There are granulations in the vagina

There are granulations in the vagina

Many times, we will find granulations in the vulva. When faced with this situation, many people will ignore it. In fact, this situation may be an early symptom of genital warts. Because genital warts are highly sexually contagious, it is recommended that you seek timely treatment when you discover them. So, how to effectively treat genital warts?

1. Treatment with Chinese medicine

1. Blood circulation and stasis removal method: It can treat genital warts of the blood stasis and toxicity type. Symptoms include gradual enlargement of vulvar warts with dark red or dark purple color, such as cauliflower or cockscomb shape, rough skin, dirty exudate on the surface of the warts, dark tongue or ecchymosis, thin white tongue coating, deep and stringy pulse, etc. Generally, 4 grams of licorice, 9 grams each of peach kernel, safflower, cooked rehmannia, red peony root, and white peony root, 6 grams each of Chuanxiong, Atractylodes macrocephala, pangolin, and Polygonum multiflorum, 10 grams of Radix Angelicae Sinensis, and 15 grams each of Isatis root and Prunella Vulgaris are used to treat genital warts, and the effect is relatively good.

2. Wind-dispersing and heat-clearing method: It can treat genital warts of wind-heat external attack type. Symptoms include the initial onset of vulvar warts, which are small, soft, and light red in color, or accompanied by fever, chills, itchy throat and cough, itchy vulva, red tip of the tongue, thin white fur, and a floating and rapid pulse. Generally, honeysuckle, forsythia, moutan bark, red peony root, cyperus rotundus, lithospermum officinale, isatis indigotica, dandelion, isatis root, equisetum herb, and diffusa bark are used to treat genital warts.

2. Western medicine treatment

(1) Podophyllotoxin tincture: Suitable for the treatment of genital warts with a diameter of ≤10 mm, with a clinical cure rate of about 90%. The total wart area should not exceed 10cm2, and the total daily medication should not exceed 0.5ml. After application, the topical medication should be allowed to dry naturally. The main side effects are local irritation, which may include itching, burning pain, redness, swelling, erosion and necrosis. In addition, this drug is teratogenic and should not be used by pregnant women.

(2) Imiquimod cream: used to treat genital warts, with an average wart clearance rate of 56%. The advantage of this therapy is the low recurrence rate, which is about 13%. The appearance of erythema is not an indication for discontinuation of medication, but the appearance of erosion or damage requires discontinuation of medication and a follow-up visit. The doctor will treat the wound and decide whether to continue the medication. Side effects are mainly local irritation, which may include itching, burning pain, erythema, and erosion. The safety of imiquimod during pregnancy has not been established and it is contraindicated in pregnant women.

(3) Trichloroacetic acid or dichloroacetic acid: Treatment must be performed by a doctor. When using, apply a small amount of liquid medicine on the wart lesion and wait for it to dry. At this time, a layer of white frost will form on the surface. During treatment, care should be taken to protect the surrounding normal skin and mucous membranes. If there is an excess of topical liquid medicine, talcum powder, sodium bicarbonate (baking soda) or liquid soap can be applied to neutralize excess, unreacted acid. This medicine should not be used for hyperkeratosis or large, multiple, or extensive warts. Adverse reactions include local irritation, redness, swelling, erosion, etc.

Patients need to pay attention to adjusting their mentality, develop good living habits, and avoid eating raw, cold foods, radishes, eggplants, peppers, and greasy foods. In terms of diet, eat more vegetables and fruits, drink plenty of water, and eat less starch, sugar, and irritating foods such as alcohol, chili peppers, etc., to enhance immunity and avoid infection.

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