VAGINAL WART

What is Vaginal Wart?

Vaginal warts are small growths that appear in the vaginal area due to a type of virus called Human Papillomavirus (HPV).


How are Vaginal Warts Formed?

The main cause of vaginal warts is the Human Papillomavirus (HPV). There are over 300 different types of HPV in nature, and about 40 of them can cause infections in the genital area. Vaginal warts typically appear about 2-3 months after the HPV virus enters the skin.


What is the Connection Between HPV and Vaginal Warts?

Some types of HPV, particularly types 6 and 11, can cause the formation of vaginal warts. These types are usually harmless. However, in some individuals, these types can coexist with high-risk HPV types, which can lead to serious health problems.


What are the Symptoms of Vaginal Warts?

Vaginal warts usually appear as raised lesions on the skin and often cause itching. They may sometimes be noticed during hair removal as they can be easily irritated and may bleed.

Vaginal warts typically appear as skin-colored or whitish growths resembling skin tags. They can be single or multiple in number. Sometimes, they may have a cauliflower-like appearance, or they may simply cause a color change in the skin, appearing brown or white.


How are Vaginal Warts Diagnosed?

The diagnosis of vaginal warts can be made through an examination performed by a specialized doctor. If the doctor is uncertain about the diagnosis, a sample of the skin can be taken for HPV DNA testing. This test can detect the presence of the HPV virus and determine its specific type.


How are Vaginal Warts Treated?

The treatment of vaginal warts may vary depending on their size, number, and location. The appropriate treatment method is determined by a specialized doctor.

  • Laser Treatment: Laser therapy involves vaporizing the warts using a fractional carbon dioxide laser device. This method is considered the most effective and efficient treatment for vaginal warts. It does not cause harm to healthy skin tissues during the procedure, and there is usually no post-treatment pain. The likelihood of scarring is also lower compared to other methods.
  • Topical Treatment: In this treatment, a doctor applies medication directly to the warts. These medications can help eliminate the warts. Topical treatment may be used in areas where effective treatment methods are not available, but the risk of recurrence is higher.
  • Cryotherapy: This treatment method may be suitable for warts on the hands and feet, but it is not typically used for vaginal warts. Freezing the wart with liquid nitrogen can cause damage to a larger area, making the treatment painful and potentially leaving scars.
  • Electrocautery: This method involves burning the warts using electrical energy. However, it can also cause damage to the surrounding tissues, and scarring may occur.
  • Surgical Methods: If the warts are large or have formed a cluster, they can be removed through surgical procedures. The wart-infected tissue is excised, and the wound is closed with stitches.

What to Expect After Vaginal Wart Treatment?

The removal of warts does not mean the complete elimination of the HPV infection. After the warts are treated, precautions should be taken to eliminate the HPV from the body. These measures may include HPV vaccination, avoiding smoking, maintaining a healthy diet, and keeping track of the vaccination status of sexual partners.


What is the Risk of Recurrence for Vaginal Warts?

With effective treatment, the risk of recurrence for warts is around 10%. However, without following the preventive measures recommended by a doctor, the risk of recurrence can increase up to 35%.


What to expect after vaginal wart treatment?

The removal of warts does not mean the treatment of HPV infection. After the warts are removed, precautions should be taken to eliminate HPV from the body. These measures include HPV vaccination, avoiding smoking, maintaining a healthy diet, and monitoring the vaccination status of sexual partners. Regular check-ups should not be skipped.


What is the risk of recurrence for vaginal warts?

With effective treatment, the risk of recurrence for warts is around 10%. However, without following the preventive measures recommended by a doctor, the risk of recurrence can increase up to 35%.


How does the follow-up process work after vaginal wart treatment?

After vaginal wart treatment, you will be called for follow-up appointments at intervals determined by the doctor. It is important to detect any unseen warts early during these check-ups. It is crucial not to skip these appointments because a small wart that may reappear without proper monitoring can restart the treatment process.


What are the effects of vaginal warts on sexual health?

  • Vaginal warts can cause physical discomfort or pain during sexual intercourse. If the warts are extensive, they may force a complete cessation of sexual activity.
  • Being aware that vaginal warts are a sexually transmitted infection can lead to concerns about transmitting the virus to your partner. This can result in avoiding sexual activity or experiencing anxiety during intercourse.
  • Vaginal warts can impact a person's sexual self-esteem and confidence. This can lead to psychological issues such as depression, anxiety, and stress.
  • Vaginal warts can cause difficulties in romantic and sexual relationships. Without understanding and open communication, it can create tension.
  • Some types of HPV, particularly HPV types 16 and 18, can increase the risk of cervical cancer.

How do vaginal warts spread?

Vaginal warts are mainly transmitted through sexual contact. It is not necessary to have full sexual intercourse for transmission to occur; skin-to-skin contact is enough. Additionally, transmission from the genital area to the mouth, from the mouth to the genital area, and from hands to the genital area can also occur.


Can vaginal warts be transmitted through non-sexual routes?

In recent years, it has been recognized that HPV can be transmitted through non-sexual routes. Transmission has been reported through shared razors and waxing, eyebrow threading, and even tattoos performed under unhygienic conditions. Additionally, there is a risk of HPV transmission during gynecological examinations, even with proper hygiene practices.


What can be done to prevent vaginal warts?

The most important step in preventing vaginal warts is getting the HPV vaccine. It is recommended for both boys and girls starting from the age of 9. The optimal age for vaccination is 11. Additionally, practicing monogamy and using condoms during sexual intercourse can reduce the risk of vaginal wart transmission. Applying methods like shaving or depilatory creams that irritate the skin right before sexual activity can increase the risk of virus transmission.


Does the HPV vaccine prevent vaginal warts?

The HPV vaccine prevents vaginal warts. It is recommended to vaccinate both boys and girls starting from the age of 9. The HPV vaccine, administered in two doses, prevents not only cervical cancer but also vulvar, vaginal, and wart infections.


What are the long-term effects of vaginal warts on women's health?

  • High-risk HPV types, especially HPV 16 and 18, can increase the risk of cervical, vaginal, and vulvar cancers. This is the most serious long-term effect of vaginal warts, and it can be detected early through regular screenings.
  • Vaginal warts can cause complications during childbirth. If the warts block the birth canal, a cesarean section may be necessary.
  • Rarely, a mother can transmit HPV to her baby during childbirth.
  • The HPV virus can persist in the body for a long time and can lead to the recurrence of warts over time.
  • Vaginal warts can cause concerns about sexual and overall health, leading to long-term stress, anxiety, and depression.

What is the relationship between vaginal warts and cervical cancer?

The relationship between vaginal warts and cervical cancer is similar to the relationship between smoking and lung cancer. Just as not every smoker develops lung cancer, not every HPV infection leads to cancer. However, an HPV infection increases the risk.

Vaginal warts are typically caused by low-risk HPV types, such as HPV 6 and HPV 11. These types are generally not associated with cancer. However, high-risk HPV types can coexist with low-risk types in about 12% of cases. These high-risk types can cause changes (dysplasia) in cervical cells and, over time, uncontrolled cell growth leading to cancer.


What is the impact of vaginal warts on pregnancy and childbirth?

During pregnancy, due to hormonal changes, the size and number of warts can increase. They can also grow large enough to obstruct the birth canal, which can lead to complications during childbirth. If the warts block the birth canal, a cesarean section may be necessary. Additionally, there is a risk of transmitting the warts to the baby. During childbirth, the mother can pass HPV, which is causing the vaginal warts, to the baby. This can rarely result in a condition called "laryngeal papillomatosis" in infants. In this condition, warts form in the baby's windpipe and vocal cords, potentially causing serious respiratory problems. However, this is a rare occurrence, and many women with vaginal warts can have a normal vaginal delivery. If you have vaginal warts during pregnancy, your doctor will discuss the safest delivery options with you, typically based on the size, number, and location of the warts.


What are the psychological effects of vaginal warts?

  • When a person learns they have vaginal warts, it often causes stress and anxiety related to concerns about how the warts will be treated, when they will go away, and the risk of transmitting them to partners.
  • Vaginal warts can affect a person's self-confidence. The presence of warts can make a person feel uncomfortable and may impact their perceived attractiveness. This can manifest as avoiding sexual activities or limiting sexual interactions.
  • Prolonged stress and anxiety can lead to depression. The chronic nature of vaginal warts and the challenges of the treatment process can result in feelings of hopelessness and helplessness.
  • Being a sexually transmitted infection and having visible symptoms in the form of vaginal warts can cause feelings of shame and guilt.

Can sexual intercourse occur during vaginal wart treatment?

Generally, it is recommended to avoid sexual intercourse during the treatment process and afterward to reduce the risk of viral spread. HPV is highly transmissible through sexual contact, and even condom use does not provide complete protection as the virus can be transmitted through skin-to-skin contact. During the period when warts are being treated, it is assumed that the virus is active and the risk of transmission is high. Therefore, it is generally advised to abstain from sexual activity during the treatment process and immediately after. Additionally, it is important to inform sexual partners about HPV and vaginal warts and encourage them to consider HPV vaccination.


Which specialist should be consulted for vaginal wart treatment?

You can seek help from our Wart Treatment Center in Silivri, where specialized Doctor Eser Ağar provides expertise in HPV and wart treatment. At our center, we offer the most effective method for vaginal wart treatment, which is fractional laser. You can receive wart treatment and HPV vaccination at our center, as well as undergo regular check-ups. Even if you forget your vaccination schedule and regular check-ups, we will keep track of them and provide reminders through phone calls.


Vaginal Wart Treatment Prices?

The prices of vaginal wart treatment vary depending on the extent, size, and anesthesia required for the treatment. Our treatment fees are transparent. You can contact us at 0505 260 72 38 and 0 850 490 14 78 to get information about the treatment process and prices from our specialized staff.


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