Due to the del­i­ca­cy of the prob­lem, warts are often not paid due atten­tion, hop­ing that it will go away on its own. In vain. The soon­er you come to the doc­tor, the eas­i­er it is to get rid of the prob­lem.

HPV warts

Answers to ques­tions of inter­est were giv­en by Andrey Gamot­sky, der­ma­tovenere­ol­o­gist-der­ma­toon­col­o­gist at the CALM clin­ic.

Andrey Gamot­sky, der­ma­tovenere­ol­o­gist-der­ma­toon­col­o­gist

Condy­lo­mas are neo­plasms of a viral nature, which are locat­ed in the gen­i­tal areas of both men and women. Their causative agent is the human papil­lo­mavirus (HPV), unfor­tu­nate­ly, its car­ri­er is a huge num­ber of peo­ple. Mod­ern der­ma­tol­o­gists call the virus a ubiq­ui­tous scourge. Clin­i­cal­ly, warts look like embossed, vil­lous growths of flesh or pink col­or. Often visu­al­ly they are com­pared with cau­li­flower. A sort of reef pro­tru­sion in the inti­mate area.

What provokes the appearance of genital warts?

The human papil­lo­mavirus enters the body through micro­dam­ages of the skin or vis­i­ble mucous mem­branes. It seeps into the places of cuts, scratch­es, fric­tion or any oth­er, even a small, invis­i­ble injury to the eye — and con­tributes to the exces­sive growth of the pap­il­lary lay­er of cells, which ulti­mate­ly leads to the for­ma­tion of condy­lo­mas direct­ly. Of course, the back­ground of reduced immu­ni­ty con­tributes to the devel­op­ment of viral neo­plasms. Stress, lack of sleep, chron­ic fatigue and con­comi­tant dis­eases are the big “friends” of HPV,

Are warts and papillomas the same thing?

In fact, warts are a type of papil­lo­mas. Just, rel­a­tive­ly speak­ing, like warts, is a clin­i­cal man­i­fes­ta­tion of HPV. But the sci­en­tif­ic lit­er­a­ture often indi­cates that condy­lo­mas, unlike clas­si­cal papil­lo­mas, are locat­ed exclu­sive­ly in the inti­mate area, are sex­u­al­ly trans­mit­ted and are relat­ed to sex­u­al­ly trans­mit­ted dis­eases. It is impor­tant to under­stand that a con­dom can not always pro­tect against infec­tion. Why? Because the area of ​​​​con­tact of the bod­ies is much wider, and fric­tion or con­tact of the skin, espe­cial­ly shaved (micro cuts from shav­ing), is a direct way of trans­mit­ting the virus.

How dangerous is HPV?

The lion’s share of papil­lo­mas is a pure­ly aes­thet­ic defect. They cause incon­ve­nience, but, as a rule, they do not turn into any­thing ter­ri­ble. In oth­er words, if it is com­fort­able and con­ve­nient for a per­son to walk with growths on the skin, then one can live with them.

How­ev­er, there is a cer­tain per­cent­age of high­ly onco­genic strains. They are not at all harm­less and can cause cer­vi­cal dys­pla­sia, with the prospect of fur­ther degen­er­a­tion into a dan­ger­ous process. No mat­ter how expe­ri­enced the doc­tor is, it is almost impos­si­ble to deter­mine by eye which of the warts is dan­ger­ous and which is not. There­fore, it is advis­able not to walk around with them for a long time, but still come to the doc­tor, get test­ed and get rid of neo­plasms.

HPV test

Is it true that you can’t get rid of HPV?

Yes. A real­ly effec­tive vac­cine has not yet been invent­ed, because the only thing that is in our pow­er is to remove cer­tain man­i­fes­ta­tions of HPV and strength­en the immune sys­tem. It is not yet pos­si­ble to cure HPV, but it is pos­si­ble to keep it under con­trol.

Are warts a signal of possible cervical cancer?

Yes it is. Condy­lo­mas are the first wake-up call. They are a con­se­quence of infec­tion. Not only are they a con­se­quence of infec­tion, they are a mark­er of reduced immu­ni­ty and, to one degree or anoth­er, a har­bin­ger of dys­pla­sia and sub­se­quent malig­nan­cy.

Which strains of HPV are safe and which are oncogenic?

It makes no sense to list high­ly onco­genic and safe strains, there are about fif­teen of them. Hav­ing passed the analy­sis, you can find out exact­ly which strains are in the body. All mod­ern lab­o­ra­to­ries care­ful­ly schema­tize and com­pile columns — which cat­e­gories of strains were iso­lat­ed from the patient.

For exam­ple, in 70% of cas­es, two types of HPV are the cause of cer­vi­cal can­cer (16 and 18). That is, they are the most com­mon today.

HPV condylomas

What is the safest way to remove warts, because the area is still delicate?

First, it is safest to remove small warts. There­fore, it is worth repeat­ing once again: do not wait for the weath­er by the sea, do not delay! The larg­er the neo­plasm, the more like­ly the trace, relapse and pro­longed painful heal­ing.

In any case, the laser is the favorite in choos­ing a tech­nique for remov­ing gen­i­tal warts. It guar­an­tees a clear con­trol of the depth of expo­sure, the absence of cap­ture of healthy tis­sue, and pain­less­ness. And, impor­tant­ly, the laser turns the condy­lo­ma into a flat and dry crust. And this is impor­tant, since the zone is sub­ject to debate, sweat­ing, and open, weep­ing wounds heal very prob­lem­at­ic.

Is it possible to prevent the appearance of genital warts?

Of course, the best pre­ven­tion is steel immu­ni­ty. Not a sin­gle infec­tion will have a chance if a per­son is healthy in body and spir­it, gets enough sleep, is stress-resis­tant, eats fresh and right foods! Mod­er­ate phys­i­cal activ­i­ty has nev­er been super­flu­ous. As for the condy­lo­mas direct­ly, which are main­ly trans­mit­ted sex­u­al­ly, then con­tra­cep­tion will help, although this is not 100% pro­tec­tion.

And, of course, reg­u­lar, at least once a year, exam­i­na­tions by a der­ma­tol­o­gist, as a result of which you can see the dis­ease at an ear­ly, almost imper­cep­ti­ble stage for the patient.

Pho­to: Freepik