Genital warts + the most definitive way of diagnosis and treatment

The factor that causes genital warts is HPV, which is the human papilloma virus. This virus is able to cause infection in the skin from the genital area to the scrotum as well as the vaginal and rectal mucosa. The importance of this virus increases when we know that genital warts in women, even if they are not treated, can cause serious problems. This is the most common cause of cervical cancer in women that has not been treated. In order to solve this problem, medical interventions should be done by **the best gynecologist in West Tehran**, in this regard, you can refer to **Dr. Zahra Saifi**. Symptoms of genital warts Basically, it does not have any special symptoms and signs, and it is not like other diseases that are accompanied by itching, burning, and pain that a person can notice. Except when it is injured due to irritation and manipulation and causes pain and burning. The beginning of the skin lesions that later turn into **genital warts** is in the form of a small pimple that gets bigger over time. This pimple has an uneven surface and is fleshy. Sometimes it is the color of the skin and sometimes it is cream to brown and this depends on the skin color of the person. In the mucosa or inside the vagina, this problem is different from the complex and should be examined and diagnosed by a doctor. Treatment of genital warts in West Tehran The best treatment to be done is to remove the lesions as soon as they are detected. Because the affected person is able to infect others with **genital warts** through contact, or by manipulating the lesions, it causes the spread and spread and increase in the number of warts. The methods of removal of lesions include surgery with radiofrequency waves - burning with cautery and freezing of lesions, which is cryotherapy. Of course, in special and important situations, local drugs such as podophyllin solution or imoquimod cream can also be used. You should never use over-the-counter medicines because the genital area is very sensitive and may damage the skin. In some cases, this will increase the number and size of warts. **Dr. Zahra Seifi**, **the best gynecologist in Tehran**, in the treatment center, to remove the skin lesions caused by this condition, uses the latest and least invasive treatments, including laser, cryotherapy and size trends. Also, patients who complain of frequent recurrence of genital wart lesions can perform plasma therapy and ozone therapy sessions under their supervision in order to reduce the recurrence of lesions. Some important recommendations regarding genital warts - If a person is infected with this condition, he must inform his sexual partner about this because both need to be under the supervision of a doctor, even if one of these people does not have any symptoms or skin lesions, he should still undergo medical examinations. - Women who are pregnant or women who want to have children and suffer from **genital warts** should definitely be under the supervision of **the best gynecology and obstetrics specialist in Tehran** because gradually and over time it is possible that it will be transferred to the baby. - In a healthy person, warts are generally controlled by the body's immune system, therefore, in the following conditions, it is necessary to see a doctor to assess the adequacy and health of the person's immune system. - Rapid and progressive increase in the number or size of warts - Recurring twice - Frequent infections - Women who are exposed to the HPV virus, whether their spouses are infected or not, should do a pap smear test. The cause of genital warts Human papilloma virus (HPV) is the cause of genital warts. It should be noted that there are more than 40 types of this virus that can affect the genital area. Genital warts are almost always transmitted by having unprotected sex with an infected person. Also know that the wart does not necessarily have to be visible to infect another person. Those who are sexually active are more exposed to this virus. In addition, there are other risk factors that can cause HPV virus to spread and cause genital warts: - Unprotected sex - Having another type of sexually transmitted diseases - Having sex with people you don't know - Having sex from a young age - Having diseases that weaken the body's immune system, such as HIV Complications of genital warts Since the cause of this condition is a type of virus, the possibility that it may cause complications should be considered. Of course, the complications of genital warts rarely involve a person. One of these complications is cervical cancer in women. Genital infection caused by HPV virus is very involved in the emergence of this disease. A certain type of human papilloma virus may cause cancer of the vagina, anus, male penis and mouth. Be careful that infection with this virus does not necessarily lead to cancer. But it is important that women, especially those who are infected with the virus or are more exposed to the disease, regularly refer to **the best gynecologist in Tehran** for a pap smear test. In rare cases, genital warts may increase in size during pregnancy and make it difficult for mothers to urinate. The presence of warts in the vaginal wall prevents stretching and expansion of the vaginal tissue during childbirth. In addition, warts on the vagina or vagina may cause bleeding during pregnancy. It will be very rare for a child born to a mother with genital warts to develop warts inside his throat. In this situation, surgery must be performed to remove these lesions and open the air passage. ***Speech of Dr. Zahra Seifi, Tehran gynecologist regarding HPV virus*** ### How to prevent genital warts? Having protected sex with only one person and getting vaccinated are the best ways to prevent HPV infection and genital warts. Of course, currently, getting the vaccine is the most reliable way to prevent genital warts, and it is said that the best time to get this vaccine is when a person has not had their first sexual intercourse. ### What processes are involved in the diagnosis of genital warts? Gynecologist diagnoses the disease after referring a patient suspected of this complication. External warts are visible to the naked eye, but internal warts are a bit more challenging to detect. In this regard, the gynecologist identifies them by performing the following diagnostic procedures: - Pelvic examination: the best gynecologist in Tehran performs pap smear as a part of this test to identify the changes made in the cervix due to genital warts. Colposcopy may also be performed if necessary. - Blood test - Anal examination using an anoscope - Biopsy or sampling Vaccine, a preventive measure against genital warts: According to the Centers for Disease Control and Prevention (CDC), getting the genital wart vaccine for boys and girls age 11 and even younger keeps them safe from HPV. The ideal time to get the vaccine is when people have not yet had sex. According to the recommendation of the CDC, it is better for adolescents aged 11 to 12 years to receive two doses of the vaccine, 6 months apart. According to the research conducted in this field, it has been found that giving two doses of HPV vaccine for adolescents under 15 years of age has a very positive effect in preventing infection with the HPV virus. **Know this point:** People who apply for the vaccine after the age of 15 to 26, must receive 3 doses for it to be effective. The currently approved vaccine is Gardasil. Some of its side effects include cramping and slight compression at the injection site, headache, mild fever, or flu-like symptoms. Are genital warts reversible? Considering the fact that it is said that the treatment processes do not have an effect in eliminating the HPV virus that causes warts in the genital area; So we can say yes, after the appendages are gone, it is possible for them to reappear. Now this may happen a few weeks, months or even years later. Recommendations are also provided to prevent recurrence of the complication. You should keep your body health and immune system at a high level, eat a healthy diet and exercise regularly. Smoking increases the chance of recurrence of genital warts; So it is recommended that you refrain from doing this. #### Do genital warts cause pain, itching and burning? When the virus is activated, the symptoms of this condition appear. In general, the symptoms of the HPV virus are mild and it does not cause other annoying symptoms except the appearance symptoms that it brings. Of course, in some cases, the patient may experience symptoms such as mild burning, pain and itching, and even bleeding. Pap smear test and diagnosis of genital warts in women In order to detect the HPV virus and check the possible risks of this complication, women over 35 years of age are recommended to perform a pap smear test on an annual basis. This test is for women, during which a very small sample of the vagina and cervix is ​​removed and examined. It should be noted that this test shows many genital cancers and infections well. During this process, the cervix is ​​opened slowly with a device called a splocum, and with the help of a sterile brush, the necessary sampling of the cells of the uterine wall and vagina is performed. #### How effective is the blood test in diagnosing genital warts? In general, it is good to know that the HPV virus cannot be detected by blood tests and the only way to diagnose this disease is through vaginal secretions in women. Types of genital warts **Types of genital warts** may occur among people. This special condition, condyloma acuminata, generally has a specific form and appearance and is easily diagnosed with medical examinations. It is often mistaken for another disease, but familiarity with other diseases that may be similar to vaginal warts can prevent misdiagnosis. - **common wart** Common warts, which are often caused by HPV type 2 and 4, may appear in the genital area or near it, especially in the abdomen, lower thigh or buttocks. In order to distinguish it from this complication, sampling and histological evaluation may be necessary, although this is rarely necessary because its treatment is similar to genital warts. - **molluscoccus contagiosum** Molluscum contagiosum virus pimples can look like genital warts and those who are sexually active get this type. - **Seboric Keratosis** Seborrheic keratosis is in the form of wide, flat, black or brown and rough patches. These benign tumors can be different and are treated only for cosmetic reasons and do not pose any danger to the person. - **condyloma lata** Condylomalatae are lesions secondary to syphilis, which must be distinguished from condyloma, the same **genital wart**. Condyloma lata may exist simultaneously with this complication. These lesions have more moisture and may even be injured. Since the type of treatment is very different and the sexual partner of the patient should be examined and the diagnosis of this disease is very important. - **but the plan** Lichen Planus is a chronic inflammatory process of the skin and mucous membrane, which can be seen in the form of relatively flat-shiny spots with a clear border. These lesions are pinkish white. These lesions sometimes occur in the genital areas and may appear similar to warts. - **epidermoid cyst** Epidermoid cysts are in the form of hard-white-yellowish subcutaneous lumps that occur singly or multiplely in the scrotum or on the genital areas of women. - **Fordyce's losses** It is observed in the form of accumulation of small pimples of 1 to 2 mm in the groin or armpit areas. This hereditary disease actually affects the sweat glands and is more common in women than men. People complain strongly about the itching of this disease. - **welding known as keloid** It is observed in the form of hard-disordered and mostly linear lesions, and it is mostly seen in those who suffer from frequent inflammation or infections of hair roots or sweat glands ducts. Removing these lesions may make the condition more acute, and the treatment of genital warts for these people is steroid injection into the lesion. - **skin tag** These lesions are mostly seen in the creased area and often have stalks and generally have no symptoms. - **fibroma** They are soft tissue masses that mainly appear from the subcutaneous tissue in various parts of the body and rarely occur in the genital area. - **Syringoma** Small lesions - without any danger - are asymptomatic and whitish-yellow in color, originating from the ducts of the sweat glands. Although it is often seen in the eyelid and upper cheek areas, it can happen in any part such as the genital area. - **Angiokeratoma** Asymptomatic vascular lesions are caused by the dilation of capillaries in the skin areas, which can be seen in various parts of the body, such as the legs and genitals. - **Mussel-shaped seeds** They are dome-shaped and can be seen regularly in the projection of the crown of the cap. These lesions are normal and some men suffer from them and it does not need any treatment. Treatment of genital warts with laser Today, there are different ways to treat genital warts. But most of these methods require a long treatment period, on the other hand, methods like traditional medicine may have unwanted side effects. Laser treatment of hpv can be considered one of the most definitive and best methods of treatment, which is completely risk-free. Fortunately, this method of treatment prevents the recurrence of lesions after a while. This treatment process can be done in the doctor's office or surgery clinics and is completely outpatient and does not require anesthesia, hospitalization and a long recovery period. But the point that you should keep in mind in the treatment of genital warts with laser is that the healing time depends on the location and number of warts in the genital area, and healing usually takes place within 2 to 4 weeks. It is recommended to refrain from having sex until the appendages disappear and the treatment process is completed. Advantages of hpv or genital warts treatment with laser 1. This method of treatment is completely safe and completely eliminates the disease. 2. HPV treatment with laser does not require special care and dressing. 3. This treatment method has better efficiency compared to other treatment methods. 4. Laser does not cause scars after treatment. 5. The cost of this treatment method is quite affordable. 6. Be careful that the treatment of genital warts with laser, unlike surgical methods, is done without pain and bleeding. 7. Laser can be used to treat internal and external anus and vaginal warts. The best ways to detect HPV or genital warts - Pap smear - Colposcopy - Examination of the anus with an endoscope - Blood test - Biopsy How do we know if we have genital warts or pimples? Despite the prevalence of HPV virus, many people may fear and worry that they have this virus when they see a bump or a pimple in their genital area. While any type of complication and protrusion in the genital area is not a sign of genital warts, sometimes it can have different causes and is completely harmless. If the fleshy bumps are flat or prominent, clustered or single, flexible and soft, and your sexual partner is also suspicious of these symptoms, it is necessary to visit a gynecologist for further investigations. Pimples often occur due to the accumulation of germs and the closing of hair follicle pores, and pimples are often purulent and inflamed, and pimples can be painful; This is despite the fact that genital warts do not cause any pain. In what areas do genital warts appear in men? penis; Groin, inside or around the anus, scrotum and thigh In which areas do genital warts appear in women? - External part of vagina or anus - Inside the vagina or anus - On the tongue, mouth, throat if a person has oral sex with a patient with HPV - On the cervix Sexual intercourse without transmission of genital warts If you or your sexual partner is infected with the HPV virus, the first step is to keep calm and take action to treat and control this condition. Regarding sex with genital warts, you should also know that there are ways to help prevent your sexual partner from getting infected. 1. To help safe sex, you need to tell your partner that you have this condition. 2. Ask your sexual partner to inject the genital wart vaccine or the Gardasil vaccine. 3. Be sure to use a condom while having sex. 4. When a wart appears, avoid sexual intercourse even with the use of a condom. Genital warts in unmarried girls Genital warts is a sexually transmitted disease in women that is highly contagious and is caused by the human papilloma virus (HPV). The disease can be transmitted through sexual intercourse, but it is important to note that not all cases of genital warts occur this way. Any contact of the skin of the genital area with the skin infected with the HPV virus can cause the transmission of this virus. For example, anal sex, oral sex, and even skin contact with an HPV-contaminated condom can play a role in the transmission of genital warts in single girls, especially those who have unprotected sex with an uncertain partner. It is important to remember that HPV is not transmitted by hugging, shaking hands, using public bathrooms, or even using shared toilets. Prevention of genital warts in women The first step to prevent genital warts in women is to observe the necessary precautions and measures in sexual relations. Having multiple sexual partners and having sex without using protective equipment can increase the risk of contracting sexually transmitted diseases. To prevent genital warts in women, you can follow these recommendations: 1. Condom use: Using a condom during sex can reduce the risk of transmitting viruses. Although this method cannot completely prevent the transmission of viruses, it is still effective as a protective device in the prevention of sexually transmitted diseases. 2. **Vaccination**: Vaccines against genital warts can prevent this disease. The best time to get vaccinated against genital warts is between the ages of 11 and 12, and people who are between the ages of 13 and 26 can also get this vaccine. Certain situations may require medical consultation prior to vaccination, especially in the case of pregnant women. In addition to these solutions, choosing a healthy lifestyle, changing eating habits towards healthier foods, quitting smoking and avoiding sexual relations with multiple partners play an important role in preventing genital warts. How is a genital wart formed and where does it occur? Genital warts affect the moist tissues of the genital area. They can appear as small, fleshy bumps that look like cauliflower, but in most cases, genital warts are very small and not visible to the naked eye. These warts are not dome-shaped, but often appear above the surface of the skin and then grow flat. They are the same color as the skin, usually pink or light brown. Genital warts may become infected in the following areas: - Anus - Rectum - Groin - Lips, mouth, tongue or throat - Penis and scrotum - Vagina (internal), vulva, labia (labia major and minor) and cervix How is the HPV virus transmitted? HPV is highly contagious, and even if it causes no symptoms or the warts are removed, you can still be a carrier. However, the virus is not transmitted through all cases. The main methods of transmission of genital warts (HPV) are: Sex without using protective equipment such as condoms. In fact, skin contact with infected mucus during vaginal, oral and anal sex can lead to the transmission of this disease. For this reason, there are vulnerable areas such as the mouth, tongue and throat that may be involved during oral sex. When are genital warts visible? HPV infection is transmitted from one person to another through anal, vaginal or oral sex. The virus may spread even if the wart is not physically visible. This complication may not be visible until 6 weeks to 6 months after the transfer, and it may even take years for you to notice this complication in yourself.