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Gynecological Exam for Genital Warts (Human Papillomavirus)

Dr. HelloDox Care #
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The visual exam and the speculum exam are the most important for diagnosing genital warts. Sometimes a doctor may use a magnifying source or colposcope to see some areas more clearly.

Some doctors may use an acetowhite test to make the warts more visible. A vinegar solution (weak acetic acid) may be applied to the skin to show the difference between normal and abnormal tissue. A slight burning sensation may occur when the acetic acid is applied. The acetowhite test is not routinely recommended to confirm genital warts.

A gynecological exam may also include a Pap test. A Pap test can show if there are any abnormal cell changes caused by certain types of HPV. Some types of the human papillomavirus (HPV) cause genital warts and some can lead to cervical cancer. The HPV infection that causes an abnormal Pap test will be treated differently than the types of HPV that cause visible warts.

The size, position, and appearance of the rectum, vagina, cervix, uterus, and ovaries are determined during these exams.

Why It Is Done
A gynecological exam may be done as part of a routine checkup or to find out whether you have genital warts or other sexually transmitted infections.

Results
Findings of a gynecological exam may include the following.

Normal
Genital warts are not seen during the exam. HPV may be present even if the exam is normal and no genital warts are seen. Many women infected with HPV do not have visible genital warts.

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Biopsy Of Genital Warts (Human Papillomavirus)

Dr. HelloDox Care #
HelloDox Care
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Biopsy of genital warts (human papillomavirus)

What are genital warts?
Genital warts are a sexually transmitted infection (STI) caused by certain strains of the human papillomavirus (HPV). HPV is a very common virus with over 100 strains. Some strains can cause cancerous changes, while others cause no physical symptoms and resolve themselves.
Two strains of HPV in particular—HPV 6 and HPV 11—are responsible for about 9 out of 10 cases of genital warts.
Genital warts may also be known by other names such as genitoanal warts, anogenital warts, or condylomata acuminata.

Exam Overview
Your doctor may take a sample, or biopsy, of abnormal tissue. The majority of warts do not require a biopsy. But a biopsy may be taken if genital warts cannot be easily identified with a physical exam or during a gynecology exam with a lighted magnifying instrument ( colposcopy ). A microscopic exam on the biopsied tissue can help your doctor find out whether human papillomavirus (HPV) is present.
The biopsy can be done in your doctor's office or clinic. You may have an injection of a numbing medicine ( local anesthetic ). This is more likely to be used for biopsies of the outer genital area on both men and women: this includes the vulva , scrotum , or penis. The injection can be painful. But local anesthetic is needed when the biopsy is likely to be more painful than the injection.
There usually are no complications after a biopsy.

Why It Is Done?
You may have a biopsy if any of the following are true:
Your doctor is not sure what type of abnormal tissue is present.
Warts have not responded to treatment.
Warts appear unusual.

Results:
Findings of a biopsy may include the following:

Normal
No abnormal cells are found, which usually means that an HPV is not present.

Abnormal
Abnormal cells called koilocytes are found. Koilocytes are cells that appear hollow or concave when examined under a microscope. Koilocyte cells collected from the genital or anal areas are abnormal and indicate infection with the human papillomavirus (HPV).
Other types of skin lesions also may be found.
Abnormal cervical cell changes caused by HPV will be treated differently from how genital warts are treated.

What To Think About?
Treatment for abnormal cells includes watchful waiting without treatment, medical treatment, or removal of the abnormal tissue.
The decision to do a biopsy will be based on whether biopsy results are likely to affect treatment.
If a biopsy confirms male genital, vaginal, or perianal warts, medical treatment is an option.
Sexual intercourse should be avoided until the biopsy area is healed.

Published  

Biopsy of genital warts (human papillomavirus)

Dr. HelloDox Care #
HelloDox Care
Consult

Biopsy of genital warts (human papillomavirus)


What are genital warts?
Genital warts are a sexually transmitted infection (STI) caused by certain strains of the human papillomavirus (HPV). HPV is a very common virus with over 100 strains. Some strains can cause cancerous changes, while others cause no physical symptoms and resolve themselves.
Two strains of HPV in particular—HPV 6 and HPV 11—are responsible for about 9 out of 10 cases of genital warts.
Genital warts may also be known by other names such as genitoanal warts, anogenital warts, or condylomata acuminata.


Exam Overview
Your doctor may take a sample, or biopsy, of abnormal tissue. The majority of warts do not require a biopsy. But a biopsy may be taken if genital warts cannot be easily identified with a physical exam or during a gynecology exam with a lighted magnifying instrument ( colposcopy ). A microscopic exam on the biopsied tissue can help your doctor find out whether human papillomavirus (HPV) is present.
The biopsy can be done in your doctor's office or clinic. You may have an injection of a numbing medicine ( local anesthetic ). This is more likely to be used for biopsies of the outer genital area on both men and women: this includes the vulva , scrotum , or penis. The injection can be painful. But local anesthetic is needed when the biopsy is likely to be more painful than the injection.
There usually are no complications after a biopsy.


Why It Is Done?
You may have a biopsy if any of the following are true:
Your doctor is not sure what type of abnormal tissue is present.
Warts have not responded to treatment.
Warts appear unusual.


Results:
Findings of a biopsy may include the following:

Normal
No abnormal cells are found, which usually means that an HPV is not present.

Abnormal
Abnormal cells called koilocytes are found. Koilocytes are cells that appear hollow or concave when examined under a microscope. Koilocyte cells collected from the genital or anal areas are abnormal and indicate infection with the human papillomavirus (HPV).
Other types of skin lesions also may be found.
Abnormal cervical cell changes caused by HPV will be treated differently from how genital warts are treated.


What To Think About?
Treatment for abnormal cells includes watchful waiting without treatment, medical treatment, or removal of the abnormal tissue.
The decision to do a biopsy will be based on whether biopsy results are likely to affect treatment.
If a biopsy confirms male genital, vaginal, or perianal warts, medical treatment is an option.
Sexual intercourse should be avoided until the biopsy area is healed.
Complete the medical test information form (PDF) [PDF] (What is a PDF document?) to help you prepare for this test.

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जननेंद्रियातील विषाणू बायोप्सी (मानवी पॅपिलोमाव्हायरस)

Dr. HelloDox Care #
HelloDox Care
Consult


जननेंद्रियातील विषाणू बायोप्सी (मानवी पॅपिलोमाव्हायरस)

जननेंद्रियातील विषाणू काय आहेत?
जननांग विषाणू लैंगिक संक्रमित संक्रमण (एसटीआय) मानवी पॅपिलोमाव्हायरस (एचपीव्ही) च्या काही विशिष्ट कारणांमुळे होतात. एचपीव्ही हा 100 पेक्षा जास्त प्रकारच्या ट्रायंससह एक सामान्य विषाणू आहे. काही प्रथिने कर्करोगात बदल घडवून आणू शकतात, तर इतर काही शारीरिक लक्षणे उद्भवू शकत नाहीत आणि स्वतःला निराकरण करू शकतात.
विशेषतः एचपीव्हीचे दोन प्रकार-एचपीव्ही 6 आणि एचपीव्ही 11-जननेंद्रियाच्या विटांच्या 10 पैकी 9 प्रकरणांसाठी जबाबदार असतात.
जननांग विषाणू इतर नावे जसे जीनिटोनाल वॉर्ट्स, ऍनोोजेनिक वार्ट्स किंवा कंडिलोमाटा ऍक्मिनेटाटाद्वारे ओळखले जाऊ शकतात.

जननेंद्रियातील विषाणू परीक्षा काय आहेत?
आपला डॉक्टर असामान्य ऊतकांचा नमुना किंवा बायोप्सी घेऊ शकतो. बहुतेक विटांना बायोप्सीची आवश्यकता नसते. परंतु जननेंद्रियांना शारीरिक तपासणीसह किंवा ज्योतिषशास्त्राच्या परीक्षेच्या वेळी प्रकाशाच्या आवर्धक वाद्य (कॉल्पोस्कोपी) सह ओळखता येत नाही तर बायोप्सी घेतली जाऊ शकते. बायोप्सीड ऊतकांवर सूक्ष्म तपासणी आपल्या डॉक्टरांना हे जाणून घेण्यास मदत करते की मानव पॅपीलोमाव्हायरस (एचपीव्ही) अस्तित्वात आहे की नाही. बायोप्सी आपल्या डॉक्टरच्या कार्यालयात किंवा क्लिनिकमध्ये करता येते. आपल्यास नंबिंग औषध (स्थानिक एनेस्थेटीक) ची इंजेक्शन असू शकते. पुरुष आणि स्त्रियांच्या बाह्य जननेंद्रियाच्या बायोप्सीजसाठी हे अधिक वापरले जाऊ शकते: यात वुल्वा, स्क्रोटम किंवा पुरुषाचा समावेश आहे. इंजेक्शन वेदनादायक असू शकते. परंतु बायोप्सी इंजेक्शनपेक्षा अधिक वेदनादायक असेल तेव्हा स्थानिक ऍनेस्थेटीसची आवश्यकता असते.
बायोप्सीनंतर सामान्यत: काही अडचणी नाहीत.

जननेंद्रियातील विषाणू परीक्षा का झाले?
पुढील पैकी काही सत्य असल्यास आपल्याकडे बायोप्सी असू शकते :
- आपल्या डॉक्टरला खात्री नाही की असामान्य ऊतक कोणत्या प्रकारचे आहे.
- विटांनी उपचारांना प्रतिसाद दिला नाही.
- वारस असामान्य दिसतात.

बायोप्सीच्या निष्कर्षांमध्ये खालील गोष्टींचा समावेश असू शकतो

सामान्य परिणाम :
कोणतीही असामान्य पेशी आढळली नाहीत, याचा अर्थ सामान्यतः एचपीव्ही नसतो.

असामान्य परिणाम :
कोइलॉससाइट नावाचे असामान्य पेशी आढळतात. कोइलोसाइट्स ही अशी पेशी असतात जी सूक्ष्मदर्शकाखाली तपासली जातात तेव्हा पोकळ किंवा अवतल असतात. जननेंद्रियातून किंवा गुदव्दारातून गोळा केलेले कोइलोसिट पेशी असामान्य आहेत आणि मानवी पॅपिलोमाव्हायरस (एचपीव्ही) सह संक्रमणास सूचित करतात.
इतर प्रकारच्या त्वचेच्या जखम देखील आढळू शकतात. एचपीव्हीमुळे उद्भवणार्या असामान्य गर्भाशयाच्या पेशीतील बदल जननेंद्रियाच्या विटांचा कसा उपयोग केला जातो यापेक्षा वेगळ्या पद्धतीने हाताळले जातील.

कशाबद्दल विचार करायचा?
- असामान्य पेशींच्या उपचारांमधे उपचार, वैद्यकीय उपचार किंवा असामान्य ऊतक न काढता सावध प्रतीक्षेत.
- बायोप्सी करण्याचा निर्णय बायोप्सीच्या परिणामांवर परिणाम होण्याची शक्यता आहे यावर आधारित असेल.
- जर बायोप्सी पुरुष जननांग, योनी किंवा परियानल विट्सची पुष्टी करते, तर वैद्यकीय उपचार हा पर्याय आहे.
- बायोप्सी क्षेत्र बरे होईपर्यंत लैंगिक संभोग टाळावा.
या चाचणीची तयारी करण्यात मदत करण्यासाठी वैद्यकीय चाचणी माहिती फॉर्म (पीडीएफ) [पीडीएफ] (पीडीएफ दस्तऐवज काय आहे?) पूर्ण करा.

Dr. Manish Rawool
Dr. Manish Rawool
MS/MD - Ayurveda, Ayurveda Family Physician, 4 yrs, Pune
Dr. Manish Pathak
Dr. Manish Pathak
MDS, Dentist Periodontist, 10 yrs, Pune
Dr. Rajiv Srivastava
Dr. Rajiv Srivastava
Specialist, Cardiac Surgeon Cardiothoracic Surgeon, 20 yrs, Thane
Dr. Urmila Kauthale
Dr. Urmila Kauthale
BAMS, Ayurveda, 7 yrs, Pune
Dr. Kusum Garudkar
Dr. Kusum Garudkar
MS/MD - Ayurveda, Family Physician Ayurveda, 23 yrs, Pune
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