Wartrol Reviews – Does It Work Or Another Scam ?

Like many wart sufferers, you know the problems associated with them and how difficult they may be to remove and to keep from growing back. While not all warts have to be removed, you may want to go that route if you suffer noticeable pain, embarrassment, the wart is easily irritated, has spread, or cannot be removed. In cases like this, you may decide it needs to be removed.

We would like to take some time to walk you through problems with warts, and how you may benefit from a wart remover called Wartrol.

What is Wartrol ?

Wartrol is marketed as an over the counter (OTC) “maximum strength” wart remover that has gotten wartrol reviewsa lot of play in online advertisements, as well as plugs on MSN, MSNBC, CNN.com, and USATODAY.

In all fairness, if I’m going to review an OTC product I have to mention something that most other reviews do not – and something that many consumers may not realize. If a drug is sold as an OTC product, it is not always the maximum strength available.

It is simply a drug you can buy without a prescription. In some cases, it may have a prescription equivalent that is many times stronger than what you can buy without a note from your doctor or prescriber. Because it is OTC, it also is less expensive.

That being said, if you have warts and do not want to see a doctor for whatever reason – embarrassed, cannot afford an office visit or the cost of a prescription – then Wartrol is worth a look.

Check Here – “Best offer by Wartrol Along with providing FREE shipping, on the purchase of 3 bottles you get 2 bottles Free!”

It was launched in 2002, the same year it joined the Natural Products Association. It is distributed through Market Health Inc., a health and beauty network launched in 1998.

If your decision to buy health and beauty products is affected by your perception of the manufacturer’s website or product packaging, for instance, then you may have a mixed reaction.

While the official website is obviously well designed and contains clear, informative text, it is extremely busy – more like an infomercial than a serious, consumer driven website. I have to admit that I am not impressed by this sort of image, whether it is on product packaging, or advertisements in newspapers and magazines.

The website offers its share of testimonials from satisfied customers, extolling how quickly the product works, and how it has restored self confidence in each of them. I would personally take these with a grain of salt. This is an online natural healthcare supplement, and the website is more of an advertisement than anything else.

What are Warts?

Warts are a skin growth caused by some types of the virus known as human papillomavirus (HPV), of which there are more than 100 known types. wartrol in the mediaThis infection only manifests itself on your skin or mucous membranes.wartrol

But before we go any further, let us clear up one thing right now that other reviews have not: Though warts are caused by any number of HPV infections, not all types of HPV are caused by a sexually transmitted disease.

And because not all medications are 100 percent effective for everyone, you should know that Wartrol works very well – but is not the ultimate cure for warts. There is no ultimate cure. In fact, some strains of HPV will go away on their own within a few years.

Using Wartrol on genital warts is not something the manufacturer recommends, but because this is an OTC and non-prescription strength product, our standard disclaimer applies that you should be aware of: Use this product on genital warts at your own risk.

Back to warts. There are more than 10 kinds, but we will give you a rundown of the five most common so you better understand Wartrol’s effectiveness.

  • Common warts. Also known as Verruca vulgaris this has a rough surface and can grow anywhere on the body, though it is most common on hands.
  • Flat warts (Verruca plana) are small, smooth, and flattened, often blending in with your skin can occur in groups, mostly on the face, neck, hands, wrists and knees.
  • Periungual wart. This cauliflower-like cluster of warts that can crop up around the nails. These are perhaps the most difficult to cure.
  • Filiform or digitate wart. Common on the face, especially near the eyelids and lips, these warts have a thread or finger-like appearance.
  • Plantar wart, or Verruca plantaris, usually is found on pressure points on the soles of the feet. It is a hard sometimes painful lump, often with multiple black specks in the center.

Warts are easily spread if you come into contact with the human papillomavirus, but not necessarily through sexual contact with another person. Once infected, you can spread warts by touching one, then touching another part of your body.

The human papillomavirus that causes warts can also be spread through sharing towels, razors, or other personal items. If you bump into someone with a wart – actually touching the wart – then you may be infected, but not always.

Symptoms of Warts

Warts can affect anyone, young or old. Here are common signs to watch out for which may indicate a wart is growing on your skin:

  • Rough growths under or around your fingernails or toenails.
  • Abnormally dark or light skin surrounding the lesion.
  • Numerous small, smooth, flat lesions on the forehead, cheeks, arms, or legs, often pinhead in size.
  • Rough, round, or oval lesions on soles of feet — flat to slightly raised – which are painful to the touch or when pressure is applied.
  • Small, hard, flat or raised skin lesion or lump.

Wartrol is a topical liquid applied to warts with a small applicator brush. It is fast acting and painless, and uses FDA approved ingredients. It is a viable, less expensive alternative to going to see a doctor, which presents a number of issues to consider – the cost of the visit, the expense of prescription medication or other treatment, time taken for the appointment.

Best of all, Wartrol uses many of the same ingredients employed by a doctor or dermatologist in their office for wart removal, but at a fraction of the cost.

Complications from Warts

For wart sufferers, you know that complications exist which are more than just inconvenient:

  • Warts can be spread easily.
  • Warts that are removed have been known to return.
  • If you are not careful with the removal procedure, your skin may be scarred.
  • Keloids could form after removal, which we can tell you is a pretty nasty end result. Basically, this is excess scar tissue that grows in place of the removed wart – another skin problem to worry about.

How Does Wartrol Work?

easy to apply wart removerFrom what we have seen, Wartrol uses a proprietary blend of ingredients and all natural oils to initiate a process called Keratolysis, which removes the warts from your skin once they are dead.

This process involves thinning the toughened skin layers created by the HPV virus, allowing for wart removal.

One thing to point out about Wartrol is that while we recommend it as an excellent OTC wart removal product, it demands time and dedication. One application will not do the job. In the worst case scenario, fully removing the wart may take days or weeks. But it does work fast initially.

Here are the steps you should follow: Wash and dry the wart, use the applicator brush to apply Wartrol, then let it air dry for about a minute. In less than 20 minutes, you will see signs the wart is starting to dissolve, but like I said, have patience.

During this time, do not cover the wart with anything – no cloth wraps or bandages of any sort. Just let it work. The manufacturer recommends that you follow this regimen three times a day until the wart id gone.

Wartrol Ingredients

If you are going to make a decision on how to best treat warts, you need to start by asking questions and finding answers, particularly about ingredients in products that are marketed as homeopathic or all natural.

Unlike many homeopathic treatments that use a blend of ingredients, Wartrol has only one active ingredient: A 17 percent solution of Salicylic Acid. So what exactly is Salicylic Acid?

Salicylic Acid is used to treat many skin disorders besides common warts and plantar warts, such as acne, dandruff, psoriasis, seborrheic dermatitis of the skin and scalp, calluses, and corns depending on the dosage form and strength.

If you are a normal person like me, anytime you hear the word “acid” you normally think of bad things, but in the case of Salicylic Acid as an ingredient in Wartrol, the solution is of such a low percentage that you do not have to worry about skin being burned off or any or other nightmare scenario. Here is what Salicylic Acid does (queue the sound of something sizzling, just for effect):

  • Once applied, it will soften the natural skin surfaces that form a wart until the wart can be rubbed off with something like a pumice stone or perhaps a soft-shell fingernail file.
  • Acts as an irritant, big time. After settling into your skin Salicylic Acid will constantly irritate it and possibly trigger an immune system response. If you remember correctly from any science class, the human immune system – once in a heightened state of awareness – will react by attempting to fight off viruses in your body: In this case, the human papillomavirus that causes wart growth.

Wartrol also contains other “inactive ingredients”, which in the case of substances approved by the U.S. Food and Drug Administration are not regarded as having a noticeable effect on how other drugs or medications work once absorbed or applied. Rather, these ingredients may contribute to the color or odor of the drug, or how long it lasts stored in your medicine cabinet. That being the case, these inactive ingredients are:

  • Ethyl Alcohol. Typically, this is used as a solvent.
  • Flexible Collodion. This may help Wartrol dry as a thin film over the wart, helping the medication break down the wart so it can easily be removed.
  • Menthol. When used topically, in the case of Wartrol, it may act to inhibit an itching sensation as the wart dies.
  • Polysorbate-80. This likely works as an emulsifier, helping Wartrol stabilize as it works.
  • Ascorbic Acid. As a nutritional supplement it is thought to help wounds heal faster.
  • Hydroxypropylcellulose. This helps keep the skin around the wart hydrated.

Do other legitimate remedies exist? Of course, like applying podophyllum resin paint, or encouraging interferon production to fight infection and the wart by applying certain topical creams. Another “home” treatment is the use of duct tape to cover the wart and kill it. Non-prescription cryotherapy is another option, where you spray two different chemicals onto the wart that are supposed to freeze and kill it.

Wartrol Safety Guidelines

This wart remover is safe to use as long as you follow the instructions but remember above all else, use common sense and remember it is not to be taken orally. The manufacturer does offer general safety guidelines to keep in mind which we agree with, among them:

  • Research all herbal supplements before hand, and check with your doctor if you have any questions.
  • Understand that this product, like any other, may have certain reactions with other OTC or prescription medication. Because Wartrol is an over the counter product, we would recommend simply checking with the pharmacist before purchasing it, but be prepared to give a list of any drugs you may already be taking.
  • The product should not be used on a long term basis. If warts persist for months after daily applications, then you need to consult with your doctor about other treatment options.

I would be remiss if I neglected to mention there are a few Wartrol reviews floating around the “interwebs” that are flat our wrong and misleading when it comes to how this product should be used. After visiting the Wartrol site and examining the product packaging, let me say this loud and clear:

Wartrol is not to be ingested orally. Do not put it in your mouth. Here are proper directions:

  • Wash the affected area, soaking it for up to five minutes in warm water if possible.
    Dry the area thoroughly.
  • Apply a small amount at a time with a brush sufficiently over each wart. Tip: Try a clean make-up brush.
  • Let the solution dry, and then repeat once or twice a day for up to 12 weeks

The Wartrol manufacturer clearly states this product is for external use only, and further warns that is should not be used on irritated skin, infected or reddened areas, if you are diabetic, or have poor blood circulation.

Specifically, Wartrol is not meant to be used on skin conditions like birthmarks, moles, warts with hair growing out of them, and warts on the face or mucous membranes. Other common sense warnings apply. Do not get Wartrol in your eyes; if it gets in your eyes, flush them out with water for 15 minutes. And more caution: Do not inhale the vapours.

Wartrol Benefits

Wartrol offers many benefits that we would like to mention. First of all, it uses only FDA approved, natural ingredients. This is important for any product marketed as homeopathic.

It also is safe to use and works quickly, sometimes as fast as within 18 minutes of the first application. The product is simple to use, just apply directly to the wart with the included applicator brush, and you are halfway home. Some other key benefits are:

  • Wartrol is a fast-acting liquid that does not require any bandages, wraps, or other follow-up care.
  • It is marketed as an over the counter product, which means it can be bought without a prescription from a doctor. The big draw here is that means you can use the product at your own convenience and at a schedule you are comfortable with.
  • There are no reported side effects to worry about.

Where to Buy Wartrol ?

Wartrol can only be bought through its website, which I am not thrilled about. If the product truly workswartrol wart remover as well as they say, then why not make it easily available to as many people as possible – and not force them to wait for it to be shipped?

Of course, the flip side is that you know you are getting a safe, effective, wart remover directly from the source.

If you purchase online, you get more ordering options. A one month supply is $49.95 plus shipping, two months is $89.95, a four month supply costs $149.95 with 1 free bottle, and a six month supply goes for $199.95 but includes two bottles for free.

One complaint with the ordering process: The Wartrol website does not display prices or shipping information until you start the ordering process, so if you want to go there just to “window shop,” you can forget it. This bothers me a bit.

The Downside of Wartrol

From my perspective, there are some things that bother me more about the manufacturer and its website than the product itself. The product seems to work, this I know, but here are some things that stick in my craw:

  • Wartrol can only be ordered online, and you have to wait for it to be delivered, sometimes up to 10 business days. It is a shame we cannot go to the corner drug store and buy it when we need it. What do we do in the mean time, continue to suffer through the pain and embarrassment of warts, waiting for the mail carrier?
  • The Wartrol website mentions clinical studies, but does not offer factual information or answer pertinent questions: Where did the trials take place? Were the volunteers paid? Were medical professionals involved? This seems just a bit shady but, honestly, is the sort of marketing strategy that companies like this use. To be fair, I would like to point out that online research does exist that states of 52 wart removal remedies that were tested, topical creams that used Salicylic Acid did the best job overall. This study, cited by Harvey S. Gibbs, also goes on to say that the average cure rate was 75 percent.
  • The price seems pretty steep. $49.95 for a small bottle only good for a month? Of course, if you only have a few warts that may not be a problem. If you are a chronic sufferer, however, you will need more than a one month supply or will have to look to a doctor for another solution. Try it, but do not become addicted to it as a quick fix.
  • Orders cannot be cancelled. Once you place an order, your credit card is billed immediately and the shipping process starts the same day. Wartrol can be returned within 90 days for a refund, but only for unopened and unused products. You also need a return authorization number.

Final Thoughts

If you are a wart sufferer, tired of the pain and potential embarrassment, you understand there is no single solution, but there is some simple advice to follow to avoid getting more warts: Avoid direct skin to skin contact with a wart on another person, especially their hands, and remember that if you touch your wart, or file it down, make sure you thoroughly wash your hands and the file afterward.

Because this is generally considered a homeopathic product, you should be aware that other treatment options exist worth mentioning. Though humorous, there are some traditional folk remedies to be aware of, like using “stump water,” which collects in the stumps of dead trees and can be applied to the wart.

Or rubbing the wart with a potato, then burying the potato and waiting for it to dry up – coincidentally, some insist the wart will dry up at the same time.

We can recommend Wartrol as a wart remover, at least a one month supply for an evaluation period. Our advice is to not get taken in by offers of free bottles with more expensive orders. Try it and see how it works, then make your own evaluation.

 

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Wartrol Genital Wart Relief

Wartrol Genital Wart Relief is a natural home remedy for genital warts that is proven safe, with no side effects. It has natural ingredients that try to improve your natural immunity against the virus so that the body can heal itself.

Genital warts are caused by infection from HPV or human papilloma virus. It is usually contracted from hpv-wartsan infected sexual partner and sometimes, the condition is not recognized soon enough because there will be no telling symptoms. Genital warts may not always be visible and the virus may not be that active. However, it can still be spread sexually, so caution is always advised, especially with people who engage in unprotected sex.

There are about 20 million people who are infected with HPV in the United States, mostly among sexually active people between the ages of 15 and 49, as recorded by the American Social Health Association. It can infect men and women of any age, but mostly those who started having sex at an early age, and who have had several sex partners in the past.

HPV also causes certain cancers such as cancer of the cervix and HPV infections are common among 50% of sexually active young men and women. Several researches prove that HPV is easily transmittable but may be prevented through safe sexual practices.

Symptoms

A person may have genital warts without noticing any symptoms, but some who are infected with it may notice itching or a burning sensation in the genital area. If the genital warts are inside the vagina, this may cause painful intercourse or an abnormal discharge. In some rare cases, there may be blood in the urine if the wart obstructs the urethra.

Prevention

Since genital warts are not always visible, it is important to use a condom during sex and inform your sexual partner if you suspect that you have them. Do not touch or scratch these warts, as the infection can easily spread.

Treatment

The most common medical treatments involve gel medications or creams that are applied on the wart directly for several days, until the wart dries up. A patient may also opt to go for cryotherapy which means freezing the wart using liquid nitrogen repeatedly every two weeks. Alternatively, the warts may also be removed by laser or by surgical excision, which are all expensive procedures.

Wartrol Genital Wart Relief is a natural home remedy for genital warts that is proven safe, with no side effects. It has natural ingredients that try to improve your natural immunity against the virus so that the body can heal itself.

If you want to find fast relief for genital warts, you can try Wartrol Genital Wart Relief by visiting their website and signing up for their free trial offers. Remember though, that genital warts may recur, and that it is always best to consult your doctor to discuss your treatment option.

Role of HPV Type 16 in Cervix and Intraepithelial Neoplasia

At the hospital of ter Harmsel et al, all women who had Pap smears performed in the gynecology department during the years 1988 and 1989 also had screening for HPV 16 infection using PCR technology. Those women who had a positive screen for HPV 16 and had a normal smear were asked to return at six-month intervals for repeat testing. After three consecutive tests had been performed, the study participants were divided into those who had three consecutive HPV 16-positive tests and those who did not.

Of the 5500 women who were screened, 110 (2%) were found to be HPV 16-positive. Thirty-two of these women had an abnormal Pap smear and were excluded. Fifty-four of the remaining 78 women consented to be part of the study. Twenty-five of these 54 had persistent infections, and 29 did not. Eleven of the twenty-five (44%) women with persistent infections developed CIN, whereas only six of the 29 (21%) women who had transient infections did so (P = 0.036). The CIN in those women with persistent infection tended to be more advanced.

In the discussion section of the paper, ter Harmsel et al suggest that women who have positive HPV 16 tests should be monitored more closely because of their increased risk of developing CIN. They further suggest that the routine use of HPV testing would not be cost- effective, even though they used a low estimate of the cost of each HPV test. ter Harmsel et al suggest that women with (atypical squamous cell of undetermined significance) smears might represent a sub-group for whom HPV 16 testing might be cost-effective, but their study did not address this issue.

Comment by Kenneth Noller, MD

Considerable discussion occurs at every cytology meeting, colposcopy meeting, and constantly in the literature regarding the role of HPV testing. There is no doubt that those women who are infected with one of the high-risk virus types (and HPV 16 is by far the most common in the United States) are at higher risk for developing CIN than women who are not infected. Yet, few women who are infected with HPV 16 ever develop detectable CIN. Almost no one would argue for the routine use of HPV 16 testing of all women because it would add an enormous cost to the U.S. health care system. However, there might be a sub-group for whom such testing would be appropriate. For example, ter Harmsel et al suggest that women with ASCUS smears might represent an appropriate sub-group. Presumably, those women with ASCUS smears who were high-risk HPV type positive would continue to be frequently screened. Those who were HPV negative would stop the screenings and return to routine, once yearly Pap smear screening. Indeed, in any algorithm that uses HPV testing, those women who are HPV negative, regardless of their initial status, must be returned to annual screening for the test to be cost-effective.

The controversy will continue probably far into the future. This current article certainly does not help us very much in our clinical practices. Rather, it is an interesting anecdote.

Symptoms, Treatment and Prevention of STD’s Other than AIDS

aids virusAIDS is not the only sexually transmitted disease to have burgeon in the 1980s. Can you spot the symptoms of the five other much more common STDs? Can you answer the questions that your patients will have about treatment and transmission? By Priscilla McElhose, RN, BSN, MN

The post-MI patient who breaks out with genital blisters, the trauma patient who develops urethral discharge, the patient who’s admitted for severe pelvic inflammatory disease — all have one thing in common: Each has a sexually transmitted disease.

While AIDS may be the most feared and best publicized STD, it is by no means the most common. In fact, while everyone talks about AIDS, up to one American in 10 has become infected with chlamydia, gonorrhea, syphilis, genital warts, or genital herpes.

The possible consequences of these five most prevalent STDs include sterility, miscarriage, birth defects, and, perhaps, cervical and other genital cancers.

Every nurse has an important part to play in the fight against sexually transmitted diseases. You need to recognize the symptoms and teach infected patients how to comply with treatment and take measures to prevent further transmission. You must respond accurately and sensitively to your patient’s pressing questions: “Is it curable? How can I tell my partner? Can I still have sex? Will it make me sterile?” The law also requires you to report certain cases of sexually transmitted disease to the health authorities.

Though these five diseases — two bacteria and three viral — are not as dramatic as AIDS, they are equally deserving of your careful attention.

Chlamydia: The silent menace

ChlamydiaChlamydia, an infection caused by the Chlamydia trachomatis bacteria, strikes an estimated three million to five million Americans each year.

Within three weeks after becoming infected, men may experience burning on urination and a white or clear discharge from the penis, indicating urethral infection — or specifically, non-gonococcal urethrists, or NGU.

Women may develop a yellowish endocervical discharge, painful urination, or spoting after intercourse or between menstrual periods. Chlamydia infection of the rectum can produce itching, constipation, slight bleeding, and mucuscovered stools.

Patients who experience such early symptoms might be considered fortunate: Chlamydia’s greatest threat by far lies in the fact that it’s often asymptomatic.

As a result, the patient feels no need to seek treatment, and the disease may go undiagnosed until a complication sends him to see the physician.

In men that may be epididymitis — inflammation of the sperm ducts that can cause sterility — or Reiter’s syndrome, which includes urethristis, conjunctivitis, arthritis, and skin lesions. Women may develop pelvic inflammatory disease (PID), which can result in infertility and increased risk of ectopic pregnancy.

Infants who are born to infected women are at risk. For a complete discussion of how STDs effect infants in utero and at birth, see the box on page 57.

Chlamydia can almost always be cured by a seven-day course of oral antibiotics. Most patients will receive tetracycline 500 mg qid or doxycycline (Doxy-Caps) 100 mg gib. Pregnant women, who should avoid these first-line drugs, may take erythromycin 500 mg four time a day.

Be sure the patient understands that the disease is dangerous even when asymptomatic. Stress the importance of completing the entire course of antibiotics to eradicate all bacteria. And make sure he knows how and when to take the medication. Tell the patient receiving tetracycline, for example, to take the drug one hour before or two hours after meals. Remind him to avoid dairy products, antacids, mineral supplements, and direct sunlight. Advise him to have follow up cultures taken two to three weeks after finishing the medication.

Explain that chlamydial infections are transmitted only by sexual intercourse, never through casual contact. Encourage the patient to notify all sexual partners within the past three weeks, so they, too, can be treated. Urge abstinence from sex until follow-up cultures are negative and thereafter use of condoms lubricated with a spermicide containing nonoxynol-9 to prevent reinfection from chlamydia and other STDs.(*)

(*)For more information on how to prevent the spread of STDs, see “What you and your patients need to know about safer sex” in the Sept. 1987 issue of RN.

Gonorhea: On the rise among heterosexuals

gonorrheaNearly a million new case of gonorrhea — or, “clap,” as it’s called on the street — are reported to public health officials each year. While the disease appears to be declining among homosexual men, it’s increasing in all other groups.

Like chlamydia, gonorrhea is caused by bacterial infection. In this case, the infective organism is a gram-negative diplococcus, Neisserig gonorrhoeae.

Most infected men usually develop symptoms of gonococcal urethritis — painful urination and a profuse yellowish discharge from the penis — with two to five days of initial infection. Only about half of infected women develop symptoms, which can include vaginal discharge and burning or pain on urination.

People can also acquire anorectal and pharyngeal gonococcal infections as a result of sexual activity. Anorectal gonorrhea is usually asymptomatic, but patients may experience itching constipation, or blood or mucus in the stool. Pharyngeal infection occasionally causes sore throat.

Patients who remain untreated are at risk for the same complications as those with chlamydia — PID in women and, infrequently, epididymitis in men — as well as systemic gonorrheal infection, which can result in septicemia, arthritis, or skin lesions.

Preferred treatment for anogenital gonorrhea in women and heterosexual men is either amoxicillin 3 gm PO or ampicillin 3.5 gm PO, plus probenecid 1 gm PO. Since these patients often have concurrent chlamydial infections, they are also put on the seven-day regimen to tetracycline or doxcycline.

Homosexual men, who are more likely to have multisite gonorrheal infections, are given IM penicillin 4.8 million units or ceftriaxone sodium (Rocephin) 125 mg to 250 mg IM. Patients with anogenital infections caused by penicillin-resistant strains of gonorrhea are also given ceftriaxone, and ceftriaxone is used as a first-line drug in some communities where resistant strains are common. Patients who are allergic to penicillin may weel be allergic to ceftriaxone too: They receive spectinomycin 2 mg IM.

Most patients respond to treatment within 12 hours and experience complete resolution of symptoms within three days.

Inform the patient that you’re required to report all cases of gonorrhea to public health officials and explain what kind of follow-up is customary in your area. In our community, someone from the department of health contacts each patient, gives information on the prevention of STDs, and asks partners that they’ve been exposed.

Instruct patients to avoid sex while they’re receiving treatment and to have follow-up cultures taken a week after they’re finished their medication.

Urge patients to use condoms to avoid future infection and to seek treatment promptly if symptoms recur. Remind women that they won’t always have symptoms and urge them to go for screening if their partners become infected.

Syphilis: Resurgence of an ancient plague

syphilisDespite a widely held misconception that syphilis has been all but wiped out in this country, nearly 28, 000 new case were reported last year. The majority of patients are homosexual men. Some experts anticipate, however, that the rising incidence among heterosexuals may return the annual case load to the 70, 000 level of the early 1980s, before fear of AIDS brought about changes in gay sexual activity.

Syphilis, caused by the Treponema pallidum bacteria, is characterized by four well-defined stages. Symptoms of the earliest stage, primary syphilis, appear three weeks to 90 days after initial infection. Patient may first noticed one or several painless, papular lesions on their gentials, anus, or mouth. The lesions, called chanres, break down into indurated ulcers with firm, raised borders and then disappear again within three weeks. Women with chancres on the cervix may never detect their presence.

After several more weeks or months, patients can progress to secondary syphilis. Its main symptom, which can last two to six weeks, is a skin rash that is highly variable — in fact, it can resemble almost anything.

The next stage, latent syphilis, can last up to 30 years. The patient will have no symptoms, though blood tests will remain positive.

The final stage, tertiary syphilis, can affect the heart and blood vesles, the brain and central nervous system, and occasionally the liver, bones, and skin. Complications in the central nervous system can cause seizures or convulsions; those in the heart can cause death.

Patients with primary, secondary, or early latent syphilis receive a single IM infection of benzathine pencillin G (Bicillin) 2.4 million units. Those who’ve been in the latent state for longer than a year are given 7.2 million units IM, divided into three weekly doses. Patients with tertiary syphilis must be hospitalized for a 10-day regiement of IV pencillin G, 10 to 20 million units a day, followed by three weekly IM injections of benathine pencillin G, 2.4 million units in each does. Patients who have penicillin may be given oral tetracycline 500 mg four times a day for 15 to 30 days, depending on the stage of their illness.

With treatment, syphilis is curable at any stage. Up to 10% of patients, however, don’t respond to the first round of antibiotics and may require a subsequent course of treatment with higher doses over a longer period of time. It’s essential that patients receiving tetracycline understand the importance of adhering missing only a few doses increases the chance of drug failure. Urge these patients to obtain repeat blood tests one, six, 12, and 24 months after therapy to be sure of a cure.

Caution all patients with primary or secondary syphilis about the possibility of a Jarisch-Herxheimer reaction, a flu-like syndrome that can develop within four hours of starting antibiotic therapy. Symptoms usually disappear within 24 hours.

Instruct patients with primary syphilis to avoid intercourse until all lesions are healed to keep from infection their partners. Instruct those with primary and secondary syphilis to notify everyone they’ve had sex with since becoming infected. After the secondary stage, the disease is no longer contagious. Be sure to tell patient that you must report all cases of syphilis to public health authorities and explain local follow-up procedures.

To help patients avoid future infection, encourage them to check all partners for lesions or rashes. Also stress the importance seeking prompt medical attention if symptoms recur. Be sure your patients understand that just because lesions clear up without treatment, it does not mean the infection has gone away.

Genital warts: A strong link to cancer

Genital wartsEach year an estimated 400,000 to 600,000 Americans develop genital warts — a disease caused by the human papilloma virus.

Warts — one or more painless, soft, fleshy, growths — usually appear one or two months after exposure, but can take a long as nine months to incubate. Some warts are so small they can be identified only with a colposcopic exam of the cervix and vagina or a Pap smear

Although much remains to be learned about how the papillomavirus progresses, doctors have observed that the warm, moist environment in the genital area seems to favor wart growth. Outbreaks appear to be exacerbated during pregnancy and in patients with defective immune systems.

Patients with a history of genital wart may be at increased risk for certain types of cancer. The human papilloma virus is associated with up to 90% of cervical malignancies and may play a role in cancers of the vagina, anus, vulva, and penis.

Genital warts treatments used to resolve symptoms can be uncomfortable and vary in effectiveness. Cryotherapy with liquid nitrogen offers the best combination of effectiveness and freedom from unpleasant effects. Electrocautery, excision, and laser surgery are used, but they’re more painful and carry more risk of scarring.

Many doctors treat warts with weekly topical applications of 10% podophyllin in tincture of benzoin. The patient leaves the medication on four to six hours and then washes it off. Podophyllin, however, can be locally or systemically toxic and should not be used extensively on mucosal tissue or during pregnancy. Patients with warts inside the urethra may be given antimetabolites, such as 5-fluorouracil.

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If a patient on your unit has genital warts, urge him to visit his doctor or a sex disease clinic after discharge. Tell him that treatment may be needed for up to eight weeks to destroy the growth be examined and female partners should have a Pap smear.

Recommend use of a condom during intercourse while treatment is going on and for several months afterwards, when the rate of recurrence is high. Urge female patients to have regular gynecologic exams, including a Pap test, to screen for cervical abnormalities.

Herpes: Discomfort, but not doom

Genital herpesGenital herpes is a disease caused by the herpes simplex virus, types I and II. Each year there are between 400,000 and 600,000 new cause of herpes. Some 20 million people have yearly recurrences.

Primary herpes is characterized by one or more genital blisters that usually appear seven to 10 days after initial infection. The blisters progress to shallow, painful ulcerations that resolve without treatment in about two to four weeks. Other symptoms may include muscle pain, headache, and swollen, tender lymph nodes in the groin.

Symptoms are milder during recurrences than during a primary attack. In fact, patients with histories of childhood cold sores or other non-genital herpes outbreaks usually escape altogether the severe symptoms of primary genital herpes. In recurrences, there are fewer, less painful lesions that heal in a shorter period of time — typically, four to seven days. Between outbreaks, patients are symptomatic.

The most common complication of genital herpes is the spread of lesions to other sites, usually the mouth, eyes, or cuticles. Rarely, patients with primary herpes can develop central nervous system complications including stiff neck, headache, intolerance to light, or aseptic meningitis.

Treatment is aimed at speeding resolution of symptoms and reducing the frequency and severity of recurrences. Patients with primary herpes infections receive oral acyclovir (Zovirax) 200 mg five times a day for 10 days. Those suffering a severe recurrence may be given the same regimen, though usually for only five days. For patients with frequent recurrences — six or more a year — the physician may order a continuous regimen of acyclovir 200 mg two to five times a day. Pregnant patients who experience a severe first attack of genital herpes are treated with a topical ointment form of acyclovir, since they must avoid the oral drug.

Suggest other local treatments patients can use at home to supplement drug therapy — such as, frequent washing and drying of genitals with a warm, gentle soap and drying them with a warm hair dryer. Stress the importance of washing hands after using the bathroom to a avoid spreading the infection. Patients can also reduce by maintaining their overall health and avoiding stress as much as possible.

Counseling is especially important for patients with herpes. Reassure then that having the disease lives. Discuss when and how they might tell prospective partners about their disease. You can suggest sex until they know a new partner well enough to discuss so sensitive an issue. Suggest, too, that that not wait until lovemaking has already been started to initiate the discussion.

Urge patients to avoid sex during outbreaks. During the year after the first outbreak, providing they use condoms to contain shedding virus, patients can have intercourse in the symptom-free periods without too much danger of infecting partners. Subsequently, the rate of viral shedding during symptom-free periods decline and condoms — though they will maximize safety — may no longer be needed.

If your patient seems unable or unwilling to accept the changes in lifestyle the disease demands, you might want to refer him for psychological counseling. Some communities have support groups for herpes suffered and hotlines to answer questions about the disease. Find out what services are available in your area and prepare the information as a handout to give patients when they’re discharged.

Good nursing support is important to all patients with sexually transmitted diseases. By helping them understand the symptoms, treatment, and possible complications of their infections and teaching them how to avoid passing it on to their partners you can give your patients a much needed feeling of control over their disease — and their lives.

Warts Treatment: Needed for Some Types of Warts

Sir Francis Bacon is said to have cured his warts by rubbing them with pork fat. The fat was hung in the sun and five weeks later, after the fat had melted away, his warts were gone. Huckleberry Finn favored rubbing warts with a dead cat, while Tom Sawyer thought the best medicament was stagnant water from a dead tree. Other popular historical treatments have included paying vagrants to carry the warts away and rubbing the warts, without being observed, on the father of an illegitimate child.

Our modern understanding of warts began in the 1890s, when it was first demonstrated scientifically that warts were contagious. In 1907 warts were shown to be the result of a viral infection when a researcher developed warts after injecting himself with wart tissue material filtered so finely that only a virus could have passed through. Today, researchers have found that there are more than 50 different types of wart virus (known as human papillomavirus, or HPV) and that each type produces different forms of warts and on different parts of the body. Indeed, new HPV types are continually being identified and there is now, say Alexander and James Berman, of the Medical College of Wisconsin, a previously unparalleled scientific interest in warts.

A good deal of this interest stems from the discovery that several types of wart virus, particularly those known as HPV 16 and HPV 18, are highly associated with certain cancers. These HPV types cause warts on the genitalia, and in women infection with HPV 16 and 18 is so closely linked with cancer of the cervix that researchers now consider them the probable cause of most cases of cervical cancer–the second most common form of cancer in women. Genital HPV infections (which may or may not produce visible warts) have also been found to be highly contagious, being passed between sexual partners as often as two-thirds of the time. Genital wart infections, if suspected, should always be brought to a physician’s attention for proper diagnosis and treatment.

In contrast, common warts are generally harmless and are far less contagious than genital warts. Such warts are most likely to occur on the hands, soles of the feet and shaved areas of the face, where cuts or breaks in the skin make it possible for wart virus particles to reach the deep, living layers of the skin where they are able to reproduce. A person’s susceptibility to warts also depends on the functioning of his or her immune system. For instance, people given drugs that suppress their immune system frequently develop warts. Similarly, children are more prone to warts than the elderly, perhaps because older people have had the chance to develop a stronger resistance to wart virus infections as a result of repeated exposures over the years.

Studies show that 20 percent of all common warts disappear on their own within three months of first appearing and that two-thirds do so within two years. This happens because the body’s immune system finally overcomes the wart virus infection, which helps to explain the apparent success of many folk remedies: most warts will eventually go away no matter how they are treated. Accordingly, experts say that when common warts are treated (for reasons of aesthetics or comfort), the method chosen should cause the least possible pain, scarring and expense.

Common warts can often be successfully treated with one of the many wart medications available without prescription. Most of these preparations contain salicylic acid, which works in part by causing the hardened wart tissues to soften and slough off. An article in the journal Drugs points out that though over-the-counter wart products are able to cure some 80 percent of common warts, their effectiveness depends greatly on their “correct and sufficient applications.”

For warts that are persistent, painful or in sensitive areas, a variety of treatment techniques are available to physicians. Among the more commonly used are repeated freezings with liquid nitrogen, surgical removal (this method is not highly recommended by experts, in part because up to 30 percent of all warts removed surgically recur) and treatment with drugs applied either on top of the wart or injected directly into it. Just as with over-the-counter treatments, these methods all require persistence. In one report, for instance, a three-year-old wart on the sole of a man’s foot was finally eliminated only after weekly freezings had been continued for five months. Other techniques include laser vaporization, hypnosis (which may work by stimulating the body’s immune resources), injection with interferon, and contact immunotherapy, in which a person is first allergically “sensitized” to a chemical which is then applied to the wart, provoking a heightened immune reaction in and around the wart.

Still other warts treatments are now being studied, including a salicylic acid skin “patch” designed to alleviate the inconvenience associated with traditional paints and pastes. And there is even the possibility, say the Bermans, that recombinant DNA technologies will one day make it possible to develop a vaccine to prevent warts and the viral infections that cause them.

Human Papillomavirus – What Woman Should Know

Human Papillomavirus InfectionAn estimated 75 percent of Americans will be infected at some point with human papillomavirus (HPV), a group of more than 100 viral strains, many best known for causing warts. While the vast majority of infections are harmless, the high-risk strains account for nearly all cases of cervical cancer, HPV’s most serious complication.

Symptoms

Many strains of genital HPV produce no symptoms, but can still be spread between partners. In some cases the virus may develop into genital warts, which may or may not be visible to the naked eye.

If left untreated, high-risk strains may lead to cervical cancer. Symptoms are rare but may include vaginal bleeding between periods or during intercourse, or a discharge that doesn’t itch or burn.

Getting Diagnosed

A Pap smear is a routine screening for cervical cancer in which cells are scraped from the cervix and tested for abnormalities.

The Hybrid Capture HPV Test can detect all 13 key cancer-causing strains. It may be recommended for women over 30 (cervical cancer is less common in younger women) in combination with a Pap smear.

Colposcopy involves a diagnostic tool that examines the cervix using a brightly lit electric microscope. Tissue samples from abnormal areas are biopsied for further analysis. It is usually performed after an abnormal Pap smear or positive HPV test.

Treatment for HPV

There is no cure for HPV. If detected, your doctor may advise a period of observation, since some strains often clear up on their own.

In other cases, your doctor may suggest removing abnormal cells before they progress into cervical cancer. This can be done with the use of cone biopsy, cryosurgery (freezing tissue), laser surgery or LEEP (removing tissue with a thin electrical wire). It’s not known if the virus disappears or simply becomes dormant once cells are removed. Regular screening is important because HPV may reappear.

Troublesome warts may be destroyed using chemicals applied directly to the skin, cryotherapy, electrocautery or surgery.

Prevention

It’s difficult to prevent HPV, since many people are unaware that they carry the virus and condoms do not protect against infection. To prevent spreading warts associated with genital HPV: Avoid direct contact with the affected skin. Abstain from sex until warts are treated.

To prevent cervical cancer associated with HPV get regular Pap smears, which may indicate HPV infection or the presence of precancerous cells.

Researchers are currently testing a vaccine against HPV-16, the strain found in half of all cervical cancers. In a recent experiment, it prevented virtually all immunized women from becoming infected with the virus.

“Although most women who are infected with HPV will not develop cervical cancer, it’s important to get regular Pap smears to screen for precancerous cells.”

Testing of Anti-tumor Product Detox for Genital Warts Treatment to Begin Today

Ribi ImmunoChem Research Inc.  today announced that it will begin testing its anti-tumor product Detox(TM) for treatment of venereal and genital warts (condyloma acuminata).

genital warts picCompany President Nils A. Ribi said, “This is an important example of the expanded potential use of our products, and provides us with the opportunity to greatly increase our revenues within the next two or three years. We are extremely pleased with the innovativeness of our scientific staff in developing products with broad market potential and in pursuing them with vigor.”

Results of preclinical studies carried out by company scientists show that certain of Ribi ImmunoChem’s biological response modifiers (BRMs), which include mixtures containing Detox, are effective in treating warts in animals. Detox, the first human anti-tumor product developed by the company, is now in U.S. Food and Drug Administration (FDA) Phase II human clinical trials for treatment of malignant melanoma and head and neck tumors.

The company plans to begin Phase II/III human clinical trials with Detox to treat venereal and genital warts within the next four to six months. The trials are expected to be carried out under the company’s Investigational New Drug (IND) application on file with the FDA. If successful in treating venereal and genital warts, the company then plans to initiate clinical trials on common warts (verruca vulgaris) in humans.

venereal and genital warts are believed to be the fastest-growing sexually transmitted disease in the United States, with the disease occurring about equally in men and women. Current estimates place the total number of patients affected in the United States at between 500,000 and 2 million. Statistics compiled by the Centers for Disease Control (CDC) indicate that up to 7 percent of women with chronic venereal and genital warts eventually develop cervical cancer.

“Therapy with Detox should have a significant effect on the incidence of venereal and genital warts,” said J.A. Rudbach, the company’s product development director. Current treatments such as surgery, cryosurgery, electrocautery and the use of certain drugs generally are not capable of eliminating the possibility of recurrence of the disease.

“The mode of action of Detox is such that its use, in addition to eliminating the primary growth, should also stimulate the patient’s own immune system to eliminate secondary growths and prevent recurrences,” Rudbach said.

Ribi ImmunoChem Research Inc., a biopharmaceutical company founded in 1981, is a leader in the development of general immune stimulators for human and veterinary use in an effort to fight malignant and infectious diseases.

HPV Infection – Most Common Sexually Transmitted Disease

HPV virusScientists attribute the increase in HPV cases in part to changes in sexual behavior (namely, sexual activity starting at an earlier age and/or with multiple partners) in recent decades. Genital warts are highly contagious, spreading by sexual or other intimate bodily contact, and a person can be infected with the virus and spread it even though no warts are visible. Though HPV is most prevalent among young people as well as the poor, it occurs among all ages and all classes. The warts are soft, flat, irregularly shaped growths that appear on, in, or around the genitals, as well as in the mouth and throat. They may increase in number and size. Small warts often cannot be seen by the naked eye, so doctors use a special magnifying instrument called a colposcope.

The virus may remain dormant for years, so genital warts can be hard to get rid of. It’s generally recommended that they be removed surgically (via laser or freezing), but that doesn’t necessarily mean that the virus has been eradicated from the skin. Even after warts have been removed, an infected person may still be able to transmit the virus. And the warts often recur.

Though the warts are benign, HPV is believed to be a precursor of genital cancers, notably of the cervix and possibly the penis. Most women with cervical cancer are infected with HPV, but only a relatively small proportion of HPV-infected women eventually develop a related cancer. How prevalent the virus is, and how it contributes to malignancies, are open questions that will be resolved only by intensive research. It’s important to remember that not all warts are caused by HPV, and not all papillomaviruses have been linked to cancer. Nevertheless, early identification of HPV is important in identifying women at high risk for cervical cancer. Once diagnosed with HPV infection, a woman must have periodic Pap smears (for the early detection of cervical cancer) for the rest of her life. Avoiding other sexually transmitted diseases is also important.

For more on preventing STDs, see our issue of April 1990. Unless you are in a long-term, monogamous relationship, don’t assume your partner is free from HPV. Always use a condom, even though it may not offer complete protection against HPV.

Candisiasis, HPV, Genital Warts and Pelvic Inflammatory Disease

The newest drug indicated for relief of candidiasis (yeast infection), a predominant form of vaginitis, is Terazol (R) (terconazole), a broad-spectrum antifungal agent. Candidiasis is responsible for up to 40 percent of all cases of vaginitis. Terazol (R) (terconazole), manufactured by Ortho Pharmaceutical Corporation, is available in both cream and suppository forms.

“Clinical tests indicate that Terazol (R) (terconazole) therapy affords rapid symptomatic relief, outstanding microbiological cures, and low rates of relapse,” notes Carole Sampson-Landers, M.D., director of clinical research at Ortho. “These tests have shown Terazol to have a significantly lower incidence of burning and itching than the low rates experienced with miconazole nitrate, a clear benefit to women already suffering from the discomfort of a yeast infection.” In laboratory tests, Terazol has proven active against other harder-to-treat fungi (T. glabrata, C. tropicalis) as well as an imidazole-resistant strain of Candida albicans.

“The importance of the rapid relief of vaginitis afforded by Terazol (R) (terconazole) cannot be overemphasized,” Dr. Sampson-Landers said.

Emotional Aspects to a Women’s Sexual Health

“The emotional impact of vaginitis and other sexual health problems can touch on many aspects of a woman’s life — not just her self- image but her relationships with her family and her husband or partner,” according to Ruth Westheimer, Ed.D., noted sexual health advisor and psychotherapist who spoke at today’s seminar.

“If intercourse frequently proves painful, or if there is an irritant that prevents her from achieving orgasm, a woman may feel reluctant about entering or continuing a sexual relationship,” said Dr. Westheimer. “An ‘avoidance pattern’ may emerge, wherein a woman may resist situations where a sexual relationship is possible.”

In the coming decade, education and the media will help make American women the world’s most enlightened population in terms of sexual health, Dr. Westheimer said.

“Women who want to be part of these positive changes should query their physicians about their sexual health problems, and request information about the latest therapies for vaginitis and other sexual infections,” Dr. Westheimer commented. “Good sexual health should be acknowledged by all women as a very vital aspect of their overall emotional and physical fitness.”

Patient education is also critical to the management of pelvic inflammatory disease and human papillomovirus, noted Dr. Sobel. Patients should be encouraged to discuss any unusual signs or symptoms with their physicians, and feel comfortable discussing their diagnosis and treatment, if any.

Pelvic Inflammatory Disease

Women can help reduce their risk for pelvic inflammatory disease through increased awareness of the varied means through which the disease can be acquired, according to Dr. Sobel. Education through physicians and the media will play a critical role in this, he said.

“Currently available antibiotic therapies are adequate for treating acute pelvic inflammatory disease,” commented Dr. Sobel. “The challenge to the medical community remains reducing the infection rate — primarily through preventing transmission of the disease.” Sexual relations with multiple partners as well as other risk factors play a significant role in the onset of PID, he said.

Human Papillomavirus, or Genital Warts

The increase in cases of human papillomavirus (HPV) is also startling, Dr. Sobel observed. Office visits for the condition increased 580 percent in a recent 17 year period, according to a report in the Journal of the American Medical Association.

“HPV will emerge as one of the major genital infections of the coming decade as diagnostic techniques improve,” Dr. Sobel predicted.

Other Sexual Health Factors

Women and their physicians should discuss how some vaginal infections can be sexually transmitted, Dr. Weisberg said.

“Understanding a partner’s possible role in sexual illness, and inquiring about the latest treatment can go a long way in maintaining a woman’s sexual health.”

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Those who buy Wartrol and use it regularly noticed reduction of warts within three weeks of regular use and complete recovery within four to six weeks. When you buy Wartrol, it will be discreetly delivered with unmarked package right into your door so no one will know what’s inside the box. You only need to buy Wartrol online at Wartrol’s official website because it’s not available in stores anywhere.

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