Managing HPV: Alternative Treatments for Persistent Warts

Cauliflower problem

Hello doctor, I found out on May 6th that I have genital warts.
I underwent laser treatment at the urology department at the end of May, and then again at the end of June for the mucosal area, making it a total of two treatments.
During the June laser treatment, there was a bump between my vaginal opening and anus, but the doctor said it wasn't anything to worry about.
After that, I applied a topical treatment called "Taiwan Factory An-Yu," and it has softened but hasn't fallen off.
However, I really don't want to undergo any more surgeries; I'm truly scared after two procedures.
I've consulted many hospitals and clinics, but there hasn't been any improvement, and I'm feeling very down.
Currently, I'm taking traditional Chinese medicine and using An-Yu, and I've seen many cases where "Tai-Yu-Ning" has shown good results.
Since the recurrence areas after the two laser treatments have been different, I would like to explore other treatment options.
I would like to ask the doctor if it is feasible to apply "Tai-Yu-Ning" or chemical solutions on the mucosal areas?

Nia, 20~29 year old female. Ask Date: 2016/07/21

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the current treatment methods for genital warts include various options such as cryotherapy, electrosurgery, topical medications, and laser therapy.
These treatments only eliminate visible warts and do not completely eradicate the virus, with a recurrence rate of about 20%.
It is important to follow the prescribed medication or treatment.
Generally, patients who receive appropriate treatment can effectively control the sexually transmitted virus without causing significant harm to the body.
Patients can try the following methods to alleviate symptoms and avoid infecting sexual partners: 1.
Keep the genital area clean and dry.
2.
Avoid using scented soaps or bath oils to prevent irritation of wart-prone areas.
3.
Condoms can reduce the risk of transmission, but if the infection occurs in other areas of the body, such as the scrotum, condoms may not provide protection.
4.
It is recommended that regular Pap smears be performed for stable female partners to reduce severe complications.
5.
Maintain a healthy lifestyle, including a balanced diet, regular exercise, and boosting immunity, to decrease the chances of recurrence.
6.
The prognosis for genital warts is generally good, but the recurrence rate is relatively high.
7.
There is currently a vaccine available for prevention, but it cannot be used for treatment.
8.
With combined treatment and healthy behaviors, there is a possibility for the virus to clear, which should be evaluated by a physician.
There are also immune response modifiers (IRM) available on the market (such as Aldara), which work by locally inducing cytokines and the immune system to combat HPV.
This medication can be applied to the external genital skin but should not be applied to mucosal areas to avoid irritating side effects.
The medication can penetrate various areas of the perineum to achieve therapeutic effects.
Thank you! Wishing you peace and health.
Dr.
Zhang

Reply Date: 2016/07/21

More Info

Managing HPV, particularly when it manifests as genital warts, can be a challenging and frustrating experience. It's understandable that after undergoing multiple laser treatments, you may be seeking alternative methods to manage your condition. Let's explore your situation and the potential options available.

Firstly, it's important to understand that HPV (human papillomavirus) is a viral infection that can lead to the development of warts, including genital warts, which are often referred to as "cauliflower" due to their appearance. While laser treatment is a common method for removing warts, it does not eliminate the virus itself. HPV can remain dormant in the body, and warts can recur even after successful removal.

In your case, you mentioned that you have undergone two laser treatments, and you are currently using topical treatments like "安疣" (a topical wart treatment) and considering "汰疣寧" (another topical treatment). These topical treatments can be effective for some individuals, but their efficacy can vary based on the individual’s immune response and the specific characteristics of the warts.

1. Topical Treatments: Topical treatments like imiquimod (often referred to by brand names such as Aldara) can stimulate the immune system to fight the virus and may help in reducing the warts. Other options include podophyllin and trichloroacetic acid (TCA), which are chemical agents that can be applied to warts. However, these treatments should be used under the guidance of a healthcare professional to ensure safety and effectiveness, especially in sensitive areas like the genital region.

2. Alternative Therapies: Some individuals explore alternative therapies, including herbal treatments or acupuncture, but the scientific evidence supporting their effectiveness is limited. It's crucial to approach these options with caution and consult with a healthcare provider knowledgeable about HPV and its treatments.

3. Immune System Support: Strengthening your immune system can also play a role in managing HPV. A healthy diet, regular exercise, adequate sleep, and stress management can all contribute to a stronger immune response, which may help your body control the virus more effectively.

4. Follow-Up Care: Regular follow-up with your healthcare provider is essential. If you notice any new growths or changes, it’s important to have them evaluated promptly. Your provider may recommend a different treatment approach if the current methods are not yielding results.

5. Psychological Support: Dealing with HPV and its manifestations can be emotionally taxing. Consider seeking support from counseling or support groups where you can share experiences and coping strategies with others facing similar challenges.

6. Vaccination: If you haven’t already, discussing the HPV vaccine with your healthcare provider may be beneficial. While it’s most effective when given before the onset of sexual activity, it can still provide protection against certain strains of HPV, potentially reducing the risk of future infections.

In conclusion, while you may feel hesitant about further surgical interventions, there are various alternative treatments and supportive measures you can explore. It's essential to work closely with a healthcare provider who understands your concerns and can guide you through the options available. Remember, managing HPV is often a long-term process, and maintaining open communication with your healthcare team will be key to finding the most effective treatment strategy for you.

Similar Q&A

Effective Strategies for Managing HPV Treatment and Recurrence

Hello Dr. Hsu: Previously, I underwent an HPV DNA test at a private clinic, which confirmed the presence of types 16, 58, and 42, with viral loads reaching millions. Two weeks ago, I had laser surgery, and this week (one week post-surgery), I have experienced a rapid recurrence w...

Dr. Xu Weikai reply Urology
Hello, HPV is commonly found in the body, and generally, if it is not symptomatic, treatment is not possible. In other words, we can only passively wait for new lesions to appear before initiating treatment. As for the use of topical ointments, they are not very meaningful if the...

Understanding HPV Vaccines and Effective Treatments for Genital Warts

My girlfriend has been infected with genital warts for several months and has been using an ointment for treatment (it seems to be called podophyllin). She has been undergoing treatment for 4.5 months; originally, there were only 1 or 2 warts, but now there are about 4 or 5, loca...

Dr. Zhang Chengye reply Urology
Hello: It is recommended that you consult a gynecologist and continue to monitor the situation for a while. If there is no improvement, it is advisable to return to the clinic for further examination and treatment. Currently, I have not heard of phototherapy for condyloma. Thank ...

Effective Treatments for Asymptomatic HPV: What You Need to Know

Hello Dr. Wu: HPV warts can be treated with surgery and topical medications. After treatment, the visible warts may disappear, but the HPV can remain hidden in the deeper layers of the skin and may not be completely eradicated. If the immune system is compromised, there is a poss...

Dr. Wu Yuxin reply Dermatology
HPV primarily infects the epithelial layers of mucous membranes and skin. It does not enter the body, so there is no issue of eliminating residual viruses from within. Monitoring the condition of the skin or mucous membranes is sufficient.

Effective Treatments for Persistent Viral Warts: Options and Insights

Dr. Jiang: Hello! My son is in the second year of junior high school and has had viral warts on his hands and toes for about two years. He has undergone treatments such as electrosurgery, excision, and cryotherapy, all of which have been ineffective. I know there is an immune-mod...

Dr. Jiang Zheen reply Dermatology
Generally speaking, thicker warts, especially those on the feet, do not respond well to Aldara (imiquimod) when used alone. Recent medical reports indicate that combining cryotherapy with topical medications can yield good results. If this is still ineffective, carbon dioxide las...