[Psycho-social and sexology study of women with florid genital condylomatosis]. / Indagine psico-sociale e sessuologica in donne portatrici di condilomatosi florida genitale.

During the last 20 years studies about sexual transmitted diseases have introduced decisive changes in the knowledge of both their pathogenesis and pathology and their clinical treatment. Only nowadays the psychological aspects of the diseases have been taken into consideration. Our research studied particularly the life style of women affected by florid condylomatosis. In this regard we developed a questionnaire with both open and closed answers and we handed it out to a group of women affected by HPV and to an unaffected control group. We took into account different parameters, in order to outline the profile of personality, the life style, in Adlerian terms, of the women affected by HPV. Looking at the result of our research we can state that the female group affected by flourishing condylomatosis does not show relevant differences with the controls as to the economical, social and cultural parameters, the sexual habits and behaviour. Whereas the results show a particular, conscious and unconscious conflict, which expresses itself by means of contradictory interrelational behaviour and reactions.

[Cultural identification of patients with sexually transmitted diseases]. / Identificazione culturale dell'affetto da M.S.T.

The authors considered psychological problems concerning the communication to patients about a diagnosis of Sexual Transmitted Disease and particularly of HPV disease. In the past this sort of affection was related to some well identified social groups, but with the recent changes in sexual behavior, cultural and moral principles, the reference models are changed too. Consequently today it is difficult to recognize a rigid identification. However it is still possible that during the communication of the diagnosis the physician unconsciously transfers to the patient "his" classification with a given model among the groups of STD affected. This is particularly true for the gynecologist that is reporting on HPV infection or disease. Therefore the physician has to pay a great attention to the way he communicates, because in addition to the clinical concept there are psychological effects on the patient and on her relationships that could result iatrogenic.

[Assessment of human papilloma virus colposcopic findings of the cervix (in the Italian colposcopic classification]. / L'inquadramento dei reperti colposcopici da HPV in sede cervicale (nella classificazione colposcopica italiana).

HPV-induced flat condylomatosis is not only much more frequently observed on the hexocervix than the florid type, but it also induces colposcopic changes in the epithelium without completely altering its morphology. HPV-induced changes have now been largely identified and are recognisable in colposcopy. They can therefore be classified in the various patterns that characterise colposcopically the transformation epithelium, with undeniable advantages not only from the point of view of their correct classification but also from that of their prognostic evaluation. This is important because viral modifications ANTZ have a different diagnostic and prognostic significance from those observable in the notice squamous epithelium. A classification proposal of the various findings of flat HPV condylomatosis based on italian colposcopic classification is therefore presented.