• Viral genital warts (Condyloma) are being caused by the human papilloma virus (HPV).

    The risk factors for contracting genital viral warts are:

    Unprotected sex and multiple partners
    Infection with other sexually transmitted diseases
    A state of immunosuppression [eg increased risk among AIDS patients (Acquired Immune Deficiency Syndrome)
    In addition, contracting may be caused by superficial contact with skin, which has a wart - directly or following contact with the hands.
    Anal warts may develop in people who have never had anal sex (heterosexual men) because of contact with fingers in the area with genital warts and later contact with the anus.


    Condyloma: Signs
    These are warts that appear as an individual or as a cluster of several warts, mostly with the same color of the skin, and in the form of cauliflower. They usually do not hurt or itch. They appear on the penis (usually on the body of the penis), on the face of the glans (head of the penis) or under the foreskin, on the lips of the vagina, inside the vagina, in the rectum, and rarely in the mouth. Most of these warts are small lesions of several millimeters that are not noticeable, and in many cases disappear on their own (about 30 percent disappear within three months). Rarely, large warts accumulate up to several centimeters. In these cases, it is possible that the warts may scratch or bleed during sexual intercourse.

    Link to cervical cancer
    Genital warts are usually a minor problem and are often unnoticeable, but the importance of infection with the Papilloma virus is its ability to increase the risk of developing cervical cancer, rectal cancer, penile cancer and vaginal cancer.

    Diagnosis
    The diagnosis is made by identifying the warts with their typical appearance. Applying vinegar on the warts makes them brighten to white and help in diagnosis.

    Treatment
    Condyloma treatment requires consultation with a physician.
    There are several methods, all of which have similar efficiencies: ointments and chemical substances for the elimination of warts, removal of the warts by surgery / laser, or freezing by liquid nitrogen. The various treatment methods are currently unsatisfactory, and in all of them, the recurrence of the warts is seen in a significant percentage (between 30-70%, which recur within six months).
    Moreover, some of these treatments might irritatite the treated area, and in some cases, it might lead to severe pain (which passes within a few days).

    Because of the link between the HPV virus and cervical, rectal, rectal, penile and genital cancers, it is important that men and women who develop genital warts will be properly monitored for early diagnosis of these tumors. A Pap smear (Papanicolau smear) is recommended for these women with a frequency of 1 to 2 years. For women with HIV, this test is recommended once every six months. Men with rectal warts should be examined by a rectal exam doctor for early detection of rectal cancer.

    Prevention
    Using a condom during vaginal, anal, oral sex can reduce the risk of contracting Condyloma significantly but not completely, because warts can be contracted with superficial skin contact and contact with the hands.

    Vaccination
    A good way to prevent genital warts is to to get an active vaccination against infections caused by the human papillomavirus.

    In 2007, following a breakthrough in the field, the first vaccine was approved in Israel: Gardasil of Merck Sharp & Dohme (MSD). In 2008, the GSK (GlaxoSmithKline) Cervarix vaccine was introduced in Israel.

    Our doctor in Tel Aviv can help you with your Condyloma. Call us.