Cauliflower (Condylomata Acuminata)
In August, I went to the gynecology department and was diagnosed with genital warts.
Afterward, I underwent electrosurgery for treatment, and the doctor said I could stop returning for follow-ups.
However, in November, it recurred, and I had to undergo electrosurgery again.
I have many questions because the clinic is not very willing to answer me.
I would like to ask: 1.
Will genital warts be a lifelong condition? 2.
Do I need to wash all my clothes separately from my family’s, or just my underwear? 3.
The clinic repeatedly recommends that I receive the 9-valent vaccine, claiming it helps suppress the growth of genital warts.
4.
Is using alcohol to disinfect the toilet effective? 5.
The doctor advised me to eat nutritious foods to boost my immune system.
Is it okay for me to stop staying up late and take multivitamins, folic acid, plant-based protein, and fish oil supplements? 6.
If I share a bathroom with my family, do I need to disinfect the floor?
Piao Piao, 20~29 year old female. Ask Date: 2016/11/03
Dr. Sun Hongshun reply Urology
Hello: If the physician does not wish to answer all your questions, you may consult another physician.
In general, if it is confirmed to be a genital wart infection, any contact (including skin-to-skin contact, undergarments, or toilet seats) can potentially lead to infection.
If treatment is successful or ongoing, the chances of transmission will also decrease.
This is related to what you mentioned about nutrition and having a good immune system.
Regarding vaccination, literature indicates that it can reduce the risk of infection from specific HPV types, thereby decreasing the likelihood of developing genital warts or cervical cancer.
The vaccine is self-paid, costing approximately over 10,000 NTD for the three doses, and you can discuss this further with your physician.
It is recommended to consult a urologist, and I would like to remind you again about the importance of safe sexual practices.
Wishing you good health.
Reply Date: 2016/11/03
More Info
Genital warts, also known as condylomata acuminata, are caused by certain strains of the human papillomavirus (HPV). They can be a source of concern due to their potential for recurrence and the implications for sexual health. Below, I will address your questions regarding genital warts, their treatment, prevention, and related concerns.
1. Are genital warts a lifelong condition?
Genital warts can be persistent, and while they can be treated effectively with procedures such as cryotherapy (freezing), electrosurgery (burning), or topical treatments, they may recur. This is because the underlying HPV infection can remain dormant in the body even after the warts are removed. Some individuals may experience multiple outbreaks, while others may not have any further issues after treatment. It is essential to maintain regular follow-ups with your healthcare provider to monitor any changes.
2. Do I need to wash all my clothes separately from my family’s, or just my underwear?
HPV is primarily transmitted through skin-to-skin contact, particularly during sexual activity. It is not typically spread through clothing or shared surfaces. Therefore, you do not need to wash all your clothes separately. However, it is advisable to wash your underwear separately to maintain hygiene. Regular washing with detergent should suffice.
3. Is the 9-valent HPV vaccine necessary?
The 9-valent HPV vaccine is designed to protect against multiple strains of HPV, including those that cause genital warts and cervical cancer. While the vaccine does not treat existing warts, it can help prevent future infections and reduce the risk of recurrence. It is highly recommended for individuals who are eligible, especially before becoming sexually active or if they have not yet been vaccinated.
4. Is using alcohol to disinfect the toilet effective?
While disinfecting surfaces can help reduce the risk of spreading infections, HPV is not easily transmitted through surfaces like toilet seats. The virus primarily spreads through direct skin contact. However, maintaining good hygiene practices, including cleaning the toilet regularly, is always a good idea.
5. Can I improve my immune system with nutrition?
A healthy immune system can help your body manage infections, including HPV. Eating a balanced diet rich in vitamins and minerals, such as vitamin C, vitamin D, and zinc, can support immune function. Supplements like multivitamins, folic acid, plant-based proteins, and fish oil can be beneficial, but it is best to consult with a healthcare provider before starting any new supplements. Additionally, avoiding stress, getting adequate sleep, and exercising regularly can also enhance your immune response.
6. If I share a bathroom with my family, do I need to disinfect the floor?
Sharing a bathroom does not significantly increase the risk of HPV transmission. The virus does not survive long outside the human body, and the risk of transmission through surfaces is low. Regular cleaning of the bathroom, including the floor, is good practice for overall hygiene, but extensive disinfection specifically for HPV is not necessary.
In summary, while genital warts can be a recurring issue, effective treatment options are available. Vaccination can help prevent future occurrences, and maintaining good hygiene practices is essential. If you have further concerns or questions, it is advisable to consult with a healthcare provider who can offer personalized guidance based on your situation.
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