Treatment of genital warts in women. Symptoms of genital warts and flat warts in women. Treatment methods for genital warts

Genital warts are a manifestation of the human papillomavirus and are localized on the skin and mucous membranes of the genital organs and anus. Condylomatosis is an excessive growth of genital warts in women and men, which is manifested by hyperplasia of the epithelium of the skin due to the activation of papillomavirus.

Note! A person may not even be aware of the infection - some are only carriers of the disease, no symptoms are observed.

The reasons

Papillomavirus is widespread. The causes of genital warts in women and men is the human papillomavirus. It is sexually transmitted, so people who are sexually active and do not use barrier contraception are at significant risk.

Papillomavirus is insidious - it may not manifest itself, while the carrier infects each of its partners. The duration of the incubation period can be up to several months.

To start the manifestations of the virus and the appearance of warts, provoking factors are necessary, which can be:

• decline;
• violation of the thermal regulation of the body (overheating, hypothermia);
• pregnancy;
• long stay in a stressful situation;
• excessive use of alcohol and tobacco.

With the aggressive action of any of these factors, accelerated proliferation of epithelial cells is observed. As a result of such cell division, part of the mucous membrane or skin grows, transforming into genital warts.

If you suspect infection, you need to know what genital warts look like. Outwardly, the formations look like a wart about 3-6 mm in size. The head of the wart resembles a cauliflower, it is attached to the skin with a thin stem.

Genital warts can occur in both men and women.

Genital warts in men, as a rule, are localized on the foreskin, in women - on the labia. Formations in the anus are observed in patients of both sexes. Genital warts of the vulva can merge, resembling a cockscomb in appearance. Genital warts in women can affect not only the external labia, but also be located inside the genital organs, affecting the vagina, cervix. Sometimes warts penetrate the urethra, which leads to impaired urination.

The peculiarity of the formation of warts is the speed of their occurrence. After a couple of hours, a dozen formations may appear. Warts differ in color: they can be white, flesh, burgundy.

The usual complaints of a woman when contacting a specialist are: pain during urination and defecation, localized in the lower abdomen, and also occurring during intercourse. Genital warts are localized, as a rule, ring-shaped. Large papillomas can block the entrance to the vagina, anus. Genital warts in women, with extensive growth, can lead to rupture of the vagina.

Important! If genital warts in the vagina occur during a woman's pregnancy, then delivery is carried out by caesarean section, since warts do not allow the fetus to move normally through the birth canal.

Symptoms

The main symptom is the formation of small neoplasms in the genital area. The initial stage of the flow is manifested by the formation of small bubbles, tubercles, hyperemia.

Additionally, the following symptoms occur:

• itching in the affected area;
• sensation of a foreign object;
• the occurrence of an unpleasant odor;
• if the integrity of the formations is violated, then spotting may appear.

Diagnostics

The specialist will be able to make a diagnosis based on a routine gynecological examination. Confirmation of the diagnosis involves the detection of papillomavirus by PCR. This analysis allows not only to confirm the presence of the virus, but also to determine its type, since genital warts are caused by 8 species. It must also be taken into account that some of these species have a high risk of condyloma degeneration into a malignant formation.

Genital warts can occur in men and women. The passage of the analysis is recommended not only to the patient, but also to his partner, even if he does not have any manifestations of the disease. This should be done also because HPV is often combined with other sexually transmitted diseases, and all of them need to be treated.

The photo shows the manifestations of genital warts in men.

Genital warts cause not only physical problems, but also psychological ones. Such formations can cause a partner's reluctance to have sex.

It is necessary to monitor the color of the formations - if they have darkened, it is necessary to urgently contact a specialist, as this may indicate their rebirth.

How is the treatment carried out

To get rid of genital warts, both conservative treatment and surgical intervention are used.

Drug treatment of genital warts in women and men is intended to relieve symptoms, as well as increase. For this purpose, drugs are used that reduce the amount of virus in the body, and. It is also advisable to use products intended for topical use. They are also used for prophylactic purposes after removal of genital warts, which avoids relapses.

Surgical treatments

Surgical treatment of genital warts can also be performed in both men and women.

Chemical destruction. Under the influence of chemicals, the papilloma is destroyed. This method is painless and highly effective. As a rule, the composition of the drugs used includes nitric acid. This method can be successfully used even if multiple condylomas have appeared - you can get rid of them in several procedures. The method is safe, after it the tissues are quickly restored, and no traces remain. Chemical removal is a budgetary method that is reliable and safe - even if it gets into areas with healthy tissue, there is no harm. Thus, warts on the head and in other places can be treated.

Removing genital warts with a laser is another method that allows you to get rid of genital warts. After it remains a small wound, covered with a crust. Over time, tissue regeneration occurs and a healthy skin area remains. The method is effective and safe, but its cost is higher than that of chemical exposure.

Cryodestruction allows you to get rid of formations with the help of low temperatures. For this, liquid nitrogen is used - under its influence, tissues are frozen and fall off. The method is inexpensive, but requires high professionalism from the doctor who performs the procedure. Thus, genital warts on the penis, labia are removed.

The method of thermocoagulation or cauterization involves the destruction of formations with the help of high temperature. The procedure requires anesthesia, because. it makes her feel very uncomfortable. At the site of cauterization, a scab is formed, under which tissue regeneration occurs. This method also requires high qualification from a specialist, because. when it hits a healthy area, scars remain.

Radiosurgical treatment of genital warts. This method is optimal. It is safe - there is no risk of damage to healthy tissues. With the help of radio waves, the condyloma is cut off, leaving a smooth and clean surface without scars. Healing of the treatment site occurs quickly - within a day. The problem is that the equipment required for the procedure is expensive, so not every clinic can find it. Accordingly, the procedure itself is not cheap.

Pharmacy funds

For the treatment of genital warts, drugs can be used to necrotize the tissues of the formation, but they should not be acidic. Suitable means such as Kondiline, Kondilin. The drug is applied exactly to the condyloma. Removal in this way is quite dangerous - it is difficult to apply the drug without affecting healthy areas. It is necessary to lubricate acute condyloma in the morning and evening for 3 days, after which a 4-day break is taken. If the formation has not fallen off, then the treatment is continued.

Despite the fact that treatment is carried out at home and independently, before treating genital warts and after the procedure, the patient should be examined by a doctor. When carrying out, unpleasant side effects are possible: soreness, burning, redness. There are also contraindications - during pregnancy, genital warts cannot be removed by this method, and those who plan to conceive should postpone pregnancy for six months.

Local methods of treatment include injections of interferon, which is injected into the area of ​​genital warts. However, experts do not recommend using this method, since its effectiveness is controversial, and the presence of side effects is high.

Folk methods

Folk remedies can also be used to treat genital warts.

They can be greased with a freshly cut apple, rubbed with garlic and onion juice. The growths are smeared with an apple 5-6 times a day for 30 days. Also three times a day they can be wiped with celandine juice.

For lubrication, alcohol tincture of iodine is also used.

With HPV, decoctions are taken orally. You can make tea with lemon balm (2 tablespoons of herbs per 30 ml of boiling water), which is drunk throughout the day. Take a tablespoon of calendula infusion (1 tbsp per glass of boiling water).

Complications

Of particular danger is injury to condyloma. In such cases, the inflammatory process starts, suppuration begins, the mucous membrane becomes covered with ulcers. You should not try to remove the condyloma yourself by tearing it off. Firstly, this can lead to the penetration of infection, and secondly, a new one always grows at the site of the removed condyloma, and sometimes even several.

HPV can lead to erosion, dysplasia of the cervix. In addition, the risk of developing cancer increases.

Preventive actions

• The main route of HPV transmission is sexual. Therefore, in order to reduce the risks of infection, it is necessary to take a responsible attitude to your sex life, keeping in touch with one reliable partner.
• With any changes in health, you should consult with your doctor so as not to start the disease if it is present.
• If you suspect an infection, you should not self-medicate.
• Eat well, take vitamins and minerals.
• Avoid stressful conditions.

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Suddenly appearing growths on the skin of the perineum cause many women to panic and often provoke quarrels in the family due to suspicions of a sexually transmitted disease. However, if these formations are genital warts (see photo), do not get excited.

Perhaps this is the result of infection with the papillomatosis virus in the past. In any case, you should know what treatment of genital warts in women offers modern medicine.

Genital warts - what is it?

Genital warts are the result of the activation of the human papillomavirus in the body. The disease is also called genital warts or genital warts. Once in the body, HPV, held back by immune forces in a weakened state, may not manifest itself outwardly for a long time.

However, any condition that reduces immunity leads to the appearance of peculiar outgrowths on the skin with a characteristic exophytic growth (on the surface of the skin). Perhaps the appearance of pathological growths on the vaginal mucosa, in the rectum and oral cavity.

In addition to the delivered aesthetic discomfort, condylomatosis can cause cancer. Lack of timely treatment also leads to the spread of a viral infection and the growth of warts.

In addition, genital warts - a sure sign of a decrease in immunity - are often accompanied by a chronic course of thrush, infection with ureoplasma and other sexually transmitted infections.

The appearance of genital warts may vary, photo 2

The papilomatous virus of genital warts is highly contagious. In 80-95% of women, it is found in the blood, but only in 1% it provokes the appearance of skin neoplasms. Most often, genital warts are caused by infection with HPV types 6 and 11 with a low degree of oncogenicity.

But only PCR analysis can exclude infection with more dangerous subspecies of the virus, for example, highly oncogenic types 16 and 18.

Infection of women with HPV occurs in the following ways:

1. Sexual way - the most common among women and men;
2. In childbirth - the child becomes infected from a sick mother, but warts may appear after a few years (this explains condylomas in young girls who have not had sexual intercourse);
3. Contact route - infection through towels, bed linen and hygiene items is not excluded.

Any of the conditions can provoke the appearance of genital warts:

• Sexual contact with a partner infected with condylomatosis;
• External exposure, accompanied by immunodeficiency - stress, strict diet, long-term antibiotic therapy;
• Pregnancy and postpartum period;
• Promiscuous sexual intercourse, leading to a violation of the microflora of the vagina;
• Chronic infection in the body;
• Failure to comply with hygiene standards.

Important! Even using a condom does not rule out HPV infection. Contact with the virus-affected skin of the scrotum and pubis of a partner leads to the penetration of the infection into the body of a woman.

The first signs of condyloma, the initial stage

Most often, genital warts appear at least 3-6 months after infection with HPV. With sufficiently strong immune protection, the incubation period can last up to several years.

The clinical picture develops rapidly. In just a few hours (on average - 6 hours), a woman notes the appearance of:

• Slight itching and burning;
• Slight hyperemia;
• Pimply tuberosity, reminiscent of cauliflower.

As soon as neoplasms appear, itching and redness subside. Condylomas rapidly increase in size and reach a height of 1-1.5 cm.

Neoplasms can be single (separate papillae rising above the skin) and multiple, resembling a cockscomb or cauliflower. Separate foci are prone to peripheral growth and fusion. When new genital warts appear, a short-term burning sensation and redness reappear.

Treatment of genital warts in women

Modern medicine is not able to destroy HPV in the body. Therapeutic measures are aimed at removing genital warts in women and attenuating the virus by activating the immune defense.

Medical treatment, drugs

With condylomatosis, the use of specific drugs is possible. A solution or ointment for genital warts contains cauterizing substances, so their use should be careful with the treatment of surrounding tissues with a protective cream. The most effective remedies for genital warts:

• Kondilin - 0.5% solution of podophyllin plant extract. The drug is applied to an area of ​​no more than 10 cm2 twice a day for 3 consecutive days. The course is repeated after 4 days of break, treatment lasts no more than 5 weeks. Usually the first treatment is performed by a gynecologist. The solution is contraindicated in pregnant women.
• Solcoderm is a combination of nitric, acetic, oxalic and lactic acids. A rather aggressive agent: the maximum treatment area is 5 cm2, and the treatment lasts no more than 4 weeks. During processing, there is a strong burning sensation and hyperemia. A scar may form at the site of the dried condyloma. Hyperpigmentation almost always remains.
• Trichloroacetic acid - 80-90% solution is applied once with a possible repetition of the procedure after 1 week. The maximum number of procedures is 6. After treatment, the acid is neutralized with a soda solution, after which the treated area is sprinkled with talc or baby powder.
• Supercleaner - contains an alkaline agent. 1 drop of the product is dripped onto the warts 1 time per day. Treatment regimen - 3 days of treatment, 1 week break.

Important! Cauterization of genital warts with iodine solution at home is not recommended. Such treatment can lead to tissue necrosis and suppuration.

Minimally invasive methods for removing genital warts

Most clinics are equipped with special equipment for mini-traumatic removal of genital warts in women, while condylomatosis in most cases is eliminated in just one procedure. This treatment does not require hospitalization.

Instrumental methods for excision of genital warts:

• Surgery is an outdated technique that is practiced in hospitals that do not have modern equipment. Warts are excised with a scalpel, most often under local anesthesia. Next is suturing. The recovery period is quite painful.
• Electrocoagulation - excision of warts with an electrocautery requires local anesthesia. After healing, scars often remain.
• Radiofrequency ablation - neoplasms are targeted with high-frequency radio waves emanating from the Surgitron apparatus, after which the warts disappear. The procedure is painless, but very expensive.
• Laser therapy - skin growths are evaporated with a focused laser. The procedure is practically painless, excludes bleeding and infection after the intervention. A small wound heals quickly without scarring.
• Cryodestruction is a priority method due to its absolute painlessness and affordability. Condylomas are treated with liquid nitrogen, while the active agent acts only on the genital wart itself, without affecting the surrounding tissues. The frozen neoplasm dies off and is rejected on its own.

The only caveat is that the cryodestruction procedure should be carried out by an experienced doctor in order to avoid damage to surrounding tissues.

Antiviral treatment of genital warts in women

Therapy with drugs with high activity against HPV is mandatory. Its purpose is to weaken the virus and prevent the recurrence of condylomatosis. The following antivirals are used:

• Groprinosin - 2 melt twice a day, course 2-4 weeks.
• Epigen intima is an additional tool that accelerates healing and increases local immunity. Spray treatment is performed 4 times a day, the duration is at least 2 weeks.
• Panavir is a universal antiviral agent. Available in the form of a gel, suppositories (used for condylomas of the rectum, vagina and cervix), injection solution.
• Course treatment with immunostimulants (Immunal, Polyoxidonium, Reaferon) and vitamin therapy are also prescribed.

Only complex treatment of condylomatosis - removal of genital warts, antiviral treatment and immunotherapy - prevents the reappearance of skin outgrowths. And although 15-30% of women may self-eliminate genital warts, this does not mean recovery. Most often, warts reappear after stress or the common flu.

Complications

In the absence of timely treatment, condylomatosis can lead to very serious consequences:

• Traumatization of warts, their inflammation and spread of infection;
• The appearance of difficult-to-heal ulcers;
• Spread of outgrowths to surrounding tissues;
• Infection of the newborn during childbirth;
• Malignancy (malignancy) - most often warts on the cervix.
• Reduced immunity and increased risk of sexually transmitted diseases.

Prevention of genital warts

Preventing genital warts is quite simple. The following rules must be observed:

• The culture of sexual life is the exclusion of casual sexual relations.
• Personal hygiene.
• A lifestyle that excludes situations that lead to immunodeficiency - good nutrition, hardening, etc.
• Regular testing for PCR.
• Vaccination of children - this tactic has many opponents due to the high risk of serious side effects associated with post-vaccination sexual dysfunction.

Condyloma, like a wart, is a symptom of the manifestation of the human papillomavirus or HPV. This is one of the types of benign neoplasms that can appear on absolutely any part of the body. In women, for example, it can be limbs, face, tongue, and even female genital organs.

According to the reviews left on the forums, sometimes warts do not cause discomfort. But in some cases, especially if they are located in the vagina or on the labia, the woman experiences severe inconvenience. How to be in such a situation?

Causes of genital warts in women

So, the main cause of genital warts is HPV. For a long period of time after the infection has occurred, the virus may not manifest itself in any way. But at a certain point, he begins active work.

At the initial stage, changes occur at the cellular level, so it is impossible to determine them with the naked eye. But as it develops, external signs appear.

There are several factors that provoke the occurrence of genital warts.

1. Weakened immune system. The cause of this condition may be pregnancy, the use of antibiotics in the treatment, malnutrition, cancer, severe and frequent stress.
2. Hormonal changes.
3. Depletion of physical strength due to childbirth.
4. Chaotic sex life.
5. Lack of contraception during sexual contact with an infected person.
6. Ignoring the rules of personal hygiene.
7. Infections that are sexually transmitted.
8. Smoking. Tobacco not only reduces immunity, but also leads to changes in the surface layer of the cervix.
9. Deficiency of vitamins and microelements.

The most common route of infection is unprotected intercourse (80%). A child can become infected during childbirth, namely when passing through the birth canal. Less often, infection occurs when using common household items.

Knowing where warts come from will help protect yourself and your children from this unpleasant phenomenon.

The opinion of doctors about the most effective methods of treating warts and papillomas

Anatoly Nakhimovich Makhson, the chief physician of the Moscow City Hospital No. 62, describes his vision on this matter.
Medical practice: more than 40 years.

“I have been treating papillomas and warts in people for many years. I tell you as a doctor, papillomas along with HPV and warts can lead to really serious consequences if they are not dealt with.

Everyone has human papillomavirus on whose body there are papillomas, moles, warts and other pigmented formations. According to rough estimates, 80-85% of the world's population has it. By themselves, they are not dangerous. The problem is that an ordinary papilloma can become melanoma at any time.

These are incurable malignant tumors that kill a person in just a few months and from which there is no escape.

Unfortunately, in Russia and the CIS countries, pharmacy corporations sell expensive drugs that only relieve symptoms, thereby putting people on one drug or another. That is why in these countries there is such a high percentage of cancer and so many people suffer from "non-working" drugs.

The only drug that I want to advise, and it is also officially recommended by WHO for the treatment of papillomas and warts, is Papinol. This drug is the only remedy that has an effect not only on external factors (that is, it removes papillomas), but also acts on the virus itself. At the moment, the manufacturer has managed not only to create a highly effective tool, but also to make it available to everyone. In addition, within the framework of the federal program, every resident of the Russian Federation and the CIS can receive it for 149 rubles.

Symptoms of genital warts in women

As mentioned above, at first the woman does not notice any signs of condylomatosis. The asymptomatic period can last from several months to several years. It will help to determine the presence of the disease. Symptoms appear as the disease progresses.

1. Severe itching and burning sensation. They are felt at a time when warts are just appearing. After their formation, these unpleasant phenomena disappear.
2. The formation of noticeable growths of pink, purple or red.
3. Bleeding.
4. Irritation.
5. Pain during urination.
6. Pain during defecation.
7. Profuse discharge from the vagina.
8. Bad smell.
9. Blood after intercourse.

If condyloma appeared in the epithelial layer, it will not cause discomfort. Otherwise, you will have to face severe discomfort.

Many representatives of the weaker sex are interested in the question: are such neoplasms dangerous? The answer is yes and it is easy to explain.

1. Firstly, any benign neoplasm under certain conditions can turn into a malignant tumor. This process is called malignancy. Almost all types of condylomas are subject to it.
2. Secondly, neoplasms are a sign of a decrease in the protective functions of the body. In addition, warts themselves affect the immune system. A person not only suffers from colds more often, but can also easily become infected with infections.
3. And, thirdly, the work of internal organs is disrupted. This is especially true of genital warts. They increase in size and over time occupy an increasing surface area. As a result, neighboring organs lose the ability to function normally.

What do warts look like? This growth is no larger than 2 cm. It is formed by cells of the papillary epithelial layer of the skin or mucous membrane.

It is worth noting that HPV has several forms. They differ from each other in terms of symptoms and appearance.

1. latent form. The virus is sleeping. Its presence can be detected only during planned diagnostic measures.
2. Clinical. The first warts appear. They can be single or multiple. This stage is characterized by the appearance of hyperkeratotic and papular growths.
3. Subclinical. The main symptom is the formation of flat warts.

Flat and pointed formations are most common. Each type has its own characteristics.

1. Acute warts can be found in the area of ​​the labia, near the vagina or anus, on the cervix. They can be red, purple or pink. Such warts bring with them pain and a lot of inconvenience.
2. Flat. Affect the vagina and cervix. Almost invisible, which is a great danger. This type of growths has a rather high risk of degeneration into a malignant tumor. Therefore, when the first unpleasant symptoms appear, it is necessary to take tests and start treatment as soon as possible.

A separate species is the wide condylomas of Bushke-Levenshtein. They are distinguished by rapid growth, destruction of surrounding tissues, sticky discharge. Such a neoplasm rarely becomes malignant.

Condylomas in women in the urethra and on the genitals

As mentioned above, warts most often form on the genitals. They are also found in the perineum, in the anus, in the vulva, inside the vagina.

The causes of neoplasms on the genitals are the same as in other cases:

• promiscuity;
• chronic skin diseases;
• severe stress;
• malnutrition;
• unfavorable heredity;
• hormonal disorders;
• various infections.

Condylomas in the groin and in intimate places most often appear between the ages of 16 and 25 and from 35 to 40. It is during these years that a strong hormonal surge is observed in the female body.

be careful

The presence of papillomas, warts, warts, moles and spines on the body is the first sign of malignant melanoma!

We hasten to warn you, most medicines "treat" warts, papillomas, moles, etc. - this is a complete deception of marketers who wind up hundreds of percent on drugs whose effectiveness is zero. They do not cure the disease, but only mask the symptoms.

The pharmacy mafia earns a lot of money by deceiving sick people.

But what to do? How to be treated if there is deceit everywhere? Doctor of Medical Sciences Anatoly Makhson conducted own investigation and found a way out of this situation. AT this article The doctor also told how to 100% protect yourself from melanoma, for only 149 rubles!
Read the article in the official source on link.

Warts in pregnant women

During pregnancy, the body of the expectant mother undergoes great changes. The most serious of them are hormonal failure and weakening of the immune system. It is these factors that provoke the development of HPV.

Warts do not have any effect on the fetus in the womb. However, when they appear, it is necessary to visit a doctor regularly, since infection of the child may occur during childbirth. The specialist will monitor their condition and the health of the woman herself.

Treatment of genital warts in women

Which doctor deals with the treatment of genital warts? This is a venereologist. It is he who determines how to treat the pathology and draws up a treatment regimen. He also decides whether to take medications or use folk remedies at home.

Attention! It is strictly forbidden to self-medicate, increase or decrease the dosage of medicines or prolong the course of treatment. This can lead to tragic consequences.

If warts cause severe discomfort, then treatment should begin with their removal. This can be done with the help of some cosmetic procedures.

1. Laser therapy. Pretty efficient procedure. The growth seems to be evaporating. A crust remains in its place. It is not worth tearing it off, because in a few days it will fall off on its own. The advantages of this method of treatment are mass availability, simplicity, preservation of surrounding tissues.
2. Radiosurgery. The procedure takes approximately 30 minutes. At this time, a beam of radio waves is directed to the condyloma, which painlessly and quickly copes with the neoplasm.
3. Thermocoagulation. The growth is affected by high temperatures. The treatment is quite painful, so the patient is given local anesthesia.
4. Chemolysis. This is the removal of warts with the help of special chemicals. They destroy its structure, which contributes to the complete cleansing of the skin. One of the substances used is nitric acid.
5. Cryodestruction. The growths are removed with liquid nitrogen. Under the influence of low temperature, they are destroyed from the inside. This method of therapy is characterized by low cost and high efficiency. It is better to carry out the procedure in a medical institution. With inept use of the product on healthy skin, burns can form.

If the listed methods of treatment have not brought results, the doctor may decide to remove warts surgically.

The procedures performed do not guarantee a complete cure. The virus can manifest itself again and again, so there is a need for the use of antiviral drugs. These can be ointments for warts, suppositories for HPV, tablets, injection solutions.

Most often, several types of drugs are used.

1. Viferon. Produced in the form of cream / ointment / suppositories. The drug does not exist in tablets or in liquid form, since it will be ineffective in this way.
2. Altevir. It inhibits the reproduction of cancer cells, thereby preventing the degeneration of benign neoplasms into malignant ones. It enhances the protective functions of the body, provoking the formation of enzymes and cytotoxins necessary for the body. The drug is administered in three ways: under the skin, intravenously, intramuscularly. The duration of the course of treatment and dosage is determined by the attending physician. The injection is carried out once every 7 days.
3. Roferon A. Contains synthetic interferon, similar in structure to human. Takes an active part in strengthening the immune system. "Teaches" the body to properly respond to the invasion of viral cells: complete destruction of the virus or neutralization of individual infected cells. Plus, the drug inhibits the reproduction of cancer cells, thereby preventing tumors from appearing.

In order for the treatment to be as effective as possible, it is necessary to strictly follow all the doctor's prescriptions. Otherwise, the condition will only worsen.

So, warts that appear on the female genital organs can be very dangerous. This is especially true in cases where the risk of developing cancer is increased. That is why it is important not only to regularly carry out diagnostic measures, but also to consult a doctor immediately after the first unpleasant symptoms are detected.

• 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. Since recently, condylomatosis has been classified as a new disease, predominantly sexually transmitted (STD), since 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. 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 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. 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. 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. In this case, an unpleasant odor, discharge, itching and pain appear. 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, worsen 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 genital warts in 1 time. These include: laser removal, cryodestruction, electrocoagulation. The technique of any technique is the same: local anesthesia of the lesion 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 - is a fairly effective method, after burning a scab is formed, 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 and effective way to prevent 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 ((

Genital warts is a papillomavirus infectious disease, one of the most common infections of the genital tract. Genital warts in women are often the cause of cervical erosion. Moreover, papillomavirus, which causes the formation of genital warts, can later cause the development of cervical cancer.

Genital warts are an insidious and serious disease, so it is extremely important to detect it in time and begin treatment immediately. In this article, we will consider all the most important points of this pathology, which every woman should know about.

ICD-10 code

B97.7 Papillomaviruses as the cause of diseases classified elsewhere

Causes of genital warts in women

The causative agent of the disease - the human papillomavirus - is very common. It can provoke the appearance of other equally serious diseases. At the moment, more than a hundred species of this pathogen have been isolated, and each species is capable of causing a different pathology in the body. For example, papillomavirus number 1 contributes to the formation of plantar warts; virus No. 16, 18, 35 and some others stimulate the development of cervical dysplasia; virus No. 6 and No. 11 provokes the appearance of genital warts.

The virus usually enters a person through contact with infected skin and mucous membranes. The disease is not transmitted through household items. When infected, the virus settles on the skin or mucous membrane of a person, without penetrating into the bloodstream and other organ systems.

The virus is able to multiply: this process occurs deep under the skin, in the intracellular space. As viruses mature, they leave the deep layers, going out. After that, they are already considered infectious.

As a rule, the virus is transmitted from person to person through sexual contact (during vaginal and anal sex), less often through oral contact. The disease is widespread everywhere, regardless of the standard of living and social status.

According to statistics, every second person on the planet who is sexually active is infected with some type of papillomavirus, and often the same patient has several types of the pathogen at the same time.

Of particular danger is a person who has already developed symptoms of the disease. But, unfortunately, the virus may not manifest itself for a long time. The disease is latent and may not be detected for several months or even years. And only with a decrease in immune defenses do certain characteristic symptoms develop.

Symptoms of genital warts in women

The incubation period of genital warts can last from 1 month to 1 year, usually about 3 months. Condylomas are small neoplasms of a pinkish-pale hue, "planted" on an unchanged basis - a thin thread or a short leg. From a distance, they look like a small wart, cauliflower inflorescence or scallop. In some cases, condylomas are located singly, in others they can be located multiple, but in isolation. In women, warts can develop into large tumors.

Genital warts in women can be located on the external genital organs, along the urethra, in the vaginal cavity, in the cervical region, in the groin and near the anus. When the process is localized in the urethra, symptoms of a chronic form of urethritis may occur: discomfort during urination, pain in the lower abdomen, aching pain in the groin. At the same time, externally located genital organs can be affected.

In the vaginal cavity, genital warts are often found in pregnant women. Formations can reach quite large sizes, even closing the vaginal entrance and the external opening of the urethra.

In the area of ​​the cervix, formations can connect with each other and form growths of a pastel or yellowish hue. Such fusions can block the entire surface of the entrance to the uterus.

Candilomatosis in women becomes more dangerous when giant formations form, penetrating deep into the tissues and destroying them.

In some situations (especially during pregnancy), the symptoms of genital warts in women develop very quickly, while the size of the formations increases significantly in just a few weeks. In the folds between the growths, the accumulation of vaginal secretions occurs, then the decomposition of these accumulations begins, which as a result can provoke the appearance of an extremely uncomfortable odor from the vagina and inflammation of its walls.

Extensive candidiasis in women can spread to the large and small labia, covering the entrance to the vagina, with the transition to the inguinal-femoral folds. In some cases, they can be found in the intergluteal region and near the anus.

During the formation of genital warts, the symptoms of the disease may not appear. Often, patients notice something is wrong only with the rapid growth of formations, which is manifested by the appearance of pronounced discharge (which often causes irritation of the skin of the vagina and external genitalia), as well as an itchy and burning sensation in the vagina.

The clinical symptoms of genital warts in women can largely depend on the location of the process: some signs can be detected during urination, others during intercourse, and others during defecation. Giant condylomas can not only interfere with the listed processes, but also prevent a woman from moving normally. However, this situation already applies to very neglected cases.

Diagnosis of genital warts in women

Diagnosis of genital warts in women is carried out, first of all, on the basis of the clinical picture inherent in the disease.

The formations located in the urethra are detected only with the help of ureteroscopy. First of all, genital warts should be distinguished from wide warts, which are a sign of secondary syphilis. The differences between these formations are that wide condylomas are located on a wide base. They are dense and not prone to bleeding. If there is any doubt, then they resort to examining the discharge for pale treponema and doing a serological analysis for syphilis.

As a rule, for a more complete diagnosis of genital warts in women, a consultation of such specialists as a dermatovenereologist, urologist and gynecologist is carried out. It may be necessary to consult a surgeon in some cases.

The doctor, as a rule, will write out a referral for a blood test to both the patient and her sexual partner: a study should be carried out on the most common sexually transmitted diseases, including AIDS. The patient herself can also be referred for colposcopy and cytological examination of the cervix.

A specific method for determining the papillomavirus is a polymerase chain reaction, which can be used to determine the DNA of the virus. However, this method is not always informative: the virus may not be detected if the disease is in a "sleeping" state.

Treatment of genital warts in women

Treatment of genital warts in women can be carried out conservatively and surgically. A cauterizing effect is exerted by a 50% solution of resorcinol, as well as lubrication of the formations with an ointment containing xeroform, resorcinol (5 g each) and 5% tebrofen ointment (10 g). The use of the ointment can be combined with rinsing with novarsenol solution. This treatment lasts about 1 month.

A good effect is observed with the introduction of a solution of interferon (1 thousand units in 1 ml of water for injection) directly into the "seat" of genital warts, with combined treatment with fluorouracil ointment (5%).

If the growths are in the lumen of the urethra, then fluorouracil is administered intracanally. It is also possible to use the following drugs:

• 1% bonafton ointment;
• 0.5% colhamic ointment;
• 5% tebrofen ointment;
• 3% oxolinic ointment.

Ointments are used 2-3 times a day for 1 month. Arsenic-based products in dimexide are also considered effective.

In some cases, ferezol is applied to the affected surface. The application is repeated about once a week, until the necrotic formation completely disappears. 4-5 applications are allowed.

The following agent has a positive effect, which should be applied to warts twice a day: prospidin 0.2 g, saline solution 1 ml, adrenaline 0.1% 1 ml, dimexide 8 ml.

For the period of treatment, it is necessary to abandon sexual intercourse until full control over the situation is restored.

Removal of genital warts in women

In order to prevent malignant degeneration of genital warts, formations are often removed, regardless of their location and size. Condylomas are difficult to treat conservatively, and science has never recorded cases of self-healing of this disease.

There are a lot of methods for removing genital warts. Removed elements must be examined on histology in order to clearly determine the absence of cancerous degeneration.

• The cryosurgical method (a procedure of topical exposure with liquid nitrogen) has a number of advantages over other procedures. When using this method, general or local anesthesia is not required. In addition, even those warts that have responded poorly to conservative treatment are amenable to the procedure. This method is not advised to use if the patient plans to have children in the future.
• Diathermocoagulation - usually used to remove genital warts, which are located on the cervix. If there are few formations, then one procedure is enough. With a more pronounced lesion, 2-3 procedures are performed. It is not recommended for use if the patient plans to have a baby in the future.
• Surgical treatment - after disinfection of the lesion site and local anesthesia, warts are removed using special scissors or a scalpel. After that, a pressure bandage is applied to the wound for about a week.
• Laser coagulation is a procedure that involves exposing the growths to a directed beam of laser radiation. As a result, the tissues of the formation disappear, and in their place only a thin dry crust remains, which eventually disappears.
• The method of radio wave surgery - involves the use of a radio knife (equipment "Surgitron"), which allows you to quickly and painlessly remove unwanted neoplasms.

When planning a method for removing genital warts, it is important to take into account some related factors: the age of the patient, the degree of neglect of the process, the presence of other diseases of the genital area, the presence of sources of infection in the body, the woman’s desire to have children in the future. All these points should be taken into account by the doctor when choosing the most optimal method for treating genital warts.

Prevention of genital warts in women

In order to protect yourself from the virus that causes the appearance of genital warts, you must follow simple, but very important rules:

• adhere to the norms of personal hygiene and sanitation - take a shower regularly, change linen, do not use other people's bath accessories;
• avoid casual sexual contact;
• if there is no confidence in the safety of sexual intercourse, be sure to use a condom, and a high-quality one;
• do not allow a decrease in immune protection: dress according to the weather, do not overcool, give up bad habits such as smoking or drinking alcohol, avoid stressful situations, eat and rest fully.

Of course, science does not stand still, and recently the latest medications for the treatment of genital warts have been presented. For example, scientists recently presented a new type of vaccination against the papillomavirus: such a vaccine is called Gardasil. However, experimental studies of the effects of the drug have not yet been completed, so it has not yet been fully studied. Although it is already widely used, including in our country.

However, even without the use of a vaccine, it is possible to achieve control over the disease if you adhere to all methods of prevention, undergo qualified treatment on time and periodically visit a doctor for a preventive examination. In no case should you self-medicate: remember that a disease can change its course to a malignant one at any time.

Genital warts in women require competent and immediate treatment: only in this case, you can count on the most favorable prognosis of the disease.