Cauliflower (Condylomata Acuminata)
Hello Doctor, I am currently studying in China and plan to return to Taiwan in two months.
I have undergone examinations at a hospital here, and it has been diagnosed as genital warts, but they are only located externally and not inside the vagina.
The doctor recommended laser surgery, but when I asked if medication could be used for treatment, the doctor advised against it, stating that due to the numerous folds in female genitalia, self-application of medication is difficult.
However, I am concerned about the quality of surgery here in China, as well as postoperative care and other related issues.
If I wait to return to Taiwan for treatment in two months, will it affect my condition? Or should I return to Taiwan for treatment within the next two weeks? Do you have any recommendations? Thank you for your assistance.
Monica, 20~29 year old female. Ask Date: 2016/05/16
Dr. Wu Yuxin reply Dermatology
The earlier the treatment, the better, but I'm not sure about the quality of treatment for warts in China.
If you choose to seek treatment in Taiwan, it is advisable to consult a gynecologist.
Reply Date: 2016/05/16
More Info
Genital warts, caused by certain strains of the human papillomavirus (HPV), can be a source of concern, especially for students studying abroad. It’s understandable to feel anxious about treatment options and the quality of care available in a foreign country. Here’s a comprehensive overview of the situation, including treatment options and considerations for your health.
Treatment Options for Genital Warts
1. Laser Treatment: As your doctor in China suggested, laser treatment is an effective method for removing genital warts. This procedure uses focused light to destroy the warts. While it can be effective, it’s crucial to ensure that the medical facility has a good reputation and that the healthcare providers are experienced in performing this type of procedure.
2. Topical Treatments: While your doctor advised against using topical treatments due to the anatomical structure of female genitalia, there are FDA-approved topical medications such as imiquimod (Aldara) and podofilox (Condylox) that can be used to treat external warts. These medications work by stimulating the immune system or directly destroying the wart tissue. However, self-application can be challenging, and it’s essential to follow the guidance of a healthcare professional.
3. Cryotherapy: This involves freezing the warts with liquid nitrogen. It’s a common treatment option and can be performed in a clinic.
4. Surgical Options: Besides laser treatment, warts can also be surgically excised. This is usually considered when other treatments have failed or if the warts are particularly large or numerous.
Concerns About Treatment Abroad
Your concerns about the quality of surgical care in China are valid. It’s essential to research the hospital or clinic where you plan to undergo treatment. Look for reviews, ask about the qualifications of the medical staff, and ensure that the facility adheres to international health standards. If you feel uncertain, it may be worth considering delaying the procedure until you return to Taiwan, where you may feel more comfortable with the healthcare system.
Timing of Treatment
Regarding whether to return to Taiwan for treatment sooner rather than later, it’s important to consider the following:
- Progression of Warts: Genital warts can sometimes grow or multiply over time. If you notice any changes or if the warts are causing discomfort, it may be wise to seek treatment sooner.
- Impact on Health: While waiting for two months may not significantly worsen your condition, it’s crucial to monitor any changes in your symptoms. If you experience pain, bleeding, or other concerning symptoms, prioritize seeking medical attention.
- Follow-Up Care: If you choose to have the procedure in China, ensure you have a plan for follow-up care once you return to Taiwan. This may include monitoring for recurrence and discussing further treatment options if necessary.
Conclusion
In summary, while laser treatment is a viable option for genital warts, your comfort and confidence in the healthcare system are paramount. If you have reservations about the quality of care in China, it may be prudent to wait until you return to Taiwan for treatment. Regardless of your decision, maintaining open communication with healthcare providers and staying informed about your condition will empower you to make the best choices for your health. Always prioritize your well-being and seek support from trusted medical professionals.
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