Can Dermatology Help with Anal Warts? Exploring Cryotherapy Options - Dermatology

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Regarding the issue of anal warts and cryotherapy?


Hello, doctor.
I have been infected with anal condyloma due to same-sex assault.
I have already tested negative for HIV and syphilis, but the proctologist has scheduled me for electrosurgery.
However, I cannot undergo electrosurgery due to having metal implants in my body, and I am also afraid of the procedure.
I have turned to traditional Chinese medicine and have been drinking Puji Xiaodu Decoction for four months, but it has been completely ineffective.
Additionally, if I consume anything spicy, I experience severe rectal bleeding.
I would like to ask if I can seek help from a dermatologist for anal condyloma.
Is cryotherapy an option? Should I go to a hospital for this, or can I visit a clinic on the street? Please help me, I am in a lot of discomfort.

Xiao Zhang, 40~49 year old female. Ask Date: 2016/04/25

Dr. Wu Yuxin reply Dermatology


General dermatology clinics can perform cryotherapy for you, but it may require multiple sessions and may not be easy to eradicate.
It is recommended to combine it with special topical medications for better results.

Reply Date: 2016/04/25

More Info


Anal warts, also known as anal condylomas or genital warts, are caused by the human papillomavirus (HPV). They can be uncomfortable and distressing, particularly when they occur in sensitive areas such as the anal region. It's understandable that you're seeking effective treatment options, especially after experiencing a traumatic event and dealing with the physical and emotional aftermath.

Cryotherapy is indeed one of the treatment options available for anal warts. This method involves freezing the warts with liquid nitrogen, causing them to die and eventually fall off. Cryotherapy is often performed in a dermatology or urology clinic, and it can be a suitable alternative for patients who are unable to undergo other treatments, such as electrosurgery, due to medical contraindications or personal fears.

In your case, since you have already undergone testing for HIV and syphilis, and both results were negative, it is crucial to focus on treating the anal warts effectively. Consulting a dermatologist can be beneficial, as dermatologists are trained to handle various skin conditions, including warts. They can assess the extent of the warts and determine the best course of action, which may include cryotherapy or other treatments such as topical medications (e.g., imiquimod or podophyllin) that can help in reducing the warts.

You mentioned that you have been drinking a traditional herbal remedy for four months without any improvement. While some individuals may find relief with alternative treatments, it's essential to consider evidence-based medical options, especially when dealing with a viral infection like HPV. Traditional remedies may not have the same efficacy as medical treatments, and delaying proper care could lead to further complications or discomfort.

Regarding where to seek treatment, both hospitals and private dermatology clinics can provide cryotherapy for anal warts. However, it's advisable to choose a reputable clinic or hospital where qualified healthcare professionals can perform the procedure safely. If you are unsure about where to go, you can start by consulting your primary care physician, who can refer you to a dermatologist or a specialized clinic.

In summary, dermatology can indeed help with anal warts, and cryotherapy is a viable treatment option. It is essential to consult with a qualified dermatologist who can evaluate your condition and recommend the most appropriate treatment plan. Do not hesitate to seek help, as managing anal warts can significantly improve your quality of life and alleviate discomfort. Remember, you are not alone in this, and there are effective medical treatments available to address your concerns.

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