Treatment of HPV by obstetrician-gynecologist Irina Ivanovna Kulbach in Dnipro city

Patients present with various complaints, such as unusual discharge, discomfort in the genital area, recurrent infections, or suspicion of HPV after abnormalities are detected during an examination.

The doctor conducts a thorough clinical assessment, reviews the medical history and symptoms, and, if necessary, orders additional tests to clarify the condition.

The patient receives a clear and understandable plan of further actions — what to do now, which tests to undergo, and how to monitor changes over time.

Irina Ivanovna pays special attention to ongoing monitoring and explains the treatment plan in simple terms so that the patient can understand each step and feel more confident throughout the treatment process.

When to See a Doctor

If you experience symptoms that cause discomfort or concern, it is important to consult a specialist in a timely manner. People often notice changes that may indicate a problem but do not always know when to seek medical advice. You should make an appointment with an obstetrician-gynecologist if, in the case of HPV, you notice:

• occasional or persistent unpleasant discharge with an unusual odor
• discomfort or itching in the genital area
• appearance of growths or lumps on the skin and mucous membranes
• pain during sexual intercourse or urination
• a burning sensation or redness in the intimate area
• symptoms that repeat or worsen over time
• the condition interferes with normal sleep or work
• no improvement after using basic remedies or previously prescribed treatment
• newly discovered changes during a gynecological examination
• the need for consultation during pregnancy
• worsening of symptoms after stressful situations or infections
• the need to clarify the diagnosis in cases of recurring inflammation

Remember that these symptoms alone do not provide a complete picture of your health. An accurate assessment and selection of an observation or treatment strategy are only possible after an in-person examination and necessary tests. If something worries you, it is better not to ignore it and consult a doctor — this will help prevent possible complications and choose the appropriate course of action.

Emergency Conditions or When to Seek Immediate Medical Attention

• sudden onset of severe pain in the lower abdomen or pelvic area
• increasing bleeding from the genital tract not related to menstruation
• combination of high fever with significant overall deterioration of condition
• sharp increase in itching, burning, or swelling in the genital area
• appearance of large or rapidly growing lumps or ulcers on the mucous membranes

If you experience any of these symptoms, do not delay contacting a doctor. Our clinic offers a home visit service to provide prompt assistance at a time convenient for you.

Causes and Risk Factors of HPV

This section will help you understand the causes that may underlie the appearance of HPV, as well as the factors that increase the risk of its development. It is important to know that an accurate assessment requires a doctor's examination and additional tests.

Main Causes / Mechanisms (Briefly)

• Contact with the human papillomavirus during sexual intercourse
• Weakened immunity, making it harder to fight the virus
• Damage to the mucous membranes through which the virus can enter
• Prolonged presence of the virus in the body without symptoms, leading to manifestations

Risk Factors

• Early onset of sexual activity
• Frequent change of sexual partners
• Non-compliance with personal hygiene rules
• Smoking and excessive alcohol consumption
• Hormonal changes, including during pregnancy
• Chronic stress and fatigue
• Presence of other sexually transmitted infections
• Reduced immunity due to diseases or medications

Reversible Causes That Should Be Excluded

• Inflammatory processes in the pelvic organs
• Fungal or bacterial infections causing similar symptoms
• Mechanical damage to the mucous membranes due to injuries or irritations

Human papillomavirus can develop under the influence of various factors, so if suspected, it is necessary to consult a doctor for a comprehensive evaluation and to choose the appropriate management or treatment strategy.

Diagnosis

The purpose of diagnosing HPV is to identify the current condition and understand which examinations are needed for further monitoring and treatment. The diagnostic approach helps to avoid unnecessary anxiety and choose the optimal plan of action.

Diagnostic Approach

• gathering information about medical history and symptoms
• gynecological examination with assessment of mucous membranes and skin condition
• conducting basic tests as indicated
• prescribing additional examinations if necessary
• analyzing the obtained data and developing a monitoring or treatment plan
• discussing the next steps with the patient

Common Examinations as Indicated

• cytological smear to assess the condition of cells
• test for the presence of human papillomavirus (HPV)
• colposcopy for detailed examination of the mucous membrane
• biopsy if tissue changes are suspected
• additional tests as recommended by the doctor

What to Bring to the Appointment

• results of previous gynecological examinations
• list of medications being taken
• records of symptoms and their changes
• test results, if available

HPV diagnosis requires a comprehensive approach and an individualized examination plan — the doctor will select the optimal methods based on your situation.

Treatment

HPV treatment is tailored individually, taking into account the specific characteristics of each patient and the clinical situation. The goal of therapy is to help control the condition and minimize possible manifestations of the virus, ensuring comfort and safety.

Therapy Goals

• reduce unpleasant symptoms and complications
• slow down the progression of the virus in the body
• maintain normal function and condition of the mucous membrane
• prevent the development of complications and further problems

Main Treatment Approaches

• may include medication methods to reduce virus activity as indicated
• use of procedures to remove visible manifestations if necessary
• application of non-drug methods to support mucous membrane health
• regular monitoring and adjustment of the treatment plan based on examination results
• individualized selection of approaches considering comorbidities and risk factors

What the Doctor Does

• assesses the severity of symptoms and selects an appropriate treatment plan
• takes into account comorbid conditions and patient’s individual characteristics
• monitors the effectiveness of therapy and possible side effects
• explains evaluation criteria and the importance of regular visits
• coordinates treatment with other specialists if needed

What to Expect: Plan and Monitoring

• changes in symptoms are evaluated regularly, timing depends on individual response
• treatment plan is adjusted if no improvement occurs or side effects appear
• follow-up visits are necessary for condition monitoring and timely adjustments
• therapy is conducted as indicated and under continuous medical supervision

To get an individualized HPV treatment plan, schedule a consultation with Dr. Irina Ivanovna Kulbach.

Prevention

Prevention is important to reduce the risk of developing and exacerbating HPV. The prevention plan is tailored individually, taking into account the patient's health characteristics and lifestyle.

Main Primary Prevention Measures

• practicing personal hygiene
• using protection during sexual intercourse to minimize the risk of virus transmission
• strengthening the immune system through a healthy lifestyle
• avoiding smoking and excessive alcohol consumption
• managing chronic diseases and timely treatment of infections

Screening and Secondary Prevention / Regular Monitoring

• regular scheduled visits to a gynecologist as indicated
• conducting cytological tests and, if necessary, HPV testing
• monitoring the condition of the mucous membranes through examinations and, when indicated, colposcopy
• discussing an individual observation and examination plan with the doctor

Practical Advice

• schedule doctor visits and follow recommendations for examinations
• maintain an optimal rest and nutrition regimen
• avoid stressful situations and overwork
• discuss options for adjusting treatment for concomitant diseases with your doctor
• regularly check your health status and do not ignore worrying symptoms

Prevention of HPV requires a comprehensive and individualized approach, so it is important to discuss all questions with your healthcare provider.

Important to Know

HPV (human papillomavirus) is a common viral condition that requires careful and consistent treatment. It is important not only to reduce symptoms but also to identify the causes and factors influencing the development of the virus in the body. Early assessment of the condition helps choose the optimal treatment methods and reduce the risk of possible complications. Often, ongoing monitoring is necessary to promptly adjust the treatment plan and effectively control the process. General factors such as stress levels, sleep quality, and the presence of concomitant diseases can affect the course of the disease and should be considered by the physician. Self-medication for HPV can obscure the clinical picture, cause side effects, and delay an accurate diagnosis.

• it is important to identify the causes and triggering factors, not just to eliminate symptoms
• early consultation helps determine the treatment strategy and reduce the risk of complications
• dynamic monitoring is necessary for timely adjustment of therapy
• stress and chronic fatigue can exacerbate viral manifestations
• self-medication may complicate diagnosis and affect the effectiveness of therapy
• a qualified doctor coordinates treatment taking into account concomitant conditions

For a comprehensive understanding of the topic and the specifics of HPV treatment, we recommend reviewing our detailed page, which contains all the essential information about the virus and its management.

Self-care Before the Appointment: What You Can and Cannot Do

Before seeing a doctor for symptoms related to HPV, you can take a few simple steps to ease your condition and prepare for the consultation. If your condition worsens, do not delay seeking medical attention from Dr. Irina Ivanovna Kulbach.

What You Can Do Before the Appointment

• Write down when and how the symptoms started, noting factors that worsen or alleviate the symptoms
• Bring a list of any medications you are currently taking to the appointment
• Keep a symptom diary indicating the intensity and time of day
• Measure your temperature and, if possible, blood pressure, to track any changes
• Reduce physical activity and try to rest
• Drink enough water to prevent dehydration
• Avoid injuries and irritation to the mucous membranes
• Wear comfortable, non-restrictive underwear made of natural fabrics

What You Should Not Do Before the Appointment

• Do not stop taking previously prescribed medications without consulting your doctor
• Do not start using new medications or “home remedies” on your own
• Do not perform any self-administered procedures or manipulations on the mucous membranes
• Do not ignore worsening symptoms or the appearance of new signs
• Do not change your treatment plan or dosage without consulting a specialist
• Do not use harsh cleaning agents or douches without medical advice
• Remember to avoid stress and excessive physical strain, which may worsen your condition

If you experience urgent symptoms such as suddenly intensified pain or bleeding, seek immediate medical help from Dr. Irina Ivanovna Kulbach.

How I Can Help as a Doctor with HPV Issues

During a consultation regarding HPV, I can assist you in the following ways: comprehensively assess your condition, determine the severity of symptoms, and develop an optimal treatment plan tailored to your individual characteristics. It is important not only to eliminate the manifestations but also to monitor progress to prevent possible complications.

• Review symptoms and medical history to identify possible causes and contributing factors
• Evaluate the severity of the virus and associated health risks
• Analyze current prescriptions and assess therapy tolerability
• Develop a plan for further actions: examinations, treatment, and monitoring
• Consider any comorbidities and medications you are taking
• Provide lifestyle and routine recommendations based on your condition
• Explain how to monitor progress and when to seek follow-up care
• Conduct an initial assessment and differential diagnosis of symptom causes
• Adjust the treatment plan if there is insufficient effect or side effects

This comprehensive approach not only alleviates current symptoms but also helps build an effective strategy for observation and treatment. If previous treatments have not been effective, we can adjust the approach taking your individual condition into account to achieve better control over the process.

What questions can you ask the doctor regarding HPV

During a consultation about HPV, you can discuss the following issues with Irina Ivanovna Kulbach:

• the appearance of unusual discharge and discharge with an unpleasant odor
• discomfort, itching, or burning in the intimate area
• the appearance of growths, formations, or changes on the skin and mucous membranes
• recurring symptoms or lack of effect from previously prescribed treatment
• questions about monitoring and controlling the condition over time
• possible concomitant infections or chronic inflammations
• assessment of risks and potential complications related to HPV

If you experience sudden severe pain, increasing bleeding, or high fever — urgent medical assistance is needed; do not wait for a scheduled appointment.

Frequently asked questions by patients

• What is happening to me and what could this be?
• Why did the symptoms appear only now?
• How can I understand if this is related to HPV or another issue?
• What examinations are necessary in my specific case?
• Which tests and investigations are truly mandatory?
• How should I prepare for exams and the doctor's appointment?
• What treatment options are available and how do they differ?
• Is it possible to completely get rid of HPV or is it a chronic condition?
• What should I do if the prescribed treatment does not help?
• Can it be managed without medication or surgery?
• How long does treatment usually last and how often is follow-up required?
• What signs indicate improvement or worsening of the condition?
• What should I do if there is a sudden worsening or flare-up of symptoms?

If symptoms worsen rapidly or urgent signs appear, seek immediate medical help. In case of doubts, the doctor will help determine the further course of action and, if necessary, refer you to other specialists or additional examinations.

How the Consultation Proceeds

A consultation with an obstetrician-gynecologist regarding issues related to HPV begins with a careful review of complaints and an assessment of the current condition. The scope of necessary examinations is determined individually, depending on indications. The doctor develops a plan of further actions based on the information obtained and the results of the examination. It is important not to expect a definitive diagnosis in a single visit – often observation and additional studies are required.

1. Clarification of complaints and the purpose of the visit: the doctor asks what exactly is troubling you, when the symptoms appeared, what affects their manifestation, and what you expect from the appointment.
2. Collection of medical history and risk factors, including information about past health, lifestyle, and possible provoking causes.
3. Review of previous treatments and examinations; the doctor recommends bringing test results, a list of medications being taken, and medical records.
4. Examination and specialized tests are conducted as indicated: gynecological examination, assessment of the condition of mucous membranes and skin.
5. Preliminary conclusion – the doctor discusses the possible causes, clarifies what needs to be ruled out, without establishing a final diagnosis.
6. An individualized plan for necessary examinations is formed; it may include cytology, HPV tests, colposcopy, biopsy, and other procedures as indicated.
7. Discussion of general principles of treatment or condition management without prescribing specific medications at the first visit.
8. A plan for monitoring and further steps – the doctor explains when to return for a follow-up, how to monitor symptoms, and when to seek earlier consultation if the condition changes.

If you are consulting for these symptoms for the first time, the consultation will focus on detailed information gathering and identifying possible causes. If previous treatment did not yield the expected results, particular attention is paid to evaluating the effectiveness and adjusting the treatment plan.

The consultation takes place in a comfortable environment, allowing you to ask questions and gain a clear understanding of the next steps in examination and treatment.

Preparation for the Appointment

To ensure an effective consultation with the obstetrician-gynecologist, it is important to prepare in advance and bring the necessary documents and information. This will speed up the diagnosis process and help create a treatment plan more quickly.

• Bring a list of all current medications, including names and dosages, if known
• Take results of previous examinations, tests, and images (cytology, HPV tests, colposcopy)
• Write down your main complaints: when they started, and what worsens or relieves the symptoms
• Prepare questions you want to discuss with the doctor
• Do not stop taking prescribed medications without consulting your doctor
• If necessary, come on an empty stomach — do not eat or drink for 8–12 hours unless advised otherwise; clarify this when making the appointment
• Avoid using creams, cosmetics, and douching on the day of the appointment
• Come without makeup and, if possible, without jewelry
• Wear comfortable clothing that allows easy examination
• If unsure about preparation, it is better to clarify details when scheduling

If you have any questions about preparation, do not hesitate to ask the receptionist or the doctor when making the appointment. Do not change your medication regimen on your own — this is important for your safety and accurate diagnosis.

About the Doctor

Irina Ivanovna Kulbach is a highly qualified obstetrician-gynecologist with over 40 years of experience. She specializes in managing patients with HPV, including initial diagnosis, recurring symptoms, and cases where previous treatment has been ineffective.

Irina Ivanovna places special emphasis on dynamic monitoring and explaining the treatment plan in clear, understandable terms. During the consultation, you will receive a detailed analysis of your situation along with recommendations for further examination and condition management.

Why Patients Choose Dr. Irina Ivanovna Kulbach

Choosing a doctor for issues related to HPV is crucial for thorough examination and addressing complex concerns. Irina Ivanovna organizes her work so that every stage of treatment is clear and safe for the patient. She pays special attention to dynamic monitoring, adjusting therapy based on results and taking into account any accompanying conditions. Patients appreciate her approach, which helps avoid unnecessary tests and focus on truly necessary steps.

• A clear treatment plan with stages: what we are doing now, what we are monitoring, and when the next appointment is
• Tests are prescribed only when indicated, without unnecessary procedures
• Review of previously completed tests to optimize further steps
• Consideration of comorbidities and drug interactions to ensure therapy safety
• Monitoring disease progression and adjusting treatment if the effect is insufficient
• Explanation of goals, risks, and treatment alternatives in clear language without making promises
• Emphasis on preventing exacerbations and complications during follow-up
• Experience managing complex and recurring cases, including patients with ineffective therapy

This approach provides a holistic view of the problem and helps tailor treatment to your individual needs. It allows not only for symptom relief but also for working towards stable disease control.

Case Studies

Initial Consultation with Suspected HPV

A middle-aged female patient presented with complaints of discomfort and unusual discharge. Her medical history was unremarkable, but the symptoms were concerning. The physician conducted a comprehensive examination and ordered the necessary tests to confirm the suspected diagnosis and rule out other causes. Over the following weeks after the start of observation, a reduction in symptoms and stabilization of the condition were noted. The patient was placed under regular monitoring with recommendations for maintaining her health.

Adjustment of Treatment Strategy Due to Ineffectiveness

A young woman sought medical advice after undergoing a course of therapy that did not bring the expected improvement. The physician thoroughly reviewed previous prescriptions and assessed possible side effects and tolerance. Additional examinations were performed to clarify the condition and revise the treatment approach. During the adjustment of the strategy, symptoms gradually decreased, and the patient reported improved well-being. Dynamic monitoring was organized to maintain the achieved result.

Chronic Course with Comorbidities

An elderly female patient with a long-standing history of HPV manifestations and chronic diseases came for a consultation to assess her current condition. Special attention was given to the safety of therapy, taking into account comorbidities and drug interactions. The physician developed an adapted management plan with regular monitoring and preventive measures. During follow-up visits, symptom stability and improved quality of life were observed.

Exacerbation and Prevention Plan

A mature-aged female patient presented with an exacerbation of inflammatory processes related to HPV. The physician carefully ruled out complications and other possible causes of deterioration. Necessary measures were prescribed to control the exacerbation, and a plan for continued monitoring and prevention was developed. Over the subsequent weeks, a decrease in symptom severity and the prevention of recurrent exacerbations were observed due to timely adjustment of the plan.

How long does the consultation last?

The consultation usually takes between 30 and 60 minutes. Please confirm the exact duration when making an appointment.

How should I prepare for the appointment?

It is recommended to write down your symptoms, bring a list of your current medications, and bring the results of previous examinations.

What should I bring to the appointment?

Please bring test results, imaging scans, discharge summaries, and a list of your medications for a complete assessment.

Do I need to come fasting or are there any restrictions?

Usually, there are no special restrictions unless otherwise specified at the time of booking.

How many visits are typically required?

The number of visits depends on your individual situation and the complexity of the issue.

When can I expect the first results of the treatment?

Initial changes are assessed individually and depend on the chosen treatment approach.

What should I do if my condition worsens before the appointment?

If your condition worsens, please contact your doctor as soon as possible, especially in cases of severe pain or bleeding.

Can treatment be combined with my current medications?

Compatibility will be discussed during the appointment; it is not recommended to independently change your medications.

Is it possible to have a consultation online?

Yes, online consultations are available at a convenient time for you with prior appointment.

Can I come with tests I have already done?

Yes, please bring all results of previous tests and examinations for evaluation.

Do I need to come for follow-up visits, and how often?

Follow-up visits depend on the treatment plan and monitoring progress; this is determined individually.

Can I get a second opinion?

Yes, you can discuss your situation with a doctor and receive an additional consultation.

What should I do if symptoms return after improvement?

It is recommended to contact your doctor to assess the causes and adjust the treatment plan.

What tests are needed for HPV?

The list of tests is determined individually by the doctor based on your situation.

What treatment options are available for HPV?

The treatment strategy depends on symptoms, test results, and accompanying factors.

Is it possible to avoid unnecessary tests?

Yes, tests are prescribed only when indicated to minimize unnecessary procedures.

How do I know if the treatment is working?

Effectiveness is evaluated by the doctor based on changes in symptoms and test results.

What should I do if new symptoms appear?

Contact your doctor immediately for a further examination and adjustment of the treatment strategy.