It is estimated that at least the 75% of the population of reproductive age is infected by the culprit virus HPV.
It is the most common sexually transmitted disease, but the triangle awareness-prevention-treatment may be proved victorious, if followed properly.
The condyloma acuminata or cutaneous condyloma exist from the ancient years, and more specifically from the time of Hippocrates. Then of course, appears more in homosexual men, but now is a problem that concerns equally homosexual and heterosexual men and women. Even the sex between two women is threatening, since the rubbing between the female genital organs is enough to transmit the virus, as aplso happens in the case of rubbing with contaminated fingers, contaminated sex toys or other contaminated objects (such as towels, sheets, etc.).
It's estimated that at least the 75% of the population of reproductive age is infected by the culprit virus HPV (Human Papilloma Virus) at some time in his life, and the 50% are people 15-25 years old. These percentages explain why the condyloma is the most common sexually transmitted infection.
Don't ignore it
Their presence caused by infection by strains of the so called "human papillomavirus." Different strains of the same virus cause the common warts, and dysplastic lesions in the cervix, which may developed into malignancies. Until today, they have identified more than 80 strains of the virus, 40 of which infect the genital, perinatal and oral area of sexually active people. The cutaneous condyloma caused by low-risk HPV virus strains, ie strains that are not carcinogens. However, it can coexist in these high risk HPV strains (such as 16, 18, 31, 33 and 45), which may cause cancer (e.g., cervical, anal). The diagnosis, therefore, shouldn't be late.
Symptoms, types and detection
Often condyloma isn't accompanied by any symptoms. Rarely, the patient may complain of feeling pain, itching or burning, and even more rarely one of them may bleed and this consequently lead to more rapid spread to surrounding areas.
The format of the lesions varies, as we find six morphological types:
- Form of small cauliflower, light or dark
- Form of small and smooth hill in skin color
- Form with hyperkeratotic surface, embossed and rough
- Flat form, like a dark spot
- Filamentous-like tuft form, usually light
- Form with stalk-like papilloma, usually dark
In men infect the urethra, penis, scrotum, the mons pubis, the perianal area, the groin and upper thighs. In women, detected in the labia, the vaginal walls, the mons pubis, and the perineal, perianal and groin area. Many times, isn't direclty visible as they are covered by hair growth of the area or is located between the folds of the skin. In neglected cases, forms extensive plates that can block the urethra or vagina, making painful the urination and sexual penetration. Since is transmitted by oral sex, attack - rarely though - the lips of the mouth, tongue, oral cavity, palate and pharynx.
The lesions that cause the cutaneous condyloma, may be clinical (visible to the naked eye), subclinical (visible only with a magnifying glass) or latent (no visible point and detected only with PRC identification by taking a tissue sample).
The genital condyloma, which owes their definition in acute, sharp end that have in their final configuration, transmitted by sexual contact, either by vaginal or by the rectal route. Also, the danger lurks in the case of oral sex and rarely of rubbing with contaminated fingers or contaminated sex toys or contaminated objects (towels, sheets).
The virus enters the skin and mucous through microscop scratches caused in the genital and perinatal area during the sexual activity. For this reason, the use of condom is not enough, and doesn't cover all the areas in which the virus can endemic and incubated.
It is worth noting however that are not infected everyone who exposed to the virus, nor express lesions all those who are infected, as the immune system can outmatch. But even if someone express lesions, the long incubation period of the virus (can last up to eight months), and the possible preservation in latent condition even for several years before its "awakening", makes difficult to identify the sexual partner from whom came the transmission, especially in the case of transient relationships.
Therefore, the frequent change of sexual partners is the biggest risk factor for transmission of the virus. It's estimated that in any sexual contact with an infected person, the risk of contamination reaching the 70%, if no precautions are taken. Obviously, most protected are those who are in a long term relationship or know their partner more than eight months before starting sexual contact with him.
But very important is also the body's defense system. In case of excessive weakness because of an autoimmune disease or because of some immunosuppressive or immunomodulatory treatment, the infection probabilities, the appearance of condyloma and later the resurgence of the infection multiply.
Additional aggravating factors are small injuries that can be caused by shaving or waxing of the genital area and the coexistence of other STDs such as genital herpes. Finally, have also been implicated the smoking, drinking alcohol and taking of contraceptive pills, which seems to be associated with other habits, but which were not measured in the studies, such as non-use of condom while taking contraceptive pills.