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Dec 14, 2011 1:34 AM
Genital warts are a cutaneous manifestation of infection with the epidermotropic, sexually transmitted human papillomavirus (HPV). There are >one hundred of these double-stranded-DNA papovaviruses characterised, with most now absolutely DNA-sequenced.

HPV is transmitted sexually in most cases but can additionally be transmitted prenatally, by autoinoculation or heteroinoculation from non-genital warts and presumably by fomites.1
A private's lifetime risk of HPV infection exceeds 50% however most are asymptomatically infected, with only regarding 1–2% developing genital warts.
Concerning 90% of genital warts are caused by infection with HPV varieties 6 and 11. These types aren't associated with a vital risk of neoplastic transformation.
Types sixteen and eighteen are related to a high risk of neoplastic transformation. are the most commonly diagnosed sexually transmitted infection (STI) within the UK. In 2003, there have been an estimated seventy six,457 initial and 55,657 recurrent or persistent cases of genital warts handled at a value of £22.four million.a pair of
Risk factors

Multiple sexual partners
Early age of onset of sexual intercourse
Illicit drug use
Anoreceptive intercourse
Manual sexual practices such as fisting and fingering increase the risk of anal warts5
Immunosuppression (together with iatrogenic variety in transplant recipients and HIV)vi

Once an incubation period of several weeks to months (often years), lesions appear that are sometimes painless and asymptomatic however that might itch, burn, bleed or discharge. Urethral lesions may cause distortion of the urinary stream.

A relevant sexual history should be obtained to assess the risk of other STIs and sexual health needs:

Different symptoms, e.g. urethral/vaginal discharge, pelvic or scrotal pain, intermenstrual or postcoital bleeding, dyspareunia
Gender within the last three months
Contraceptive and condom use
Possibility of pregnancy
HIV risk activities
Posted by patachingr45 | Dec 14, 2011 1:34 AM | Add a comment