Sex life after cauterization of genital warts. Bloody discharge after removal of genital warts

03/01/2013 , Elena Total posts: 25

Please respond to those who removed warts with a radio knife or laser. Can you tell me how the healing went? how long did it take? can i go to work? and what is the effect? Thank you in advance!

• To answer

10.04.2013 22:17 , alexey

Hello! I have the same problem the surgeon went to the laser clinic, he sent me to another surgeon and they have been driving me to pharmacies for 4 months now, apply this then this, and the condylomas grow and grow, my whole ass, Masha and penis, like one big mushroom, I go to my wife’s pad I lost my job because of the smell that this rubbish emits. guys save what to do.

• To answer

11.04.2013 02:35, ninel.

Alexey!!! what the hell are bastards! doctors apparently don’t care, it’s just a mockery! they are experimenting! you are progressing! go to another doctor! You already need an operation!

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11.04.2013 02:28 , ninel.

Hi all! This piece was discovered in 2011. on the labia. I was shocked!!! I went to the clinic, passed the tests, the doctor prescribed treatment, pierced Allakin, then therapy, it included 3 procedures, they decreased in size, honestly pleased, then they had an operation to remove it. healed for a long time, 10 days, she said with ointment, she hardly went to the toilet for a little. the wounds tingled. after some time passed the tests .... negative! after 2 months I went again and passed the tests - it was confirmed that the virus "revealed" again !!! was hysterical!!! Fortunately, this rubbish did not come out again, the doctor prescribed injections and pills, passed the tests, negative! for the past 2 years I have been going to take tests every 3 months, the result pleases.

• To answer

28.04.2013 06:03 , Lichka

She was examined by a gynecologist, immunologist, proctologist, dermatologist. the latter did not cut anything because of the subsequent injury (condylomas are not small on the ass), this bug loves wounds and aggravates the disease. prescribed the innovation Aldara cream. (3.600 rubles) the doctor said that it relieves until it disappears completely. I try until I smeared it. Another immunologist will inject some medicine into the base of the condyloma. In short, for EVERYONE! this garbage does not pass or take place negative analyses.

• To answer

31.05.2013 09:31 , SIMka_06

Hey! I will tell you my story, maybe it will help someone, or maybe they will tell me something. In January of this year, she discovered a formation on her labia. I went to the gynecologist. It turned out to be damn condylomas, not only on the lips, but also in the vagina, and their number was significant. I am a student and from the student polyclinic I was sent to the regional dermatovenous dispensary, where I was tested for all STDs. In addition to HPV, nothing was found (and thank God). A doctor from the dispensary suggested that I remove warts with liquid nitrogen, but since this procedure is not included in the list of services provided by medical institutions for free, this can be done in a paid clinic, where she also works. I came to her for an appointment, she removed my condylomas - it was terribly painful, and prescribed the following - a course of amixin - an antiviral agent (this is apparently as an immunomodulator) + cauterize the wounds with calendula tincture and treat with panavir-intim spray. I did all this, my young man was treated in parallel with me. By the way, condylomas appeared with us at the same time, and when I turned to a gynecologist, he went to a urologist, only the doctor said that there was no need to take any tests, warts can be removed, or maybe not. Naturally, he, like me, removed them with nitrogen from the same dermatovenereologist as me, with a difference of a week. So, they've been cured. About a month passed, only now the condylomas began to appear again in both me and him in even greater numbers. We decided that we needed to look for another doctor. Firstly, we did not like the method of removal, and secondly, when you do not see the result of the treatment, you begin to doubt the competence of the doctor. We went to another clinic, where the warts were removed with a radio knife. Regarding the method itself, I can say the following, it is not as painful as nitrogen, more precisely, it does not hurt at all, in comparison, the wounds heal quite quickly, with the exception of very deep ones. I didn't have much discomfort during the healing process. After removal, it was impossible to swim for 3-5 days (it was difficult, but tolerable) and it was necessary to treat the wounds with baneocin (powder). Regarding sex, the doctor said that in a week it is already possible. After 4-5 weeks, you need to come back to her for a second examination, see how the healing process went and remove it if something else appears. After this time, I came to the reception, and it turned out that in those places where the warts were removed, everything is fine, clean, but in other areas there are again a lot of warts, they were removed again. Almost 3 weeks have passed since the last removal. The wounds are healing well. But here's what worries me. Not a single doctor began to do an analysis to determine the type of HPV, everyone said that this was not necessary. The virus is there and it's clear. and the type doesn't matter. The second doctor does not prescribe any medications, when I ask her what else can be done besides removal, she answers nothing. The maximum is to strengthen the immune system with well-known rules - proper nutrition, moderate sports, outdoor walks, sleep, less stress and more optimism. I observe all this anyway, only the effect is zero, and it begins to seem to me that I will come to her at the end of June and again I will have a bunch of genital warts, again she will remove them, I will spend a lot of money, and in 5-6 weeks everything will happen again . The most annoying thing is that all this cannot be cured like the flu or a sore throat, to lie down for a week, drink pills, pierce injections at the very least and you are all healthy - enjoy life. Eh, okay ... In general, to the point, to summarize - it’s good to remove with a radio knife. In my opinion the best way. Cons - expensive. Pluses - it does not hurt, healing is quite fast, condylomas do not appear again at the site of removal.

Neoplasms on the skin, especially in intimate places, annoy a person. Removal of growing warts in most cases is the only possible solution to the problem. After excision of condyloma, itching, pain or burning are consequences that are difficult to cope with. What does itching mean after genital warts removal?

After removal of genital warts, itching often occurs.

The complex process of removing genital warts

Removal of affected areas of the skin with warts is always a difficult process. The choice of removal method depends on the degree of neglect of the disease, the capabilities and wishes of patients. Condylomas are tubercles that have an uneven structure. The massive "head" and leg are attached to the skin or mucous membrane of the genital organs. On the lips, warts occur as often as in the perineum or around the anus.

After the first examination, the doctor prescribes effective therapy and assigns special care for damaged skin areas. Large formations that are often injured and prevent a person from leading a full life must be cut out, otherwise it will not be possible to stop the development of the papillomavirus, the causative agent of the disease. Cryodestruction is an alternative and modern option, which is based on the effect of liquid nitrogen on the affected areas of the skin. The postoperative period is no less a test than treatment or general complex therapy.

Cryodestruction of genital warts also has a rather difficult recovery period.

Cause of itching in the scar area after removal of condyloma

Why do scars and scars itch after a surgical procedure? The postoperative period should be taken care of in advance. Proper care and careful handling of weakened skin will avoid dangerous consequences for the whole organism. An experienced specialist will tell you about how to treat the affected areas and how to help the skin heal faster. All sorts of discharge or discomfort should not be tolerated, if the place where the growths were located hurts or bothers the person, the patient should consult a doctor without delay.

In cases where the wound does not heal after removal, the specialist prescribes additional examinations of the whole body. Weakened immunity can cause weakness and a difficult postoperative period.

If the scar becomes inflamed again, small sores form at the site of the old wound and create an ideal environment for secondary infections and pathogens. If any complications or additional symptoms appear, medications or procedures are prescribed to the patient. How to care for the skin in intimate areas after removal of condyloma?

Medications are prescribed for patients with postoperative complications

Postoperative period

Treating warts on your own at home is very dangerous. Such actions can lead to the most serious and unexpected consequences. To eliminate unpleasant growths, you need to understand the essence of the problem. What causes growths on the perineum, near the anus or in intimate areas? The causative agent of the disease is the papillomavirus, which penetrates the cells (epithelial) and changes their structure. As a result, a person develops one condyloma, which grows as the disease progresses. After excision or removal of the neoplasm by modern methods, the papilloma virus remains in the body. The immune system is unable to produce antibodies against this type of virus.

In order to remove formations and not be afraid of the consequences of their removal, the patient needs to know how the healing process goes. Each removal method has its own side effects and recovery period. What complications should be expected? The method of destruction of warts, which is used in modern medicine:

• Cryodestruction. A small scar remains at the site where the condyloma was located. In a healthy patient without hidden chronic diseases and secondary infections, the wound heals on its own within 2 weeks. The first few days after the procedure, the damaged area of ​​\u200b\u200bthe skin must be treated with the simplest antiseptics and the wound should be closed from external influences.
• Moxibustion. After cauterization of condyloma with chemicals and acids, a noticeable scar remains on the body. An inexpensive method used in most medical settings, but not the most ineffective in treating the virus. Relapses of the disease after cauterization are inevitable.
• Coagulation. Diathermocoagulation is a modern method that allows damaged skin areas to heal twice as fast. Already after 2 weeks, the patient is allowed to have sex without a threat to the partner. An effective but painful procedure is used only for small growths (the initial stages of the disease).
• Therapy with radio waves. The method, which excludes direct intervention, allows you to destroy the neoplasm in a few procedures. Contraindications for radio wave therapy are implanted elements and implants. The skin after the procedure heals within 10 days.
• Laser excision of education. One of the most effective methods is based on the use of a laser, which removes condyloma with minimal postoperative scarring. The laser beam does not harm neighboring areas of the skin.
• Medical therapy. Long-term therapy, which has a minimum number of side effects, allows you to destroy condyloma without any kind of intervention. Recovery of the skin after such therapy takes much longer.

Further prevention and care will delay the recurrence of the disease. Wound healing after surgery will be faster if, in parallel with the main therapy, the patient strengthens his own immunity. A weak body is unable to resist the virus and the recovery process will take twice as long. Is it possible to have sex after removing the growth and how does the disease affect the patient's sex life?

Diathermocoagulation contributes to the rapid healing of wounds

Immediately after the removal of the build-up, a scar or a small wound forms at the site of the damaged tissue. Neighboring skin may also suffer from the chosen method, which helped to remove the build-up. Often, the affected skin itches or there is a strong burning sensation at the site where the condyloma had previously grown. There may be several reasons for these effects.

It is necessary to fight warts not only before their excision, but also during the period when the skin heals. Rehabilitation determines how soon the growths will disturb the person again. If only one tubercle has appeared, its removal will take place without complications.

It is not difficult to process a large area of ​​​​the skin or mucous membrane, but such activities will take more time and effort from the patient. How to avoid repeated formations and accelerate the rate of skin healing?

The consequences of removing neoplasms

The period after the difficult removal of genital warts will require special attention and caution. Only proper care will avoid excessive scarring of the skin and serious consequences. What is the danger of the rehabilitation period? The most dangerous and annoying consequence of removing warts is their reappearance. If you do not carry out prevention and do not take care of the state of your own body, the neoplasm will reappear already in the third month after a difficult procedure. When the disease reappears, complications are difficult to avoid.

The basis of any prevention that prevents relapses are special preparations and agents for local treatment of intimate areas. Often, in the place where the growth used to be, a scar bleeds. During sex, the wound is injured again. Consequences of excision of papilloma on the perineum or near the anus:

• severe discomfort;
• itching and severe burning;
• repeated injuries;
• scarring of neighboring and affected tissues;
• discomfort during urination and intimacy;
• pain during bowel movements.

If there is noticeable discomfort, the patient should be re-examined by a doctor. The prescribed anesthetics and ointments, which can reduce the unpleasant consequences of removing condyloma, will allow you to endure the rehabilitation period. In no case should you endure discomfort. Any negative changes may indicate problems that have arisen against the background of the primary disease. When does itching and pain appear?

Unpleasant sensations on the scar are normal, which indicates that the damaged areas are healing. Special ointments and remedies prescribed by the doctor will help speed up regeneration. Homemade tinctures and herbal decoctions will relieve swelling and discomfort. In the future, dangerous consequences and additional symptoms should not appear.

The doctor will prescribe an ointment that promotes regeneration

Treatment after removal of growths

Is there a need for further treatment of the disease after removal of condyloma? Drug therapy continues even after the procedure prescribed by a specialist. The patient, who does not want to suffer again from growths in intimate places, continues to fight the virus. The first step is to take funds that strengthen the body's immunity. Without immunostimulants, you will not be able to protect yourself from the virus.

Treatment after removal of warts includes prevention, which should not be neglected. Sports, hardening of the body and a healthy lifestyle will increase the period of remission. The growths that have appeared are a consequence of the patient's lifestyle and his attitude to his own body. Safe sex after the recent removal of genital warts will not be a chagrin for partners if you follow all the recommendations of a specialist.

Large condylomas do not appear immediately after removal, but after a few months, such a problem again threatens a person.

How long should treatment continue after removal of complex warts? Rehabilitation is determined by the degree of neglect of the disease and the state of the human body. If a man or woman understood how the affected tissue heals, then any consequences will not come as a big surprise to the patient.

This method involves the use of a strong energy flow of light, which significantly increases the temperature inside human tissues.

Many will say that removing growths is not necessary, but this is not so. In addition to the fact that they do not look very aesthetically pleasing, warts can still be injured and infected. And the viral component of such warts can be transmitted from one person to another, for example, sexually.

Cause of itching in the scar area after removal of condyloma

Why do scars and scars itch after a surgical procedure? The postoperative period should be taken care of in advance. Proper care and careful handling of weakened skin will avoid dangerous consequences for the whole organism.

An experienced specialist will tell you about how to treat the affected areas and how to help the skin heal faster. All kinds of discharge or discomfort should not be tolerated, if the place where the growths were located hurts or bothers the person, the patient should consult a doctor without delay.

In cases where the wound does not heal after removal, the specialist prescribes additional examinations of the whole body. Weakened immunity can cause weakness and a difficult postoperative period.

If the scar becomes inflamed again, small sores form at the site of the old wound and create an ideal environment for secondary infections and pathogens. If any complications or additional symptoms appear, medications or procedures are prescribed to the patient. How to care for the skin in intimate areas after removal of condyloma?

Condylomas during pregnancy

Warts during pregnancy are dangerous because a newborn baby can be infected with a virus. In a pregnant woman who is infected with papillomavirus, against the background of changes in hormonal levels and a decrease in immunity, a very large percentage of the development of neoplasms is observed.

Therefore, when planning a pregnancy, you should conduct a study on the presence of HPV in the body. If warts are found, they should be removed and appropriately treated before pregnancy occurs.

In women who are already in position, genital warts should be treated in the first trimester of pregnancy, since their rapid growth can be predicted at a later date. This can cause complications during the further course of pregnancy and childbirth.

After removal of genital warts and until the moment of delivery, the attending physician must constantly monitor the condition of the pregnant woman. Simultaneously with the removal of genital warts, inflammatory diseases of the pelvic organs are treated and the vaginal microflora is brought back to normal.

As mentioned above, the most gentle and effective means for removing genital warts in pregnant women and, in general, in gynecology, is the method using the Surgitron apparatus. Not bad for the treatment of warts in the vagina and in pregnant women, the drug "Solcoderm".

Treatment of genital warts

Is there a need for further treatment of the disease after removal of condyloma? Drug therapy continues even after the procedure prescribed by a specialist. The patient, who does not want to suffer again from growths in intimate places, continues to fight the virus. The first step is to take funds that strengthen the body's immunity. Without immunostimulants, you will not be able to protect yourself from the virus.

Treatment after removal of warts includes prevention, which should not be neglected. Sports, hardening of the body and a healthy lifestyle will increase the period of remission.

The growths that have appeared are a consequence of the patient's lifestyle and his attitude to his own body. Safe sex after the recent removal of genital warts will not be a chagrin for partners if you follow all the recommendations of a specialist.

Large condylomas do not appear immediately after removal, but after a few months, such a problem again threatens a person.

How long should treatment continue after removal of complex warts? Rehabilitation is determined by the degree of neglect of the disease and the state of the human body. If a man or woman understood how the affected tissue heals, then any consequences will not come as a big surprise to the patient.

You can eliminate viral warts with the help of drugs purchased at a pharmacy. It is important to remember that treatment should only take place after consultation with a doctor and a diagnostic study.

Therapy for the elimination of papillomas consists in a properly selected set of agents that fight infection and restore the body's former protective function.

Preparations for external use on mucous membranes should have a gentle effect, since conventional wart medicines are aggressive and cause burns to the skin. The patient can choose the most suitable remedy, guided by the advice.

Modern pharmacology allows you to purchase a medicine in a form that is convenient for a person. Pharmaceutical products to eliminate HPV growths are in the form of an ointment, cream, gel, treatment solution, patch, aerosol, or oil.

To treat the papilloma virus and remove papillomas, the doctor prescribes:

• Allokin - Alpha;
• Viferon;
• Interferon;
• Epigen intimate;
• Cryopharm;
• Kollomak;
• Dermavit;
• Kondilin;
• Isoprinosine;
• Likopid;
• Cycloferon.

To eliminate the obvious discomfort from growths, anti-inflammatory drugs are sometimes attributed. Malavit is popular, which removes itching and has a sedative effect. Some doctors insist on the use of iodine, oxolinic ointment and hydrogen peroxide solution.

After purchasing medicines, it is important to follow the recommendations, as well as instructions for using the product. Some drugs require special attention and precautions.

The main directions of therapy:

• the use of antiviral agents and immunomodulators;
• use of liquid nitrogen;
• exposure to the skin with a laser;
• radio wave treatment;
• electrocoagulation;
• excision;
• diathermocoagulation;
• the use of cauterizing and mummifying drugs.

Therapeutic activities

With genital warts, treatment involves the use of Panavir, a drug that is active against HPV. The medicine is available in the form of a solution, gel and suppositories.

The pharmacological product cannot be used in severe pathology of the kidneys and spleen, during breastfeeding and in case of intolerance to the components.

Immunomax and Likopid are prescribed to increase immune protection. They increase the body's resistance to pathogens. Interferons (Lokferon or Inferon) are often used.

Cauterizing drugs for topical use are also used (Solcoderm, Verrukatsid, Kondilin, Ferezol): they destroy the affected tissues, and after a short period of time, the condylomas disappear. Such healing methods are effective, but after them relapses are frequent.

Removal of genital warts with a laser

An effective method of excision of genital warts is removal with a surgical laser. The method is considered one of the most gentle for the operation. Removal of condyloma is carried out by means of a laser beam, which flocculates the vessels and evaporates the pathological tissue. The wound after manipulation disappears within 5-7 days, and after 10 days it is already possible to live a full life.

Laser cauterization is the main way to get rid of genital warts.

Radio wave method

With this method, condylomas are removed using a special radio wave medical generator Surgitron Dual, which acts by means of radio waves, avoiding contact with tissues. The procedure is fast, almost does not injure the surface of the integument and mucous membranes, and is characterized by the absence of pain.

Radio wave excision - the elimination of genital warts by radio waves - refers to low-traumatic high-precision methods of hardware surgery, since it flocculates the excised tissues, while preventing bleeding. After its implementation, scars are not formed, suturing is not required.

Physical ablation is considered by experts to be more effective for keratinized warts. For soft neoplasms on the genitals, the contact chemical method of removal is more suitable.

Cryotherapy

Cryodestruction of genital warts (removal with nitrogen) - destruction of warts by short-term (within 10-20 seconds) freezing of tissues with liquid nitrogen (temperature below -195 ° C). Necrosis and rejection of condyloma occurs.

This method is most often used to remove a few small growths, especially those located on the penis, vagina, rectum and urethra. Manipulation is not used in hard-to-reach places.

Local anesthesia is used if warts are present in several places, as well as with a large area of ​​​​the lesion.

Is it painful to remove warts with liquid nitrogen? During the procedure, patients feel a burning sensation, and after its completion - moderate pain. Blisters, hyperemia of the skin may appear, but there are practically no scars. Healing occurs on average within two weeks. The probability of recurrence of pathology (after a few months) is 20-40%.

Treatment of genital warts at home

Self-removal of condylomatous growths is similar to chemical methods of exposure and involves the use of plant juice containing substances that can necrotize tissues. Therapeutic manipulations consist in the preparation of compresses, infusions, solutions based on medicinal plants. For home removal of warts are used:

• propolis - a general tonic;
• garlic gruel - suitable for getting rid of recently appeared growths;
• onion - frequent application (up to 15 times a day) of freshly squeezed plant juice will help get rid of genital warts;
• celandine - an effective remedy for treatment at home, requires caution;
• dandelion - an infusion of plant flowers on a triple cologne, mixed with salt, contributes to the rapid drying and falling off of warts;
• calendula - an immuno-strengthening medicinal plant; for the treatment of papillomavirus infection, you should drink a decoction with the addition of ginger, chamomile, raspberries, lemon;
• vinegar - for the treatment of warts, you need to use a solution diluted to a concentration of 3-5%;
• soda is a safe remedy, used at home to slow down the growth of neoplasms, reduce their size.

Before the introduction of laser removal of papillomas into medical practice, it was possible to get rid of neoplasms either surgically or by exposing the growths to low-temperature nitrogen, chemical reagents, and high-frequency electric current.

But due to the pain and long rehabilitation period of these procedures, experts have invented an innovative technique, the essence of which is to influence the wart with a laser beam. As a result, her body seems to evaporate.

Modern medicine has not yet come up with a drug that can remove from the body or destroy the infection - the causative agent of genital warts. Therefore, all treatment is limited to local removal of neoplasms and a course to increase immunity.

There are the following methods for removing genital warts. This is cryotherapy (removal with liquid nitrogen); treatment with products that contain concentrated acid; dethermocoagulation (exposure to high-frequency radiation, high temperatures or an electric knife); laser therapy.

The cost of getting rid of genital warts

Patients themselves choose how the removal of growths will be carried out. The price of procedures in Moscow depends on the location, number, size of neoplasms.

Equally important is the way in which the therapy will be carried out. For example, laser removal costs from 4500 to 5000 rubles.

(if there are no more than 10 warts). For high-frequency exposure, you will have to pay 900-2000 rubles.

/unit depending on the size.

Elimination of formations with nitrogen - 400-450 r. /PCS.

Treatment and removal of genital warts is a long process. Conservative therapies are effective, but require prolonged exposure. Surgical methods are more effective, but differ in trauma, the presence of significant pain and the need for rehabilitation measures.

How is the laser hair removal procedure performed?

If condylomas are located in large numbers, then 2-3 operations will have to be performed to remove them. As with other interventions, after laser therapy, a person may feel discomfort. For example, itching appears, which indicates the healing of the crusts. But still, when compared with other methods, laser therapy provides for a short recovery period.

Much depends on how correctly the patient follows the doctor's recommendations, for example, the main ones include the following:

But still, it is worth remembering that laser treatment will not be able to eliminate the virus itself. Therefore, therapy is based on an integrated approach. At the same time, you will have to take medications to fight the pathogen itself. The only unpleasant moment with a favorable operation is a small scar at the site of the former location of the condyloma.

Lasers have been used in surgical practice for a long time. To date, there is a laser equipment with wide operational capabilities. Laser operations are carried out quickly and with virtually no bleeding. This is because the impact on the tissue is produced by powerful laser radiation on a specific area of ​​the tissue.

Removal of genital warts with a laser is performed under local anesthesia. For this purpose, anesthetic ointments or injections of novocaine, lidocaine are used. The operation lasts no more than a quarter of an hour. It takes about one minute to remove a unit of warts.

The laser beam kills the condyloma tissue without touching it and sealing the blood vessels. All microflora in the wound area is also destroyed. The laser beam operates very precisely, which allows not to affect neighboring tissues. During the operation, the surgeon adjusts the power of the laser beam, the area of ​​the affected area, the width and depth of the incision.

If the disease is advanced and it is required to remove a large number of genital warts, then the operation can be carried out in several stages. Moreover, the breaks between stages range from two to four weeks. With the correct operation, scars practically do not develop. After the procedure for removing genital warts, the wound must not be injured and wet during the day.

Laser removal is a modern and effective procedure. Its advantages include speed and lack of bleeding. The disadvantages are soreness. But it should be remembered that the use of a laser is effective only with complex treatment. If you do not take care of your health and do not conduct antiviral and immune-strengthening therapy, then the disease will definitely return.

Removal of papillomas at home with Supercleaner

Supercleaner is an aqueous preparation designed to remove papillomas, warts and corns. In the process of its application, skin defects disappear almost without a trace. Judging by the doctors' reviews, just a few drops of the Super Cleaner liquid easily cleanse the integument from papillomas.

But experts warn against spreading the product onto healthy tissues and rubbing it into the neoplasm. The drug is effective in the treatment of benign elements.

Indications for removal of genital warts

Among women:

• the outer part of the genitals;
• vagina;
• Cervix;
• opening of the urethra;
• crotch;
• inside and outside of the anus.

For men:

• foreskin;
• the head of the penis;
• scrotum;
• a place near the urethra;
• urethra;
• anus, its external or internal part.

Possible Complications

The period after the difficult removal of genital warts will require special attention and caution. Only proper care will avoid excessive scarring of the skin and serious consequences.

What is the danger of the rehabilitation period? The most dangerous and annoying consequence of removing warts is their reappearance. If you do not carry out prevention and do not take care of the state of your own body, the neoplasm will reappear already in the third month after a difficult procedure.

When the disease reappears, complications are difficult to avoid.

The basis of any prevention that prevents relapses are special preparations and agents for local treatment of intimate areas. Often, in the place where the growth used to be, a scar bleeds. During sex, the wound is injured again. Consequences of excision of papilloma on the perineum or near the anus:

• severe discomfort;
• itching and severe burning;
• repeated injuries;
• scarring of neighboring and affected tissues;
• discomfort during urination and intimacy;
• pain during bowel movements.

Why do warts appear?

People suffer from skin rashes in the form of warts, papillomas, condylomas as often as from acne. Warts appear as a result of human infection with papillomavirus.

In appearance, they resemble small tubercles, the diameter of which can reach 3 mm.

Unfortunately, you cannot completely get rid of the virus, but you can take the necessary measures to prevent skin rashes.

Infection occurs from the carrier of the virus not only through household items, but also through sexual contact. Often you can catch the virus in a sauna, bath, swimming pool, and other public places. To prevent infection, it is better to use personal items.

• What is the procedure?
• Contraindications
• Removal of warts with liquid nitrogen
• Care after the procedure
• What is better to remove warts: laser or nitrogen?
• Consequences
• Video

What do warts look like? These are growths on the skin and mucous membranes in the form of pointed papillary formations. They bring physical and aesthetic discomfort, are easily injured by clothing.

Condylomatosis is one of the varieties of the external manifestation of the human papillomavirus (HPV). Condyloma is a small skin growth that is slightly darker than the skin or has a flesh color. The growth is attached to the body through the leg, in which the feeding vessel is located. 80% of people are infected with this virus, but condylomas occur only when the concentration of the pathogen in the blood increases and the immune system weakens. In a person with a high level of body defenses, genital warts do not grow. There are over a hundred different types of papillomavirus. Genital warts are caused by HPV types 6 and 11. Infection occurs from an infected person through any surface (toiletries, cutlery, etc.).

HPV is easily transmitted by water, so it is possible to become infected when visiting the pool.

Condylomas during pregnancy

The danger of genital warts in the prenatal period is due to the fact that the virus can enter the child's body. In pregnant women infected with HPV, due to changes in the hormonal background and a decrease in immunity, there is a high percentage of neoplasms. Studies for the presence of papillomavirus in the body must be carried out at the planning stage. If condylomas are found, then it is necessary to remove them and undergo an appropriate therapeutic course before ovulation occurs. In pregnant patients, the elimination of neoplasms must be carried out in the first trimester, since at a later date their rapid growth is likely, which can provoke serious complications. After the warts are removed, the specialist must carefully monitor the condition of the woman and the fetus until the onset of childbirth. Together with the elimination of neoplasms, inflammatory processes in the pelvic organs are treated, the microflora in the vagina is brought back to normal.

The most common localization of growths

Dermatologists have found that skin pathologies caused by HPV are more often formed on the genitals and in the anus.

Formation of warts in the vagina

In women, condylomas occur more often on the labia, vaginal walls and cervix.

The first 2 varieties can either not cause pain, or bring discomfort during intercourse. In the absence of barrier protection, the partner will become infected with HPV. However, the virus is also transmitted through the skin, so using a condom does not guarantee that HPV will not be transmitted.

Removal of warts on the genitals of women must be accompanied by a histological analysis of the excised tissue.

Genital warts in men

In the representatives of the stronger sex, genital warts occur most often on the edge of the frenulum of the penis. Neoplasms on the genital organ usually do not cause pain, but can cause discomfort during intercourse. Their main unsightly feature is unaesthetic and the possibility of transmitting the virus to a partner. In size, they can be from a few mm to 1 cm. They are often localized in groups, affecting healthy adjacent skin areas.

Anal warts

Genital warts around the anus are also not uncommon. Perhaps the manifestation of formations on the outer and inner surfaces of the anus. Condylomas can deliver both aesthetic discomfort and painful sensations during defecation. Often there are microtraumas of the skin around the anus, which contributes to the spread of genital warts. This happens quickly, so it is recommended to consult a doctor immediately after detection and remove the neoplasm.

To delete or not to delete?

Indications for getting rid of the disease:

• progression of pathology: an increase in the size of genital warts or their number;
• the presence of large neoplasms that are not removed with the help of local drug treatment;
• constant friction with genital warts up to their bleeding;
• physical discomfort during intercourse, urination, defecation;
• the threat of complications of the upcoming birth (with localization on the external and internal genital organs) and infection of the baby;
• the occurrence of psychological discomfort due to a cosmetic defect.

Should warts be removed? Small genital warts that do not cause discomfort to a person do not require surgery.

As studies of the last decade have shown, with oncogenic types of papillomavirus 16 and 18, condylomas on the cervix can lead to squamous cell carcinoma.

The main directions of therapy:

• the use of antiviral agents and immunomodulators;
• use of liquid nitrogen;
• exposure to the skin with a laser;
• radio wave treatment;
• electrocoagulation;
• excision;
• diathermocoagulation;
• the use of cauterizing and mummifying drugs.

Therapeutic activities

With genital warts, treatment involves the use of Panavir, a drug that is active against HPV. The medicine is available in the form of a solution, gel and suppositories.

The pharmacological product cannot be used in severe pathology of the kidneys and spleen, during breastfeeding and in case of intolerance to the components.

Immunomax and Likopid are prescribed to increase immune protection. They increase the body's resistance to pathogens. Interferons (Lokferon or Inferon) are often used.

Cauterizing drugs for topical use are also used (Solcoderm, Verrukatsid, Kondilin, Ferezol): they destroy the affected tissues, and after a short period of time, the condylomas disappear. Such healing methods are effective, but after them relapses are frequent.

An effective method of excision of genital warts is removal with a surgical laser. The method is considered one of the most gentle for the operation. Removal of condyloma is carried out by means of a laser beam, which flocculates the vessels and evaporates the pathological tissue. The wound after manipulation disappears within 5-7 days, and after 10 days it is already possible to live a full life.

Laser cauterization is the main way to get rid of genital warts.

With this method, condylomas are removed using a special radio wave medical generator Surgitron Dual, which acts by means of radio waves, avoiding contact with tissues. The procedure is fast, almost does not injure the surface of the integument and mucous membranes, and is characterized by the absence of pain.

Radio wave excision - the elimination of genital warts by radio waves - refers to low-traumatic high-precision methods of hardware surgery, since it flocculates the excised tissues, while preventing bleeding. After its implementation, scars are not formed, suturing is not required.

Physical ablation is considered by experts to be more effective for keratinized warts. For soft neoplasms on the genitals, the contact chemical method of removal is more suitable.

Cryodestruction of genital warts (removal with nitrogen) - destruction of warts by short-term (within 10-20 seconds) freezing of tissues with liquid nitrogen (temperature below -195 ° C). Necrosis and rejection of condyloma occurs. This method is most often used to remove a few small growths, especially those located on the penis, vagina, rectum and urethra. Manipulation is not used in hard-to-reach places.

Local anesthesia is used if warts are present in several places, as well as with a large area of ​​​​the lesion.

Is it painful to remove warts with liquid nitrogen? During the procedure, patients feel a burning sensation, and after its completion - moderate pain. Blisters, hyperemia of the skin may appear, but there are practically no scars. Healing occurs on average within two weeks. The probability of recurrence of pathology (after a few months) is 20-40%.

Treatment of genital warts at home

Self-removal of condylomatous growths is similar to chemical methods of exposure and involves the use of plant juice containing substances that can necrotize tissues. Therapeutic manipulations consist in the preparation of compresses, infusions, solutions based on medicinal plants. For home removal of warts are used:

• propolis - a general tonic;
• garlic gruel - suitable for getting rid of recently appeared growths;
• onion - frequent application (up to 15 times a day) of freshly squeezed plant juice will help get rid of genital warts;
• celandine - an effective remedy for treatment at home, requires caution;
• dandelion - an infusion of plant flowers on a triple cologne, mixed with salt, contributes to the rapid drying and falling off of warts;
• calendula - an immuno-strengthening medicinal plant; for the treatment of papillomavirus infection, you should drink a decoction with the addition of ginger, chamomile, raspberries, lemon;
• vinegar - for the treatment of warts, you need to use a solution diluted to a concentration of 3-5%;
• soda is a safe remedy, used at home to slow down the growth of neoplasms, reduce their size.

During the entire recovery period and after its completion, the patient should not stop drug therapy so that there is no recurrence of the infection.

Postoperative treatment procedures

The basis of postoperative health measures for HPV is the regular intake of immunomodulatory drugs that will strengthen the protective functions of the body and reduce the chance of the pathology returning. Along with the use of immunomodulators, it is necessary to observe preventive measures, take vitamin and mineral complexes.

While the tablets will suppress the infection inside the body, the site of removal of the condyloma should be treated with topical antiviral drugs (ointments, sprays, solutions, gels). Anti-wart medications will stimulate local immunity, accelerate wound healing after removal of growths, and destroy viral cells that remain in the tissue structure.

The specifics of the use of antiseptics

Not all antiseptic preparations are approved for the treatment of damaged mucous membranes of the genital organs. Therefore, for disinfection of the postoperative wound, it is forbidden to use:

• alcohol-containing liquids;
• brilliant green solution;
• hydrogen peroxide.

Replace them with the following safe drugs:

• chlorhexidine (spray, vaginal suppositories, liquid);
• baneocin (ointment).

How long does rehabilitation take?

After the removal of condyloma, the patient undergoes a mandatory course of rehabilitation measures. During this time, damaged tissues are regenerated, inflammation disappears, and postoperative wounds heal.

In the absence of complications, the rehabilitation period ranges from one week to 30 days. Its duration is affected by the type of procedure for getting rid of warts:

• cryotherapy - from 7 days to two weeks;
• electrocoagulation - 2 weeks;
• chemotherapy - 1-2 weeks;
• radio wave destruction - 8-10 days;
• laser destruction - 10-15 days;
• excision of genital warts with a scalpel - from two weeks to one month.

During the rehabilitation period, it is necessary to carefully monitor hygiene. If after the procedure there is a discharge or itching persists, you should consult a specialist.

The most common complications after removal of growths are pain, swelling and hyperemia of tissues, discharge, incl. bloody (in case of damage to blood vessels), erosion, inflammation (in case of infection). All methods of removal have a significant level of recurrence of the disease.

It should also be remembered that excision of genital warts will not cure the human papillomavirus, which remains on the skin and mucous membranes in an inactive state, and a person can spread the infection through contact and sexual contact.

Prevention

Prevention of the disease comes down to increasing immunity and taking measures to avoid infection. The following recommendations must be observed:

• be responsible in choosing a sexual partner;
• not to have a promiscuous sex life, to refuse sexual relations without a condom;
• change underwear more often;
• take a shower daily;
• do not overwork;
• eat more fruits, berries and vegetables;
• regularly walk in the fresh air;
• sleep at least 8 hours a day;
• eliminate stress;
• prevent acute and chronic infectious diseases;
• treat STIs promptly.

The cost of getting rid of genital warts

Patients themselves choose how the removal of growths will be carried out. The price of procedures in Moscow depends on the location, number, size of neoplasms. Equally important is the way in which the therapy will be carried out. For example, laser removal costs from 4500 to 5000 rubles. (if there are no more than 10 warts). For high-frequency exposure, you will have to pay 900-2000 rubles / unit, depending on the size. Elimination of formations with nitrogen - 400-450 rubles / piece.

Treatment and removal of genital warts is a long process. Conservative therapies are effective, but require prolonged exposure. Surgical methods are more effective, but differ in trauma, the presence of significant pain and the need for rehabilitation measures.

How to treat warts: Video

Etiology and clinical manifestation of genital warts

Condylomas are specific, often in the form of scallops, formations on the skin and mucous membranes, in the area of ​​​​the female genital tract or male genital organ and / or the anogenital region.

Warts are caused by infection with the human papillomavirus (HPV). This virus is classified as a sexually transmitted infection, and the route of transmission is direct contact with the skin or mucous membrane of an infected partner. Infection occurs both during traditional sexual intercourse and non-traditional sexual contacts: oral, anogenital, homosexual.

About 80% of the sexually active population of the earth becomes infected with HPV during their lifetime, and in 80% of cases these people self-heal the virus without infection and treatment. In other cases, the virus is either detected by PCR without clinical manifestations, or manifests itself in the form of genital warts.

Currently, more than 150 types of the virus are known, and each type of HPV affects a specific target tissue. Only about 40 types of human papillomavirus affect the anogenital area. Among them, HPV types 16 and 18 have the greatest oncogenic potential, which can cause cancer of the cervix, vagina, vulva, and rectum.

The carriage of HPV type 16.18 does not indicate that an oncogenic disease is necessarily realized. The human immune system fights against viral aggression and in 80% of cases it copes with this infection on its own, without treatment with immune preparations.

Women carriers of HPV type 16.18 need to be examined by a gynecologist once a year, with a mandatory cytological examination for cancer cells from the cervix (Pap test).

It is desirable to screen for oncogenic type HPV in all women over 30 years of age, along with a Pap test, to reduce the incidence of cervical cancer. In addition to HPV types 16.18, 10 more types of the virus have carcinogenic potential (31,33,35,39.45,51,52,56,58,59). These types are less common, but can also cause cancer, more often of the cervix.

The human papillomavirus, with good immunity, may not manifest itself for a long time. A woman can be a carrier without knowing it. As soon as the immune system weakens (stress, pregnancy, hormonal disorders, exacerbation of chronic diseases), HPV carriers may develop clinical symptoms of the virus, in particular warts. It may take several years from the time of infection to the onset of symptoms. Therefore, it is almost impossible to accurately determine the moment of infection.

The main sign of human papillomavirus infection is single or multiple rashes (formations) on the external and internal genital organs of women, they can also appear in the oral cavity, in the anus and in the rectum.

Types of genital warts

Experts distinguish the most common types of exophytic (visible) genital warts:

genital warts - proliferation of the epithelium of the skin or mucous membrane in the form of outgrowths on a thin or wide base, resembling a "rooster's comb" or a type of "cauliflower". Warts can spread to a large area of ​​the skin or mucosa in the anogenital region;

tumor-like condylomas - the disease manifests itself in the form of a tumor-like formation, more often on the mucous membrane. In women, this is the mucous membrane of the vagina and cervix;

papular condylomas, outwardly resemble pigmented warts, and are located on the skin of the external genital organs;

keratotic condylomas - occur in the form of spots rising above the skin or mucous membranes with a keratinizing surface.

Exophytic (visible) warts in women often cause HPV types 6, 11. These 2 types of virus are not carcinogenic, that is, they do not cause cancerous degeneration.

Specialist examination

The timeliness of contacting specialists and the correct diagnosis of the disease are fundamental factors for successful treatment. It must be emphasized that there are skin diseases with a skin rash that are not associated with HPV, so an examination by a specialist is necessary before prescribing adequate treatment. The absence of clinical manifestations of the virus (warts), in the presence of HPV, requires an additional examination (taking a Pap test, performing a colposcopy), but this is decided by the doctor at the appointment.

It is important to emphasize that treatment is not always prescribed for carriers of the virus without clinical manifestations, since the human immune system fights the virus on its own, and in a large number of cases causes the complete death of the virus in the body. The task of specialists in identifying HPV is to reassure patients and set them up for a successful outcome in the treatment of the disease.

The main purpose of the examination is to make the correct diagnosis, prescribe treatment in the presence of clinical manifestations of the virus and psychologically calm the patient.

Therapy for genital warts

There are various methods for removing genital warts.

Treatment at home:

podophyllotoxin (cream 0.15% or solution 0.5%), condilin

imichimod (cream 5%)

Clinical treatment:

chemical treatment (solcoderm, ferezol, trichloroacetic acid)

scalpel excision

electric or radio wave removal

cryotherapy

argon plasma ablation

laser removal

The choice of method of therapy depends on the type and prevalence of genital warts, and occurs by mutual agreement between the doctor and the patient. Since condylomas disappear on their own in some patients (for example, after childbirth), none of the methods can be optimal for different localizations.

Condylomas of the anogenital area

Warts in the area of ​​the labia (vulva)

Vulvar warts are caused by infection with the human papillomavirus. This virus enters the female body more often during sexual intercourse. If the immune system is in good condition, this disease may not manifest itself for years, and a woman, not knowing that she is sick, can infect her partners with it, with insufficient local immune protection in them. With a decrease in immunity, the virus can make itself felt. Condylomas may appear on the labia, internal genital organs, perineum, in the anus.

Genital warts of the vulva must be removed without fail, and not only because of their non-aesthetics, but given their growth and spread. This disease can progress and spread to the vaginal mucosa and cervix and to the skin of the anogenital region.

Treatment of warts should be carried out by a gynecologist, who will determine the treatment regimen.

Methods of treatment of warts in the area of ​​the labia (vulva)

If you have warts on the vulva, you should immediately contact a gynecologist. Today, there are several approaches to the treatment of this disease, and an experienced professional, having established the correct diagnosis and assessed the degree of damage to the body, will be able to choose the right treatment regimen.

As a rule, condylomas in the vulva area are usually treated in the clinic in the following ways:

excision with a scalpel;

cryodestruction - cold treatment;

The excision procedure is performed using laser or electrosurgical devices (radio wave device with argon-enhanced coagulation).

Vaginal warts

Condylomas in the vagina, also a consequence of infection with the human papillomavirus (HPV). The diagnosis is established by a gynecologist when examined in the mirrors of the vaginal mucosa, specified during colposcopy, and confirmed by performing a PCR test for HPV and, in doubtful cases, by taking a biopsy of the formation.

Condylomas in the vagina bring a lot of problems to a woman, and can affect sexual behavior. Symptoms may include: the presence of growths in the vagina palpated by the woman herself during genital hygiene, an inflammatory reaction, itching, the appearance of cracks in the mucosa, pain during intercourse.

This disease can progress and pass to the cervix, although it does not lead to oncology. Therefore, experts recommend treating genital warts in the vagina immediately after their discovery.

Treatment methods for vaginal warts

To remove neoplasms, there are the following destructive methods of treatment:

· cryodestruction;

laser removal, the most optimal destructive method;

argon plasma ablation;

radio wave (high-frequency) removal, better with argon-enhanced coagulation.

Destructive methods of influence do not guarantee a recurrence of the disease, therefore, in our country, the use of antiviral drugs is practiced. Immunotherapy is not always reasonably used, more often it is prescribed blindly, without an appropriate examination. This method sometimes gives side effects in the presence of genital warts, and as monotherapy is ineffective, but in some cases it can give a good result, but it is impossible to predict. The best effect is achieved in a combination of destructive and conservative treatment.

Key points:

Treatment of condylomas of the vulva and vagina leads to a positive result in most patients within 1 to 6 months. At the same time, the virus can remain and be determined in 30% of women, without clinical manifestations, which no longer requires treatment, but observation.

It is important to note that warts that appear on new areas of the skin or mucosa during treatment or after completion of treatment do not require a change in the treatment method. The appearance of new formations in the area where the impact was carried out requires a change in the treatment method.

Patients should be informed about the observance of sexual rest during treatment and conduct examinations until the complete disappearance of genital warts.

Sexual partners should be examined and treated only if there are warts on the penis.

Cervical warts

Condyloma of the cervix is ​​one of the varieties of HPV manifestations. Infection with this disease also occurs during sexual intercourse with an infected partner. In the absence of exophytic (visible) warts on the penis, the sexual partner may not be aware of the carriage of this virus.

Cervical condyloma is not always the result of HPV type 6 or 11. The cervix is ​​also affected by other types of viruses, which also have an oncogenic risk.

A feature of condyloma on the neck is its shape. Condyloma may be flat and not visible when viewed in mirrors, or it may be protruding (typical). Flat condyloma of the cervix is ​​detected during colposcopy. This painless technique involves examining the vulva, vagina, and cervix under a microscope, stained with special solutions. Areas affected by condyloma flatus are isolated after staining with solutions.

To finally confirm the diagnosis, in addition to a cytological examination (Pap test), a PCR test for HPV and a biopsy or removal of the altered area with histological confirmation are performed.

It should be noted that any formation on the cervix, even a typical genital warts, should be subjected to histological examination after removal. If the gynecologist does not doubt the diagnosis of condyloma of the cervix, then using treatment methods after which it is not possible to conduct a histology, it is necessary to take a biopsy before treatment.

Treatment of condylomas of the cervix

Removal of warts on the cervix is ​​a mandatory procedure in terms of the spread of infection and the prevention of cervical cancer.

Cervical warts can be removed in the following ways:

· laser vaporization is an effective technique with a low recurrence rate and does not affect the reproductive function of nulliparous patients;

argon plasma ablation - a good effect, especially in nulliparous patients;

radio wave removal - a technique that allows, after removal, to conduct a histological examination;

Cryodestruction is a popular method, but effective for small lesions;

Solkovagin - cauterization of single genital warts with the help of a chemical preparation.

Each of the above methods has its own advantages and disadvantages. In each case, the choice of treatment remains with the doctor and depends on the availability of equipment and the qualifications of the specialist.

With the help of destructive methods of treatment, part of the affected tissue of the cervix, visible or determined by colposcopy, is removed, but not the virus itself. Therefore, gynecologists, along with removal, for the prevention of relapse and the fight against the virus, recommend antiviral or immunomodulatory drugs of local or general action. The effect of this treatment is not predictable, but in some cases there is a positive result. It is wrong to assume that antiviral drugs are the main ones in the fight against HPV. These medicines activate the immune system, and it already resists viral aggression. In the practice of treating genital warts of any localization, these drugs have their own niche of application. There is no clear evidence of the effectiveness of these dosage forms, so they are practically not used in world practice.

Vulvar warts during pregnancy

Pregnancy can provoke the development of exophytic warts (visible), which previously did not bother, and did not make themselves felt. Condylomatosis is the result of the human papillomavirus in the body. This virus, once in the body of a woman, may not manifest itself in any way if the immune system is strong. However, during pregnancy there is a temporary decrease in immunity, due to the presence of a fetus, which is half of the foreign genetic material (protein) belonging to the husband. The papillomavirus, if present, and was in an inactive state, may begin to appear as neoplasms on the external and internal genital organs of a woman, in the perineum, in the vicinity of the anus.

Condylomas during pregnancy are subject to mandatory removal due to their active growth, and the sooner this is done, the better.

Treatment of genital warts during pregnancy should be carried out by an obstetrician-gynecologist who is well versed in the removal technique. Treatment of exophytic warts is preferable with the most effective modern laser and radio wave equipment with argon-enhanced coagulation. These operations are usually performed in a hospital under intravenous or epidural anesthesia. With extensive condylomatosis, removals are sometimes carried out in several stages. Epithelialization of the wound surface in pregnant women occurs quite quickly, due to increased blood circulation in the genital area. Therefore, the removal of warts can be carried out from an early date up to 36 weeks of pregnancy. Before the planned removal of genital warts, it is necessary to conduct an examination to exclude possible complications occurring during pregnancy (for example, the threat of interruption, preeclampsia, etc.). Carry out sanitation with an inflammatory reaction in the genital area.

During pregnancy, only external genital warts should be removed. It is better not to touch condylomas in the vagina and on the cervix, as this is associated with an increased risk of bleeding and the threat of interruption. As practice shows, warts after childbirth regress on their own, especially in the vagina.

In pregnant women, in the presence of genital warts, immunotherapy is carried out only locally. Virus carrying, without clinical manifestations (presence of visible genital warts), is not a basis for therapy. Treatment is best started before removal and continued after surgery. The goal is to reduce the risk of warts recurrence.

In order not to burden you with the treatment of genital warts during pregnancy, it is preferable to undergo an HPV test before planning a pregnancy. If this virus is detected, it is first necessary to improve the body's defenses and only then plan a pregnancy. If this is not done, then there is a chance that you will develop warts during pregnancy.

It is not possible to guarantee the cure of a woman from a virus carrier before a planned pregnancy with the help of modern drugs. Treatment of the identified inflammatory process of the genital tract, before a planned pregnancy, is a sufficient measure to prevent exacerbation of HPV.

It should be emphasized that the carriage of HPV of any type, without clinical manifestations (presence of exophytic warts), is not a contraindication to pregnancy.

Childbirth with condylomatosis

I would like to remind you that warts themselves are a manifestation of the human papillomavirus (HPV). This virus can pose a risk of infection of the fetus and the development of papillomatosis of the larynx in the unborn child. Studies do not confirm that 100% of women with the virus are infected with the fetus. Unfortunately, it is impossible to predict the infection of a child during pregnancy and childbirth with a virus. Undoubtedly, the presence of genital warts increases the risk of infection, so it is better to remove neoplasms.

The need for delivery by caesarean section in women with condylomatosis is decided individually. It is preferable to give birth on your own, even despite the presence of formations in the area of ​​​​the external or internal genital organs, which are present before childbirth. There are cases that children born by caesarean section from pregnant women with HPV carriers suffer from laryngeal papillomatosis. The operation of caesarean section is performed for pregnant women, in the presence of extensive condylomatosis of the external genitalia, when it prevents childbirth through the natural birth canal, or in combination with other complications and diseases during pregnancy.

It should be noted that termination of pregnancy with condylomatosis of the anogenital region is usually not carried out.

Condylomas in the rectum (anus)

Anal warts, like other varieties of similar neoplasms, are the result of infection of the body with the human papillomavirus. Condylomas in the anus is a rather complex disease, which is accompanied by the following symptoms:

the appearance of education in the anus;

an increase in the number of warts in this area;

traumatization of warts under mechanical action.

Condylomas of the rectum are subject to treatment without fail. A profile doctor who is able to correctly diagnose this disease is a proctologist. As soon as you have one of the above discomforts, you should immediately consult a doctor. Condylomas in the anus, experts are also called perianal.

Papillomavirus is transmitted through sexual intercourse. In this case, anal sex plays a role.

Treatment of anal warts

Perianal warts require immediate treatment due to the many inconveniences they cause to the patient and the likely progression of the disease. Modern specialists, along with excision of formations by various methods, simultaneously affect the patient's immune system.

Treatment of condyloma in the anus will be effective if you contact a specialist in a timely manner and strictly follow all his recommendations. A competent effect on the immune system of a patient with condylomatosis activates the protective abilities of the body, and directs all their efforts to combat the papilloma virus.

HPV progression factors are:

acute and exacerbation of chronic inflammatory diseases of the genital organs (trichomoniasis, chlamydia, mycoplasma genitalium, herpes simplex virus, etc.);

the presence and exacerbation of systemic diseases (diabetes mellitus, systemic lupus erythematosus, thyroid disease, etc.);

immunosuppressive therapy (for example, after organ transplantation);

hormonal disorders;

contraception (taking COCs > 5 years);

• stressful situations.

Treatment of condylomatosis at home

The main disadvantages of various destructive methods of treatment is the recurrence of the disease, which varies, depending on the method, from 20 to 50% of cases.

Imiquimod cream, commercial name "Aldara" (Aldara) is a highly effective remedy in the fight against genital warts. This cream, when applied topically to the skin, acts as an immunomodulator, stimulating the production of interferons. This leads to a decrease and then to the disappearance of genital warts and a decrease in the amount of HPV in the tissue.

Cream "Aldara", available in sachets (sachets) for single use, is applied to warts and the skin around them 3 times a week before going to bed, and the next morning the application area is cleaned with soap and water. Treatment continues until the disappearance of warts, an average of 4 weeks, but not more than 16 weeks. When applied, a local skin reaction in the form of redness (erythema) may occur. In this situation, you can pause until the reaction disappears, and continue treatment. More information about the method of application is set out in the instructions for the Aldara cream.

Numerous clinical studies show that imiquimod (Aldara cream) can achieve significant improvement in 8-10 weeks of use. There is a low recurrence rate of 13%. Additionally, it should be noted that the drug stimulates the regeneration of the skin, and improves their appearance in actinic (senile) keratosis.

Complications with condylomatosis

With equal susceptibility to condylomatosis of both sexes, this disease is more dangerous for women than for men. Benign anogenital warts (condylomas), in 90% of cases are caused by HPV types 6 and 11 and are benign. Patients with visible warts may also be infected with highly oncogenic HPV types 16 and 18, which may be flat and not visible during routine examination. These last 2 types can cause cancer of the lower genital tract (cervix, vagina, and vulva).

Genital warts caused by HPV types 6 and 11 are benign growths. Such neoplasms are not dangerous, and cannot lead to oncological degeneration. They cause a lot of inconvenience to a person, and pose a danger to sexual partners due to the high probability of infection.

Experts consider flat lesions more dangerous, due to the complexity of their timely diagnosis. It is viral lesions of the flat type that can cause tissue degeneration.

Bushke-Levenshtein condyloma is a fairly rare disease. Medical science does not have accurate statistics due to the external similarity of this formation with epidermoid cancer.

In the initial stages, the giant condyloma of Buschke-Levenshtein manifests itself in the form of elements similar to papillomas, warty-like nodules and genital warts. All elements of the neoplasm grow rapidly, merge together, and form a tumor with a specific broad base. The surface of such a giant condyloma is characterized by growths and vegetations. All surface elements are separated by grooves. With growth, individual parts of the tumor become more pronounced, superficially covered with horny scales.

This is a rare type of disease associated with HPV types 6 and 11, characterized by aggressive growth.

Giant warts are usually localized in the anogenital region.

Features and diagnosis of giant warts

The giant condyloma of Buschke-Levenshtein has a characteristic clinical feature: progressive growth. There is a pronounced tendency to relapse of this disease, even after complete excision of the existing formation. Exophytic growth is predominantly observed against the background of the presence of invasive. The result is the fusion of individual parts of the neoplasm, which forms its external similarity with the cauliflower inflorescence.

Bushke-Levenshtein's condyloma, from the point of view of the histological picture, is diverse: areas of benign warts are interspersed with areas of atypical cells or squamous cell carcinoma.

To confirm this diagnosis, specialists should carry out differential diagnostics, the purpose of which is to exclude the following possible diagnoses:

squamous cell carcinoma;

wide condyloma, which accompanies syphilis;

common genital warts.

Difficulties in diagnosis may arise due to the transformation of a giant or ordinary genital warts into an atypical tumor. The disease requires multiple sectional biopsies and computed tomography (CT) or magnetic resonance imaging (MRI).

For the final exclusion of oncology, a complete excision of the neoplasm with a histological examination is performed.

The difference between papilloma and condyloma

During life, a variety of formations appear on the human body. The most common benign formations include the following:

• papillomas;

  warts;

It should be understood that not all educations are safe. It is always preferable to consult a dermatologist to find out the danger of a particular skin formation.

Papillomas are tender papillary formations on human skin that appear as a result of infection of the skin with certain strains of the human papillomavirus (HPV). The virus is transmitted by contact from the skin of an infected person to the skin of an uninfected person. Papillomas can be on the human body all his life, these neoplasms are considered safe. Dermatologists still strongly recommend removing papillomas due to the possibility of damaging them or inadvertently plucking them, which can lead to negative consequences.

Condyloma is a rough scallop formation on the skin and mucous membranes of the genital organs, the anogenital region and the oral cavity. Condylomatosis is a disease that is caused mainly by HPV types 6 and 11. In this case, the transmission route is sexual (sexual route). Condylomas (warts) develop as a result of a decrease in the protective abilities of the body, and are subject to mandatory removal, which is one of the stages in the complex treatment of this problem.

The main difference between warts and papilloma lies in their location on the human body. Also, these neoplasms have different structural features. In any case, self-diagnosis and self-treatment should not be done. If you are interested in an effective solution to the problem, it is preferable to contact a specialized specialist: in the genital area, this is a gynecologist, on the skin of another area, a dermatologist.

Prevention of condylomatosis

Condylomatosis is a consequence of infection of the body with the human papillomavirus (HPV), which is mainly transmitted sexually. It manifests itself in the form of warts, called warts. Such formations can appear on the external and internal genital organs, in the anal region, the oral cavity.

Therefore, to prevent condylomatosis, you should avoid:

the presence of sexually transmitted infections;

Neglect of means of protection during sexual intercourse;

smoking;

Mechanical trauma to the skin or mucous membrane of the genital organs.

Self-regression of warts

The sexually active population can become infected with HPV during their lifetime, according to statistics, 80% of people are susceptible to this. Most HPV heals spontaneously without clinical manifestations and without treatment. This is due to the activation of local and general immunity of an infected person. Approximately 10% of patients have clinical manifestations of the virus, including anogenital warts and patients with precancer and cervical cancer.

As practice shows, condylomas in pregnant women regress on their own after childbirth, especially in the vagina.

Behavior after removal of genital warts

Inform the patient that it may take 1 to 6 months for the warts to disappear. During this time, relapses of the disease are possible, but a complete cure will still occur.

Reassure the patient that due to the long persistence of the virus after infection (the virus is in an inactive state in the body), the appearance of genital warts in only one sexual partner in a permanent relationship does not mean sexual contact on the side of the other partner.

Smokers with poor response to treatment should stop smoking, as there is an association between smoking and genital warts.

Advise the use of a condom to reduce the risk of reinfection or additional infection.

Recommend avoiding excessive sun exposure (sunburn) and using sunblock when relaxing in the south, as excessive sun exposure stimulates the development of the virus, if present in body tissues.

Warn about the inadvisability of various warm-ups (sauna, bath, hot bath), this can also provoke the activity of the human papillomavirus when carrying a virus.

Healing after removal of genital warts

After removing warts, the resulting wounds, as a rule, are recommended to be treated with Baneocin powder. Accordingly, for some time there may be profuse serous or slight spotting after removal of genital warts, which are absolutely normal and should not frighten the patient.

After removal of genital warts, swelling and pain may occur, which can last from two to five days. Their duration is related to the size of the removed neoplasms and the individual sensitivity of the person.

In most cases, during the healing process, itching may occur after the removal of genital warts, which is also absolutely normal, as well as for the healing of any other part of the skin.

After removal of genital warts, limit physical activity and exclude sexual activity, for about 2-3 weeks, until epithelization (healing) of the wound surface.

Sexual life after warts removal

Patients should be warned about the need to observe sexual rest, both in the presence of genital warts, during conservative and after destructive treatment.

Against the background of treatment with Aldara, erythema (redness) of the skin in the area of ​​application of the cream may occur. Therefore, sexual life can provoke pain, the appearance of cracks with bloody discharge.

After destructive treatment, the presence of a wound surface is a direct contraindication to sexual activity, as it can lead to infection and will not promote healing.

After epithelialization of the wound surface, advise patients to use a condom with new sexual partners, and not necessarily use it with a permanent sexual partner with whom they had a relationship before therapy. The use of a condom after the detection of the virus does not affect the development of HPV-related diseases in the partner.

If condylomas were removed on the vulva, then after this manipulation, pain and the appearance of small cracks during sexual intercourse are possible. As a rule, this takes place up to 3 months after removal, then these discomforts go away.

Sex after removal of warts is possible after about 2-3 weeks, it depends on the volume of the surgical field and the complete epithelization of the wound surface. In any case, after the removal of genital warts, the next visit to the doctor should be no earlier than 3 weeks from the date of the operation. The gynecologist, based on the speed of healing, will be able to accurately answer the question of when sex is possible after removal of genital warts.