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Symptoms, Causes, Treatment And Prevention Of Genital Warts

Appearing as a kind of lesion that is flesh colored and feels like soft bumps, according to medical practitioners, genital warts are caused by certain strains of Human PapillomaVirus (HPV). Unknown to many sexually active people, HPV remains the most prevalent sexually transmitted infection.

While condom use may decrease the risk of HPV transmission during sexual activity it does not completely prevent HPV infection. Although not as serious as other sexually transmitted diseases, genital warts are especially dangerous for women because some types of the HPV can cause cancer of the cervix and vulva.

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Typically found in the areas around the penis, anus, scrotum, vagina or vulva, they are difficult to diagnose as they hardly cause pain and are extremely small.

Causes:

Genital warts and HPV infection are transmitted primarily by sexual intimacy and the risk of infection increases as the number of sexual partner's increases.

According to studies, there are more than 100 types of HPV that specifically affect the genitals. Of these, more than 40 types can infect the genital tract and anus (anogenital tract) of men and women causing genital lesions known as condylomata acuminata or venereal warts.

A subgroup of the HPVs that infect the anogenital tract can lead to precancerous changes in the uterine cervix and cervical cancer. HPV infection is also associated with the development of other anogenital cancers. The HPV types that cause cervical cancer have also been linked with both anal and penile cancer in men as well as a subgroup of head and neck cancers in both women and men.

The most common HPV types that infect the anogenital tract are HPV types 6, 11, 16 and 18 (HPV-6, HPV-11, HPV-16, and HPV-18). Although other HPV types can also cause infection. Among these, HPV-6 and HPV-11 are most commonly associated with benign lesions such as genital warts are termed as 'low-risk' HPV types. In contrast, HPV-16 and HPV-18 are the types found most commonly in cervical and anogenital cancers as well as severe dysplasia of the cervix. These belong to the so-called 'high-risk' group of HPVs. Other HPV types infect the skin and cause common warts elsewhere on the body. Some types of HPVs such as HPV 5 and 8, frequently cause skin cancers in people who have a condition known as epidermodysplasia verruciformis (EV).

Symptoms:

These fleshy bumps that have a corrugated cauliflower like appearance in many cases do not cause any symptoms and sometimes go unnoticed due to their varying size.

They are associated with itching, burning, vaginal discharge, bleeding or tenderness. If they become enlarged they can be very uncomfortable and even painful.

It is also worth noting that genital warts may also appear on the lips, mouth, tongue or throat of a person who has had oral sexual contact with an infected person.

Treatment:

Good news is, the genital warts often go away with time but the bad news is, there is no treatment that can eradicate HPV infection. To relieve painful symptoms or minimize their size, your doctor can prescribe any of the following over the counter medication. Imiquimod (Aldara), podophyllin and podofilox (Condylox) and trichloroacetic acid (TCA). If visible warts do not go away with time surgery may be the next best option to remove them. This can be done through electrocautery or burning warts with electric currents, cryosurgery or freezing warts, laser treatments, excision or cutting off warts or through an interferon injection.

Prevention:

The sure way to avoid contracting genital warts is through abstinence. Another way although controversial due to the negative side effects and ingredients used in making it, a vaccine by the name Gardasil is available against common HPV types associated with the development of genital warts, cervical and anogenital carcinomas.


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Guide To Vaginal Lumps And Bumps

When people refer to the vagina, they're often referring to both the internal organ (the vagina) and external genitalia, known as the vulva.

The term "vulva" encompasses the:

The vagina is a muscular tube that leads to your cervix, which is the opening to your uterus.

The top layer of tissue in your vagina is mucous membrane, similar to tissue in your mouth or nose.

The bumps and ridges on the surface of your vagina are called rugae. They're like folds or pleats of extra tissue when your vagina is relaxed. During sex or childbirth, rugae enable your vagina to expand.

The vulva includes several organs:

  • Outer labia: These are the outer lips of your vulva. On the outer side, your pubic hair grows. The hairless skin of the inner fold is smoother and contains oil glands called sebaceous glands.
  • Inner labia: If you gently open the outer labia, you'll see your entire inner labia. These are the inner lips of thin skin surrounding the opening to your vagina.
  • Skene's glands and Bartholin's glands: These glands produce mucus and other lubricants. They're found on the inner labia, and the outer labia are also dotted with oil glands.
  • Here are 10 possible causes for changes to the skin of your vulva and vagina:

    Vulvar cysts

    Your vulva has many glands, including oil glands, Bartholin's glands, and Skene's glands. If these glands become clogged, a cyst can form.

    Cysts vary in size, but most feel like small, hard lumps. They aren't usually painful unless they become infected.

    Cysts typically go away without treatment. If a cyst becomes infected, a doctor can drain it. If there are signs of infection, you may be prescribed antibiotics.

    Vaginal cysts

    There are several types of vaginal cysts. Vaginal cysts are firm lumps on the wall of the vagina. They're usually about the size of a pea or smaller.

    Vaginal inclusion cysts are the most common type of vaginal cyst. They sometimes form after childbirth or injury to the vagina.

    Vaginal cysts usually aren't painful. They're rarely a cause for concern unless they cause discomfort during penetration. Occasionally, vaginal cysts need to be drained or removed surgically.

    Fordyce spots

    Fordyce spots, or sebaceous glands, are small white or yellow-white bumps inside the vulva. These spots can also be found on the lips and cheeks.

    They normally first appear during puberty. You tend to get more of them as you age.

    Fordyce spots are painless and not harmful.

    Varicosities

    Varicosities are swollen veins that can occur around your vulva. According to a 2017 study, they happen in up to 34% of people with varicose veins in the pelvis and up to 22% of pregnant people.

    They appear as bluish raised bumps or round swollen veins around the labia. You may not experience pain, but sometimes they can feel heavy, cause itching, or bleed.

    You may have discomfort with penetration or when standing for long periods. A doctor specializing in vein surgery and treatment can treat this condition.

    But no treatment is usually needed if you're pregnant. Varicosities usually recede about 6 weeks after childbirth. They do often reoccur with any subsequent pregnancies, though.

    Ingrown hair

    Shaving, waxing, or plucking pubic hair increases your risk of ingrown pubic hair.

    Ingrown hair can cause a small, round, sometimes painful, itchy bump to form. The bump may be filled with pus, and the skin around it may also become darker.

    In most cases, ingrown hairs resolve without treatment. But if inflammation develops, visit a doctor. It could be a sign of infection that needs treatment.

    Skin tags

    Skin tags, or polyps, are small, protruding flaps of extra skin. They don't cause harm or discomfort unless they rub against something and become irritated.

    If your skin tags are bothersome, a doctor can remove them surgically or with a laser.

    Lichen sclerosus

    Lichen sclerosus mainly occurs after menopause. It's not a common skin condition.

    Lichen sclerosus is most often seen on the vulva and around the anus. Symptoms may include:

  • severe itching
  • white or discolored spots
  • skin that may tear easily
  • bleeding or bruising
  • pain when urinating or during penetration
  • Corticosteroid cream or ointment can typically treat lichen sclerosis. However, the condition may return after treatment. People with lichen sclerosus have a slightly increased risk of vulvar cancer.

    Genital herpes

    Genital herpes is an infection caused by the herpes simplex virus (HSV). HSV is transmitted through intimate skin-to-skin contact.

    Often, the symptoms are so mild that many people with herpes aren't aware they have the condition.

    When an outbreak occurs, symptoms may include:

  • blistery sores or ulcers that may ooze or bleed
  • pain, itching, or tingling
  • fever
  • swollen glands
  • Herpes symptoms often clear up and then return. Over time, most people experience fewer and less severe outbreaks.

    There's currently no cure for genital herpes, but you can manage the severity and duration of symptoms with antiviral medications.

    Genital warts

    Genital warts are caused by infection with the human papillomavirus (HPV) and are transmitted through intimate skin-to-skin contact.

    Many people have genital warts and don't know it. If you have symptoms, they may include:

  • clusters of small skin-colored bumps
  • rough patches of closely spaced warts, sometimes described as resembling a cauliflower
  • itching or burning
  • There's currently no cure for genital warts, but a doctor can remove them by using a prescription cream, laser, or surgery.

    Some types of HPV can increase your risk of cervical cancer. If you have genital warts, visit a healthcare professional for a Pap test to see what type of HPV caused the warts.

    Cancer

    Cancers of the vulva or vagina are rare. Symptoms of precancerous and cancerous vulvar and vaginal conditions may include:

  • abnormal bleeding
  • unusual discharge
  • noticeable skin lumps
  • pain during penetration
  • To diagnose vulvar and vaginal cancers, a doctor takes a tissue sample from lesions and examines it under a microscope.






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