Features of the development of warts on the cervix
Cervical condyloma is a lesion caused by the human papillomavirus (HPV).
The danger of pathology is that it tends to degenerate into a malignant formation.
Most of these diseases can cause female infertility.
Considering the fact that there is a high prevalence of condominal cancer of the cervix, the issue of early diagnosis and properly selected treatment remains very relevant.
Features of papillomas on the cervix
HPV has many varieties. And in the body of a woman, they appear differently. The presence of these viruses is condyloma (condylomatosis) is a benign genital growth, representing an overgrown papillary epithelial layer of the skin and mucous membranes. They can be localized on different parts of the body, including the cervix.
Although condylomas do not metastasize, placing them on the cervix is very dangerous for a woman’s health. In such a place of education are difficult to diagnose, so they are more often found in advanced stages. It is also difficult to diagnose that these formations are more often flat. therefore of all the formations placed on the cervix are more unfavorable.
Types of warts
Condylomas are flat and pointed..
- Flat grow deep into the layers of the epithelium. They are caused by those types of HPV that are more likely to cause a malignant process.
Identifying cells that have infected the virus is very difficult. They do not rise above the surface of the tissues, do not have a certain color, and usually their sizes are small. Flat warts are prone to malignancythat is very dangerous. Genital warts - evidence of acute viral disease. More often, they appear simultaneously, and represent a sublime growth in the surface epithelium globes, associated with it by a thin stem. According to the form of education resemble sea kale.
The shade of condyloma is pale pink. Genital warts can be easily visualized when viewed, so they are detected more often than flat ones. If you do not treat them, they tend to grow.
The reasons for their appearance
The causative agents of the disease are particles of human papillomavirus, which in certain situations fall on the genitals. There are oncogenic types of HPV (HPV 16, 18, 31, 33, 35, etc.), and more than others can cause the development of a malignant process.
The main route of infection - contact (in the process of sexual intercourse). But not always getting the virus is a prerequisite for the formation of warts. For a long time, a person can be a carrier of infection, not have any manifestations of it. The durable protein coat of HPV allows it to exist for a long time in epithelial cells. With the weakening of the immune status of women, the virus begins to show its activity, causing the formation of warts.
Factors that contribute to the activation of HPV:
- sexual intercourse with carriers of the virus,
- non-compliance with personal hygiene,
- lack of contraceptive use during sex,
- long-term use of certain drugs that weaken the immune system (antibiotics, hormones, etc.),
- unbalanced nutrition
- the presence of chronic infections in the body,
- pregnancy and the postpartum period.
Danger of HPV for women
The danger of HPV is that it can cause certain complications in a woman’s body. It is very difficult to predict how cells will manifest themselves when the nuclear apparatus is divided, and when the virus is activated.
Although overwhelming most condylomas are benign, at any time, active cell division can begin, and the process will grow into malignant. In many ways, it all depends on the oncogenicity of viruses.
One of the most dangerous complications is the regeneration of warts in cervical cancer. More often it is observed in the presence of a flat form of education.
Other possible complications:
- bleeding with injuries condylomas,
- difficult childbirth
- infection with bacteria in violation of the integrity of formations.
Symptoms of the disease
Manifestations of pathology may vary depending on the type of warts. Usually, the pathological process is asymptomatic for a long time, due to its localization.
The main signs of pathology:
- painful intercourse,
- bleeding injury formations,
- obstructed labor - the baby cannot normally go through the genital tract.
Infertility can be a symptom of condyloma due to the obstruction of sperm entering the egg.
Since condylomas of the cervix do not manifest themselves for a long time, in order to diagnose them, it is necessary to regularly visit the gynecologist at least twice a year. According to the results of history, the doctor can determine the source of infection, the nature of the pathological process, the general condition of the patient.
A gynecological examination can reveal a change in the shade and integrity of the epithelium, the structure and number of growths. On examination, the doctor takes a smear for further research.. Morphological examination of the material reveals the nature of the cells (benign or malignant), the depth of invasion. When HPV is detected, its type and oncogenicity need to be determined. This can be done by PCR. It is imperative that you pass a blood test for syphilis and HIV to a woman and his sexual partner.
Among instrumental diagnostic methods, colposcopy is the most informative.. With its help, it is possible in an enlarged view to see all the changes in the mucous membrane of the cervix.
The basis of drug therapy is antiviral and immunomodulatory drugs. There are special vaccines (Cervarix and Gardasil) that can stop the reproduction of HPV and prevent infection with it.
To block the activity of the virus, locally prescribe vaginal suppositories:
- Genferon - use for 10 days twice a day,
- Panavir - during the first week, enter 1 candle every 48 hours, the second week - twice with an interval of 72 hours.
Effectively external use solution Solkovagin.
It can be applied only by a gynecologist.
Self-use can cause a burn if the product gets on healthy tissue.
Solkovagin applied pointwise directly to the warts.
After 1-2 minutes, repeat the application.
After the procedure, a woman needs to come for an examination after 10 days, then another 2 times with a frequency of 2 weeks.
Removal of condylomas surgically eliminates a woman from a cosmetic defect. But to get rid of the virus, which is present in the body, the operation can not. therefore After the procedure, antiviral medications are required. and regular supervision by a specialist in order to be able to prevent relapses and diagnose them in time.
Methods for removing condylomas:
- cryodestruction - freezing with liquid nitrogen. After a certain time, the warts themselves exfoliate from the cervix. The procedure is repeated 1-2 times a week until the complete disappearance of the formations.
- Laser removal - layered evaporation using a laser beam. In place of the warts remains a crust, which eventually disappears.
- Radio wave removal - the use of radiohead, which emits high-frequency radio waves, destroying condyloma. The procedure is painless, tissues recover quickly, scars are not formed. Minus - the high cost of equipment for the operation.
- Electrocoagulation - cauterization by electric current. The procedure is budgetary, but quite painful. After surgery, scars can remain on the spot.
Cervical condyloma - a formation that is more likely to degenerate into a malignant one (depending on the type of pathogen). In order to timely detect condylomas, and begin their treatment, you need to regularly visit a gynecologist, to engage in the prevention of infection with HPV.
Etiology of the phenomenon
The main route of transmission of the virus, as a result of the development of which the condyloma is formed, is contact. With the development of human papillomavirus, the epithelium of the cervix uteri is detached, so the disease can be transmitted from the mother to the newborn during childbirth. In the event of a condylo on the cervix, infection occurs through sexual contact. Particles of the virus, falling on the mucous membranes of the internal genital organs, mouth or anus, form genital warts, similar to small flesh-colored nipples attached to a thin stalk.
As it develops, the cervical condyloma grows into massive tumors that look like cauliflower blossoms. With a large accumulation, genital warts form a malignant pathological formation - an exophytic warts, which half increases the risk of developing cervical cancer.
Unlike genital, condyloma of the cervix has a flat shape and appears only in case of exacerbation of human papillomavirus infection in a woman’s body, infection of which occurred quite a long time and the process caused a change in epithelial tissues.
But not always infection means the appearance of pathology. The fact is that the natural characteristics of the female genital organs - a weakly acidic secretion secreted by the vaginal glands, is destructive for a large number of different types of viruses and bacteria that enter the genitals.
But, unfortunately, the papillomavirus DNA has a significant protective system and a solid protein coat that allows the cells of the virus that have entered the epithelial tissue to “live” there for a long time, waiting for optimal conditions for their development. One of these conditions is a decrease in the immunity of women, arising for a number of both external and internal causes. The following factors can also trigger the development of the virus and the formation of papillomas:
- stressful conditions
- promiscuous sex life
- vaginal dysbacteriosis,
Therefore, cervical condyloma is not only a dangerous viral disease, but also a pathological condition of the female body.
In most cases, the pathological process proceeds without the appearance of signs of the disease, which is explained by the specific localization of the process itself. Often the symptoms appear after the woman becomes pregnant or when the tumor has reached a significant extent. You can notice the presence of condyloma in the presence of spontaneous bleeding, especially after sexual intercourse.
Moreover, the act itself causes unpleasant and even somewhat painful sensations. Neoplasms such as condylomas on the cervix, even if they do not manifest themselves, can cause complications during childbirth - the child cannot move freely along the birth canal on which the pathology cluster is located, or the papillomas are injured and cause severe bleeding.
The development of pathology causes changes in the cells of the skin or mucous membranes, even if the neoplasm itself is not yet visible, the virus is still present, penetrates upon contact with the healthy skin of another person, and begins its development. Therefore, HPV is very easily transmitted and is considered the most infectious of all known infections.
Diagnose and treat warts should be immediately as soon as the first signs of pathology. Women need to consult a gynecologist, who will conduct cytological studies of the vaginal smear and the ERC-diagnosis. At home, it is also possible to detect a condyloma, but only if it is located in the line of sight: for this it is necessary to moisten the sponge with 5% acetic acid and attach it to the neoplasm. If after 5–10 minutes the affected area turns white sharply, then it is a condyloma.
Modern medicine uses three therapeutic areas for the treatment of warts: removal of tumors, a direct effect on HPV and strengthening of general immunity. Cervical neoplasm treatment is mainly a surgical procedure. Removing condylomas is carried out by various methods:
- cryodestruction - freezing of formation with liquid nitrogen,
- burning with acids, alkalis.
Some methods of treating pathology can be applied by a woman independently, but necessarily under the guidance of a gynecologist. The choice of this method is determined only by a specialist. Treatment of papillomas is strictly contraindicated for women during pregnancy. During treatment, it is also necessary to refrain from sexual intercourse and strictly follow the rules of personal hygiene.
To achieve the maximum effect of therapeutic interventions, treatment of warts should be carried out in all sexual partners. When choosing a method of treating condylomas with cauterization, one should be very careful, since acids and liquid nitrogen can damage healthy cells and tissues surrounding the pathology, which can lead to more serious consequences. In particularly difficult cases of condyloma formation, the treatment is performed by the gynecologist himself, which significantly reduces the risk of burns and scars.
Since HPV is retained in the human body after exposure for the rest of its life, and to date no methods for its destruction have been developed, removal of warts is only a symptomatic treatment that does not reduce the risk of recurrence of the pathological process.
Relapse of papillomas after their removal occurs in 30-40% of all cases.
Modern medicine with the help of drugs can significantly reduce this risk, after surgery, patients are assigned immunostimulating therapy. A significant reduction in external factors that impair the body’s natural resistance is recommended.
To date, medical scientists have developed vaccines that produce in the human body resistant immunity to certain types of human papillomavirus. But the method of vaccination as a preventive measure is not absolutely reliable. Vaccination can only prevent infection by a virus for several years, but an existing and developing disease in the human body cannot be cured.
A condyloma is a small growth or wart. It is a benign education. The disease, which is characterized by the formation of warts in the genital area, is called condylomatosis. Infection occurs during unprotected sexual intercourse. Prevention of infection are only barrier contraceptives - condoms.
A direct threat to the health of cervical condyloma does not carry. However, with the appearance of such warts, you must immediately contact a gynecologist and proceed to therapy. Otherwise, they are highly likely to degenerate into malignant tumors.
The main causes of condylomatosis
The main cause of the disease is the penetration of human papillomavirus into the body. In most cases this happens during unprotected sexual contact, less often due to the use of other people's personal hygiene products.
After entering the body, the virus undergoes an incubation period. Its duration does not have a clear framework. It can be from a couple of weeks to several years. Sometimes the "hibernation" does not end throughout the life of the woman. The activation of the virus and the appearance of warts on the cervix is affected by a decrease in immunity. The weakening of the protective forces is possible for the following reasons:
- frequent stress
- infectious diseases
- bad ecology,
- sexually transmitted diseases
- the period of pregnancy and childbirth,
- vitamin deficiency.
At risk are women who frequently change their sexual partners and neglect contraceptive methods.
Features of pathogenesis
The development of the disease is not particularly complex and begins after the virus enters the epithelial cells. Then their DNA is destroyed. The place of the healthy element is viral DNA. As a result, the complete work of the cell is disrupted, and its active division begins. This is how condylomas arise. The more cells are affected, the larger the pathological process.
The main symptom of condylomatosis is warts, located on the cervix. However, only a gynecologist can see them when viewed on a chair. If the growths are flat and small, the woman does not feel any obvious symptoms.
Condylomas of the cervix appear only with extensive lesions. At the same time during intimacy a woman will feel discomfort, and after it the appearance of bloody discharge. In about 30% of cases, patients complain of itching and burning in the area of warts. Gradually, these symptoms are increasing, which causes them to seek medical help.
Types of neoplasms
Condylomas of the cervix are subdivided into flat and pointed. Each of the options has its own distinctive features.
Flat condyloma is a benign neoplasm, but if left untreated, its cells can transform into cancer cells. Its characteristic feature is the growth inward. Elements of warts are introduced into the epithelium of the mucous membrane. The neoplasm itself is almost on a par with organ tissue, which makes diagnosis difficult. On the surface of the epithelium flat condyloma of the cervix comes out of the deeper layers. This process indicates a long-term presence of a virus in a woman’s body.
If flat neoplasms are a sign of a chronic course of the disease, the pointed ones indicate an exacerbation of the pathology. The latter looks like a wart on a short leg. They can constantly grow. Genital warts of the cervix cause discomfort to the woman, causing itching and burning. They are on the surface of the epithelium, so during a gynecological examination they are easy to see.
Danger during pregnancy
The occurrence of condylomatosis during pregnancy is a rather unpleasant phenomenon. If tumors grow quickly, they must be removed, but not earlier than 14 weeks.
They pose the greatest danger to the child. While moving through the birth canal, he may become infected with a virus. This happens with premature inhalation. In this case, the virus enters the children's body, causing condylomatosis of the larynx. To avoid such an unpleasant diagnosis, a woman is recommended delivery by cesarean section.
Diagnosis of condilomatosis begins with examination of the woman on the chair. When neoplasms are detected on the surface of the cervix, the gynecologist prescribes an additional examination to determine the genotype of the virus. Directly during the examination, the doctor may take a swab for analysis and colposcopy. The latter procedure involves the use of a special apparatus with which you can examine the internal genital organs with multiple magnification. The survey is almost painless, but informative.
Flat warts on the cervix in women are not always distinguishable. To identify the pathological area gynecologist applied to the mucous solution of Lugol or vinegar. In the first case, healthy areas become brown. Viral elements do not change color. When using acetic acid healthy areas remain unchanged, and warts become grayish or yellowish.
Another method for diagnosing human papillomavirus is PCR. During the procedure, the doctor makes the patient's DNA, which may contain pathological elements. As a rule, material from vaginal discharge. Then, under laboratory conditions, further test execution takes place.
After confirming the diagnosis, the gynecologist prescribes therapy: conservative or operative. The method of treatment depends on several factors: the age of the patient, the type of warts, the presence of concomitant health problems. Each of the options will be described in detail below.
There is no specific treatment for a woman at all times. She does not give out sick leave, she can do the usual things. However, intimate contacts will have to be abandoned. This will help prevent injury to the neoplasm and re-infection.
Treatment of cervical condyloma should be comprehensive. It is necessary not only to eliminate neoplasms, but also to prevent their reappearance. To this end, after confirming the diagnosis, the woman is prescribed antiviral and immunomodulatory drugs. It is allowed to use folk remedies with a similar action, but only after consulting a doctor.
To block the activity of the virus locally, as a rule, vaginal suppositories are prescribed. For example, "Panavir" or "Genferon". A well-proven solution for external use "Solkovagin". However, only a gynecologist can apply it to the affected area. Without a special tool, it is likely to touch healthy areas, which will cause a burn. Usually, one application is enough to achieve a positive effect. Otherwise, the procedure is repeated.
Surgical intervention and patient feedback
If conservative therapy is ineffective, there is a risk of complications, it is recommended surgical removal of the warts on the cervix. In modern medicine, the following procedures are used for this purpose:
- Cryodestruction The treatment is carried out with liquid nitrogen, through which the warts freeze. After a while, they disappear on their own.
- Laser therapy. Condylomas are burned with a laser beam. In place of the tumor remains a crust, which disappears within a week.
- Radionozh. This method of treatment is similar to laser therapy, but involves the use of a device with high-frequency radio waves.
- Excision with a scalpel. This is the traditional method of removing warts. His help is resorted to if other treatment options are contraindicated, there is a risk of degeneration of the wart into a malignant tumor.
According to the reviews of patients, none of these options can not forget about the existence of warts. With the help of conservative or surgical methods of treatment, you can only stop the manifestations of the disease on the cervix. After condylomas and a course of therapy, a woman should pay special attention to her own health and follow the recommendations of the doctor in order to delay the reappearance of warts.
Judging by the photo, warts on the cervix look pretty unpleasant. Is it possible to prevent their occurrence?
Condilomatosis is a sexually transmitted infection. Standard preventive measures are reduced to the prevention of intimate intimate relationships, the use of barrier contraceptives. It is important to follow the basic rules of personal hygiene.
However, even this approach does not completely protect your body from warts. Additionally, you can regularly take an analysis of the human papillomavirus from a gynecologist. If the infection does happen, you should closely monitor your health, if necessary, undergo a course of antiviral therapy. It is equally important to eat right, eat vitamins and monitor the proper functioning of the immune system.
There is also a specific way to prevent infection with the human papillomavirus - vaccination with the drug "Gardasil". Today it is actively promoted in all European countries. However, opinions on this issue in medical circles are quite contradictory. Some doctors consider vaccination an absolute guarantee of protection against the virus, others find in it a hidden threat and a large number of contraindications. If you wish, you can consult with several specialists at once on this issue and make the final decision for yourself. In our country, vaccination is actively used. It is worth noting that the vaccination is allowed to do all the fair sex, whose age is in the range of 13 to 26 years.
What is condyloma
Condyloma is a small-sized growth that belongs to a benign, favorite place of localization of the cervix. Externally, growths resemble cabbage or wart buds. To the human body or the cervix, the condyloma is attached with a thin leg.
When growths appear on the cervix, there is no threat to the health of the woman. However, if the education appeared to get rid of them you need, otherwise after a time they can be reborn into malignant tumors.
For treatment, you should visit a gynecologist, after determining the cause of the appearance of growth, the treatment tactics will be developed.
Why does condyloma appear
The main reason contributing to the appearance of warts is the human papillomavirus. There are more than one hundred varieties of it, but it’s not important what species provoked the appearance of a growth, the main thing is that the nature of its origin is benign.
Condylomas appear on the genitals or in the vagina itself because particles of the virus have penetrated the mucous membranes. The most common mode of transmission of the disease is through sexual contact.
For a long time, the virus may be on the genitals of a woman. As soon as immunity is reduced, its attack will begin. After penetrating the mucous membrane of the virus rarely dies, and all because there is a strong protective membrane, which even the vaginal gland cannot act on.
Important! In order for the virus not to multiply and not be able to harm, it is important to observe the rules of personal hygiene, as well as to cure all diseases promptly.
Flat condyloma formed on the cervix is a benign character that grows on the mucous membrane of the organ. Cells are able to be reborn in cancer, treatment should be mandatory.
The main feature of growths - the ability of education inside. In other words, the condyloma does not grow outside, but is embedded in the mucous membrane. Compared with the epithelium of the mucous membrane of the uterus, there is almost no difference in height. With inattentive examination, many gynecologists do not notice the problem. The process of diagnosis and treatment is delayed, there is a danger to life.
From the deeper layers of the warts begins to emerge. A similar process suggests that the virus is present in a woman’s body for a long time.
Genital warts of the cervix uteri
If the flat formations arise because the body has a chronic virus, the spiky ones are direct evidence of the acute course of viral pathology. This is a kind of warts growing on a short stem, constantly expanding, but can also grow in single inflorescences. On the mucous membrane of the cervix - is the formation of a pale pink color.
Women after the appearance of growths of this type experience constant discomfort. They can bleed, itch, cause burning. They grow exclusively on the surface, do not go deep inside. Due to the direction outside, the gynecologist can easily examine them during the examination.
In the absence of treatment, the formations will rapidly begin to spread to neighboring tissues, leaving the mucous membranes of the external genital organs and the vulva.
Condylomas on the surface of the cervix
Formations that appear due to human papillomavirus can be localized on different reproductive organs, but the situation is dangerous precisely when they appear on the cervix:
- diagnosis is difficult,
- treatment is difficult due to the fact that growths are detected at a late stage,
- malignancy is possible, in other words, healthy cells are reborn into cancer cells,
- the inability to fully bear the child and give birth to him,
- possible infertility.
During hormonal growth spurts can grow to large sizes, causing even greater discomfort.
Symptoms and signs
At the initial stage of the development of the disease, the woman does not experience discomfort. In order for condylomas to be detected early, you need to visit a gynecologist. However, for the diagnosis may not be enough just a visual inspection, therefore, apply hardware diagnostic methods.
During pregnancy, as well as in the advanced stage of condylomatosis, the woman experiences severe discomfort and pain.
You can understand that there are condylomas on the uterus neck by the following symptoms:
- during intercourse, the feeling of severe pain,
- after injury to the growths, minor bleeding occurs,
- upon reaching a large condyloma, discomfort appears.
Important! Pathological formations are an obstacle to natural delivery.
The danger of the disease is that there are no symptoms for a long time. It is possible to learn that there are such formations during a routine inspection, during pregnancy, as well as during the period of active sex life to conceive a baby.
Often the condyloma is the only cause of female infertility. The formation prevents sperm from reaching the cervical canal.
Another danger is the possible infection by the human papilloma virus of the fetus at the moment when it passes through the birth canal.
The examination is necessary not only to identify the disease, but also to determine the workload of the doctor. The specialist must determine the shape of the growths, the size, the area of the lesion, and the presence of abnormal cells.
In order for a survey to be qualitative, the following is necessary:
- Collecting history. The doctor should find out about the presence of previous diseases, the immunity of the woman.
- Inspection. The gynecologist assesses the area of the lesion, the color. Growth on other organs can be detected.
- Taking a smear from the surface of the cervix. The study of cells for the presence of bacteria.
In order to establish the final diagnosis, blood and urine are tested. In case of a similar lesion of the mucous membrane, a biopsy may be taken.
The method of research is one of the most informative, allows to identify abnormal cells. In addition, you can determine exactly what type of virus affects a woman.
Interesting! The recommended research method is colposcopy, the image is enlarged approximately 40 times.
The sequence of treatment and its course is determined by the doctor. Based on the results of the examination and visual inspection, an individualized treatment regimen is being developed.
Most of the recommendations affect the patient's usual lifestyle:
- in order to avoid injury to the formations, it is recommended to refrain from sexual intercourse,
- diet remains unchanged,
Medicines help to cope with the disease. The process of cell regeneration will be slowed down, the immunity increases. Potent parenteral agents are prescribed that possess several actions at once - immunomodulatory, antiviral.
Podofillin is prescribed as a local remedy. The ointment is applied to the mucous membrane of the cervix. Over time, the warts are reduced in size and quantity.
Pathological sites can be cauterized with a 10% trichloroacetic acid solution. However, such treatment should not be carried away; it is forbidden to do it more than once a week.
Traditional methods of treatment
As an additional treatment can be used methods of traditional medicine. The process of tissue repair will be accelerated.
The most effective are the following recipes:
- in vinegar soaked onion, put in cheesecloth, wrapped in a swab, inserted into the vagina overnight,
- several times a day are oiled with egg whites,
- nettle, horsetail, dandelion, plantain are mixed, tincture is made, drunk three times a day in a teaspoon before meals.
Many are afraid of being infected with the human papillomavirus, believing that it is he who becomes the cause of the development of malignant tumors. In order to protect yourself from it, you can put a vaccine. But the difficulty lies in the fact that it is not widely spread.
You can protect yourself from the virus. It is enough to enter into intimacy only with a proven partner, follow the rules of personal hygiene, visit the gynecologist annually for a routine examination.
Diagnosis of warts is difficult enough, but it does not mean that you can not get rid of them. At an early stage, the prognosis is favorable, but provided that the treatment was adequate.
What is the advantage of removing condylomas in the vagina with a laser?
Laser therapy is considered one of the most popular in the treatment of warts. During therapy, there is no pain and discomfort. The advantages include the following:
- the rehabilitation period is short,
- can remove formations up to 5 centimeters in diameter,
- recurrences excluded
- speed in the procedure.
In addition, the laser removes condylomas without bleeding, which means that pathogenic microflora is excluded. The disadvantage can be attributed only to the fact that the procedure is worth a little.
Causes of cervical condyloma
Causes of condyloma of the cervix - a virus particles that fall on the mucous membrane of the female genital organs. There are more than a hundred types of human papillomavirus. The main feature of some types is oncogenicity - the ability of the virus to a greater extent than others to provoke the development of cancer. Oncogenic types of human papillomavirus are HPV 16, 18, 31, 33, 35, 39, 45, 51, and others.
The main route of transmission of the virus is contact, in this case, sexual. But infection with the virus can not always lead to the development of the disease, this is due to the peculiarities of the female genital organs. The secret that is excreted by the glands of the vagina has a weakly acidic environment, which is detrimental to many viruses and bacteria. Human papillomavirus is a DNA-capacious virus that has a reliable protein coat with a good defense mechanism. These properties help the virus to enter epithelial cells and live there for a long time. At a convenient moment, when the concentration of local immune mechanisms decreases, the virus begins to multiply actively.Therefore, the causes of cervical condyloma are not only the virus itself, but also a decrease in the immune mechanisms that allow the virus to multiply.
The pathogenesis of cervical condyloma is quite simple and is based on the defeat of the epithelial cell by the virus. The papillomavirus contacts the mucous membrane of the female genital organs by contact. After that, the viral particle penetrates the epithelial cell. But this may not always lead to the appearance of symptoms of the disease, since the virus can persist in the cell for a long time.
The incubation period ranges from several days to several years. In another case, the disease may occur immediately. When the virus enters the cell, it penetrates the cell nucleus and destroys the structure of the cellular DNA. Instead of the DNA of a normal epithelial cell, the virus inserts its own DNA. This happens with many neighboring cells. Due to this process, the cell starts to work incorrectly and unprogrammed cell division begins. All these cells grow, hyperplasia and characteristic condylomas arise. These cells can be of various sizes, depending on the number of cells affected by the virus. Since this is a benign process, the condyloma does not penetrate the basement membrane, but grows only into the lumen. The size of warts depends on the number of cells formed.
Symptoms of cervical condyloma
According to the type of the predominant cellular elements and the nature of the morphological changes, flat and pointed condylomas of the cervix are distinguished. Symptoms of condyloma of the cervix, depending on the type to some extent different. In most cases, the disease proceeds without visible symptoms. This is due to the localization process, which can not be determined with the naked eye. Symptoms can occur when a woman becomes pregnant, and then serious problems arise. But as they grow, warts can cause symptoms.
The main symptoms of cervical condyloma are:
- pain or discomfort during intercourse,
- injury and bleeding,
- cosmetic defect with large sizes of condyloma,
- obstacle to normal childbirth,
- detection during routine gynecological examination.
The first signs of cervical condyloma appear if the process has reached a considerable size. More often than not, it all starts with a little bleeding with injuries to the warts. This may be after intercourse. The process of intercourse itself can also cause discomfort and discomfort. If these symptoms appear, then you need to see a doctor.
Often women are treated with a fairly common problem - infertility. One of the reasons may also be condyloma of the cervix, impeding the normal passage of sperm.
Symptoms of cervical condyloma may also appear for the first time during childbirth. Then an obstacle arises, and the child cannot normally pass through the birth canal or the condyloma itself is injured and causes bleeding. The baby may also become infected with the virus when passing through the birth canal.
Condylomas on the cervix
Condylomas on the cervix - a very frequent, but at the same time dangerous localization. Localization distinguishes condylomas on the vulva, in the vagina, on the cervix, on the labia. Of all the variants of condyloma on the cervix, the most unfavorable. With such localization, it is very difficult to diagnose them and therefore they are detected in the later stages. This localization is dangerous in terms of malignancy, and can also be a cause of a violation of the physiological course of pregnancy and childbirth. The cervix is sensitive to many female sex hormones, and under the influence of these hormones, warts can grow to a considerable size, and their instability increases in terms of the development of oncopathology. Cervical condylomas can cause female infertility, because it is the cervix that passes a certain number of sperm, and when warts occur, there is a barrier to normal sexual intercourse.
Often this reason is not taken into account, although it may well be the only one. The virus is still in the cells that it struck and may in the future infect the fetus if the pregnancy has occurred. The warts located on the cervix on the structure, in most cases, flat, which further complicates their diagnosis and treatment. Such localization is difficult for free access and treatment methods are limited here. Condylomas of the vulva, labia, or vagina are more accessible for examination and treatment.
Complications and consequences
As is known, cervical condyloma is not so dangerous with its course as it is dangerous with consequences. Human papillomavirus, which is the etiological factor of condyloma, is very dangerous. It is not always after infection leads to the manifestation of symptoms, and may simply sit inside the cell and wait for the right moment to activate the process of cell division. That is why this virus is dangerous. It is not known how the cell will behave with such a restructuring of its nuclear apparatus. In most cases, warts are benign. However, at any time, the virus can initiate uncontrolled cell division, and the process will become cancerous. Depending on what type of virus caused the condyloma, the probability of malignancy varies. If the causative agent is an oncogenic type of virus, then the probability of cancer regeneration is high. Therefore, one of the most serious complications is the transformation of warts to cervical cancer. A higher percentage of malignancy occurs with flat condyloma of the cervix, because it is a deeper process.
The consequences and complications of cervical condyloma are not only cancerous degeneration. There are other possible complications: bleeding with injuries of condyloma, complications of childbirth, impaired ovariomenstrual function. If the integrity of the condyloma is violated and its infection with bacterial flora occurs, an infectious process may develop.
The main cause of condylomas in the cervix is the human papillomavirus (HPV). More than a hundred varieties of this virus are known, but it does not matter which species provoked the appearance of a tumor; it is important that it be benign.
In the genital area and above the vagina on the neck of the warts occur due to the ingress of virus particles on the mucous membranes of the organs. Sexual transmission of the disease is also common.
HPV can be on the mucous membrane of the female reproductive organs for a long time. But with a decrease in the immune forces of the body, it begins to actively multiply. To die after getting on the mucous, he often can not, because it has a very strong protective shell, which is often not able to act vaginal glands. In order not to multiply the virus, you need to monitor local and general immunity, for example, to treat inflammatory processes in the female reproductive organs in a timely manner.
Condyloma can have different forms. Depending on the appearance and diagnosis, the doctor individually prescribes a specific treatment.
Medicines help to cope with the development of the disease. They slow down the process of cell regeneration, stimulating a woman’s immune system. Potent parenteral agents with antiviral, immunomodulatory effects are used.
Locally, also used such tools as Podofillin - ointment for the mucous membrane of the cervix. The result of the application is a reduction in condylo in size and quantity.
Cauterization of pathological areas with a 10% solution of trichloroacetic acid is used. But you can not abuse this treatment, it can be done once a week.
It is important for patients to remember that long treatment of warts - an increase in the likelihood of normal cells degenerating into cancer cells.
Neoplasms can be further treated with folk remedies, accelerating the process of tissue repair. The following recipes will help in the treatment.
- Onions, soaked in vinegar, put in cheesecloth, put in a swab overnight.
- Every day several times to lubricate the formation of egg white.
- Mix plantain, nettle, lemon balm, horsetail and dandelion. Pour water, boil, insist. Take 1 small spoon before meals.
Prevention of complications
Many are afraid of HPV, as it is known that it is he who leads to cancer. In order to prevent the development or presence of this virus, a special vaccine has been developed, but it has not yet become widely spread.
You can protect yourself from the virus. To do this, you need to have a regular sexual partner, monitor the hygiene of the genital organs, annually undergo a gynecologist examination.
Uterus cervilomas are caused by autoimmune processes and external action. Diagnosing the disease is quite difficult. Forecasts are favorable in the early stages of the disease and with adequate treatment.
Condilomatosis: features of the disease, main types
This is a disease that is characterized by the appearance of warts in the genital area of a woman. Viral cells can penetrate damaged skin or mucous membranes during unprotected sex. Hormonal contraceptives will not protect against the virus, but only high-quality condoms will help.
Warts can be flat and pointed. Flat tumors of the same shade as the skin color, they do not rise above its surface, do not cause discomfort and pain, so in most cases they are diagnosed by chance. Genital warts are heterogeneous growths, which are many small elements that are layered on top of one another. Such condylomas can be easily damaged, they will create discomfort during sex.
Why does conilomatosis occur?
As already mentioned, the disease is transmitted if there was sexual intercourse with a carrier unprotected by a condom. Sometimes women can have the disease if they use other people's hygiene products.
When the virus cells enter the woman's body, regardless of the method, they are not activated immediately, experiencing an incubation period that may be several weeks, or maybe several years. In some cases, the virus can exist in a woman’s body for the rest of her life, without showing itself at all. The virus is activated by a decrease in immunity, which can occur under the influence of such factors:
- stressful situations
- sexually transmitted diseases,
- unfavorable ecology
- lack of vitamins and minerals
- infectious diseases.
Women who do not have a permanent sexual partner are most susceptible to infection. Frequent partner changes as well as unprotected sex are the main factors contributing to infection. Condilomatosis of the cervix and organ often occurs after a long incubation period in a woman’s body.
What are the symptoms?
Symptoms of the virus differ depending on the type of warts. The localization of the process cannot be determined independently, therefore in most cases the disease has no visible manifestations. The virus can manifest itself when, for example, a woman becomes pregnant, and also as the warts grow.
The main symptoms include:
- discomfort and pain during sex,
- bleeding at injury,
- cosmetic defect in the attainment of large education,
- an obstacle to the normal course of labor.
When a large neoplasm is reached, it can easily be injured, which will manifest itself in a slight bleeding. Often this happens after sexual contact, which causes discomfort. Medical consultation is required.
Condyloma can cause infertility in women. Achieving large sizes, the formation interferes with the normal passage of male sperm and makes conception impossible.
Symptoms of the disease can occur in the process of labor. Due to the large size of the education, the child cannot normally move through the birth canal, damaging the condyloma, which, in turn, causes bleeding. In addition, there is a high risk of a baby being infected with the virus during labor.
Possible consequences and complications
The danger is not the condyloma of the cervix of the genital organ, but its consequences. Due to the fact that the disease is characterized by a long incubation period, condylomas are often diagnosed when significant processes have already been achieved. This is the danger of the virus.
New growths are benign in nature, but the probability of degeneration into a malignant process still exists, because at any moment the virus can be activated and uncontrolled cell division will begin.
The virus that causes warts determines the probability of malignancy. So, if the causative agent is an oncogenic type of virus, then the probability of transformation into a cancer process in the cervix is quite high. This is one of the most serious complications of the disease. In the presence of a flat type of condyloma, the risk of cancer is more high, because such formations are deeper.
Complications during labor and menstrual irregularities - can occur in the presence of cervical condyloma. The larger the size of the warts, the greater the risk of damage, and this threatens to enter the infection and the development of an infectious process.
Condyloma of the cervix and pregnancy
When diagnosing the disease in women who are in a position, the removal of warts is not always prescribed. If they are localized to the external genital organs or in the anus, they are not removed before delivery.
Larger condylomas on the cervix can be removed if the gestation period is more than 14 weeks.
The decision on treatment is made individually by the doctor in each individual case, taking into account all possible risks for the child and the pregnant woman.
Condyloma on the cervix is not a disease that can be ignored, it will not go away by itself, and self-medication can only aggravate the situation. It must be remembered that there is a risk of rebirth in a malignant process.
When choosing treatment methods, the type of formation, age, and the presence of associated diseases are taken into account. Treatment is prescribed only after a complete diagnosis. The number of formations and their sizes are also taken into account.
At the time of treatment, it is recommended to exclude sex, and this will help minimize the risk of damage to existing warts and reinfection of the virus.
Condylomas on the cervix of the reproductive organ in women require complex treatment, because it is important not only to eliminate the warts, but also to prevent the likelihood of a relapse. Therapy includes antiviral and immunomodulatory agents. Often appointed and folk remedies, but only by a doctor. During treatment it is recommended to use plenty of fresh fruits and vegetables.
Intravaginal suppositories are used to block the activity of the virus locally. The most popular are Genferon and Panavir.
If a conservative method of treatment did not bring the expected results, an operation is prescribed during which cervical condylomas will be removed:
- laser removal. The procedure involves cauterization of the warts with a laser beam. The formation is evaporated in layers, with the result that a crust remains in its place, which will disappear in 1-2 weeks,
- removal with liquid nitrogen. Cryodestruction procedure is the freezing of formations, after which they will be separated from the mucous membrane of the cervix,
- removal by radioenozhom. This method is similar to laser removal, but uses a high frequency radio wave apparatus. The beam cuts off education, and in its place remains a crust, which will disappear,
- removal with a scalpel. This traditional method of surgical treatment of condylo on the neck of the reproductive organ. It is used if there are contraindications to remove the formations by the methods listed above, as well as if you need to quickly remove the condyloma and with a high probability of transformation into a malignant process.
All modern methods can not eliminate viral cells in the body. They will only help to remove the external manifestations of the disease. After the treatment is over, the woman will need to closely monitor her health to minimize the risk of recurrence.
Once again, it is necessary to emphasize the importance of routine check-ups at the gynecologist at least twice a year, and when the appearance of obscure symptoms, as quickly as possible. This will detect the cervix of the cervix and cure.