How to diagnose and treat genital warts

  We say that genital warts are caused by human papillomavirus infection of the genital and perianal proliferative damage, which is mainly transmitted through sexual contact, but also vertically, or through indirect object transmission, and should be the most common clinically transmitted infections, and this disease is the most common among outpatient STDs. In addition, HPV infection of the genitalia is closely related to cervical cancer, glans cancer, anal cancer, and vulvovaginal cancer, which is why we are most concerned about this disease.  HPV is a double-stranded, naked DNA virus that grows very slowly and generally replicates in the nucleus, and because it has no shell, it is resistant to drying, freezing and solvents.  There is no specific number of HPV species, but there are certainly more than 100 species. There are more than 30 types of HPV associated with genital warts, generally classified as low-risk HPV and high-risk HPV. low-risk HPV has at least 12 types, which can produce benign damage, such as our condyloma acuminata or a cervical intraepithelial neoplasia1, which is generally considered benign damage, the most common being HPV types 6 and 11. and 11. There are at least 15 high-risk HPV types, which generally produce some, that is, they mainly cause cervical cancer or some pre-cancerous lesions, the most common types are HPV types 16 and 18, these two types generally cause this skin damage is this kind of pigmented flat or without the tip of this damage.  Most patients with HPV infection of the genitalia have a temporary nature, which usually lasts for 1 to 2 years and naturally subsides. However, a small number of patients can have persistent infection, and a small number of patients with persistent HPV infection eventually develop cancer. Of course, there are some auxiliary factors for the development of cervical cancer, such as the type of HPV infection, the site of infection, smoking, circumcision or not, and its immunosuppressive status, which are all related to cancer, but the most common high-risk area for cancer is in the transition zone of the skin and mucosa between the cervix and the anus, which are prone to cancer.  It should be said that sexual contact is still one of the most common modes of transmission of genital warts. The actual HPV infection in the genitalia is definitely, we say, the closest to this sexual contact. The risk of penile-vaginal infection is 50%, if the person has non-penetrative risk, if the person has no sexual contact at all, then the risk is only 1%. So there is this, generally speaking, that after having sex, the risk of infection is more than 50% for each person. It has also been found that the use of condoms can only partially, but not completely, protect against genital HPV infection. Then there are also some people who are infected by non-sexual contact, for example, through the contact of some contaminated daily necessities, which may be infected. In addition, genital warts in children usually occur through perinatal vertical transmission, finger inoculation or self-inoculation, contaminants, or sexual abuse. In addition, during delivery, a papilloma may occur if the fetus passes through the birth canal of an HPV-infected mother.  Not all people are infected when they come into contact with the virus, but there are some susceptible groups, and the HPV infection is very much related to the immune status of the body, especially to the cellular immune function. You are prone to HPV infection in people with congenital T-cell defects, HIV-positive people, people who have received kidney transplants and people with low cellular immune function.  The pathogenesis is such that the three types of squamous epithelium, namely skin, mucosa and saprophytic, are all susceptible to HPV. The actual process is actually an inoculation process, where the shedding epithelium or keratin with virus particles from the affected party enters the epithelial fissures of the healthy party, and the infection occurs. The actual fact that only 60% of the sexual partners of patients with condyloma acuminata develop, he believes that there may be a genetic susceptibility factor, this is a genetic susceptibility.  The actual fact is that HPV can cause a latent infection, a subclinical infection, and a clinical infection, and it can cause pre-cancerous lesions, and it can also cause tumors. The first three are generally seen in the dermatology department.  The actual fact is that the majority of the characteristics of the skin lesions are similar. The first damage is usually a small red papule, then gradually increase in size, the surface is uneven, rough, and then become warty damage. The actual fact is that there are many different types of warts, like papules, papillae, cauliflower, coronary, myxomatous, and even a tip, which are usually moist and have different colors, such as white, red, or gray. Some of them may fuse into a large mass and may appear as vesicles, ulcers, or even discharge.  It can also appear on the mucous membrane of the lips and pharynx, which is generally said to occur in oral sex. Like this patient is in the cheek mucosa, like this patient is in the upper pure this place, can be.  There are other places, such as under the breast, like the groin, and the toe tips of the feet, these places can be.  Children can also grow in the genitalia, we say this is a child’s genitalia place long, one is to ask his parents have, and then pay attention, especially to pay attention to the little girl has no sexual abuse, so this generally must pay attention to check. This most of the child’s parents will have the. The actual literature reports that the children have got this, can spontaneously subside, but this generally speaking we are going to be treated.  This HPV infection of the genital tract, we must pay attention to a subclinical infection. It’s called subclinical infection when the epithelial cells have been infected with HPV, but we can’t see it with the naked eye. If you do the acetic acid test, you will see some whitened areas, and if you take a biopsy, he has a change of acromegaly. The actual fact is that you can find a lot of people who are not in a position to get a good deal on a lot of the things that you need to do.   The actual fact is that you can find a lot of people who are not able to get a good deal on this. The actual fact is that you can detect the HPV virus in some patients with condyloma acuminata, or in patients with a history of unclean sexual intercourse, or in skin mucous membranes that have a normal appearance and a negative acetate test. The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. This is the reason why the visible warts are removed from the patient, and how they keep recurring. We believe that the latent infection and subclinical infection is a reason for the high recurrence rate after the treatment of the warts.