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Forum Name: Sexually Transmitted Diseases

Question: Condylomas


 norad - Sun Jul 10, 2005 12:13 pm

Hello,
I would like to ask some questions :
1. How do they form. They come out of nowhere like cancer or they are only transmitted ?
2. How long do they take until they show symptomps ?
3. How can someone who does not have any symptoms shown in the eye make sure whether he/she is or not ? By a blood test ?

Thank you very much
 Dr. Anthony Solomon - Sat Jul 16, 2005 8:46 pm

There are two types of condylomas and I am not sure which one you are interested to know about, so both will be discussed.

Condyloma acuminatum is a sexually transmitted disease caused by the Human Papilloma Virus (HPV). It is also known as a genital wart and occurs in the anal or genital areas. Many lesions occurring at the same time are known by their plural form - condylomata acuminata.

Condyloma latum is a secondary manifestation of syphilis, a sexually transmitted disease caused by the bacteria Treponema pallidum. It occurs in the anal or genital areas as a flat plaque. Many lesions occurring at the same time are known by their plural form - condylomata lata. Syphilis can also be transmitted from an infected mother to her fetus via the placenta.

The average incubation period of genital warts is 2-3 months.
The average incubation period of primary syphilis is 10 – 90 days. Secondary syphilis occurs 4-10 weeks after primary syphilis.

In women, external genital warts are easily recognized by the specialist, but when they occur in inconspicuous places such as in the vagina and on the cervix, colposcopy is used to aid in detection. Some individuals with genital warts never become aware of their presence and therefore do not seek treatment until the disease is sexually transmitted to their partners.

Diagnosis of genital warts can be confirmed by biopsy, although biopsy is utilized if the diagnosis is uncertain, or the lesions do not respond to treatment or the disease worsens during therapy. Another method of diagnosis is the use of type-specific HPV DNA tests.

Dr Anthony Solomon
Consultant Physician, Tropical & Genitourinary Medicine

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