Cauliflower Disease: Treatment and Transmission Risks - Dermatology

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Cauliflower treatment


Hello doctor, I was diagnosed with genital warts last month.
After receiving traditional Chinese medicine treatment, the lesions have been removed.
I am currently continuing treatment and would like to ask, since my boyfriend and I have had unprotected sexual intercourse a few times, could he be infected? I have not had sexual intercourse with him since I developed the condition, and he does not have any lesions.
Does he need to undergo traditional Chinese medicine treatment with me?

shy, 20~29 year old female. Ask Date: 2016/03/27

Dr. Li Yufen reply Dermatology


Hello: Regarding genital warts (condylomata acuminata), you can refer to the article on the Dermatology Expert Health Network at http://www.drskincare.com.tw/Qa/Detail.aspx?ID=154 and the article by Dr.
Tsai Cheng-Fang from National Taiwan University Hospital at https://www.ntuh.gov.tw/derm/healthcareCenter/healthCenter/%E8%8F%9C%E8%8A%B1.aspx.
Thank you!

Reply Date: 2016/03/27

More Info


Cauliflower disease, commonly referred to as genital warts, is caused by certain strains of the human papillomavirus (HPV). It is essential to understand that HPV is a sexually transmitted infection (STI), and while not all strains of HPV lead to visible warts, some can cause significant health issues, including cervical cancer in women and other types of cancer in both genders.

In your case, since you have been diagnosed with cauliflower disease and have undergone treatment to remove the lesions, it is crucial to consider the transmission risks associated with HPV. The virus can be transmitted through skin-to-skin contact during sexual activity, even if no visible warts are present. Therefore, if you and your boyfriend engaged in unprotected sexual intercourse after your diagnosis, there is a possibility that he could have been exposed to the virus.

However, it is also important to note that not everyone who is exposed to HPV will develop symptoms or visible warts. The immune system can often suppress the virus, preventing it from causing any noticeable issues. In many cases, individuals may carry the virus without ever knowing it, as it can remain dormant in the body for years.

Regarding your boyfriend's situation, if he does not have any visible lesions or symptoms, it may not be necessary for him to undergo treatment at this time. However, it is advisable for him to consult with a healthcare provider for a thorough evaluation. A healthcare professional can provide guidance on whether he should be tested for HPV or if any preventive measures, such as the HPV vaccine, would be appropriate. The vaccine is effective against the most common strains of HPV that cause genital warts and cervical cancer, and it is recommended for both males and females.

As for your ongoing treatment, it is essential to follow your healthcare provider's recommendations and continue with any prescribed therapies. Regular follow-ups are crucial to monitor for any recurrence of warts or other related issues. Additionally, maintaining open communication with your boyfriend about your health status and any potential risks is vital for both of your peace of mind.

In summary, while there is a risk of transmission of HPV through sexual contact, not everyone exposed will develop symptoms. Your boyfriend should consult a healthcare provider for personalized advice. Continuing your treatment and monitoring your health is essential, and discussing any concerns with your healthcare provider will help ensure that you both remain informed and healthy.

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