The warts genital, also known as genital warts , are sexually transmitted infections (STIs) quite common. They are due to human papillomavirus (HPV). The condylomas are in the form of small warts in the genitals.
According to some estimates, between 50% and 70% of the sexually active population will be exposed to HPV during their lifetime, with most of these people shedding spontaneously. And about 1% of the population has condyloma.
Causes of Condyloma
There are about a hundred HPV strains, some of which may be the cause of genital warts , especially types 6 and 11 for 90% of cases. These are very contagious and are transmitted by sexual contact , even skin-to-skin contact.
Some types of HPV are associated (HPV 16 or 18) with cervical cancer , vulvar cancer, anal cancer, and more rarely penile cancer . Over time, some genital warts can turn into precancerous lesions, then into cancer. Of cervical smear (Pap test) to detect any precancerous changes, so treat them before the stage of cancer.
Many condylomas can sometimes cause problems during childbirth . Very rarely, children born to mothers with genital warts may have genital warts in the throat or respiratory tract (papillomatosis), requiring surgical management.
When to consult?
If you have had unprotected sex , or if you notice warts on your genitals , see your doctor for the appropriate screening tests. Screening smears (Pap smears) can detect precancerous lesions of the cervix, and thus significantly reduce the number of cases of cervical cancer.
Symptoms of Condyloma
– Location: The condyloma usually occurs in the form of small warts on the external genitalia, the vulva, the penis or the scrotum. Condylomas can sometimes be found in the vagina, on the cervix, in the urethra or in the region of the anus. More rarely, they can grow in the mouth. Condylomas do not usually reach the thighs.
– Appearance: The condyloma usually forms growths reminiscent of the texture of cauliflower. Sometimes genital warts will be flat or slightly elevated. Their size is usually a few millimeters, but larger lesions are possible, and sometimes these lesions can be very numerous. They can also have an acuminate appearance and look like a rooster crest, very rose. The genital warts are similar in color to the skin, but can also be pink, white, gray or brown.
– Itching can be triggered by the condyloma.
– An embarrassment, a shame, a moral suffering can accompany these condylomata, especially when they are very visible, and that can delay the consultation to a doctor.
In the woman
- Of warts on the vulva, the vaginal wall, the cervix, the perineum, the urethral meatus (opening to urinate) and around the anus;
- Bleeding during sexual intercourse;
- The itch or the discomfort.
- Of warts on the glans, the brake , the foreskin, urinary orifice and around the anus.
People at risk
Because HPV-like viruses are common, all sexually active people are at risk for genital warts . The following people, however, are particularly at risk:
- The young age, the peak frequency of condyloma is between 20 and 24 years.
- People who have been sexually active since a young age
- People with a new sexual partner
- People with more than one sexual partner ;
- People not using condoms ;
- People who have contracted another STI ;
- People with a weak immune system for example, nobody under radiotherapy, under chemotherapy, under immunosuppressive treatment.
- People not vaccinated against papillomavirus.
- The people who smoke. Tobacco actually reduces immunity and people who are in contact with a papillomavirus are much less likely to eradicate it spontaneously if they are smokers.
|Prevention aims to reduce the incidence of genital warts and cervical cancer by preventing the transmission of papilloma virus or stopping the progression of infection before cancer or condyloma occurs.
Avoiding smoking allows the body to better defend against papillomavirus and allow the body to eradicate it more easily.
|Basic preventive measures|
|The proper use of condoms helps to reduce the transmission of genital warts. Nevertheless, they are not 100% effective, the virus also transmitting from skin to skin. These are very contagious . Being treated when you are in a relationship and using condoms, to avoid as much as possible to transmit the papillomavirus to the partner.
The vaccines Gardasil and Cervarix protect against certain strains of HPV, cancers responsible cervix and genital warts. These vaccines are administered to young girls before they are sexually active, in order to immunize them before they come into contact with these papillomaviruses. It is estimated that after 2 years of sexual life, nearly 70% of men or women have met these viruses.
The Gardasil vaccine immunizes against HPV types 6, 11, 16, and 18, preventing both cervical cancer and papillomavirus-related lesions.
|In women , a gynecological examination may be enough for the doctor to observe condyloma and make a diagnosis. In other cases, it is cervico-vaginal (Pap smear) or anal smear that can detect the presence of lesions. In other cases, the doctor uses a biopsy.
In humans , complete genital examination and endoscopic examination of the urethra are required to detect genital warts.
The condylomas can diminish or disappear without any intervention. However, medical treatment eliminates visible lesions more quickly, reducing the risk of transmission. The doctor treats the consequences (the condyloma) of the infection and not its cause (HPV), which means that warts can sometimes come back, even after they are gone.
There are different approaches to eliminating genital warts .
At home, the infected persons apply on the lesions a cream, imiquimod 3 times a week at bedtime and for a maximum of 16 weeks. This cream stimulates the immune system, leading to the disappearance of condyloma.
In case of failure of other older treatments can be used as a second resort, such as podophyllotoxin , or 5-fluorouracil.
If needed, condylomas can be removed by laser , cry therapy (using liquid nitrogen) or electrocoagulation , where electric current is used to burn warts.