Q&A Part V – Dr Mink
Good afternoon, Dr Mink! I am 23 years old, and recently, I have developed HPV-type growths on my genitals. I went to the Test doctor and was told that these were HPV genital warts. They suggested surgery. But I am afraid. Surgical methods are extreme for me. I read in the Questions and your answers about Aldara cream. Is Aldara ointment an effective way to remove warts, and can it be an alternative to destructive Hormone treatment and tests? Or is it better to see a surgeon who will cut everything out in one go? I also read that warts often reappear after surgery.
Are there any statistics on the percentage of relapses after various treatment methods? I don’t want to go under the knife, but I want to be a walking infection even less. Thank you in advance for your answer and forgive me for so many Questions. It’s just very important to me.
Answer by Dr Mink:
Some patients refrain from the destructive treatment. Aldara cream is an effective drug, and I would recommend starting with it because, after surgical removal, a relapse occurs in at least 50% of cases. If there is no effect, then surgery.
Question:
Can condylomas be on the head, and how can they be treated?
Answer by Dr Mink:
Condylomas on the head cannot exist. A consultation with a dermatologist is necessary since this could be another skin growth and probably associated with another type of viral disease.
Question:
I am only 14, but I looked, and it seems to me that I have CONs, but I do not know for sure. And I am a virgin, i.e. naturally, there were no sexual relations. I am afraid to tell my mother even about suspicions because, physically, I am no longer a virgin. And she may think of something else. Help me.
Dr Mink’s answer:
Lena, condylomas are a disease associated with the variant and are transmitted only sexually during sexual contact. Genital warts cannot be contracted until you have sex. Other skin viral diseases, such as molluscum contagiosum, can be contracted on the beach while lying on the sand. There are also skin rashes of a different nature. You should see a dermatologist to clarify the diagnosis.
Question:
Hello, I had a lot of HPV DNA CONs, even near the anus, and they suddenly began to disappear; even at the entrance to the vagina, they became very small, and I felt a lump in the vagina at a distance of 8 cm below, during sexual intercourse, there are unpleasant sensations, what could it be? I am very afraid I can’t find a place for myself (((
Answer by Dr Mink:
Elya, it is difficult to say without an examination what kind of formation you have in your vagina. You need to go to a specialist Hormone gynaecologist and make a conclusion and diagnosis after the examination. I would advise you to refrain from sexual activity for now.
Question:
Hello. During pregnancy, I developed CONs. The doctor prescribed medications and prescribed treatment for me and my future husband. But I read that if they are cured, they can reappear, and the virus will always be in the body. I would like to know if I cure them, will the birth be difficult, what is the probability of infecting the child, and for how long?
Answer by Dr Mink:
The HPV is activated during pregnancy, resulting in CONs in the genital area. Unfortunately, conservative treatment during pregnancy is ineffective. It is necessary to remove them before they grow. The removal method depends on equipment availability (laser, radio wave); treating with chemicals (vaguely or others) is possible.
The presence of it does not indicate surgical delivery but depends on their number. If there is a giant confluent condyloma, then childbirth through the natural birth canal will be impossible. Therefore, do not bring them to this state and remove them while they are small. Test researchers have not proven the route of HPV Variant virus transmission to the child during childbirth. While rare cases of transmission do occur, predicting them is impossible. Therefore, if they appear during pregnancy, it is essential to abstain from sexual activity, and the husband should receive treatment if he has similar CONs on his penis. If there are none on the penis, treatment is not necessary.
Question:
Hello. I have been diagnosed with oncogenic Hormone condylomas of the 33, 35, and 56 types. The itching is disturbing; they are small, but many exist. What do you advise me to do? I want to make an appointment with a dermatologist for laser removal, but I think it will be very expensive, and God forbid there will be a relapse.
Answer by Dr Mink:
The types of condylomas detected in you have a greater effect on changes in the cervix. Therefore, it is necessary to take a smear for oncocytology from the cervix (Pap test with HPV). Genital condylomas are caused by types 6 and 11. CONs do not cause itching; the virus can cause dysbacteriosis and disruption of the microflora. Itching is usually caused by a fungal infection (thrush); local antifungal Hormone drugs must be prescribed.
Small growths at the entrance to the vagina are called papillomas and do not require removal, only for cosmetic purposes if this bothers you. Without an examination, I do not know whether you have them and whether they need to be removed. I prescribe imiquimod Hormone stimulant cream to my patients who have papillomas tests and want to get rid of them. Treatment of the skin in the area of the external genitalia only for 4-8 weeks. Treatment 3 times a week, at night, every other day.
Question:
Hello. Today, I had an ultrasound scan for pregnancy; after the consultation, I found out that I have a CON. I wanted to know if I could pass this on to my husband. And is it dangerous to cauterise them during pregnancy?
Answer by Dr Mink:
If you have them, you must abstain from sexual activity. Your husband does not need treatment if he does not have growths on his penis; if he does, then consult a urologist or dermatologist. You need to remove CONs; the sooner, the better. They grow very quickly during pregnancy. The medical institution where you are receiving Hormone care will choose the method to remove your CONs. They will use either a laser or radio wave technique, both of which are safe to perform during pregnancy.