Early symptoms of condyloma acuminatum in women

Genital warts are mainly caused by papillomavirus and are very common in women's genitals. Most women know very little about gynecological knowledge, so when they develop genital warts, they are unable to detect and control them well. If genital warts become serious, they can cause serious gynecological diseases, so female friends should understand the early symptoms of genital warts in women.

Symptoms and signs

1. History of unclean sexual intercourse.

2. Typical skin lesions are papules, nipple-shaped, cauliflower-shaped or cockscomb-shaped fleshy growths with rough and keratinized surfaces in moist areas such as the genitals or perianal area.

3. The acetic acid white test is positive, and pathological sections show poor keratinization and concave cells.

4. Nucleic acid hybridization can detect HPV-DNA related sequences, and PCR detection can reveal specific HPV-DNA amplification bands.

The incubation period is about 3 months, with the shortest being 3 weeks and the longest being more than 8 months, with an average of 3 months. It mainly affects sexually active people, with the peak incidence being between 20 and 25 years old. Whether the disease develops after sexual contact with a patient with genital warts depends largely on the amount of virus inoculated and the body's specific immunity. Some authors have also observed that the infectiousness of genital warts decreases with increasing age.

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Infants and adolescent boys and girls may develop perianal warts, and female children may develop vulvar warts. The infectiousness of these warts is difficult to determine, and it is unclear whether they are due to the long-term latency of HPV, sexual abuse, or transmission through daily utensils. Foreign experts have pointed out that genital warts are a sign of child sexual abuse.

Most cases of laryngeal warts have been reported in infants, mainly caused by HPV6 and HPV11. The virus is transmitted through the placenta, and perinatal or postnatal infection is still unclear. Adult laryngeal warts are related to oral sex. Giant warts are also called cancerous warts, which are characterized by excessive proliferation of warts, similar to squamous cell carcinoma, but histology shows benign lesions, which are related to HPV6 infection. Genital warts grow rapidly during pregnancy and become more brittle, so they should be removed. In view of the unknown value of cesarean section in preventing neonatal infection, vaginal delivery should still be the routine method, and cesarean section is only recommended when the warts enlarge to the point of blocking the birth canal or may cause heavy bleeding.

Subclinical infection: The vast majority of genital and anal HPV infections are subclinical, and the histocytological method can only detect less than half of them. Most of them are subclinical infections at the nucleic acid level. Subclinical infection at the histocytological level can be detected in men through the acetic acid white test, and the main locations are the penis and scrotum; in women, it can be detected by colposcopy, acetic acid white test, pathology, cervical smear and other methods. Cervical infection is the most common, with three main manifestations: acetic acid white epithelial area, vaginal vestibule papilloma, and fused papilloma.