Genital condylomas of the perineum and external genitalia: choice of treatment method

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Have growths on the labia, rashes and pimples near the vagina? Maybe there is a feeling of “something extra” near the anus and there is an itching of the anus? What is it, the reasons and how can a woman get rid of genital warts? Cauterization of condylomas is a procedure for eliminating viral skin lesions. Removal is associated with physical discomfort and some nuances, so it should take place in a medical center under the supervision of a gynecologist.

general information

Condylomas are a benign tumor formation that is “located” on the epidermis or mucous tissues and looks like warts and papillae. Single specimens (about 7 mm) or entire “colonial formations” (up to several tens of mm) of condylomas settle on the body of women and men and often resemble cauliflower in appearance. The color of these substances ranges from flesh-colored to brown. Condylomas are viral in nature, so such problems can even occur in children (during childbirth from an infected mother). As long as the growth has not reached the epidermis, the person does not pose a threat to others; the risk of infection increases if the growths are located in the epidermal layer. Condylomas are usually divided into two types:

  • wide;
  • pointed.

In the first case, condylomas in women and men look like a mushroom with a cap and a wide stalk and are most often a consequence of secondary stage syphilis. Condylomas of the genital type are transmitted through sexual relations; the human papillomavirus (HPV), which is activated under certain conditions, is involved in their appearance. The main location of genital warts is the genitals and oral cavity. Condylomas in women settle on the outer and inner parts of the labia, in the vagina, clitoris and anus. Warts and papillary growths in men select the glans penis and frenulum of the foreskin.

First signs

The first symptom of condylomatosis is the formation of growths on the vaginal mucosa and labia. These small warts are usually found on the vulva.

Other severe symptoms:

  • significant discharge with purulent contents;
  • feeling of itching, inflammation in the vagina;
  • irritation in areas of the mucous membrane;
  • bleeding during washing and sexual contact (injury to neoplasms).

The symptoms described above also accompany some other diseases to which women are susceptible, for example, when thrush or gardnerella appears. Therefore, if any suspicions arise, you need to contact a gynecologist.

Clinics specializing in diagnostics and treatment in Moscow:

    Solntsevo Belomorskaya Orekhovo

Reasons for appearance

“What causes condylomas?” - a question that worries patients with a similar problem. The route of infection with condylomas is through unprotected sexual contact. Moreover, these include traditional intimate relationships, as well as oral, anal and homosexual relationships. Children get the disease from sick women while moving through the birth canal. Do not be negligent about household methods of infection. There is no need to take risks and use other people’s personal belongings, especially bath accessories (washcloth, towel, flip flops, etc.). Condylomas are activated under the influence of certain factors:

  • indiscriminate unprotected sex;
  • early onset of intimate relationships;
  • sexual contacts with partners with condylomas or HPV carriers;
  • decreased immune abilities of the body;
  • previous diseases of the genital tract;
  • frequent stress, vitamin deficiency;
  • sloppiness and failure to comply with personal hygiene rules.

The appearance of genital warts is often associated with HPV. Human papillomavirus infection poses a great danger for the development of cancer. Condylomas of this etiology are the object of study and treatment by doctors of different specializations: in women - by gynecologists, in men - by urologists. If the location of condylomas is in the anal area, then a proctologist leads the patients. You should definitely consult about genital warts, because the development of the disease can occur in a variety of ways - from self-healing to the degeneration of condylomas into malignant formations. The specialists of the Global Clinic Center have accumulated positive experience in solving such problems, so contacting the clinic is a prerequisite for successful treatment of the patient.

Symptoms

The main manifestation of growths is their unpleasant and repulsive appearance. But women will also be reminded of condylomas by other unpleasant moments. The time elapsed from the first contact-infection to the moment when condylomas become clearly visible can be completely different. Sometimes a week or a month is enough for condylomas to appear; in other situations, years may pass. The incubation period depends on the general health of the woman or man, their immunity, lifestyle, etc. Condylomas in women and men cause itching and burning in the genital area and near the anus. This occurs during the period of germination of condylomas; in the future, such symptoms may disappear. An increase in the amount of whitish discharge, sometimes mixed with blood and an unpleasant odor, provokes condylomas in women, which are localized on the vaginal mucosa or cervix. When condylomas are found in the anus, the passage of feces can injure them and cause ichor.

Symptoms

After infection with HPV, it may take several years for the first genital warts to appear. Often the infection occurs without symptoms, so it is impossible to confirm HPV infection without a laboratory test.

Symptoms of the development of viral warts:

  • at the initial stage - redness of the skin, small rash;
  • the appearance of flat warts on the mucous membranes of the genital organs;
  • discomfort during sex (pain, itching, burning);
  • the appearance of erosions and cracks in the genital area;
  • change in skin color of the perineum, hyperemia;
  • the appearance of single papillae on a filiform stalk.

After the first condylomas appear, the disease can develop according to the following scenarios:

  • self-healing after restoration of immunity (extremely rare);
  • active reproduction of warts;
  • stable remission (the number and size of formations are unchanged);
  • malignant transformation.

Any of these symptoms is a good reason for urgent consultation with a gynecologist and venereologist.

Pathogenesis of genital warts

HPV is found in the cellular structures of the skin and mucous membranes, so it can be transmitted from men to women, from adults to children. The long latent period of infection makes early diagnosis of the disease difficult. Condylomas are not immediately visible to the naked eye. To activate HPV, a large number of these pathogens is necessary, only then the papillomavirus “comes out”, represented by genital warts. An increase in HPV may occur due to decreased immunity in women or men. Genital condylomas are caused by the process of atypical reproduction of the human papilloma virus; under its influence, epithelial cells grow and develop with pathology. The skin and mucous tissues change and this is how condylomas appear. Growths in the form of warts and papillae can be single or massive, turning into entire “conglomerates” of condylomas.

Cauterization of intimate tumors

Cauterization is the most popular method of removing skin tumors. It is only important to choose a product based on a sufficiently strong acid. The drugs Solcoderm and Trichloroacetic acid are in demand. Thanks to their action, the proteins of condylomatous eruptions are denatured, the formation receives a chemical burn and evaporates. But you need to remember to protect the surrounding healthy tissues, so it is better to lubricate them with Vaseline. Only a doctor should cauterize with such means, as there is a high probability of getting scars.

Other methods of cauterization

There are other drugs that can cauterize tumors. Regular iodine is very popular. But there is a high probability of side effects after such an operation in the form of burns, iodine vapor poisoning and other manifestations. Therefore, it is better not to use it yourself. The drugs Wartner and Cryopharma also have a good effect. External products Collomak, Dermavit, Podophyllin, Ineferon, Condilin, Superchistotel and others have also proven themselves.

Among the unmentioned folk remedies, fir oil, laundry soap, lapis pencil, and potato juice are also widely popular.

Diagnostics

Human papillomavirus infection (genital warts) is diagnosed in different ways, from visual examination of women and men to the most advanced examinations. CM "Global Clinic" has in its arsenal the latest techniques for determining the nature of condylomas. Diagnostic methods used by doctors:

  • Clinical examination. Some types of diseases in women and men can be masked, taking the form of genital warts, so you need to have sufficient qualifications to differentiate different problems.
  • Colposcopy is recommended for women, and urethroscopy for men.
  • A smear will tell a lot about condylomas in women and their nature; this cytotest will also help to exclude cervical dysplasia.
  • Histology.
  • Diagnostics-PCR. This examination not only detects the presence of human papillomavirus, but also determines its type.
  • Immunological research. It is used to detect antibodies to HPV in the blood.

All women and men affected by genital warts must be tested for infectious diseases of the genital area (syphilis, HIV, etc.)

Warts on intimate places: diagnosis

It is impossible to make an accurate diagnosis only with an external examination.
To correctly determine the form of the disease, the doctor will need to conduct laboratory and instrumental studies.

Only a venereologist can reliably establish a diagnosis based on clinical manifestations.

If it is necessary to diagnose formations on the cervix/endourethral, ​​instrumental methods (colposcopy, urethroscopy) are used.

In a number of situations, additional laboratory testing may be required (using PCR methods, histo-, cytological studies).

For laboratory tests, tests of blood and affected tissues are used.

A detailed diagnosis will help the doctor prescribe the optimal treatment.

Treatment

Condylomas and HPV require a systematic approach to treatment.

Medication

To combat condylomas in women and men, doctors act in three directions:

  • against viruses;
  • in order to increase immunity;
  • for fortification of the patient.

Cycloferon and inosiplex act against HPV activation and its reproduction. Inferon and allokin-alpha stop viruses and help restore the immune system. To improve the general health of women and men, Immunal, Amixin, Poludan, etc. are prescribed. A complex of vitamins and minerals is also an essential component of treatment for condylomas.

Local

Condylomas are successfully treated using ointments and sprays of antiviral action (epigen-intim, condylen, etc.). Women and men will not have to think about condylomas if they are treated with inquimod, podophyllotoxin. For pregnant women, you can use trichloroacetic and nitric acids. Women need to fight condylomas in stages: first remove them, and then, or in parallel, act to reduce the number of viruses. Often (in every third woman) condylomas enter the stage of relapse (especially if preventive measures are not followed and the recommendations of the attending physician are ignored).

Removal

Methods for removing condylomas in modern medicine are varied:

  • Electric coagulation. This method has disadvantages - many contraindications, painful procedure and long recovery.
  • Cryotherapy. Condylomas are removed using liquid nitrogen. The positive aspects of this technique are the absence of scars, painless effects, and the absence of anesthesia.
  • Surgical method. The growths are removed during surgery, and stitches are placed at the site of the wounds. Doctors use local anesthesia.
  • Use of chemicals. This method is contraindicated during pregnancy and lactation.
  • Laser therapy. Condylomas are removed with a laser beam; this is a treatment that does not affect healthy cells and leaves virtually no scars.
  • Radiosurgical method. The use of a special device helps remove condylomas without contact with the body. Removal of growths is accompanied by simultaneous sealing of blood vessels. This technique is one of the most modern and in demand.

Treatment of intimate warts at home

If intimate warts appear, home treatment is possible.

Only a doctor can prescribe it, and the patient will be required to strictly follow his instructions.

With home therapy, warts in the intimate area are removed using cauterizing and antiviral agents.

These medications are mainly produced in the form of ointments for intimate warts.

Such drugs should be used strictly according to the instructions received from the doctor.

Remember! Self-medication of warts in the intimate area can greatly harm your health.

If you choose the wrong drugs, you can get a burn instead of a therapeutic effect.

Often, symptoms worsen and the process spreads when trying to remove the formation on their own.

Preventing HPV infection

Condylomas must be prevented by preventive measures:

  • use of contraceptives during sexual relations;
  • increasing immunity;
  • proper balanced nutrition;
  • taking vitamins;
  • compliance with hygiene standards;
  • fight against bad habits;
  • increasing stress resistance.

Regular visits to the doctor are a good preventative measure. The use of antiviral ointments, as well as vaccination against HPV, is prevention that will make people’s lives full.

How to get rid of ridged growths forever

Today there are no methods that can permanently get rid of papillomavirus in the blood. Doctors can burn out rashes, and there are also pills that strengthen the immune system. But there is a possibility that over time the disease will manifest itself again. And this probability is 30%.

Therefore, they resort to combined treatment of growths on the genitals. This means that the formations themselves are destroyed, and then folk methods are used, as well as means to strengthen the immune system and fight the virus. The doctor prescribes a specific regimen, assessing the severity of the disease, the characteristics of the body, etc.

Pregnancy and condylomas

Condylomas are an alarming signal for pregnant women. HPV in the body of the expectant mother does not have a harmful effect on the fetus, but such a lady must be under the supervision of the attending physician at all times. You can resort to removing growths only at the 28th week of pregnancy, not earlier. If the formations have settled on the genitals, then there is a high probability that the baby will acquire HPV while passing through the birth canal. If the infection is not treated, then the unpleasant moments associated with thrush increase in pregnant women. The best option is a thorough examination before pregnancy for HPV and, if it is detected, mandatory and complete treatment.

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