Genital Warts Flashcards
Which HPV are responsible for genital warts?
6 and 11
Median incubation period?
3 months
Median detectability in skin
1 year
When is it most infectious?
When they have visible warts
Risk factors
Multiple sexual partners
OCP, pregnancy, immunocompromised, DM
Symptoms
Mostly asymptomatic
Vulval lesions - painless and slow growing
Local skin irritation- pruritis and burning
Catch on clothing
Superficial dyspanuria
Physiological distress
Investigations
Atypical lesion –> biopsy
Last smear >3 years –> C smear
Management
Aim is to destroy visible warts
Medical:
Podophyllin paint - apply weekly (high recurrence - 50-60%)
Trichloroacetic acid
Physical:
Cryotherapy
Laser therapy/electrocautary
Advise:
Contact tracing
Wear condoms with new sexual partners