What does genital warts look like in women. Treatment of genital warts in women. How to treat genital warts in women with medication

• 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 that is 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, high level contagiousness, especially during the period of exacerbation of 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, the skin appears genital warts, warts. 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 unequal size, from 1–2 to 5–6 mm. Painless to the touch discomfort do not call. 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. At 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. The weakened resistance of the body in this case is the 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 latency 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 is no pathological changes cells and related 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. Fusion of elements occurs more often in diabetes mellitus 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. 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 often form 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:

• feeling of discomfort and foreign body in the place of 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

Of the complications of the disease, the following can be distinguished.

Condylomas are papillomatous (warty) formations with predominant localization on the genitals (skin or mucous membranes) and / or in the anus, caused by the human papillomavirus and characterized by a chronic course with relapses and a high degree of contagiousness.

Relevance of the topic

The trend towards a significant increase in morbidity due to papillomavirus infection is a cause of concern (especially about the development of warts) of clinicians of various profiles - dermatologists, obstetrician-gynecologists, urologists.

Why are warts dangerous?

The social significance and relevance of this problem are associated with the wide spread, steady increase in the number of diseases and, most importantly, the ability of these formations to transform into cancerous tumors. Almost all cases of cervical cancer and half of other malignant tumors of the anal (anus) and genital areas, as well as a number of malignant neoplasms on the skin, in prostate and mucous membranes of the upper respiratory tract squamous cell carcinoma larynx) are caused by human papillomavirus infection.

Over the past ten years, the number of infected people has increased 10 times worldwide. The results of various studies indicate that up to 82% of women are infected within two years after the onset of sexual activity, as well as about 80% of the entire sexually active population, among which there may be persons with and without obvious clinical manifestations of infection. Often, the treatment of genital warts is ineffective due to the recurrent nature of the disease and frequent cases of re-infection due to the high prevalence of this pathology.

The annual increase in HPV infection in the United States is about 5-6 million people. The prevalence here is on average 100 people per 100 thousand of the population, in Germany - about 450 people, in Russia - 30-35, and in some regions (St. Petersburg, Moscow and the Moscow Region) this figure reaches 120-165 people per 100 thousand population. However, even these figures do not fully reflect the true infection of the population with the human papillomavirus.

Due to the fact that the clinical manifestations of human papillomavirus infection tend to self-regress, its prevalence among people over the age of 25-30 years decreases, but at the same time, the frequency of dysplasia and cervical cancer increases significantly, the maximum number of cases of which is noted among persons 45 years of age.

Etiology and pathogenesis of the disease

Causes

The causative agents are different types(at least 35) DNA-containing viruses that are part of the papillomavirus family under common name human papillomavirus (HPV). Often, one person has not one, but a combination of several types of pathogen.

The variety depends on the strain (type) of the pathogen pathological process, its symptoms, localization, degree of oncological danger. Human papillomavirus is divided into cutaneous and mucosal strains, with high, medium and low risk. oncological diseases that can cause both malignant and benign tumors.

The most common of these are the 16th and 18th strains, which cause warts on the labia with degeneration into cancer, malignant tumors penis, dysplasia and cancer of the mucous membrane of the vagina and cervix, rectum, larynx. The clinical manifestation of a long-term infection of types 6 and 11, related to viruses with a low oncogenic risk, are anal and genital warts.

The maximum number of diseases occurs at a young age (17-25 years), presumably due to the peak of sexual activity and the high susceptibility of the epithelial tissues of the genital organs. Condylomas in men and women occur with approximately the same frequency.

The mechanism of development of pathology

The incubation period can last from several months to several years (about eight months on average). The disease can also occur subclinically, without obvious manifestations.

The virus penetrates into the growing cells of the epithelium of the basal layer of the skin or mucous membranes through microscopic damage caused by mechanical means, bacterial infection, inflammatory process etc.

Undifferentiated cells of the basal layer of the skin and mucous membranes in the process of their maturation, differentiation and movement to the overlying layers carry a persistent virus and, thus, are a source of infection with an infection that is constantly present in the epithelial cells of the upper layer.

In addition, there is a violation normal process transformation of epidermal cells into cells of the surface layer of the epithelium of the skin, especially in the spiny layer, since the process of differentiation is controlled by the genes of the HPV inhabited in them. As a result, deformation zones appear, in which the skin deep layer grows and the skin area thickens due to the keratinized layer. These uneven growths, which take the form of warts, are condylomas.

At cytological examination smears taken from the surface layer of the epithelium are found virus-infected cells that, compared to normal, are smaller and have a light rim surrounding the cell nucleus. Therefore, they appear empty, hence their name - "koilocytes".

Koilocytes are specific feature papillomavirus infections. With a benign course of the process of koilocytes, there are few, up to single ones, an increase in nuclei in them is absent or insignificant. In the case of transformation into a tumor-like formation, these cells are determined in the upper 1/3 of the epithelial layer, and often in the form of widespread foci.

Mature viral particles do not enter the bloodstream and do not spread to other organs. They are actively collected in the surface layer of the epithelium and are released when cells are destroyed on the surface of the skin or mucous membranes, as a result of which the latter become potentially dangerous in terms of infection.

How are warts transmitted?

The main risk factor for contracting papillomavirus infection for children under 12 years of age is contact with infected parents, at the age of 13-17 years, the main route of infection is sexual, and the main risk factor is early start sexual life.

Infection to a healthy person is transmitted by close proximity to infected mucous membranes or skin of an infected partner. The main route of infection among adults is sexual, and protection with condoms is ineffective. The probability of infection in case of contact with an infected sexual partner is 70%. Therefore, HPV refers to infections that are predominantly transmitted sexually. Competing with genital herpes, it occurs 3 times more often than the latter.

The causative agent may also be present in the saliva and urine of an infected person. It is not excluded the possibility of its transmission during kisses and household (extremely rare!) way - in the bath, bathroom, through shared towels or underwear, etc.

The mechanism of infection and the localization of pathological elements largely depend on the type of sexual contact. During oral sex, condylomas occur in the mouth, in particular on the tongue, as well as in the esophagus, on the mucous membranes of the larynx and even the trachea. During vaginal sex, they develop on the skin of the external genital organs and on the mucous membrane of the vagina and cervix, urethra, and can spread to the skin around the anus. But initially, perianal warts occur mainly when anal sex.

An infectious agent, as a rule (but not always), causes a disease against the background of a decrease in general and local immunity and is almost always combined with other types of sexually transmitted infections, including syphilis. The main risk factors are:

• early onset of sexual activity;
• young age;
• frequent sexual intercourse with different partners;
• sexual intercourse with persons who have or had a history of diseases caused by HPV, as well as other sexual infections (herpes, trichomoniasis, chlamydia, candidiasis, etc.);
• pregnancy;
• violation of the vaginal microflora;
• endometriosis;
• autoimmune connective tissue diseases and the associated intake of glucocorticoid drugs, treatment with cytostatics, diabetes mellitus, hypothyroidism, hypovitaminosis, obesity;
• the presence of somatic pathology and frequent respiratory viral diseases.

Clinical picture

In accordance with the clinical and histological classification of human papillomavirus infection, the clinical manifestations of the latter are:

1. Skin papillomas.
2. Condylomas (must be distinguished from those with secondary syphilis and skin papillomas).
3. Papillomatosis of the larynx.

Skin papillomas

The cause of skin papillomas, or warts, is also one of the strains of HPV. Clinical difference warts from papilloma is caused by different types of human papillomavirus. There are simple (vulgar), subungual, mosaic, plantar, flat and other types of these formations. The most common form is vulgar papillomas, which are single or multiple dense elements with clearly defined boundaries and ranging in size from 1-2 mm to 10 mm. Often there are skin papillomas of larger sizes ("maternal"), surrounded by "daughter" elements of smaller sizes.

The surface of the warts has a yellowish-gray color and is covered with cracks formed by layers of horny epithelium plates. A characteristic feature is brownish-black dots on the surface, resulting from the formation of blood clots in their capillaries. They are especially visible when viewing warts under a magnifying glass.

warts

Conventionally, the following forms and types are distinguished:

1. Exophytic form (growing outward), represented by genital warts.
2. Endophytic, or subclinical - the elements grow mainly inside the tissue and almost do not manifest themselves.
3. Giant condyloma of Bushke-Levenshtein, or Buschke-Levenshtein tumor.

Genital warts

They have a shape corresponding to the name and are fibroepithelial formations of flesh or pink color on the skin surface or on the surface of the mucous membranes. They have a thin stem or (much less often) a wide base. On the skin, their surface is covered with stratified squamous epithelium, usually with hard (rarely soft) keratinization. In the latter case, they have an outward resemblance to papilloma.

Elements can be in the form of single or multiple dotted (up to 1 mm) nodules. Outgrowths up to 10-15 mm or more are often formed. If they are multiple, they merge and resemble a cockscomb or cauliflower inflorescences. These formations are the most characteristic clinical manifestations of HPV. Because of the specific localization, they are also called genital.

Condylomas in women occur mainly in areas with the maximum possible maceration of the surface - this is the clitoris, small and large labia, the area of ​​\u200b\u200bthe entrance to the vagina and the mucous membrane of the lower 1/3 of the vagina, the region of the anus and the external opening of the urethra. In half of the women with lesions of these departments, the formations are detected in the form of whitish elements on the cervix. Here they are especially clearly visible during colposcopy after treatment of this area with a 5% solution of acetic acid.

Genital warts in men are localized on the scrotum and in any part of the penis - on its head, body, in the region of the frenulum of the foreskin and on its inner surface, in the region of the coronal sulcus, directly at the external opening of the urethra, where they usually have a bright red color, and only 0.5-5% - on the mucous membrane of the urethra.

During anal sex with an infected partner or friction of healthy skin areas with affected condylomas, they spread to the perianal region, to the mucous membrane of the rectal sections close to the anus, to the perineum and inguinal folds and even on the skin of the upper inner thighs near the inguinal folds.

The anus and perineum are more often affected in women, and the urethra in men, which is associated with some differences in features. sexual behavior. Pathological elements, if they are single, can only be a cosmetic defect and not manifest themselves as subjective sensations. Sometimes they can be brittle and bleed.

However, large growths can macerate, resulting in bleeding, weeping, secondary infection, unpleasant odor, itching and burning, a feeling of soreness, irritation, especially when touched. In addition, warts can limit the entrance to the vagina, anus and the diameter of the external opening of the urethra, cause pain and burning during urination and defecation.

Unpleasant feeling and pain during intercourse in 13% are the reason for the complete rejection of sexual intercourse. They often lead not only to psychological discomfort, but also to severe neuropsychiatric disorders, the only adequate treatment for which can only be radical removal warts on intimate places and in the genital tract.

Differentiated diagnosis of genital warts

Of great importance is the differential diagnosis of these skin formations with the help of such additional research, as a polymerase chain reaction (determination of the DNA of the pathogen), the study of smears and histological examination of tissue biopsy from the focus. In some cases, only on the basis of the results of these studies can differential diagnosis and make the final decision on how to get rid of warts of anogenital localization.

This is due to the fact that they visually and in manifestations have much in common with skin papillomas, and, more importantly, with skin malignant neoplasms. In many ways, they are very similar even to such a manifestation of the second stage of syphilis as wide warts that occur in every 5-10 patients, and more often in women. Their localization and external resemblance to cauliflower inflorescences are identical to pointed formations caused by HPV.

The main differences between syphilitic elements:

• in addition to the anogenital region, they can be localized on the skin under the mammary glands, in the armpits, in the folds between the toes, in the navel;
• at first, small dense bluish-red rounded nodular rashes appear on the short and broad base, in contrast to genital warts, the base of which is long and thin;
• when pressing on the nodules, serous fluid is released from syphilitic elements;
• individual elements then increase and merge with each other, forming red conglomerates with a purple or bluish tint and an ulcerated weeping surface covered with a whitish coating;
• on the surface of individual weeping elements and "inflorescences" there is a large number of pale treponemas (the causative agent of syphilis), detected in smears or histological examination of tissue biopsy.

Endophytic warts

Elements can be:

• flat;
• inverted;
• atypical.

They are usually located in the mucous membranes.

Flat condyloma has clear contours, but, as a rule, is not visually determined, since it is located in the thickness of the epithelial layer and does not rise above its level. When analyzing a smear or histological examination, a large number of koilocytes are found on their surface.

inverted form differs from flat theme that pathological elements are capable of false ingrowth into the underlying tissues and into the hole excretory ducts glands of the mucous membrane of the cervix. Both forms are similar and often combined. With colposcopy, their capillary network is not determined, but dilated vessels can be seen in the form of red dots.

Atypical formations often detected during colposcopy in the form of small, without clear contours, spike-like elevations above the surface of the mucous membranes of the vagina and / or cervix, which is why their surface has a speckled appearance.

Giant condyloma of Buschke-Levenshtein

It is a rare pathology that can be caused by 1, 16, 18 or 33 strains of the virus, but mainly by 6 or 11 types of HPV. The usual localization is the anogenital area, especially the areas of the glans penis, scrotum and anus, very rarely - the skin of the inguinal regions and face, mucous membranes, including oral cavity.

The disease begins simultaneously in several areas with the appearance of nodules, similar to papillomas or genital warts, which quickly increase in size and merge with each other. Clinically, the disease manifests itself as a giant exophytic fast-growing formation, consisting of many growths (vegetations) in the form of cauliflower. It is accompanied mainly by pelvic pain, burning, itching, spotting and bleeding from the vegetation of a tumor-like formation and an unpleasant odor, as well as a violation of the act of defecation (with appropriate localization). Satellite elements appear around it.

The tumor continues to grow, growing into the underlying deeper tissues and causing their destruction. It is characterized by a high tendency to relapse, capable of transforming into squamous cell carcinoma without a tendency to metastasize.

1. Genital warts
2. Giant condyloma Buschke-Levenshtein

Features in pregnant women

Anogenital warts during pregnancy, especially in combination with genitourinary infections, represent a high risk of premature birth(more than half of pregnant women), the development of fetoplacental insufficiency in the fetus and its infection at birth, complications during childbirth and the postpartum period.

The causative agents of the disease in pregnant women are the 6th (on average in 35%) and 11th (in 31%) types. A frequent combination of the 6th and 11th, 16th and 18th, 31st and 33rd papilloma virus strains was revealed. In addition, HPV is most often combined with fungi (about 57%) and gardnerella (59%), less often with a virus. herpes simplex, ureaplasma and chlamydial infection, bacterial vaginitis and vaginal candidiasis.

In the presence of skin anogenital formations, individual foci of the disease are detected on the mucous membranes of the vagina and cervix, as well as intraepithelial dysplastic changes of the last varying severity. Moreover, characteristic of pregnant women is the progression of the process with an increase in the size and number of genital warts, as well as their frequent recurrence.

How to treat warts

The goal of treatment is:

• elimination of cosmetic defects;
• normalization of physical and mental state the patient;
• prevention of complications, including malignancy;
• reducing the risk of infection to others.

The choice of treatment methods depends on the nature of the process, the morphological structure of pathological elements, their size, quantity and location, and the age of the patient. Traditional methods of treatment are aimed only at eliminating the clinical manifestations of human papillomavirus infection and have a temporary effect. They are not able to stop the expression of the pathogen in the cells of the surrounding tissues and ensure its elimination from the body.

Modern methods of therapy, aimed not only at removing genital warts, but also at preventing relapses, are conditionally combined into 4 large groups:

1. destructive methods, common sense which consists in the removal or cauterization of condylomas by physical or by chemical means, that is, the destruction of their structure.
2. Cytotoxic agents.
3. Antiviral and immunomodulatory therapy.
4. Combined therapy.

Destructive Methods

The result of their application is only the elimination of external clinical manifestations of PVI. To physical methods relate:

• Surgical removal of genital warts by excision with a scalpel. This method is currently used mainly in case of suspicion of the possibility of malignancy, sometimes for stab conization of the cervix and for the removal of single formations. Excision of their growths is associated with profuse bleeding and long rehabilitation period in a hospital setting.
• Removal of genital warts by electrocoagulation- the technique is the elimination of formation by means of electrothermal destruction of tissue proteins, that is, cauterization of tissues by electric current using an electrosurgical apparatus for diathermoelectrocoagulation. This method, available in economic terms, does not require special training. However, with average efficiency, it has a number of negative properties - a high degree of trauma, a high risk of bleeding and infection, a long period of healing of the burn surface with frequent formation rough post-burn scars.
  In addition, with electrocoagulation on the mucous membrane of the cervix or near the external opening of the urethra, there are risks of developing cicatricial narrowing cervical canal, neck deformities, cicatricial stricture of the urethra. This method excludes the possibility of subsequent histological examination. Currently, it is used mainly to remove single pathological elements.
• Removal of genital warts liquid nitrogen , or cryodestruction - the most common method, the meaning of which is the destruction of pathological tissues as a result of exposure to very low temperatures. The procedure consists in treating genital warts with liquid nitrogen by spraying it or lubricating it with a cotton swab.
  Disadvantages of the method: the need to repeat procedures, which takes long time, insufficiently deep penetration and the lack of the possibility of its control, the impossibility of conducting a histological examination. In addition, it is not possible to simultaneously treat all the necessary pathological areas. Scars after cryodestruction, as a rule, do not form, but subsequent hyper- or hypopigmentation cannot be excluded.
• Removal of warts by radio waves, or radiosurgical method (radio knife) using a compact device "Surgitron". The method has a number of advantages. The main ones are the almost absence of trauma to the border tissues, the possibility of quick, painless excision of the pathological tissue area with high accuracy and simultaneous coagulation of the vessels. All this helps to avoid bleeding, maintain a good visual overview operating field, subject the removed pathological tissue site to histological examination. In addition, the period of wound healing is quite short and usually proceeds without any complications. The main drawback of the method, which is associated with its limited use, is the high cost of the Surgitron apparatus.
• Laser removal of genital warts carried out using a neodymium carbon dioxide laser. This method, like the radio wave method, allows excising warts with high accuracy, at the required depth and, practically, without damaging the surrounding tissues, without bleeding. It can be used to eliminate both single and confluent genital warts and flat warts. If there is a large area affected or a large number foci, the procedure can be repeated. As in the case with the use of the "radio knife", there is fast healing without complications and scar formation. However, despite the fact that laser warts removal has been used for a long time, the use of this method is rather limited. high cost equipment and the need special training experienced medical staff.

The method of chemical destruction is mainly used to remove genital warts in intimate places, if these formations are solitary and small in size. Their use is especially indicated in cases where it is impossible to use methods of physical destruction and drugs with a cytotoxic effect.

Chemical cauterization

Chemical cauterization preparations cause necrosis and destruction pathological education and mainly consist of a mixture of acids of organic and inorganic origin. To remove genital warts on the skin, Solcoderm is widely used, and flat formations on the mucous membranes of the vagina and cervix - Solkovagin. The components of the first preparation are nitric, acetic and lactic acids, oxalic acid dihydrate and copper nitrate trihydrate. Solkovagin includes nitric, acetic and oxalic acids, but in a lower concentration, and zinc nitrate hexahydrate.

ethnoscience

certain healing effect have some means traditional medicine. These are mainly juices, infusions and tinctures of plants, juices and pulp of fruits, spices containing natural plant acids and other components that destroy condyloma tissue when long-term exposure, as well as phytoncides, which are supposed to suppress the reproduction of the virus. Such folk remedies are the juices of sour apples and pineapples, the pulp of garlic and kolanchoe. Especially pronounced effect possess celandine juice and, somewhat less - its alcohol tincture.

However, treatment with remedies recommended by traditional medicine is sometimes effective only with small formations, requires long-term use and has a very subtle effect. In addition, treatment with traditional medicine is a risk, due to the impossibility of independent timely diagnosis malignant transformation and difference between warts caused by HPV and syphilitic ones.

Cytotoxic drugs

These include a solution and ointment for genital warts (cream) "Vartek", "Kondilin", "Kondiline Nycomed". Their active ingredient is podophyllotoxin, which, in turn, is the most active component of podophyllin, isolated from the roots and rhizomes of perennial herbaceous plant thyroid podophyllum.

The drugs are produced in different concentrations, have cauterizing and mummifying effects and cause tissue necrosis. One of the advantages of podophyllin derivatives is its safety and the possibility of independent use at home.

Also, a 5-fluorouracil 5% ointment for genital warts (cream) has a cytotoxic effect, active ingredient which is capable of disrupting the synthesis of cellular and viral DNA. However, despite the high efficiency and affordability of the drug, its widespread use is limited due to frequent occurrence side effect.

Antiviral and immunomodulatory therapy

In order to suppress HPV, antiviral and immunomodulatory therapy is used with drugs such as Oxolinic ointment, Acyclovir, Panavir, Ganciclovir, Viferon, Intron-A, Reaferon, Realdiron and others.

Most studies have shown very little or no efficacy for topical monotherapy and unpredictability for systemic use. At the same time, their introduction directly into the lesions often leads to pronounced positive results. Enough powerful and broad effect of action are immunomodulators Isoprinosine (tablets for oral administration) and Imiquimod cream.

The appointment of immunomodulatory drugs is advisable 10 days before and some time after the use of destructive removal of formations.

The disadvantages of all methods of therapy are the high frequency of recurrence of PV infection, the need for multiple repetitions of treatment procedures, as well as local negative skin reactions. The most effective is the combined treatment. Especially important right choice therapy for pregnant women.

Principles of management of pregnant women

They consist in:

• the beginning of treatment from the very moment of diagnosis;
• conducting colposcopic, cytological and other studies, due to the high frequency of association of HPV with other sexually transmitted infections;
• mandatory inclusion in the plan of counseling, examination and treatment of the husband or partner.

Small and medium-sized anogenital warts in pregnant women are removed at the beginning of the first trimester by chemical destruction (Solcoderm) with a weekly interval between procedures. Preliminary it is necessary to carry out vaginal sanitation.

Large and confluent formations are excised radio wave method at the beginning of the second trimester in combination with antiviral and immunomodulatory therapy. For these purposes, it is possible to use the drug, for example, "Genferon Light" in vaginal suppositories- 2 times a day for 250 thousand units for 10 days. It is prescribed after the 13th, at the 24th week of pregnancy and immediately before childbirth. Before the excision of genital warts at the end of the first trimester, the vagina is sanitized and treatment (if necessary) of the urogenital infection.

Common small condylomas in the vestibule and / and in the vagina itself in pregnant women cannot be removed. All that is needed is antiviral therapy and immunomodulation, treatment of urogenital infection and vaginal sanitation.

Timely detection and combined treatment of genital warts can significantly reduce the likelihood of their recurrence and transformation into a malignant neoplasm.

And genital warts in women are growths that have formed in the area of ​​​​the external genital organs and the anus. main reason This disease, called condylomatosis, is the human papillomavirus. Pathogenic microorganism is dangerous possible development cervical cancer.

Causes and signs of pathology in women

What are the causes of genital warts in women and how they are transmitted? In most cases, the virus enters the body during unprotected intercourse, regardless of the form of execution. In this case, the sexual partner may simply be a carrier of the virus and not have specific manifestations on the body.

Facilitate the penetration of HPV into the body and factors such as:

• neglect of the rules of personal hygiene;
• trauma to the skin and mucous membranes;
• nervous strain, accompanied by stress;
• bad habits;
• regular lack of sleep/malnutrition;
• hormonal changes;
• freezing or overheating of the body.

In each case, condylomatosis manifests itself in different ways. The clinical picture, that is, the symptoms of genital warts in women are very diverse. The onset of the disease is characterized by the appearance of reddish growths, the size of which can vary from a few millimeters to tens of centimeters if they grow and merge.

Genital are usually observed in places of friction during sexual contact. Favorite places for the localization of the virus are:

In the photo there may be different manifestations of pointed in women (look on the Internet).

The lack of timely therapy for the manifestations of papillomavirus is fraught with the transformation of single formations into arrays of warts, similar to cauliflower or cockscomb. In this case, the disease is diagnosed as confluent genital warts.

In addition to physical discomfort, they can cause women and psychological problems. An inferiority complex can develop when warts on the genitals cause a feeling of disgust in a partner. And when they grow together around the vulva, they also interfere with sexual intercourse.

How to remove warts: modern hardware methods

Despite the painlessness of neoplasms, in general they are very unpleasant in appearance and interfere with a full-fledged intimate life. Therefore, when growths appear in the perineum, it is better to get rid of them through hardware exposure.

1. Yes, thanks to cryodestruction female body is released from genital warts due to exposure to low-temperature liquid nitrogen, cooled to 196 degrees. Due to its painlessness, the procedure does not require anesthesia.

2. Cauterization of genital warts electric shock high frequency is known as electrocoagulation. The procedure is painful, so on the eve of it, patients are offered the introduction of anesthetics. Also, after cauterization, scars may remain.

3. During laser treatment of genitals, women may experience mild pain. But the manipulation is carried out very quickly and does not cause bleeding and scarring.

4. The radiosurgical technique for influencing warts involves irradiating them with high-frequency radio waves. Although the procedure is expensive, it is very effective - the healing of the treated area occurs over the next day.

5. Chemical removal genital warts in women provides for loyal treatment. To carry out the manipulation, the specialist selects special medicinal substances that destroy tissue growths.

The development of a precancerous condition is the most dangerous consequence of the appearance of genital warts. The provoking factor in this case is the accumulation of papillomavirus in the tissues surrounding the warts.

Conservative and alternative treatment of genital warts

Conservative therapy for condylomatosis involves the use of pharmaceutical products causing necrotic changes in tissues.

These include:

• Podophyllotoxin, Kondiline Nycomed - they are applied twice a day with a special applicator attached to the drug. Between applications, it is important to maintain a 12-hour interval. After a 3-day treatment, they take a break for four days and continue treatment until the warts are completely eliminated.
• Treatment of warts with Imiquimod - 5% cream, is carried out for a week. Problem areas of the body are lubricated at night, and washed in the morning warm water with soap. The maximum period of use of the cream is 16 weeks.
• Interferon is a drug for internal and external use, injected intramuscularly or used to lubricate genital warts. His side effects are the symptoms inherent in the flu: deterioration in general well-being, headaches, chills, etc. But at the same time, the effectiveness of treatment with Interferon remains high and surpasses other methods of external exposure.

Before prescribing treatment, the doctor must differentiate condylomatosis from syphilis with skin changes, molluscum contagiosum and symmetrical micropapillomatosis.

You can get rid of the manifestation of papillomavirus by resorting to a folk recipe.

1. Healers advise rubbing warts on the genitals with celandine juice and applying garlic and onion compresses to them at night. To avoid burns of the surrounding skin, it is necessary to apply vegetable plates to the growths, cut in accordance with the size of the neoplasms.

2. An egg will help reduce pointed women. For treatment, they take protein and lubricate the growths with it.

3. Effective in home treatment and onion compresses. The remedy is prepared by soaking the vegetable in vinegar, and then applied warmly to the warts overnight. In total, 7 such procedures must be carried out.

Genital warts are warty formations on the skin and mucous membranes of the genital organs caused by the human papillomavirus. Another name is "anogenital (venereal) warts", as they are located in the anus and genitals. Age - 18-35 years. The main treatment is removal.

For doctors and students: ICD10 code: A63.0

Genital warts on penis skin

The reasons

Genital warts are caused by the human papillomavirus (HPV for short). Specifically - 6, 11, 13, 16, 18 types.

Detailed article about this virus: read.

HPV has many types. Some of them cause the appearance of ordinary warts on the skin (read the article about what types of warts generally exist).

Part - sexually transmitted and cause the appearance of genital warts.

Clinic and symptoms

Infection occurs by contact (the sexual route is the same contact way infections).

The source of infection is warts in a sick person, that is, modified cells of the skin or mucous membrane in which the virus develops.

Attention
The warts themselves may not yet be visible to the eyes, but there are already altered cells on the skin. Upon contact with the skin of another person, the virus from these cells enters his skin, penetrates into microcracks and begins to develop in the skin.

It looks like condyloma in the context

Genital warts of different localizations

Start:

• small vesicles and tubercles on the skin and mucous membranes,
• slight redness around
• slight itching.

Disease development:

• formations grow in size up to 1-1.5 cm,
• appearance of "cauliflower" or "cockscomb",
• itching gets worse
• new bubbles appear nearby.

Location:

• genitals: groin, pubis, genitals in a man and a woman (glans penis, foreskin, vulva, vagina, labia minora),
• anus (anus). This arrangement gave a second name: anogenital warts.
• rarely - inside the urethra and on the cervix,
• rarely - in the oral cavity, on the lips, on the cheeks and on the tongue.

Remember:

1) in adults, the main route of transmission is sexual.

2) a contact route of transmission is very rarely possible - through a dirty toilet rim, taking a shared bath, using shared hygiene items, shared cutlery, etc. The virus survives for several minutes in a viable state in a warm, humid environment. This transmission mechanism explains such cases when genital warts are detected in virgins, in children.

3) condoms reduce the risk of HPV transmission. But not 100%. Contact with unprotected skin during sexual intercourse (for example, contact of the scrotum and labia) - risk of infection .

Appearance time:

From the moment of sexual contact to the moment of appearance of education - 2-3 months or more. If the immunity is strong, then this period can stretch for several years or even decades.

At the time of weakening of the immune system, condylomas appear. In women - sometimes during pregnancy, when there is also a load on the woman's immune system.

What is the immune system and how it works is described in detail.
We read about how to increase immunity.

Complications of condylomatosis!!!

• Inflammation of condyloma
• Trauma and ulceration
• Phimosis and paraphimosis in men (narrowing of the foreskin)
• Disease progression
• Childbirth infection.

Attention: condylomas do not affect the ability to get pregnant in any way !!!

Diagnosis - how to make a diagnosis yourself?

1. A characteristic picture is "cauliflower", "cockscomb".
2. Sexual contact 2-3 months before the start.
3. Acetic acid test. A cotton pad is moistened with 5% (!!!) acetic acid. Place it on the affected area for 5 minutes. If after 5-10 minutes the area turns white, then this is condyloma.

In the hospital:

• PCR diagnostics. Find out the amount and type of HPV virus. It is advisable to immediately pass on sexually transmitted diseases (STDs). Often, condylomatosis is combined with other STDs - trichomoniasis, chlamydia, syphilis, etc.
• Women - required (!!!) examination of the cervix and taking a cytological smear to exclude dysplasia and cervical cancer. I tell you more about dysplasia and CIN here: link.
• A control PCR analysis for HPV is performed 2 months after the end of treatment.

Differential Diagnosis

Genital warts in initial stage can be confused with:

Treatment in the hospital and at home

What to do???

Men - on reception to the venereologist.

Women - on reception to the gynecologist.

Medicine uses THREE directions in the treatment of genital warts:

• Removal of warts themselves, as sources of the virus
• Impact on the virus
• strengthening immune system

Removal Methods

1) Liquid nitrogen, or cryodestruction.
Read more about the methodology

Liquid nitrogen freezes papillomas on the labia, penis, on the skin in the inguinal region. In this case, the papilloma dies, falls off. The area of ​​frostbite heals quickly. The method is effective, but must be carried out by an experienced specialist.

About what types of papillomas are, I tell in detail.

2) Cauterization with local necrotizing agents

Concentrated acids, alkalis and a number of other substances cause chemical burn warts. She dies and falls off. In its place is a small wound that heals quickly.

You have to be very careful with cauterizing agents so as not to burn the healthy skin around, otherwise there will be a scar. Treatment of genital warts with such aggressive substances should only be carried out by a doctor.

The preparation contains alkalis. It is extremely aggressive for the skin, therefore it is used mainly for the removal of common warts. It is not recommended to use on the skin of the genital organs.

The drug contains phenol and metacresol. It acts softer, there are almost no scars. Can be used on the skin in the groin area.

The drug acts gently, but the treatment period is longer.

- Solcoderm
More about solcoderm

The drug contains nitric, acetic and oxalic acids, which burn condyloma tissue.

Pharmacy packaging solcoderm

Scheme: be sure (!) to lubricate the skin around with a cream to protect it; once with an applicator, apply 1 drop of solcoderm to condyloma, if the formation is large, then 2-3 drops so that they cover the entire surface without flowing onto healthy skin; break - 1 week; if the formation has not come down, then the treatment is repeated.

- Kondilin, or podofilin.
detailed instructions

This medicine contains a substance called podophyllotoxin. It delays the division of human cells, thereby destroying them.

If you smear the surface of the warts with condylin, then it will decrease in size. The drug is dangerous for healthy skin. Treatment should be carried out under the supervision of a physician.

Scheme: the skin around is treated with cream; 2 times a day with an applicator, 1 drop is applied to the surface of each formation, or more if the condyloma is large; drying time for condilin - 3-5 minutes; repeat the treatment for 3 days, then a break for 4 days.

3) Laser

And here is a reader's review about laser removal: link.

Removal of warts with a laser is less traumatic and less painful. The laser beam vaporizes the formation. A small wound heals quickly.

Watch the video of laser papilloma removal:

4) Electrocoagulation

This is the excision of genital warts with an electric knife. The surgeon anesthetizes the tissues with novocaine. Then he burns out condyloma with an electric knife. The operation is not easy and can have consequences in the form of scars on the skin.

On the video: removal of papillomas with a coagulator.

5) Radio wave method, or Surgitron apparatus. More details about this method

The condyloma is excised with high frequency radio waves. This method is similar to a laser. But the Surgitron apparatus is very expensive, so the price of such a procedure is also high. There are no complications after it.

Outdated technique. It is rarely used - only with large sizes of genital warts. It is performed under local anesthesia or under general anesthesia. After excision with a scalpel, the skin is sutured with surgical threads.

Antivirals

• Isoprinosine (or groprinosin): 2 tablets - 3 times a day; 14-28 days. More detailed instructions:.
• Allokin-alpha: 1 ampoule, powder dissolved in 1 ml of 0.9% sodium chloride, injected subcutaneously 1 time in two days, course - 6 injections. Detailed article about allokin: link.
• Epigen intimate spray: spray the area with genital warts 4 times a day throughout the entire treatment period. Details about the epigene: link
• Panavir: available in different forms - gel, spray, suppositories, injection solution - it all depends on the prevalence and localization of genital warts. More about panavir: link

Immunostimulants

The following immune preparations in the general course of treatment for genital warts: immunal, polyoxidonium, cycloferon, reaferon, leukopid and a number of others.
Attention: Immunostimulants are drugs. They must be prescribed by a doctor.

• Immunal: 1 tablet - 4 times a day, the course is from 2 to 8 weeks.
• Reaferon: powder of 1 bottle (1 million units) diluted with water (half a teaspoon), drink 30 minutes before meals - 2 times a day, for 10 days.
• Polyoxidonium: 1 suppository (12 mg) inside the vagina or in the rectum at night every other day - 10 times.

A detailed article on the immune system and its functions: read.

Remember:

• therapeutic methods of treatment only complement surgical ones so that there are no relapses after removal;
• relapses occur in 30% of patients who underwent removal of warts;
• Self-healing from genital warts happens, but rarely. The basis of self-healing is the strengthening of immunity;
• viruses in in large numbers are located in the thickness of each condyloma, so they must be removed.

Treatment with folk remedies

1) Iodine tincture.
I do not recommend!!! You will lose time and health.

Lubricating the surface of warts with tincture of iodine gradually dries it, and it should fall off. BUT: this does not always happen, but very, very rarely. In addition, lubrication of the skin and mucous membranes with iodine can cause burns and scarring in the future.

And most importantly, iodine is absorbed through the skin, accumulating in thyroid gland, and in excess leads to disruption of the thyroid gland, which is very, very bad. Take care of your thyroid gland, go to a cosmetic clinic or a dermatologist, and he will remove your neoplasms quickly and painlessly.

2) Celandine (grass!).
I tell you more about the celandine.

Genital warts are lubricated fresh juice celandine several times a day. BUT: the effect of such lubrication is positive only if the condyloma is small in size - a few millimeters in diameter. If it is large, then there will be no effect. Waste your time.

In this case, it is better to do this: remove a large condyloma in a cosmetic clinic or a dermatologist. And small ones nearby - lubricate with celandine.

It looks like grass - celandine

3) healthy image life in all its guises: hardening, healthy eating, minimization of stress, exclusion of alcohol and tobacco, sufficient sleep, physical education and walks in the fresh air.

Remember a sanatorium or a rest home - its entire regime is aimed at improving defensive forces organism. Try to repeat the regimen of the day of the sanatorium as much as possible, and your immunity will gradually begin to fight itself against such misfortunes as genital warts or other viral infections.

Prevention

Prevention of genital warts is simple:

1) Sexual contact with only one partner.

2) Compliance with the rules of personal hygiene.

3) A healthy lifestyle that helps maintain immunity at a high level.

4) Vaccination of girls and boys against the most dangerous types of papillomavirus.

Be sure to watch this video, where various experts talk about this disease.

• cervical dysplasia - the most formidable manifestation of HPV; is it cancer or not cancer?

Attention: if the doctor did not answer your question, then the answer is already on the pages of the site. Use the search on the site.

Condyloma is a benign neoplasm of the papillary or warty type. It can occur as a result of exposure to the human papillomavirus. According to HPV statistics, it occurs in 80% of women, but its clinical manifestations in the form of condylomas occur in only 3%. Can provoke their growth different factors: weakened immunity, pregnancy, improper hygiene. Treatment of warts in women is a set of measures for their safe removal and body support. Therapy is prescribed taking into account the cause of the neoplasm.

What are warts?

Condylomas (translated from Greek - tumor, outgrowth) are outgrowths that represent an overgrown epithelial papillary layer of the surface of the skin, mucous membranes. Neoplasms look different depending on the type. It provokes the appearance of outgrowths of the papillomatous virus, which occurs in 80% of women. More than 100 varieties of HPV have been identified, some of them are relatively safe, while others provoke cancer.

As a rule, the size of genital warts does not exceed 2 centimeters, although in rare cases there are outgrowths bigger size. Neoplasms often appear in intimate places (on the small lips, on the walls of the vagina, in the anus). Often, condylomatosis affects urethra(urethra), causing unpleasant painful symptoms. The need and type of treatment for this disease in women depends on the stage of development of genital warts, on the presence or absence of oncogenic danger.

What do warts look like (PHOTO)

IMPORTANT: If you suspect condylomatosis in women, the photo of which you see above, immediately seek help from a qualified specialist (in order to avoid cervical cancer).

Types of genital warts

The papillomavirus manifests itself in three forms - latent, clinical and subclinical. They differ in symptoms, external manifestations of condylomatosis. All warts are genital warts and are divided into four types - typical genital, hyperkeratotic, papular, flat.

Forms in which different types of neoplasms occur:

• Latent. In this case, structural changes in the epithelium do not occur, the virus does not manifest itself in any way, there are no symptoms. The first signs of infection appear when the disease becomes conical. It can be discovered randomly during routine tests.
• Clinical. It is characterized by the appearance of typical genital, hyperkeratotic, papular warts. The pointed variety of condylomatosis is an outgrowth with a short stalk. They are easy to distinguish from other varieties in the photo (they resemble a head of cauliflower in shape). Outgrowths can be single or multiple. Hyperkeratotic neoplasm is characterized by horny layering, localized on the labia. Papular warts look like warts with a smooth surface round shape, the leg is absent, the outgrowth protrudes slightly.
• subclinical. With it, condylomas of a flat type appear. Neoplasms look like spots that do not protrude above the surface of the epithelium, which are difficult to notice.

Separately, a variety of wide condyloma Bushke-Levenshtein is distinguished. This is a large neoplasm that appears as a result of the fusion of condylomatous outgrowths. Such a condyloma is growing rapidly, destroying the tissues under its base, and is characterized by the release of sticky mucus. A neoplasm rarely transforms into a malignant tumor.

pointed

Genital warts appear in the clinical form of the manifestation of the virus and are localized mainly on the small and large labia, at the entrance to the vagina, on the skin around the anus, less often in the cervix, and still occur on the mucous membranes in the mouth. The color of exophytic formations is flesh, red, crimson, light pink. Genital warts in women are often accompanied by unpleasant and painful symptoms.

flat

Endophytic (flat) warts are almost invisible, usually localized in the cervix, but can also be in the vagina. This type represents a high oncogenic danger. If endophytic formations are detected, a woman needs to be tested, since a flat variety of genital warts is the main cause of cervical cancer.

Causes of genital warts in women

Condylomas in women appear due to the papillomavirus, which may not manifest itself for a long time. For various reasons, it is activated, changes the cellular structure, which is subsequently converted into outgrowths. Cell changes are invisible to the naked eye at the initial stage, so condylomatosis is diagnosed already in clinical form or during routine tests. The majority of sexually active women are infected with the virus. childhood the infection can penetrate through abrasions, scratches. What causes condylomas with HPV:

1. Weakened immunity due to taking medications (antibiotics, antibacterial agents), beriberi, HIV infection, unbalanced diets, cancer, stress, pregnancy;
2. Hormonal changes, lack of vitamins, physical exhaustion in the postpartum period;
3. neglect contraceptives during sexual intercourse with unverified partners;
4. Unprotected sexual intercourse with a person infected with the virus;
5. Lack of personal hygiene of proper quality;
6. Infectious diseases transmitted through sexual contact;
7. Hormonal disorders;
8. Smoking (constant use of tobacco reduces immune functions, contributes to changes in the epithelial layer of the cervix).

The virus can enter a woman's body in many ways. The most common is unprotected oral-genital, anogenital, sexual contact. The risk of infection in this case reaches 80%. Also, infection can occur when the fetus passes through birth canal during childbirth, if there are pointed outgrowths on the mucous membranes of the mother. Some doctors argue that it is possible to get infected through the household way - through the use of common things (linen, towels), but most modern scientists question this option.

Diagnostic methods

During diagnosis in women, condylomas must be differentiated from, cancers. During the appointment, the doctor collects anamnesis from the patient, then examines the genitals, cervix. If a provisional diagnosis- condylomatosis, further examinations are necessary. To understand whether warts are dangerous, a woman must pass a series of tests:

• PCR. A smear for examination is taken from the walls of the cervix and from the mucous membrane of the vagina. The analysis is reliable, but if the conditions are violated, it can give a false result. Often other tests are performed with PCR.
• Digene test. Performed to test for virus concentrations that are clinically significant. It allows you to identify the degree of oncogenicity. The study is carried out together with a cytological analysis.
• Cytological analysis. The test helps to identify structural changes in cells that appear during the development of the disease.
• Colposcopy. Identifies the lesion, determines the general condition of the tissues, helps to find malignant formations taking a swab for diagnosis.
• Blood analysis for HIV, syphilis.
• Biopsy. A piece of tissue is taken to examine areas where there is a suspicion of oncology.
• Urocytoscopy. It is carried out with suspicion of condylomas of the urethra.
• Endoscopy. It is carried out with suspicion of warts in the anus.

Symptoms of condylomatosis

The first time after the virus enters the body of a woman, the disease is asymptomatic. This period can take from a couple of months to several years - it all depends on the state of the immune system. because of hormonal disorders, weakening of the immune system, the virus passes into clinical form and condylomas appear in the genital area of ​​a woman. Symptoms of condylomatosis:

• that occur during the growth of the epithelium (5-6 hours);
• the formation of noticeable genital warts of small size, with a thin stalk, which have a bumpy structure to the touch (after the formation of formations, discomfort in the form of itching and burning disappears);
• flesh, light pink, crimson, red outgrowths;
• irritation, bleeding;
• painful urination if there are multiple warts in the urethra;
• pain during bowel movements, bloody discharge, itching with formations in the rectum;
• increased secretion of whites;
• putrid smell vaginal discharge if warts are damaged (possible discharge with blood impurities, blood after sexual contact).

When formed on the epithelial layer of the perineum, condylomas in women do not cause any discomfort, except for an unpleasant appearance. The appearance of flat neoplasms is asymptomatic, which complicates the diagnosis and precludes the appointment immediate treatment subclinical form of condylomatosis, this in many cases leads to the development of oncological processes.

Treatment methods for warts in women

At the initial stage of condylomas, after their formation, as a rule, they do not cause discomfort, except for aesthetic ones, so the woman determines the need for treatment herself. If the doctor suspects that they have become malignant, the outgrowths show intensive growth, or painful symptoms are present, venereal warts must be removed. The procedure is carried out in five main ways: laser beam removal, radiosurgical treatment, thermocoagulation, chemo- and cryodestruction.

Removal of genital warts with a laser beam

The laser method of treating warts in women shows high efficiency. During the procedure, a laser beam acts on the condylomas, which literally evaporates them, leaving a scab in their place. A few days after the operation, he departs by itself. The advantages of laser treatment are accessibility, simplicity, point impact that does not damage nearby tissues.

Radiosurgical removal of genital warts

The radiosurgery method is well suited for the treatment of condylomatosis. During the procedure, a special device with a beam of high-frequency radio waves acts on the location of the genital warts in a woman. This allows you to remove formations without damaging nearby tissues. The method is highly accurate, almost painless, takes no more than half an hour.

Thermocoagulation

During thermocoagulation treatment, warts are exposed to high temperatures. The procedure is carried out under local anesthesia because it is painful. With this method of treatment, the formations are burned, after cauterization, only a scab remains, which falls off after a few days. The main advantages of this procedure are low cost and high efficiency.

Method of chemical destruction

A chemo-destructive method of treatment is the removal of condyloma in a woman with the help of chemicals that destroy the outgrowth tissue. As active substance used Nitric acid. The procedure is carried out several times complete treatment genital warts. The method is cheap and effective, but can take a long time.

Cryodestruction

Cryodestruction helps to cure condylomatous formations in women by exposure to low temperature liquid nitrogen. Outgrowths are cauterized drug, after which their tissue is destroyed. This method of treatment is cheap, but it requires high professionalism of the attending physician, otherwise, with inaccurate processing, burns may occur.

Possible Complications

After removal of condyloma, complications may occur in the form of bleeding, narrowing of the cervical canal (with laser treatment). Chemical cauterization can leave scars, the risk of recurrence of the disease is high. If the removal procedure was carried out by an inexperienced doctor, the following complications are possible: infection in the tissues, damage to healthy skin areas, suppuration.

Treatment of genital warts with folk remedies at home

To date, the treatment of genital warts is carried out surgically and conservative methods. Conservative treatment includes the use of special medicines (tonic, for immunity) suppositories, ointments. However, there are dozens folk remedies that help to get rid of the manifestations viral disease. How to treat warts in women at home:

1. Treatment with garlic juice. Every day, the formation is smeared with a drop of garlic juice. Another option is to apply a piece of garlic to the condyloma, trying not to affect nearby tissues, glue a patch on top and leave it overnight.
2. Treatment with tincture of celandine or fresh juice of the plant. Three times a day, the remedy is applied to warts. For one procedure, a woman needs to repeat the application two to three times.
3. Egg treatment. The protein is separated from the yolk, the areas of the skin affected by warts are lubricated with the protein mass. Can be used two to three times a day.

Features of the treatment of condyloma during pregnancy

Pregnant women often develop warts. It's connected with hormonal changes, avitaminosis, possible stressful condition, weakened immunity. If the outgrowths of a woman do not show intensive growth, treatment is prescribed in rare cases. After childbirth, when the body recovers, such warts may disappear on their own. Removal is carried out by laser or cryodestruction, drugs against viruses are contraindicated for women in position.