How to diagnose the presence of cervical warts in a timely manner

As a sexually transmitted disease, cervical warts can be spread among different groups of people. Generally speaking, it can be spread among people through sexual intercourse between men and women. Not only that, it can also be spread among people indirectly by touching the patient's clothes and some cleaning tools. What's more serious is that if this disease is not treated in time, it will recur for a long time, causing great harm to the patient and seriously affecting the patient's life. So how to diagnose cervical warts?

1. Pseudo-condyloma mainly occurs in the labia minora of women, especially the inner side of the labia minora and the vestibule of the vagina. It is symmetrical and densely distributed, with a diameter of 1-2mm and light red or white papules. The surface is smooth and has a villous or caviar appearance. Sometimes it may appear as polyp-like papules. It can exist for a long time and generally has no obvious subjective symptoms. The acetic acid white test is negative. HPV DNA detection or pathological examination is helpful for identification. Its appearance may be due to physiological variation or vaginal Candida albicans causing increased leucorrhea and stimulation. Generally, no treatment is required. Keep the local area clean and dry to reduce local irritation.

2. Pearly penile papules: White, skin-colored or light red pearly papules with a diameter of 1-3mm are arranged along the edge of the glans penis coronal sulcus. They are smooth in surface and do not fuse with each other. They are arranged in one or several rows. They do not change much over time. There are no subjective symptoms and no history of unclean sexual intercourse. The acetic acid white test does not show white. They can last for decades without change and generally do not require treatment.

3. Sebaceous gland ectopic disease occurs on the glans penis, labia mucosa, and oral cavity. It is yellow needle-tip and millet-sized papules, with no obvious accumulation above the skin surface and no discomfort. It can last for many years without change and generally does not require treatment.

4. Bowenoid papulosis lesions are located on the glans penis and penis shaft in men, and the perianal area and labia in women. They are multiple small reddish-brown papules with a diameter of 2-10 mm, which can merge into plaques. They are more common in sexually active people under 40 years old. Syphilis serum tests and Treponema pallidum tests are both negative, and pathological examinations are helpful for identification. It is mainly caused by infection with high-risk human papillomavirus types 16 and 18 (HPV16 and 18). The treatment is basically the same as that of cervical condyloma.

5. Angiokeratoma is more common in the scrotum of middle-aged men. It is a purple-red papule ranging from a needle tip to a soybean size, with mild keratinization on the surface and a negative acetic acid white test. Generally, no treatment is required, but it can also be treated with freezing, laser or electrocautery.

6. Flat condyloma is secondary syphilis rash, often occurring around the anus and vulva, manifesting as hypertrophic plaques with a flat and eroded surface, with dense granules in the shape of papillae or cauliflower, and a broad base. Most patients have a history of chancre and other syphilis rash lesions, and dark field examination can detect Treponema pallidum, and the syphilis serological reaction is positive. Treat according to the treatment of syphilis.

7. Molluscum contagiosum is caused by infection with the molluscum virus. It is common in the vulva and around the anus. The skin of the trunk and limbs may also be affected. The lesions may be single or multiple and scattered. They are millet-shaped milky white papules with a smooth round surface. As time goes by, the center becomes umbilical. The water in the molluscum blister can be squeezed out. The acetic acid white test is negative. It can be treated with clamps, freezing, laser or electrocautery.

Finally, I would like to say to all patients that if you find yourself suffering from this disease, for the sake of your own health, you must go to the hospital for diagnosis and treatment in time.