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Condyloma acuminatum

Genital warts (or condyloma, or condylomata acuminata) is a very contagious sexually transmitted disease. Caused by some variants of the Human papillomavirus, typically HPV 6 and HPV 11, it is spread during oral, genital, or anal sex with an infected partner. About two-thirds of people who have a single sexual contact with a partner with genital warts will develop warts, usually within three months of contact. more...

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In women the warts occur on the outside and inside of the vagina, on the opening (cervix) to the womb (uterus), or around the anus. While genital warts are approximately as prevalent in men, the symptoms of the disease may be less obvious. When present, they usually are seen on the tip of the penis. They also may be found on the shaft of the penis, on the scrotum, or around the anus. Rarely, genital warts also can develop in the mouth or throat of a person who has had oral sex with an infected person.

Genital warts often occur in clusters and can be very tiny or can spread into large masses in the genital or anal area.

Treatment

Genital warts often disappear even without treatment. In other cases, they eventually may develop a fleshy, small raised growth that looks like cauliflower. There is no way to predict whether the warts will grow or disappear. Therefore, if you suspect you have genital warts, you should be examined and treated, if necessary.

Depending on factors such as the size and location of the genital warts, a doctor will offer you one of several ways to treat them.

  • Imiquimod, (Aldara®) a topical immune response cream which you can apply to the affected area
  • A 20 percent podophyllin anti-mitotic solution, which you can apply to the affected area and later wash off
  • A 0.5 percent podofilox solution, applied to the affected area but shouldn’t be washed off
  • A 5 percent 5-fluorouracil cream
  • Trichloroacetic acid (TCA)
  • pulsed dye laser
  • liquid nitrogen cryosurgery

If you are pregnant, you should not use podophyllin or podofilox because they are absorbed by the skin and may cause birth defects in your baby. In addition, you should not use 5-fluorouracil cream if you are expecting.

If you have small warts, the doctor can remove them by freezing (cryosurgery), burning (electrocautery), or laser treatment. Occasionally, the doctor will have to use surgery to remove large warts that have not responded to other treatment.

Some doctors use the antiviral drug Alpha Interferon, which they inject directly into the warts, to treat warts that have returned after removal by traditional means. The drug is expensive, however, and does not reduce the rate that the genital warts return.

Although treatments can get rid of the warts, they do not get rid of the HPV virus, so warts can recur after treatment. However, the body's immune system typically clears the virus anywhere from 6 months to a year. There is even some suggestion that effective treatment of the wart may aid the body's immune response. An effective HPV vaccine is currently undergoing a phase III FDA trial and appears nearly 100% effective against the most common types.

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House call: expert advice on health and fitness - Brief Article
From Ebony, 12/1/01

FEAR OF SKIPPED HEARTBEATS

Q I am a 27-year-old mother of one, and I often experience an irregular heartbeat or skipped beats. I feel these skipped beats in my throat when it happens. I've almost had a nervous breakdown because of it. I stay at home, mostly waiting for it to happen. I never hung out with friends because of the fear that it will happen while I'm out. I wanted to stay home, next to the phone, so I could call an ambulance. What could be causing this problem? A.J., Georgia

A Your level of anxiety goes beyond that which is reflected in many other people who experience what they fear to be abnormal activity of the heart. Doctors say ectopic heartbeats (skipped beats) are an arrhythmia that involve small changes in an otherwise normal heartbeat. In many cases, they may be without noticeable cause, but causes can be associated with excessive smoking, alcohol consumption, caffeine or various other conditions such as heart disorders.

An ectopic heartbeat can be identified during a physical examination that could include tests such as an electrocardiogram, which measures the electrical activity of the heart. The test allows physicians to determine the rate and regularity of beats and the size and position the heart's chambers, and it can reveal damage to the heart. Other tests include an echocardiogram, or patients may be asked to wear a continuous ambulatory cardiac monitoring device, usually for 24 hours.

Often, doctors say, ectopic heartbeats do not require treatment. But in some cases, anti-arrhythmic medications may be needed to correct the condition.

TREATMENT OF GENITAL WARTS

Q I am 23 years old and recently discovered that I have an embarrassing condition called genital warts. I have heard a lot about the herpes problem, but very little about genital warts. What can I do to get rid of them? How contagious are they? I have not contacted a doctor because of the embarrassment. M.D., Youngstown, Ohio

A Don't let your embarrassment prevent you from seeking treatment. Genital warts can be caused by various types of human papillomavirus (HPV), but they are not the same as those that cause warts on the hands and feet.

Doctors say genital warts, which are very contagious, are spread by sexual contact with an infected partner. It's estimated that nearly 70 percent of people who have sexual contact with an infected person will develop warts, usually within three months of contact. Researchers say that as many as 1 million new cases of genital warts are diagnosed in the United States each year.

Genital warts often occur in clusters in men and women and often disappear on their own. But there are many cases where, if left untreated, genital warts may develop into a fleshy, raised growth with a cauliflower-like appearance.

Depending on size and location, genital warts can be treated in several ways. But even though treatment can eliminate the warts, doctors say, it does not eradicate the virus and the warts can reappear. Needless to say, if warts are visible in the genital area, sexual contact should be avoided.

DISCONTINUING BIRTH CONTROL PILLS

Q I am in my late 20s and have been on birth control pills for eight years. I don't plan to try to have a child until I am 30. When should I discontinue using the pill after my husband and I decide to begin a family? C.C., Cheraw, S.C.

A Once you make the decision to begin a family, doctors suggest that birth control pills be discontinued at least two months before you hope to conceive. That allows your menstrual cycle a chance to return to normal, and it also allows your physician to date your pregnancy more accurately.

When you stop taking the pill, doctors say you should use a barrier method of birth control, like condoms, to prevent getting pregnant right away, making it difficult to establish an accurate due date.

COPYRIGHT 2001 Johnson Publishing Co.
COPYRIGHT 2002 Gale Group

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