What should I do if I have cervical warts?

There are more and more forms of condyloma acuminatum, especially in women. The site of onset is uncertain and the forms of onset are diverse, which has caused troubles to many women. The occurrence of cervical warts has seriously affected the lives of patients. So what should I do if I have cervical warts?

Patients with cervical condyloma mainly present with increased leucorrhea, vulvar itching, bleeding after sexual intercourse, vaginal bleeding after menopause, etc., or seek medical treatment for vulvar warts. Some patients have a history of vulvar warts several months or years ago, or their sexual partners have a history of genital warts. About 18% of patients have no clinical symptoms. Gynecological examinations reveal cervical warts, which grow outward in cauliflower, nipple, or mulberry shapes, of varying sizes, with single or multiple lesions, and warts can be seen in the vulva and vagina at the same time. Cervical warts often manifest as local papular or maculoid lesions on the cervix, which are more common in flat shapes. Flat warts are patchy and rough like moss, so the clinical manifestations are not significant, also known as subclinical warts and atypical warts.

(1) Colposcopy can reveal lumpy or cauliflower-like protrusions in the lesions such as the cervix. Irregular woolly ball-like vascular loops can be found in the villi. The lesions turn white after acetic acid is applied. Papular lesions are densely and symmetrically distributed bubble-like or single finger-like protrusions. After acetic acid is applied, the blood vessels disappear and the lesions turn white. Cervical flat condylomata are white epithelial, with or without punctate blood vessels or in a mosaic pattern.

(2) Polymerase chain reaction (PCR) detection: HPV DNA, the positive rate is 97.9%, and the sensitivity and specificity are 90%.

(3) Histological examination: Typical hollow cells may be seen under the microscope. HPV virus particles may be seen under electron microscopy. Immunohistochemical examination may show viral antigens.

Treatment of cervical warts:

Cervical warts should be treated with local destructive treatments, such as laser, freezing, electrocoagulation, etc. When pregnancy is complicated by cervical warts, local treatment should be performed before 34 weeks of pregnancy to avoid complications such as cervical laceration during delivery; if pregnancy is full-term and complicated by large cervical warts, cesarean section should be performed.

Experts remind that if you have cervical problems, don't be nervous. Most cervical problems can be effectively treated. But you must remember that you should go to the gynecology clinic of a regular hospital to treat cervical diseases. Don't listen to medical advertisements or take medicine on your own. Don't go to irregular hospitals or clinics to avoid being deceived and delaying the treatment.