Internet.

Megan92 () 13 days ago

Daria () 12 days ago

megan92, so I wrote in my first comment) I will duplicate it just in case - link to article.

Sonya 10 days ago

Isn't this a divorce? Why sell online?

Yulek26 (Tver) 10 days ago

Sonya, what country do you live in? They sell on the Internet, because shops and pharmacies set their markup brutal. In addition, payment is only after receipt, that is, they first looked, checked and only then paid. And now everything is sold on the Internet - from clothes to TVs and furniture.

Editorial response 10 days ago

Sonya, hello. This drug for the treatment of papillomavirus infection is really not sold through the pharmacy network and retail stores in order to avoid overpricing. Currently, you can only order official website. Be healthy!

Sonya 10 days ago

Sorry, I didn't notice at first the information about the cash on delivery. Then everything is in order for sure, if the payment is upon receipt.

Margo (Ulyanovsk) 8 days ago

Has anyone tried folk methods to get rid of warts and papillomas?

Andrew a week ago

I tried to burn a wart on my head with vinegar. The wart really disappeared, only in its place there was such a burn that the finger hurt for another month. And the most annoying thing is that after a month and a half, two more warts popped up nearby ((

Warty neoplasms on the human body, the appearance of which is caused, are called genital warts. They have another name - anogenital warts, as they mostly appear on the genitals and in the anus. The disease is quite common among people who are sexually active between the ages of 18 and 35.

Problem Features

They can have different shapes and sizes. There are such small parameters that it is difficult to consider them at the beginning of development. Outwardly, vesicular neoplasms resemble cauliflower. They form in intimate places and cause discomfort.

Genital warts according to the ICD-10 code refer to anogenital (venereal) warts - A63.0.

Genital warts as a result of papillomavirus are discussed in this video:

Classification and localization

Condyloma is easy to recognize by its separate small nodules, each of which is no more than 2 mm, there is also a thread-like leg with a lobed structure, with which they are attached to the skin.

• Localization of genital warts in men most often it happens on the genitals or scrotum, but many representatives of the stronger half do not realize that these are venereal warts, taking them for processes that should go away on their own.
• Among women genital warts appear in the vagina or cervix, where they are not visible, and their existence can only be known after examination by a gynecologist. They can also appear on the genitals.

Causes

The main factor influencing the appearance of genital warts is the ingestion of papillomavirus into the human body. It is easily transmitted by contact and sexual contact, but it can be in a man or for a long time, and manifest itself in the form of genital warts under favorable conditions:

• decreased immunity;
• regular;
• with lack of sleep;
• malnutrition;
• long stay in a damp place.

Pregnant women who carry the virus can pass it on to their baby during pregnancy or after they have had a vaginal delivery.

Symptoms of genital warts

Usually, when it enters the body, the papillomavirus does not manifest itself in any way, and only two to three months after that, genital warts appear. Their symptoms can be confused with other diseases, but basically, in parallel with the formation of bubbles, a person can feel:

• irritation;
• bleeding.

During pregnancy, there are no significant changes at the cellular level, a woman can give birth herself, but there is a risk of transmitting this virus to the fetus, although such cases are rare.

Diagnostics

The doctor can even determine genital warts even with a routine visual examination, but to confirm the diagnosis, you will need to go through:

• . It consists of checking a chain reaction, after which the type of papillomavirus, its type and stage of the disease are established. For analysis, skin fragments are scraped off from neoplasms in humans.
• . With such an examination, the anus area is studied under magnification.
• Blood collection.
• in which scraped cells are examined under a microscope.

As a result of the diagnosis, the doctor determines which infection caused the formation of growths, and if it is definitely condylomas, then their type, since it is necessary to exclude the possibility of their wide appearance, which appears in the second stage.

Treatment

Basically, it involves the use of complex therapy.

Photo of genital warts in women

Therapeutic way

All of them will be aimed at removing neoplasms. Modern methods include:

• . With it, liquid nitrogen is used to get rid of genital warts. In a small amount, nitrogen is applied to the neoplasm and freezes it, after which it disappears. After the procedure, a wound remains, which heals in two weeks.
• Laser coagulation. A whole beam of laser beams acts on the pimply pointed protrusions, under their influence the tissue on the condyloma evaporates and a dry crust forms - a scab.
• Surgical removal is rarely used today, as a scar forms after it.
• . This is a radio wave method that painlessly eliminates warts, but because of its high cost has not yet been widely used.
• . This method uses electricity, he, creating a high temperature, cauterizes the neoplasm. This is old way, which requires local anesthesia, but after which a scar may remain.

This video will tell you about the treatment of such an ailment and its diagnosis:

Medical method

Drugs are used that lead to detrimental changes in the tissues of warts, but they do not contain acids.

• These funds include: Kondilin, Kondilayn and Podophyllotoxin. A special applicator is attached to them, with the help of which the products are applied directly to warts, carefully so as not to get on healthy skin. The average course of treatment lasts 3 days, the drugs are applied daily twice a day, then you will need to take a break of 4 days and resume treatment again. Repeat this cycle of treatment for 5 weeks. Considered drugs can also cause unpleasant short-term sensations. For pregnant women, they cannot be used, and after undergoing treatment, you will need to wait six months before conception.
• Interferon is used as an antiviral agent, which is injected intramuscularly into an area with numerous warts.
• Another commonly used medication is. It is made in the form of a cream and is applied in the genital area. It is used every other day, no more than 4 months.

Other methods

There are many homemade recipes that aim to cauterize these growths, they can be found on the Internet, but you need to be patient when using them to get rid of warts. Can be used sometimes.

Disease prevention

You can protect yourself from such an unpleasant disease if you follow some recommendations:

• exercise caution when choosing sexual partners;
• use barrier contraception, even if oral contraceptives are taken;
• observance of intimate hygiene;
• mandatory treatment of condylomatosis during pregnancy;
• regular visits to the urologist and gynecologist;
• giving up bad habits;
• vaccination against various types of papillomavirus.

Complications

• They can be different, some in a neglected form can cause.
• If the neoplasms in question are not treated, they will begin.
• And if you accidentally touch them with clothes, then the thin leg of the genital warts will break and remain in its place. They also increase in size and soon bring inconvenience when visiting the toilet.
• But most importantly, condylomas cause a decrease in immunity and a person becomes a target for various infections.

Forecast

After removing all warts from the body, a person should not relax in the fight against this disease, because this is the elimination of only the visible part of the trouble, and the virus remains to live in the body, and perhaps, under favorable circumstances, it will again appear in the form of warts. You can protect yourself from such unpleasant growths only if you follow all the advice of your doctor and increase your immunity.

Genital warts are also considered by Elena Malysheva in her video: