Infection by the human papillomavirus in teenagers sexually active: clinic and subclinic manifestations.

This research studies the association of the cervical condyloma with the intraepithelial neoplasia, during sex activity, pregnancy, diagnose methods, cytology and colposcopy in teenagers. The objective of this research is to study the propaedeutics for the uterine coli condyloma diagnose in a group of teenagers. For this purpose, we have studied 131 teenagers sexually active with ages between 14 and 19 years and presenting histologically confirmed uterine coli condyloma. Association with intraepithelial neoplasia, sexual activity duration, method of diagnose, pregnancy analysis, cytology and colposcopy results and association with vulva and vagina injuries were evaluated. The high association rate with condyloma and intraepithelial neoplasia after a short time of sexual activity and the none presence of macroscopic warts in the genital organs in 80% of cases presenting cervical condyloma, demonstrate that: a more careful investigation with colposcopy and biopsy of the inferior genitals of the women-teenagers sexually active is needed, when presenting modified cervical cytology.

[Risk factors for uterine cervix condyloma in sexually active adolescent women]. / Fatores de risco para condiloma do colo uterino em mulheres adolescentes sexualmente ativas.

Factors most commonly associated with cervical cancer are early start of sexual activity and papillomavirus infection. PURPOSE--Studying risk factors for cervical condyloma in sexually active adolescents in the region of Campinas, SP, Brazil. METHOD--131 adolescents with condyloma and 131 without disease, controlled by age and pregnancy state, were compared according to social-demographical, sexual-behavioral and gynecological/obstetrical variables. Relative risk evaluation was performed for each variable and multivariate analysis with logistic regression was made to determine confunding factors. RESULTS--Tobacco smoking and nulliparity were identified as independent risk factors for cervical condyloma in this population. More than two sexual partners and low level of schooling were identified as risk factors in the univariate analysis, however, these factors were highly correlated with tobacco smoking and parity, respectively. All other variables were similar in both groups. CONCLUSION--Although tobacco smoking and nulliparity were identified as risk factors for cervical condyloma, it is very difficult to characterize a sexually active adolescent group without risk for infection.