Cauliflower Warts: HPV, Fungal Infections, and Symptoms

Q: Cauliflower Warts: HPV, Fungal Infections, and Symptoms

Hello： 1) There may be an issue, and you should consider visiting the obstetrics and gynecology department at the hospital to show the physician the area of concern (since there has been an increase in symptoms). <br>2) The discharge appears to have a cottage cheese-like consiste

Cauliflower (Condylomata Acuminata)

Hello Doctor, I have some questions regarding warts.
Around early April, I had unprotected sexual intercourse.
About a month or two ago (around mid-April), I visited a gynecology clinic for an examination, and at that time, my discharge appeared to be cottage cheese-like and itchy.
The doctor diagnosed it as a yeast infection.
After that, I noticed three growths resembling granulation tissue.
On April 29, I was still concerned and went to a testing center for an HPV self-sampling.
A week later, I received a report indicating a positive result for HPV type 18.
On May 9, I visited a gynecology clinic in Taoyuan for another examination, and by then, the growths had increased slightly.
I showed the doctor the test report, and after another examination, the doctor also told me it was a yeast infection and prescribed topical medication.
(Self-observation at that time: http://imgur.com/BtiZsAW) Recently, during my ovulation period, it seems that the discharge has increased, and after a month of applying the medication, there is currently no pain or itching.
(Observation today: http://imgur.com/ObiXE6X) I’ve noticed that the growth cycle coincides with the ovulation period when there is discharge, and the lesions increase, but after menstruation and the end of the ovulation period, there are no symptoms.
I have been trying to keep the area ventilated and applying the medication daily without stopping.
I would like to ask: 1.
Based on the photos and described symptoms, can you identify what it might be? 2.
Is it possible for a yeast infection to cause growths? 3.
If I want to have a pathological biopsy, can it be done at private gynecology or dermatology clinics, or is it necessary to go to a hospital? I would appreciate your help in answering these questions.
I have been observing for nearly two months now.
Initially, I felt more at ease hearing it was a yeast infection, but with the increase in growths during this ovulation period, I am once again worried.

Huang, 20~29 year old female. Ask Date: 2017/05/31

Dr. Du Shixi reply Urology

Hello: 1) There may be an issue, and you should consider visiting the obstetrics and gynecology department at the hospital to show the physician the area of concern (since there has been an increase in symptoms).
2) The discharge appears to have a cottage cheese-like consistency, which indicates a fungal infection, but it is not commonly seen as granular.
3) Inform the physician that you would like a biopsy (as larger hospitals have more advanced equipment and pathologists who are more specialized), and it is still recommended to go to the hospital.

Reply Date: 2017/05/31

More Info

Understanding the relationship between Human Papillomavirus (HPV), fungal infections, and the symptoms you are experiencing is crucial for your health and well-being. Based on your description, it appears that you are dealing with two distinct issues: a fungal infection and a potential HPV infection, specifically HPV type 18.

Fungal Infections and Symptoms
Fungal infections, particularly those caused by Candida species (often referred to as yeast infections), can lead to symptoms such as itching, irritation, and abnormal discharge. The "cottage cheese" appearance of the discharge you mentioned is characteristic of a Candida infection. These infections are common and can be triggered by various factors, including hormonal changes (such as those occurring during ovulation), antibiotic use, and a weakened immune system.
It is important to note that while fungal infections can cause discomfort and irritation, they do not typically cause the growth of wart-like lesions. The lesions you described as "meat-like" or "granular" could be indicative of HPV-related changes, particularly if they are persistent and have increased in number during your ovulation period.

HPV and Cauliflower Warts
HPV is a sexually transmitted virus with many strains, some of which are classified as high-risk due to their association with cancer, such as HPV types 16 and 18. The presence of HPV can lead to the development of genital warts, commonly referred to as "cauliflower warts" due to their appearance. These warts can vary in size and number, and they may become more prominent during certain hormonal phases, such as ovulation, when your body is producing more estrogen.

1. Identification of Symptoms: Based on your description and the images you provided, it is challenging to definitively diagnose the lesions without a clinical examination. However, if the lesions are wart-like and have increased in number, they may be related to HPV. A healthcare provider can perform a visual examination and may recommend a biopsy or other diagnostic tests to confirm the nature of the lesions.

2. Can Fungal Infections Cause Growths?: Fungal infections themselves do not typically cause wart-like growths. However, they can lead to skin irritation and inflammation, which might mimic or exacerbate the appearance of existing lesions. If you are experiencing both a fungal infection and HPV, it is essential to treat each condition appropriately.

3. Pathological Examination: If you wish to have a pathological examination (biopsy) of the lesions, many gynecological clinics and dermatology offices can perform this procedure. It is not always necessary to go to a hospital for such tests, but ensure that the facility is equipped to handle such evaluations. A biopsy can provide definitive information about the nature of the growths and whether they are benign or associated with HPV.

Recommendations
- Follow-Up Care: Continue to follow up with your healthcare provider regarding both the fungal infection and the HPV diagnosis. Regular monitoring is essential, especially since you have a high-risk type of HPV.

- Treatment Options: For the fungal infection, adhere to the treatment prescribed by your doctor. If symptoms persist or worsen, discuss the possibility of oral antifungal medications, as topical treatments may not always be sufficient.

- HPV Management: Since you have been diagnosed with HPV type 18, it is crucial to discuss with your healthcare provider the implications of this diagnosis, including the need for regular Pap smears and HPV testing to monitor for any potential changes in cervical health.

- Lifestyle Considerations: Maintaining a healthy lifestyle, including a balanced diet, regular exercise, and stress management, can help support your immune system and may reduce the frequency of infections.

In conclusion, while fungal infections and HPV can coexist, they are distinct conditions that require appropriate management. Regular communication with your healthcare provider is key to addressing your concerns and ensuring your health is monitored effectively.

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I'm sorry, but I can't assist with that.

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