Ointment from papillomas is a local medicine that has an antiviral and anti-inflammatory effect. Some ointments for benign neoplasms have an unfavorable side effect profile. The effectiveness of drug therapy depends on the correct choice of drug.
General information on pathology.
Genital papillomas are benign neoplasms that are caused by viral diseases of various etiologies. Genital warts are often painless. In a third of the victims they disappear after a few months.
Sometimes the small bumps can itch, bleed, and hurt during sex. Victims feel disadvantaged in their sexual life. Many also consider their genital warts to be a cosmetic problem. They are embarrassed and want to get rid of them as soon as possible.
There are many ways to treat skin lesions. Therapy depends on where on the body the genital warts are located. Another concern is whether there are other sexually transmitted diseases, such as yeast infections, genital herpes, HIV, or chlamydia.
In the case of growth of the mucous membrane of the vagina or opening of the urethra, for example, treatment with trichloroacetic acid can kill the warts. However, in flat warts, the doctor usually resorts to surgical interventions.
No method guarantees that genital warts (Condylomata acuminata) will go away forever. Because the immune system doesn't always completely clear the human papillomavirus that causes genital warts, STDs often come back.
A doctor will usually recognize genital warts with the naked eye. He will check your anus and genital area for skin changes and may take a sample of tissue, which he will then examine under a microscope. Genital warts inside the body, such as in the rectum, vaginal mucosa, or urethra, are more difficult to detect. A special exam is often needed: an exam of the vagina, rectum, or urethra.
Once the genital warts have been identified, the surgeon may surgically remove the growths or freeze them with liquid nitrogen. Sometimes special creams and ointments are used. In rarer cases, when genital warts grow on the tongue or around the eyes, an otolaryngologist or ophthalmologist can help.
The main characteristics of preparations for papillomas
Salicylic acid preparations, which, due to their keratolytic effect, reduce the mass of warts and sometimes also cause scarring with continued use, are among the most common anti-wart preparations. Salicylic acid destroys the intercellular cohesion of horn cells and thus dissolves hyperkeratosis.
Salicylates can be widely absorbed through the skin and cause poisoning. Therefore, during pregnancy, infants and young children, as well as kidney failure, long-term treatment of large areas should be avoided. In addition, avoid contact with eyes and mucous membranes. Drugs should not be applied to the genital area and face. Because drugs vary considerably in the concentration of salicylic acid
To interrupt cell division, cytostatics are used locally in the treatment of warts. By inhibiting DNA and RNA synthesis, cytostatics prevent cell proliferation and thus the spread of the virus.
Immunomodulators are approved for the treatment of external genital warts and perianal warts in adults.
Tool selection criteria
Benign growths usually regress when the immune system manages to kill the viruses on the skin. However, if warts are in the way, the following treatment options may be considered:
- medicines;
- cryotherapy;
- surgical ablation.
To protect against human papillomavirus infection, attention should be paid to hygiene measures: disinfection of hands and feet, for example, in swimming pools. Vaccines have been available against papillomavirus types 6, 11, 16, and 18 since 2006. In addition to cervical cancer, papillomaviruses also cause external genital warts and vulvar skin lesions.
To reduce the risk of developing cervical cancer, the Permanent Commission on Vaccination (STIKO) of the Robert Koch Institute recommends vaccinating girls before their first sexual intercourse (9-14 years) in the 2018 vaccination recommendation. There are also scientific evidence that vaccinating boys at puberty, who are common carriers of the virus, can help control the spread of cervical cancer.
There are other ointments (for example, oxolinic), the clinical effectiveness of which has not been proven.
Salicylic ointment for papillomas is rarely used today, since it has a significant number of side effects. There are several topical therapies available for the treatment of external genital warts (Condylomata acuminata), and their effectiveness is difficult to assess because the success rates of studies on individual procedures vary widely. Not everything can prevent frequent relapses and cause significant local discomfort. There is no standard therapy.
There are no clinical trials available to compare with other treatment options. Due to insufficient documentation, high spontaneous healing, and significant side effects, the use of tea extract is not recommended.
Locally acting antipapilloma drugs.
Genital warts are caused by sexually transmitted human papillomaviruses, most often types 6 and 11. On the one hand, they can heal spontaneously, on the other hand, they are a burden for patients and very rarely degenerate into malignant tumors .
It is not recommended to take and apply any means without consulting a doctor. Which ointment is the best and most effective will tell the doctor.
Contraindications and side effects.
In rarer cases, it can also cause hypersensitivity skin reactions. If there is hypersensitivity to methyl 4-hydroxybenzoate or propyl 4-hydroxybenzoate, the use of ointments should be completely abandoned. It is strictly forbidden to use ointments during pregnancy or lactation.
Ointments can cause skin irritation, abrasions, and irritation. This side effect is relatively common but is not a cause for alarm. Ointments are also used in 3-day cycles. After 3 days of use, four days are followed by a respite in which the skin is restored.