Condyloma acuminatum in pregnant women

　　The occurrence of condyloma acuminatum is not closely related to the immune status of the body. The etiological agent of condyloma acuminatum is human papillomavirus, with a total of 68 subtypes. The immune function of pregnant women is suppressed, and with the increase of vaginal discharge and the moist, warm vulvar area, it is easy to develop condyloma acuminatum. The lesions grow rapidly during pregnancy and shrink or naturally regress after delivery. Viral infection and decreased personal resistance should be the main reasons.

　　Secondary bacterial infection after local treatment of condyloma acuminatum is one of the most common complications in the treatment process of condyloma acuminatum. The clinical manifestations of secondary bacterial infection mainly occur locally, with mild symptoms such as local redness and swelling, small amounts of secretion, and slight pain; severe symptoms include local redness and swelling, suppuration, and marked pain; in severe cases, local lymph node enlargement, pain, and systemic discomfort such as fever may occur.

　　Pregnant women with condyloma acuminatum show multiple squamous epithelial papillary hyperplasia, with hard, protruding, rough-surfaced, meaty peduncle, and polygenetic clusters. They can also fuse together to form tuft-like, papillary growth, or appear as chicken crown, cauliflower, or mulberry-like shapes. The number of condyloma acuminatum in the reproductive tract during pregnancy is large, with large lesions, multiple regions, and multiple morphologies. It is also a characteristic of this disease that it is prone to recurrence.

　　The following points can effectively prevent condyloma acuminatum:

　　1. Strictly prohibit sexual promiscuity

　　60% of condyloma acuminatum patients are infected through sexual contact. When one person in the family is infected from society, they may transmit the disease to their spouse through sexual contact, and there is also a possibility of transmitting it to other family members through close daily contact, which brings both physical pain and causes disharmony in the family, and also imposes psychological pressure. Therefore, improving sexual morality and avoiding extramarital sexual behavior is an important aspect of preventing condyloma acuminatum.

　　2. Prevent contact transmission

　　Do not use others' underwear, swimsuits, and bathtubs; do not bathe in the pool in public bathhouses, advocate showering, and do not sit directly on the bathhouse chairs after bathing; use squat toilets in public toilets as much as possible; wash hands with soap before using the toilet; do not swim in crowded swimming pools with poor disinfection.

　　3. Pay attention to personal hygiene

　　Wash the vulva and change underwear daily, and wash personal underwear separately. Even among family members, it is necessary to have one basin per person and use separate towels.

　　4. Abstain from sexual activity after the spouse becomes ill

　　If the spouse has only undergone physical therapy, although the condyloma acuminatum in the vulva is visibly gone, the patient still carries human papillomavirus and should receive comprehensive treatment with oral medication and external washing medication, and undergo follow-up examination after treatment. During this period, if sexual contact occurs, condoms can be used for protection.

　　If patients with condyloma acuminatum during pregnancy undergo pathological examination, under the light microscope, the arrangement of epidermal cells is orderly, the squamous epithelium shows papillary hyperplasia, prickle cell hyperplasia, and sometimes there is vacuolation, cell enlargement, cytoplasmic lightening, and nuclear hypertrophy呈嗜碱性. The lesion features are obvious, making diagnosis easy.

　　There are no special dietary requirements for patients with condyloma acuminatum during pregnancy; general normal diet is sufficient. It is important to have a rich and balanced diet, ensuring the body's normal metabolic needs for calories, proteins, and vitamins. Increase the intake of vegetables and fruits appropriately. In terms of health care, it is important to relax, build confidence, maintain a good attitude, and actively cooperate with the doctor's treatment.

　　There are many traditional treatments for condyloma acuminatum, including drugs, laser, cryotherapy, electrocautery, and surgery, which are all effective for this disease. However, these treatment methods can only temporarily control symptoms and are difficult to eradicate, causing condyloma acuminatum to recur frequently, and the patients suffer greatly. The reason for this is that traditional treatments only treat the surface, but to truly eradicate condyloma acuminatum, it is necessary to start from antitoxin repair.