Condyloma Therapy İn İstanbul Turkey Clinic Hospital

Genital Warts Therapy İn İstanbul Clinics Hospitals
 

 

Condyloma Therapy Turkey İstanbul

Genital Warts Laser Therapy İn İstanbul Clinics Doctors

HPV Clinic İstanbul Turkey

What are condylomas?

Condylomata or condylomas, also known as genital warts, are one of the most common varieties of the sexually transmitted infections. T
hey result from an infection by the Human Papilloma Virus .

There are greater than 180 types of HPV documented.

How common are condylomas genital warts?

Every year, 1% of young women aged 15 to 25 are diagnosed with condylomas.

More than 70% of adults, during their lifetime, will be in contact with at least one type of HPV responsible for 90% of genital condylomas

Two thirds of people exposed to the virus through sexual contact will develop condylomas within two or three years.

 

What is HPV?

HPV stands for “human papillomavirus”.

The HPV family includes nearly 200 viruses that differ in their genetic composition. For this reason, we speak of HPV types.

About 40 HPV types can infect the genitals and the anus. Some of these viruses can also affect the mouth or throat.

HPV types 6 and 11 cause more than 90% of condylomas, also called genital warts. These types are considered low risk as they’re not typically linked to cancers.

HPV types 16 and 18 cause 77% of cervical cancers, 40% of vaginal and vulvar cancers and 90% of anal cancers.
These types are considered high risk as they’re frequently linked to cancers.

 

WHAT ARE THE SYMPTOMS OF THE VARIOUS HPVS?

Types 1 and 2 cause warts on the hands, but not on the genitals or the anus.
 Types 6, 11, 40, 42, 43, 44, 53, 54, 61, 72, 73 and 81cause genital warts in the shape of tiny cauliflowers.
However, types 6 and 11 cause 95% of HPV-related condylomas.
Types 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59 are 68 considered high risk for cervical cancer. Types 16 and 18 are the most dangerous, as they’re responsible for about 70% of cervical cancers, and they lead to cancer much faster than other high risk HPVs.

 American National Cancer Institute concluded that about 10% of women who were carriers of HPV type 16 or 18 developed an advanced premalignant growth on the cervix CIN 3 within three years, versus only 4% for female carriers of any other type of HPV.

In addition, 20% of carriers developed CIN 3 within ten years, versus 7% of women who carried any other type of HPV.

Worldwide, HPV is the most common sexually transmitted infection.

Young people are most affected, although all age groups can be at risk.

 

HOW HPV SPREADS

HPVs are transmitted through close contact, frequently with a person who is contagious but unaware that they carry the virus.

Vaginal and anal penetration are the most effective means of transmitting HPV.

HPV can spread through genital or anal contact between sexual partners.

The virus cannot be contracted from clothing, soap, bedding, toilet seats, and so on.

HOW HPV ACTS IN THE BODY

Once HPV is transmitted, the virus establishes a chronic infection in the cells.

A significant proportion of people infected show no symptoms.

The majority of those who contract HPV are chronically infected. Consequently, the period between infection and the appearance of symptoms can range from a few months to several decades.

Even without showing symptoms, the infected individual can transmit the virus to future children or sexual partners.

After visible symptoms have disappeared, no test is available to determine whether the virus remains in the body.

HPV SYMPTOMS

Most lesions are transitory, lasting several months to years.

Some occur more frequently, such as condylomas and abnormal cells on the cervix .

 Other lesions are less frequent but more serious, such as premalignant cells on the vulva, vagina or anus, as well as cancerous growths in these regions and in the mouth or throat.

 

How is the virus responsible for condyloma transmitted?

Typically, the virus HPV is transmitted or contracted through direct genital to genital contact with a partner infected by HPV, and this with or without penetration.

Frequently, lesions may go unnoticed given their small size early on in their development.

At times, lesions may be present only on the internal skin surfaces of the genital organs -rectum, vagina or cervix.

Transmission may also occur via contact with infected genital secretions. It is extremely improbable that condyloma be transmitted amongst members of a family (without sexual contact).

What is the incubation period of condylomas?

Generally, incubation lasts roughly one to eight months, although much longer periods, up to several years or even decades, have been observed.

Certain people can contract HPV, but their bodies fight it effectively and they display no symptoms

. These people are unaware that they carry the virus, and develop lesions only when their immune system is weakened by age, illness or medical treatment.

 Consequently, it’s difficult to know when and from whom you acquired HPV.

How do condylomas appear?

The presence of condylomas is determined by feeling or seeing small outgrowths or warts on the genitals, on the anus, or occasionally in the mouth.

The shape and colour of the warts differ according to location. They vary in shape from cauliflower-like bumps to pimples or flat warts. In colour, they can be pink, red or grey, or sometimes the same colour as the surrounding skin.

Condylomas are most frequently found in the following regions:

In women, on the vulva, the perineum, the rim of the anus, or more rarely, on the cervix and in the vagina.

In men, on the penis, or more rarely, on the scrotum or on the rim of the anus.

In both sexes, the pubis, groin, anus or mouth can be affected.

Anal warts can occur in individuals who have never engaged in anal intercourse through contact without penetration, or through contact with infected genital secretions.

 The virus can also be transferred to the anus via the hands or a towel.

What are the symptoms of condylomas?

Condylomas are not usually painful.

They can sometimes cause discomfort or itching, and can bleed on rare occasions.

Men and condyloma

In men, the most common site of infection is the penis. The scrotum, the anus(up to 25% of heterosexual men and rarely the mouth may be afflicted in men. A frequent question at our clinic is: "Why do I have anal warts if I have never engaged in anal sex or penetration?"

Remember, HPV may also be transmitted by contact without penetration, or via infected vaginal secretions during sexual relations. In summary, warts are most often external in men

Women and condyloma

In women, the uterine cervix is the most frequently afflicted site. The vaginal passage, the vulva and external genitalia and anus may also be sites of infection in women. Once again, it is rare for condyloma to be found in the mouth. In women, warts may commonly be found internally (and not seen), externally or both.

Condylomas and pregnancy

Condylomas tend to appear more frequently during pregnancy.

Transmission of condylomas to the newborn during passage through the birth canal is rare.

A Caesarian section is recommended only if the lesions are large enough to impair delivery of the baby. This situation is uncommon.

Condylomas often disappear on their own after pregnancy.

Many pregnant women choose treatment to reduce the incidence of condylomas, as well as the risk of spreading them to the child.

The medical community has not yet determined whether HPV vaccination for pregnant women or newborns is effective or safe.

How are condylomas diagnosed?

Condylomas are most often detected with the naked eye.

They’re sometimes difficult to diagnose, either because they’re the same colour as the skin or they’re concealed in folds of skin or a mucous membrane.

In case of doubt, the doctor can do a biopsy.

For people who have no symptoms, no test is available to detect the virus.

No test is currently available to screen specifically for HPV.

The Pap test, or the test to screen for HPVs considered high risk for cervical cancer, does not screen for condylomas. As such, you should not think that simply because a Pap test comes back negative, you cannot get or give genital warts.

New tests for HPV

Recently available genotypic tests may help us to confirm the presence of HPV and to determine the type of virus HPV responsible.

These newly available tests are used in the detection of cervical lesions, and may eventually be used in the detection of anal lesions in MSM.

This is helpful in identifying those types of HPV that are at high-risk for progression towards cancer.

If not, then you have saved yourself a visit to the gynecologist and a colposcopy.

Colposcopy will only be recommended when high-risk lesions or HPV are detected.

Newer, and more sensitive Pap tests are also available – the liquid Pap test is much better at identifying abnormalities at the level of the uterine cervix…this should translate into earlier detection or lesions, pre-cancer and cancer.

Do condylomas cause cancer?

Condylomas do not cause cancer.

If HPV type 6 or 11 is detected in cancerous cells, at least one of these HPVs is considered at high risk.

Condylomas are linked to a higher risk of cancer, because the fact that a person has had them signifies that their immune system has difficulty defending their body against this family of viruses.

Numerous studies have proven this link, and for this reason, we recommend vaccination against HPV for people who have had genital warts or premalignant cells — See the HPV section under “Vaccination against HPV”.

treatment available for condylomas?

In 50% of people infected, condylomas will disappear within four months without medical intervention.

However, they can persist in people who are in good health, as well as in people whose immune systems are compromised. These people should seek treatment to eliminate the lesions.

The aim of treatment is to eliminate visible lesions. As a result, the doctor is treating the symptoms condylomas of a low-risk HPV, and not the cause the virus itself.

Several procedures exist for treating condylomas.

Treatment that you can follow at home:

Podofilox solution, sold under the names Condyline or Wartex, which burns the warts away.

Imiquimod cream, sold under the names Aldara or Vyloma, which stimulates immune system response.

Treatment administered at a clinic, by a doctor or a nurse:

Liquid nitrogen (cryotherapy) is commonly used to destroy the warts by freezing them. Several appointments are required.

We recommend against using podophyllin, since better treatment options are available.

Trichloroacetic acid, applied with a cotton swab, is used if liquid nitrogen is unavailable.

The best results are obtained from a combination of treatments.

If standard treatment is unsuccessful, surgical procedures are available using a local anaesthetic. These include excision, laser and electrosurgery.

If the treatment causes excessive pain, you can apply an anaesthetic cream beforehand.

If condylomas occur in the anus, a speculum is required to apply the treatment. For vaginal or cervical condylomas, a colposcopy is required.

What happens if I don’t treat my condylomas?

In many people, the infection goes away on its own and does not cause further problems.

However, the long-term presence of condylomas can lead to psychological or sexual problems.

For women with condylomas, is a Pap Test or colposcopy necessary?

We recommend that women with condylomas get tested for HPV.

If you’ve had a Pap test within the past year, no new test is required.

If you had Pap test more than two years ago, a new one is recommended.

Women who have no visible condylomas and whose Pap test results are normal do not need to undergo a colposcopy.

Who is at risk of getting condylomas?

The risk of contracting condylomas is greater when you have unprotected sexual relations with penetration of the vagina, anus or mouth by the penis.

The risk increases with the number of sexual partners.

Since no test is available to screen for condylomas or the viruses that cause them, we recommend HPV vaccination for people who do not have a stable sexual partner.

How do I reduce the risk of spreading condylomas?

During your treatment to eliminate condylomas, we recommend that your sexual partners get vaccinated. You should also use a condom (male or female) during sexual relations with any partner, current or new.

Refrain from sharing sex toys, especially those used for penetration.

The risk of transmission via underwear, swimwear or used towels is unknown, but probably quite low compared to sexual contact.

We also recommend that your sexual partner(s) see a doctor, even in the absence of symptoms, to determine if treatment or vaccination is required. Your doctor can help with the process of notifying your sexual partners.

After treatment

Even if the condylomas have disappeared, the virus remains dormant in many people and can eventually lead to the reappearance of condylomas.

Always use a condom, especially if your sexual partner is not vaccinated.

Schedule regular check-ups and contact your doctor if you suspect something is wrong.

No test is currently available to determine whether a person infected with condylomas is still contagious, however we know that you can remain contagious, even without symptoms, for at least three years after initial infection.

We therefore recommend that your new partners be vaccinated against HPV.

Not discussing the issue and seeing your partner later develop condylomas can be problematic for you and them.

How do I avoid getting condylomas?

Always use a condom male or female with your sexual partners, at every stage of sexual contact. Condoms do not guarantee absolute protection, but they nonetheless provide an effective barrier against HPV, as well as other STIs and unwanted pregnancy.

Get the quadrivalent vaccination against HPV.

Vaccination against HPV

PRIMARY PREVENTION OF HPV

Several measures can help guard against HPV infection.
However, they’re not all equally effective.

Delaying the age of your first sexual encounter can help, but does not change the fact that your first partner might have had partners before you.

Condoms can be very useful for preventing the spread of HPV, but do not cover all the surfaces that can be infected.
Keep in mind that condoms are highly effective in preventing the spread of other STIs, as well as unwanted pregnancy!

Reducing the number of your sexual partners can also help, but does not protect you against infected individuals with whom any partner might have had prior sexual contact.

Quitting smoking does not protect against HPV.
However, if you’re infected, your immune system fights the virus more effectively if you don’t smoke.

The most effective way by far to protect yourself against HPV is to get vaccinated!

WHAT DOES NOT PROTECT AGAINST HPV?

 STI screening tests

Many people are unaware that when you’re screened for an STI, the test does not include HPV.
Many believe that the screening test includes the full range of STIs, but this is not the case.

The Pap test, to screen for lesions that could lead to cervical cancer, is not effective in preventing the spread of HPV.

The HPV screening test does not detect the low-risk HPV types associated with condylomas.

Screening tests for high-risk HPV detect only those types that are in a replication phase.
These tests are of little use in preventing the spread of HPV.

Treating the lesions caused by HPV is not proven to reduce the risk of spreading HPV.

Follow-up tests after treatment cannot determine whether you’re at risk of spreading HPV.

VACCINATION AGAINST HPV

Two vaccines are available, derived from the same principles of immunology.

The vaccination works by injecting HPV protein into the body, which enables the formation of the external capsule of the HPV.

The vaccines contain no living virus or genetic material. It’s therefore impossible for them to transmit HPV or any related infection.

Both of these vaccines protect against HPV types 16 and 18.

Cervarix, a bivalent vaccine, protects against HPV types 16 and 18. Gardasil, a quadrivalent vaccine, also protects against these types, in addition to HPV 6 and 11.

Cervarix™

CERVARIX™ is a vaccine indicated in females from 10 to 25 years of age for the prevention of cervical cancer (squamous cell cancer and adenocarcinoma) by protecting against the following precancerous or dysplastic lesions caused by oncogenic Human Papillomavirus (HPV), types 16 and 18:

Cervical intraepithelial neoplasia (CIN) grade 2 and grade 3

Cervical adenocarcinoma in situ (AIS)

Cervical intraepithelial neoplasia (CIN) grade 1

The effectiveness of Cervarix has not been studied in men. In women, this vaccine is effective only against cervical lesions.

 Gardasil®

GARDASIL® is a vaccine indicated in girls and women 9- through 45 years of age for the prevention of infection caused by the Human Papillomavirus (HPV) types 6, 11, 16, and 18 and the following diseases associated with the HPV types included in the vaccine:

Cervical, vulvar, and vaginal cancer caused by HPV types 16 and 18

Genital warts (condyloma acuminata) caused by HPV types 6 and 11

And the following precancerous or dysplastic lesions caused by HPV types 6, 11, 16, and 18:

Cervical adenocarcinoma in situ (AIS)

Cervical intraepithelial neoplasia (CIN) grade 2 and grade 3

Vulvar intraepithelial neoplasia (VIN) grade 2 and grade 3

Vaginal intraepithelial neoplasia (VaIN) grade 2 and grade 3

Cervical intraepithelial neoplasia (CIN) grade 1

GARDASIL® is indicated in girls and women 9- through 26 years of age for the prevention of:

Anal cancer caused by HPV types 16 and 18

Anal intraepithelial neoplasia (AIN) grades 1, 2, and 3 caused by HPV types 6, 11, 16, and 18

GARDASIL® is indicated in boys and men 9 through 26 years of age for the prevention of infection caused by HPV types 6, 11, 16, and 18 and the following diseases associated with the HPV types included in the vaccine:

Anal cancer caused by HPV types16 and 18

Genital warts (condyloma acuminata) caused by HPV types 6 and 11

Anal intraepithelial neoplasia (AIN) grades 1, 2, and 3 caused by HPV types 6, 11, 16, and 18

DOSAGE

Both HPV vaccines are usually administered in three doses over six months. You should not receive all three doses in less than a six-month period. However, if you miss a dose, you can receive it later, at your earliest convenience, without needing to restart the regimen.

EFFECTIVENESS AND TOLERANCE

Both vaccines are highly effective in preventing new infections, as well as eliminating persistent infections and the lesions mentioned above.

Most people have no reaction to either vaccine, however, Cervarix tends to cause more local reactions in the area where injected.
Among women, Gardasil has shown to be effective in preventing more than 95% of HPV-related genital infections.

Allergic reactions to either vaccine are rare.

The most common side effect is soreness at the injection site.

The vaccination schedule includes three doses.

Females under 18 who are immunocompromised should receive a fourth dose of Gardasil under the free government program.

Women should postpone the vaccination while pregnant or breastfeeding.

Is HPV vaccination recommended for older women and men?

Following a decision by a committee of Turkish public health experts, the quadrivalent vaccine Gardasil is officially recommended not only for young women, but also for young men, ages 9 to 26.

The quadrivalent vaccine is also recommended for women up to age 45.

The human papilloma virus causes a number of infections in men and women, including genital warts, as well as precancerous growths on the anus, in the mouth and in the throat.
Experts in the United States anticipate that in 2020, HPV-related throat cancers in men will be more common than cervical cancer in women.

The vaccine is highly effective in protecting adult men, as well as girls ages 9 to 15, for up to six years. For women ages 16 to 26, the vaccine provides protection for up to eight years. In both cases, studies are ongoing.

Since condoms are not completely effective in preventing HPV, and no screening test is available for people who have engaged in high-risk sexual behaviour, we recommend vaccination even for people who have had HPV-related lesions.
 In this case, you should also get tested for STIs, including a Pap test for women.


Condyloma Therapy laser İn İstanbul Clinics

 

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  HPV  / Genital Warts Condyloma Thearpy Clinic
 

HPV Kulübü,  Diğer HPV Hikayeleri Anasayfa

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