HPV Genital Warts

There are at least 80 different types of HPV; 20 can infect the genital area.

Genital warts (or condylomata acuminata, venereal warts, anal warts and anogenital warts) are symptoms of a highly contagious sexually transmitted disease caused by some types of human papillomavirus (HPV)

At least 75% of sexually active adults have been infected with at least one type of genital HPV at some time in their life.

What are genital warts?

Genital or more accurately anogenital warts are skin lesions of the genital, perineal and anal areas; the medical term is condylomata acuminata.

What causes genital warts?

Genital warts are an infectious disease caused by sexually transmitted viruses, the Human Papilloma Virus (HPV), types 6 and 11.

The incubation period (time between infectious contact and showing clinical signs) can be as long as eight months.

Most infections by HPV cause no symptoms and clear within 2 years. This means that you might not realize that you carry the virus, (and there is a chance that you may infect another person without knowing it).

The virus can persist for months or years in the skin, with or without symptoms. If the warts reappear after clearing it is usually due to the original not a new infection. Infection can occur in up to 30% of women between 20 and 30 years of age; elderly women are less frequently affected.

Are genital warts hereditary?

No.

What are the signs and symptoms of genital warts?

The presence of external genital warts (at the outside of the ano-genital skin) is nearly always detected by the woman herself. You do not usually feel them but there may be some degree of itching.

Internal warts/condylomata may occur inside the genitals for example the cervix or vagina or the back passage (anus). They usually cause no symptoms may cause vaginal discharge, anal itch or discomfort on passing urine and very rarely bleeding.

What do genital warts look like?

The warts are small, warty lumps with fronds although some have a smooth surface. They may be browner than the surrounding skin.

How is the diagnosis made?

The diagnosis is usually easily made on their appearance.

A biopsy is necessary if the diagnosis is uncertain, if treatments have not worked or if the warts are darker than the rest of the skin, ulcerated or very hard.

Vaginal examination may show vaginal or cervical warts.

Natural course of genital warts

The natural clinical course is variable; it depends on the individual’s immune system. In pregnancy the mother’s immune system is altered, so warts can be more of a problem. They may resolve spontaneously; however, they may also re-appear after clearing.  Can genital warts be cured?

Yes, but it is very difficult to know if the virus has been eradicated. Persistent or recurrent lesions often require repetitive treatments; recurrences may occur even months or years later.

Warts/Condylomata are very contagious. The use of condoms is the only way to prevent sexual transmission, but this does not offer complete protection. The risk of transmission is increased by a high number of sexual partners.

Complications

Large warty lesions may be seen in pregnant women . They can cause pain, may become infected, may bleed and may interfere with passing urine, intercourse and having your bowels open.

Cervical screening should also be done as sometimes there may be an infection with wart types that can cause cancer

How can genital warts be treated during pregnancy?

The choice of the therapy is dependent on the type, the extent and the location of the warts.

Treatment should be started as soon as possible. However, in the last eight weeks of pregnancy methods that destroy the warts and harm the skin should be avoided over large areas so there is no damage to the skin before delivery.

Localized lesions can be treated with freezing (cryotherapy), electro surgery or with trichloracetic acid TCA (Trichloroacetic acid, 33% to 50%) which is a liquid that “burns” or “peels” the warts away. TCA can be applied to the lesions with a cotton tip by a physician once every 2 to 3 weeks or once a week respectively.

Some treatments must not be used in pregnancy, these are Podophylotoxin which is harmful to the baby Imiquimod has been used in pregnancy without observed adverse effects but is not licensed for use in pregnancy.

After delivery, the woman’s immunity increases and  warts often clear themselves..

What can I do?

Condylomata acuminate are highly contagious and  clearing is uncertain.

Disease progression can lead to extensive lesions, therefore, treatment is recommended!

How will condylomata acuminata affect the baby?

The baby is not affected by the condylomata.

Maternal antibodies against the HPV are transmitted to the baby and may protection it so the chance of the baby to catching HPV from the mother during delivery is very low. The only rare serious complication is “juvenile laryngeal papillomatosis” (numerous warty papules on the vocal cords). The period of delivery should be as short as possible with the use of vaginal antiseptics; caesarean section is not justified because it does not prevent the risk of viral transmission completely.

Investigation of the male partner and his treatment

Similar diagnostic and treatment options are available for men and women. Male partners with genital warts are referred to a dermatologist, a urologist or a GU physician.

Most do not develop visible warts; the infection may show up on a cervical smear. This is known as subclinical infection.

Visible genital warts are often easy to diagnose by their typical appearance. They are usually due to HPV Types 6 and 11.

Some genital warts are often called squamos pappilloma

Genital warts may occur in the following sites: To learn more about your interest on “expert filler injector“, check here

Vulva

Vagina

Cervix

Urethra

Penis

Scrotum

Anus

Genital Warts

Genital warts

Genital warts are soft, wart-like growths on the genitals caused by a virus. Genital warts are a type of sexually transmitted infection (STI).

Causes

The virus responsible for genital warts is called human papilloma virus (HPV). More than 70 different types of HPV exist. Several types cause genital warts.

Genital warts may be found on the penis, vulva, urethra, vagina, cervix, larynx, and around and in the anus.

Other types of HPV are associated with common or flat warts found on other parts of the skin, such as the hands. However, people will not get genital warts from contact with warts on the hands or other parts of the body.

HPV infection around the genitals is common, although most people have no symptoms. Even if you do NOT have symptoms, however, you must be treated to prevent complications and spreading the condition to others.

In women, HPV can invade the walls of the vagina and cervix. These warts are flat and not easy to see without special procedures.

Certain types of HPV can lead to precancerous changes in the cervix, cervical cancer, or anal cancer. These are called high-risk types of HPV.

The following are important facts about how HPV and genital warts can be spread:

HPV infection is passed from one person to another through sexual contact involving the anal, oral, or vaginal skin or mucus membrane. It is possible for genital warts and HPV to be spread, even when no warts are visible.

You may not see warts for at least 6 weeks to 6 months after becoming infected with HPV. It may also take longer, even years. Because of this, when you first notice genital warts, it does not mean that you or your partner has had sexual contact with someone outside of your relationship.

Not everyone who has been exposed to the HPV virus and genital warts wil develop them.

The following factors put you at higher risk for getting genital warts, having them spread more quickly, having them return, or having other complications of HPV:

Having multiple sexual partners

Not knowing whether someone you had sex with had STIs

Becoming sexually active at an early age

Using tobacco and alcohol

Having stress and other viral infections (such as herpes) at the same time

Being pregnant

Having an immune system that does not work well, such as during cancer treatment or AIDS

If a child has genital warts, you should suspect sexual abuse as a possible cause.

Symptoms

Genital warts can be raised or flat, and are usually flesh-colored. They may appear as cauliflower-like growths. Sometimes they are so small and flat that they cannot be seen with the naked eye.

Common places to find genital warts:

Females most often have warts inside or around the vagina or anus, on the skin around these areas, or on the cervix.

Males most often have warts on the penis, scrotum, groin area, or thighs, as well as inside or around the anus in those who have anal intercourse.

Both males and females may have warts on the lips, mouth, tongue, palate, or throat (larynx)

Other symptoms are rare, but may include:

Increased dampness or moisture in the area of the growths

Increased vaginal discharge

Itching of the penis, scrotum, anal area, or vulva

Vaginal bleeding, with or after sexual intercourse

However, many people with HPV infection often have no symptoms.

Exams and Tests

A genital examination reveals flesh-colored to white, flat or raised, single or clustered lesions anywhere on the genitalia.

In women, a pelvic examination may reveal growths on the vaginal walls or cervix. Magnification (colposcopy) may be used to see lesions that are invisible to the naked eye. The tissue of the vagina and cervix may be treated with acetic acid (dilute vinegar) to make the warts visible.

A Pap smear may note changes caused by HPV. Women with these types of changes often need more frequent Pap smears for a period of time.

An HPV DNA test can identify the high-risk types of HPV that are known to cause cervical cancer. It may be done as a screening test for women over age 30, or for women of any age who have a slightly abnormal Pap test result.

Treatment

Genital warts must be treated by a doctor. Do NOT use over-the-counter remedies meant for other kinds of warts.

Your doctor may treat genital warts by applying a skin treatment in the office. Or, the doctor may prescribe a medication that you apply at home several times per week. These treatments include:

Imiquimod (Aldara)

Podophyllin and podofilox (Condylox)

Trichloroacetic acid (TCA)

Surgical treatments include:

Cryosurgery

Electrocauterization

Laser therapy

Surgical excision (cutting them out)

Dr. Day feels that  cryosurgery (freezing) is the best method and at this point in time this is the only procedure he performs.

If you develop genital warts, all of your sexual partners must be examined by a healthcare provider and treated if genital warts are found.

After your first treatment, your doctor will schedule follow-up examinations to see if the warts have returned.

Women who have had genital warts, and women whose partners have ever had genital warts, should have Pap smears at least once a year. For warts on the cervix, women may be advised to have Pap smears every 3 to 6 months after initial treatment.

Women with precancerous changes caused by HPV infection may need further treatment.

Young women and girls ages 9 – 26 shoul be vaccinated against HPV.

Outlook (Prognosis)

Most sexually active young women become infected with HPV, but very few remain infected for more than 5 years. In many cases, HPV goes away on its own.

Most men who become infected with HPV never develop any symptoms or problems from the infection. However, they can pass it on to current and sometimes future sexual partners.

Even after you have been treated for genital warts, you may still infect others.

Certain types of genital warts increase a woman’s risk for cancer of the cervix and vulva.

Possible Complications

Some types of HPV have been found to cause cancer of the cervix and vulva. They are the main cause of cervical cancer.

The types …

 

If you’re not satisfied with the size or shape of your nose, then you probably thought  of having  the most beautiful nose. A nose that would suit you and your looks, natural, and well-suited to your ethnicity.

Nose  jobs have to be done in a very precise way, paying close attention to your other facial features so as not to be out of balance to give you balance, proportion, and harmony to your face.

The most important thing about the nose is that it should blend right into the face and not distract from the other features.

This is particularly important for patients of African, Asian, Middle Eastern, Persian or Hispanic (Latin) descent

People from different ethnicities have different anatomical features that help us identify their heritage. Besides visual identification, doctors and surgeons must be well-versed with the anatomical features of patients from different ethnic backgrounds. They must understand the required techniques that would need to be performed in individual ethnic rhinoplasty procedures.

Special considerations by Dr. Day will made for patients  of different ethnicities.

African Americans, Asians, Middle Eastern, Jewish,

Indian, Persian, Indian, Hispanics, Korean and other ethnic groups each have unique facial characteristics.

Non-Surgical Rhinoplasty  that looks good on a Caucasian face will not look natural on an African-American face and vice versa.

HOW ARE ETHNIC NOSES DIFFERENT FROM CAUCASIAN NOSES?

ETHNIC NOSES DIFFERENCES

Your facial features represent your ethnicity. The nose, in particular, will often show a lot of characteristics of your race or heritage.

Many African noses, for example, have enlarged nostrils. They lack nasal bridge protection and have wide tips.

Thick skin is also a prominent factor in African-American Rhinoplasty that needs to be addressed by a skilled cosmetic surgeon such as Dr. Doris.

Asian noses are relatively shorter and may also have wide nostrils and a little-defined bridge.

Hispanic noses may have a dorsal hump and are generally wide and broad.

WHO SHOULD UNDERGO THIS ETHNIC RHINOPLASTY?

A patient of ethnic descent who wishes to enhance the beauty of their nose could be a good candidate for this procedure.

The important thing is to select a  cosmetic surgeon who understands the different characteristics of ethnic faces and who creates a nose that balances the other features of your face.

In New York, NY the greatest city in the world we are accustomed to serving patients from all different ethnic backgrounds.

As a renowned non-surgical rhinoplasty specialist, Dr. Day is regularly visited by patients from all over the world who want the best ethnic rhinoplasty the United States has to offer.

Perhaps you are searching from the Middle East for the most reliable, accomplished rhinoplasty and nasal surgeon the United States offers. Or you may already have family or a home in Manhattan and often find yourself in New York City.

You may want:

Rhinoplasty procedure for no downtime for a better looking nose, one that naturally fits your face

Repair of a first rhinoplasty, one you are not happy with

Permanent or non-permanent non-surgical rhinoplasty (only available if the outside of the nose needs improvement)

Some patients receive internal nasal surgery and then have non-surgical rhinoplasty to repair the outside of the nose

Fly in the same day and fly out the same day with no downtime

Rhinoplasty Saudi Arabia

Saudi Arabia, or the Kingdom of Saudi Arabia, constitutes the majority of the Arabian Peninsula. The country is mostly in desert climate, with virtually no lakes or rivers. The people of  Saudi have thrived and have developed economically at one of the highest levels in the world.

Many Saudi citizens travel every month from Saudi Arabia to see Dr. Doris for is artistry and technical ability which is perfectly balanced, as evidenced by his international reputation as the Best Rhinoplasty expert in the Middle East.

Rhinoplasty  Qatar

Qatar is a nation with 2 million citizens located on the Arabian Peninsula  with an immense effect on global trade due to their immense natural resources and strong economy.

His patients from Qatar are able to visit his office easily with no downtime and return to their country the following day.

He also appreciates the needs of out-of-town patients and has made the consultation process as easy as possible.

The goal of rhinoplasty for any ethnicity is to improve the appearance of the nose so that the the rest of the face is more attractive

Rhinoplasty Dubai

Dubai is a small but powerful component of the United Arab Emirates located along the Persian Gulf.

As a global business center for the region, Dubai has has grown exponentially in recent years.

Soaring skyscrapers and a booming financial sector mean affluence abounds in this hot climate.

Meanwhile, in the United States, Dr. Doris is practicing as a rhinoplasty specialist at another booming urban location: Park Avenue of New York, NY.

Dr. Day encourages a practice of diversity, regularly treating clients from out-of-town and out-of-country.

Dubai citizens have taken to Dr. Doris by storm and have found their travels to meet him worthwhile.

Some patients of Middle Eastern origin will complain that their nose is a dominant portion of their face and desire it to be featured less.

Interestingly, the structure of each nose can be quite different and depends on the stiffness of the lower lateral cartilages and thickness of soft tissue.

In some patients of Middle Eastern origin, there is a thicker subcutaneous layer where actual fat is present. Every patient will have a different aesthetic here.

It is not possible to identify an entire region with one type of nose. Instead there is a range of noses found within this area.

The Middle East, including Qatar, Abu Dhabi, United Arab Emirates, Kuwait, Dubai, Saudi Arabia, Persia, Iran, Iraq, Jordan have various customs and aesthetics which patients find desirable.

Even two patients of a similar background, may want a very different look depending on which part of the country they live in.

For example a Persian patient in South Beach may have a very different opinion about his/her nose than one living in New York.

The key here is to understand what are each patient’s goals and what look they are trying to avoid, which is usually the overly obvious rhinoplasty.

Does Dr. Doris understand my aesthetic?

During the consultation Dr. Day uses a variety of maneuvers to help him learn what a patient likes and doesn’t like about their nose.

He has extensive experience working with Middle Eastern noses and has patients from Doha (Qatar), Dubai (United Arab Emirates), Abu Dhabi (United Arab Emirates), Amman, Jordan and all over the Middle East who seek his expertise from afar for his approach.In any case, Dr Doris is the rhinoplasty surgeon whom you seek for the expertise with the Middle Eastern nose.

But, if you are searching for information about traveling to New York, NY area from anywhere in the Middle Eastern or Mediterranean lands, you want the trip to be efficient, trouble-free and worthwhile.

Moreover, your journey can be a one stop trip, thanks to the most modern forms of communication.

You can communicate with Dr. Day  by texting , email or by telephone before packing your bags.

You can even get a good idea of the after procedure results from afar. Here’s how it works:

Send Dr. Doris pictures via email or by texting.

Describe over the phone or Live Chat what changes you want.

Non-Surgical  Rhinoplasty

Dr. Day discusses the merits of using dermal fillers to alter the shape of the nose.

With no recovery, no downtime, and no bandages, this procedure is becoming the  new favorite.

AT ETHNIC RHINOPLASTY NYC, ONE SIZE DOES NOT FIT ALL

“For non-Caucasian patients, they should find a cosmetic surgeon that has a large proportion of ethnic patients. Doctors who are focusing on ethnic procedures can deliver a more natural and well-balanced result for patients.

PLANNING YOUR RHINOPLASTY

The most important part of the nose job is the planning phase. Rhinoplasty involves, precise, detailed changes in the underlying structure of the nose. Each of these changes must be carefully planned out in advance by you and your doctor.

When you come to Ethnic Rhinoplasty NYC, your first step will be to meet with Dr. Doris for a private consultation. He will discuss your goals and expectations and answer any questions you may have.  Dr. Day can give you an accurate representation of what you will look like.

Excellent communication between patient and physician is crucial during the planning phase.

Dr. Day makes it a point to work closely with each patient and ensure that they are 100% comfortable before the procedure. He will work with you to compose a treatment plan that is completely customized to you and your needs.

Dr. Doris will work with you to thoroughly plan your rhinoplasty and ensure that you understand every detail.

For years, ideal beauty was based on caucasian facial proportions.  Needless to say, many non-caucasian patients seek to improve the appearance of their noses without erasing their ethnic heritage and identity.

It takes skill and sensitivity to achieve a cosmetic result that beautifies the face while respecting and preserving ethnicity.

Dr. Doris performs many ethnic rhinoplasties (aka nose jobs) in New York City (NYC) and Manhattan.

Most ethnic rhinoplasty patients are looking to improve upon their nose but still retain and preserve their ethnic identity. They typically do not want a fully westernized look, but they do want an improved nasal appearance that is in harmony with the rest of their facial features.

Rhinoplasty in ethnic patients often requires a different approach than in Caucasian patients. While individuals vary dramatically, there are some characteristics common to the different ethnicities that can make rhinoplasty more challenging and these must be addressed and taken into account in order to achieve an optimal result.

What is ethnic rhinoplasty:

Whatever your ethnicity, if you are coming to see Park Avenue Cosmetic Surgeon, Dr. Day for nose job or ethnic rhinoplasty, it is because you are unhappy with the size and shape  of your nose.

Rhinoplasty is the procedure that Dr. Doris will use to re-shape your nose so that it is the size and shape that you are looking for.

Your nose is a part of your genetic heritage, and, like your skin and hair color, it reflects your ethnic background.

In size, shape, structure, and details, it is uniquely your nose. Whether you want your nose procedure to preserve or to significantly change distinctive ethnic characteristics of your nose, Dr. Doris has the skill and understanding to help you achieve your goal.

Why you want ethnic rhinoplasty: To learn more about your interest on “expert filler injector“, check here

Improved appearance: Ethnic rhinoplasty means changes in micro millimeters, but it can radically change the appearance of your face.

If you are unhappy with your nose for any reason, ethnic rhinoplasty can change your look in a way that finds balance and harmony in your features, without negating who you are.

What you want from ethnic rhinoplasty:

A nose that fits your face. You don’t want a nose that’s too big, but you also don’t want one that’s too small. Maybe you’d like to finally get rid of that hump on your nose, or maybe you just want it to look like it did before you broke it. Whatever the change, you know that you want your nose to look balanced on your face.

A nose that looks like you. Your goal with a nose job is to look like you, only better.

Dr. Day understands that and provides  the best Ethnic Rhinoplasty Manhattan & Park Avenue has to offer.…