Papillomavirus infection in the active phase leads to the fact that skin growths appear on the human body – warts, papillomas, condylomas. Neoplasms are localized on the skin and mucous membranes, they are of different types, therefore they are outwardly different from each other, but there is only one reason for their appearance – it is HPV.
Growths in the inguinal region are a fairly common problem, while in women external manifestations of HPV are more common, in men the disease proceeds latently (in sleep mode) and only 3% of cases develop genital warts. Treatment of the disease should be carried out on time, because in addition to aesthetic and physical discomfort, there is a risk of infection, as well as malignancy of neoplasms.
How does infection happen?
Papillomavirus infected more than 80% of the population – the infection is transmitted by contact and domestic and sexual contact. If the growth appeared in the inguinal region, it is reasonable to assume that the infection occurred as a result of sexual contact.
Virus DNA is so small that it can penetrate the pores of latex, so even contact contraceptives (condoms) do not give a 100% guarantee. In addition, the infection is found not only on the skin and mucous tissues, but also in all biological fluids – semen, urine, and saliva.
You can also pick up the virus in public places – a sauna, a pool, an aqua park. If a woman or a man neglects the elementary rules of protection, for example, being in a bathhouse, he sits on a bench without underwear, the infection will easily penetrate the perineum and after a while will manifest characteristic neoplasms.
Also, self-infection often occurs. If a wart in the groin is found, and you could not or did not want to see a doctor in a timely manner any damage, friction of the growth with underwear can provoke the growth and formation of new processes. Often hanging warts in the groin appear as a result of inaccurate shaving, during which the integrity of the skin was impaired.
It should be noted that not all infected people have external manifestations of HPV, for the activation of the virus, the main condition is necessary – reduced immunity.
The first wart usually appears a few weeks or months after infection, but this does not happen in everyone. Some carriers of HPV have been unaware for decades that they are infected, because they have no external signs of the disease. This is due to a strong immune system that suppresses the activity of the virus.
The following adverse factors can contribute to the growth of genital neoplasms:
- Allergic, autoimmune ailments;
- Inflammatory dermatological diseases;
- Stress, insufficient intake of beneficial substances in the body;
- Imbalance of the hormonal system;
- Genital infections
- Lack of hygiene, neglect of the rules of protection;
- Hereditary predisposition;
- Uncontrolled sex life;
- Overuse of certain antibiotics and oral contraceptives.
It was noted that the peak of infections occurs at the age of 16 to 25 years, the second “wave” of infection is 35 – 45 years.
Types and localization of neoplasms
The most common types of genital warts are:
- Genital warts – This is a process in appearance resembling the crest of a rooster. The color of the neoplasm is flesh with a pink or yellowish tinge. The growths are single, but, as a rule, this is a multiple lesion prone to merging – the elements grow together, forming a single tuberous conglomerate;
- Filamentous papilloma – this is a hanging growth. The location of the groin, thigh (its inner surface, closer to the genitals), other parts of the body. Never appears directly on the genitals themselves. Such a wart has a soft structure, the color is usually flesh or brown. Neoplasms must be treated immediately, since it is very easy to injure them.
After infection, the virus enters the upper epithelial layers, provoking their uncontrolled division – this is how epidermal growths appear. It is dangerous that viral DNA is able to invade the cell nucleus, such a transformation leads to cell mutation and their degeneration into cancer.
If genital warts are found in the groin in women, their localization will be this – the small, large labia, the area around the clitoris, the entrance to the vagina are affected, rashes can spread to the anus, neoplasms can be found more rarely on the cervix (considered already a precancerous condition). A wart on the thigh is most likely a filiform papilloma, which is not prone to degenerate into cancer, but it is still necessary to get rid of it in order to avoid injury.
If warts in the groin are found in men, they will be located – on the crown of the penis, around the urethra (less often inside), on the scrotum, the anogenital zone can also be affected. Male anal condylomatosis develops as a result of homosexual connections, in this case papillomas will grow on the surface of the rectum, creating the illusion of a foreign body inside.
Initially, genital neoplasms do not bother a person, but if you ignore the problem for a long time and do not go to the doctor, the symptoms of the disease are aggravated. The following symptoms appear:
- In the place of localization of growths there is a burning sensation, severe itching;
- In the case of characteristic lesions, urination, defecation is difficult;
- Soreness during sexual intercourse, bleeding with papillomas;
- Perhaps the appearance of puffiness, inflammation (in the absence of proper hygiene, as well as rubbing with underwear);
- The advanced stage of the disease is fraught with secondary infection, which is manifested by suppuration, fetid genital secretions.
The appearance of intense pain may indicate the transformation of the wart into a malignant tumor. Do not delay with treatment.
Diagnosis and treatment methods
If you do not know which doctor to go to, first go to a gynecologist (this is for women) or a urologist (for men). Then, if necessary, the doctor will refer you to a dermatovenerologist or other specialist with a narrower profile for examination.
- PCR – polymerase chain reaction to detect the type of virus and its quantitative ratio;
- Analysis for latent infections and STDs;
- Urethroscopy, colposcopy;
- Biopsy tissue collection (if necessary).
Having determined the nature of the growth and the type of pathogen, complex therapy is prescribed, which includes the removal of growths, as well as the administration of antiviral, immunostimulating drugs.
You can get rid of the neoplasm using hardware methods – using a laser, radio waves, electric current or liquid nitrogen. In addition, chemicals (based on acids, alkalis) that burn out a wart, for example, Podophyllinum, Verrucacid, and others, are used for removal. However, if neoplasms are located on the mucous membranes, such drugs are not recommended, especially on their own. It is best to resort to hardware removal.
Methods of hardware removal of growths
The most effective and safe procedures for removing genital growths are considered to be laser, as well as radio wave destruction.
- Laser – acts locally, only in place of the problem, without affecting the surrounding tissue. The doctor regulates the depth of penetration of the beam independently. Under its action, pathological neoplasms are dried up, a crust remains in their place. The scab is rejected independently after a few days. Usually in 1 procedure all growths are removed. If necessary, the manipulation is repeated a few weeks later.
- Radio waves – papillomas are excised with a radio knife. Their place is slightly reddened, then a scab forms, which after rejection leaves no residue. During the procedure, evaporation of the growth occurs (exposure is carried out by high temperatures), the surrounding tissues are not affected. Full recovery in 10-14 days.
- Electrocoagulation – After anesthesia, the papilloma is cauterized by electric current. The impact is local, the procedure is bloodless, infection and relapse are excluded. Less – minor scars remain.
- Cryodestruction – apply liquid nitrogen, which freezes the growth. There is no intense pain, possibly a slight burning sensation, tingling sensation. Anesthesia is required for large-scale lesions. After treatment, the wart becomes white, dense, after a while it becomes crusty and dies.
Removal of papillomas is a fight only with the external manifestations of HPV, in order to prevent relapse, you need to overcome the activity of the virus – take antiviral, immunostimulating drugs. For example:
- Viferon (suppositories, ointment) contains interferon, suppresses the virus, preventing its spread;
- Genferon (suppositories) – an immunostimulating drug, it is recommended to take along with antiviral agents;
- Novirin, Isoprinosine – antiviral, immunostimulating tablets;
- Allokin-alpha (injection), the drug has antiviral activity, increases immunity.
Never self-medicate – all appointments, as well as the dosage of drugs and the duration of the therapeutic effect should be determined by the doctor.