Condylomata Acuminata

Genital warts on vulva, vaginal walls, cervix, and anus   -   Female

Genital warts on scrotum, penis, anus   -   Male

Genital warts can be found in mouth and throat following oral sex. This is often a very rare finding.

Caused by various types of Human papillomavirus (HPV)

There are several strains of the virus including: 6, 11, 16, 18, 30, 42, 43, 44, 45, 51, 52, and 54.
Types 6 and 11 cause almost 90% of all genital warts.

Over 250 different types of HPV exist

Transmitted through sexual contact.

Wart may be visualized on its own or seen after Colposcopy and added acetic acid.

These lesions may be associated with cervical dysplasia and cervical cancer.

Types 16 and 18 cause 70% of cervical cancers but typically does not cause genital warts

Treatment:
·      Podophyllum resin in tincture of benzoin
·      Imiquimod (Aldara)
·      Freezing liquid nitrogen
·      5-fluorouracil
.      Laser treatment

Podophyllum   -   should not be used during pregnancy
5-fluorouracil   -   should not be used while trying to get pregnant and should not be used by someone who could become pregnant

*Prophylactic vaccination for cervical cancer exists called GardasilTM.

Gardasil currently prevents against strains 6,11,16 and 18. It is recommended for women 11 to 26.

Cervarix another medication should be approved soon which cover 16 and 18.