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Condyloma acuminatum

Genital condyloma acuminata or wart is a sexually transmitted disease that appears externally on the genitalia, in the anal region, internally in the upper vagina, cervix and male urethra (tube that connects the bladder to the external).

The lesion is usually lifted and pink in color.
Male or female warts are cutaneous lesions of the sexually transmitted disease caused by the human papillomavirus (HPV).

There are currently more than 100 types of HPV, some of which can cause

cancer, especially in the cervix and anus.
About 90% of condylomata acuminata are related to HPV types 6 and 11. These two types are less likely to have a neoplastic potential.

However, HPV infection is very common and does not always cause cancer. Gynecological cancer prevention or screening may detect early changes in the cervix and should be performed periodically in all women.
It is not known how long HPV can remain without symptoms and factors that cause the development of lesions. For this reason, it is advisable to do periodic medical examinations.


Causes of Warts

Although genital warts are caused by the human papilloma virus, many people are infected with the virus but do not have warts. Although HPV infections are not reportable as a sexually transmitted disease (STD), there is no doubt that genital warts are transmitted sexually.
HPV is a papilloma virus that contains double-helix DNA. It’s the same form of herpes virus . It does not appear to be a disease that enters the bloodstream.
Since some warts disappear spontaneously as a normal wart of the body, it is clear that an important role in the infection is played by the patient’s immune system.
About 30% of women who have HPV in the cervix, as diagnosed by the Pap smear, continue to develop cervical dysplasia. Of course, some forms of cervical dysplasia and cancer are caused by HPV.


What causes anal warts?

Anal warts are caused by the human papilloma virus that is usually transmitted through sexual contact, but not necessarily through subsequent sexual intercourse.
There are many types of human papillomavirus; some cause warts on the hands and feet, while others cause genital warts and anal warts.
The same type of warts can occur in the vagina, penis, scrotum or large lips.


How long does the formation of warts pass from contagion?

The time of exposure to the virus to the growth of the warts (incubation period) ranges from one to six months, but may be longer. During this time, the virus remains in the tissues but is inactive.


How are genital warts formed?

Condylomas are transmitted during vaginal, anal or oral intercourse.
A woman may transmit condyloma to a child during childbirth.
Sexually active men and women between the ages of 15 and 33 are more likely to develop genital warts.

The following factors increase your risk of genital warts:

  • Sexual intercourse: not using condoms and having multiple sexual partners increases the risk.
    Problems with the immune system: other sexually transmitted diseases, infection by HIV , treatment for cancer or transplant organ can weaken the immune system and increase the risks.
  • Smoking : Cigarette smoking causes changes in body cells and may increase the chances of an HPV infection.


Signs and symptoms of genital condyloma

HPV infection usually causes small warts. Generally, men see the formation of warts in the anal region and penis (glans).
In women, the most common symptoms appear in the vagina, vulva area, anal region and cervix.
The lesions may appear in the mouth and throat.
Men and women can be infected with the virus without presenting any symptoms.

Often erections do not cause pain in the anus, penis or vagina, not even in sexual intercourse. This is an important difference with hemorrhoids.

What are the symptoms of anal warts?

Many patients with anal warts have no symptoms.
Some patients may notice small bumps in the anal region. Others complain of itching, bleeding or dampness in the anal canal.


Diagnosis of condyloma

Finding a cauliflower-like formation on the genitals is one reason to go to the doctor, he may say that it is genital warts or something else.
Your doctor may use a type of microscope called the colposcope to examine a woman’s cervix and find out if there are any abnormal formations.
When acetic acid (vinegar) is buffered over the cervix or penis, the lesions of the human papilloma virus appear whitish.
Colposcopy may be helpful in detecting flat lesions that are not visible to the naked eye, but only two-thirds of the white areas in a colposcopy are caused by HPV infection.
Cells that are obtained by biopsy and examination for human papilloma virus may be needed to confirm the diagnosis.
An abnormal pre-emptive examination may also indicate cervical HPV infection.
Some types of HPV can cause cervical cancer, while others can cause vulvar or anal cancer.
With any abnormal screening, a woman should be examined by the doctor.


Differential diagnosis

The doctor should exclude other pathology that may give similar symptoms as the molluscum contagiosum .

Other venereal diseases


How are genital warts treated?

Small genital warts can heal without treatment.
In some cases, the warts may increase in number and size.
The treatment may help prevent transmission to other warts and may help prevent cervical cancer in women.
The treatment can resolve the symptoms and help you feel better.

Treatment includes:


  • Immunomodulators: These help to strengthen the immune system and treat genital warts.
  • Anti-proliferation: These can help stop growth in the size and number of genital warts.
  • Anti Viral: These help control and prevent the growth of the virus like HPV.

Other treatment for condyloma

  • Cryotherapy with liquid nitrogen (gas): can freeze and destroy genital warts. This treatment can also be used by pregnant women.
  • Electrocautery: A device with a small probe is used that destroys the genital warts using heat.
  • Surgery: A scalpel, scissors and other surgical instruments can be used to remove internal warts.
    Once the warts are removed, they can be sent to a laboratory for testing.
  • Laser
    This is used to burn larger or thicker genital warts.
    The laser uses heat to destroy tissue around or near your warts.
    This treatment can help healing without scarring.


Natural Remedies for Condyloma

A good natural treatment is a mixture of bicarbonate with water directly on the condylomata.
In a few days the skin lesion should disappear.

How are anal warts treated?

There are several ways to treat anal warts, depending on location, number and size.
If the warts are small, they can be treated with podophyllin which is a solution to be applied directly to the wart to cause wart desquamation.
This is an outpatient procedure that takes only a few minutes.
Rarely does the doctor prescribe an ointment to be applied to the skin at home.
Another form of treatment is cauterization.
If the area contains numerous warts, your doctor may choose to remove them surgically.
It can be done with a day hospital procedure.


How long do the warts last? The prognosis of condyloma

External genital warts can:
1. Cicatrizar spontaneously – in up to one-third decrease within three months,
2. Stay the same,
3. Increase in size.
A permanent infection may persist.
Warts can recur (recur) with or without immunosuppression, especially warts.
More than 90% of genital warts are caused by HPV types that cause the formation of a malignant tumor.