Cauliflower Questions
Hello doctor, I have a small, flesh-colored bump inside my foreskin that initially didn't concern me, but I later noticed it slowly increasing in number.
I went to a large hospital to see a doctor, who said it was close to developing into warts and recommended a cream called Podophyllotoxin.
I've been using it for a week now, and compared to the pictures I found online, I think my condition is relatively mild.
However, after a week, there hasn't been any improvement, and it seems to have grown two or three more bumps.
Is this normal?
Niming, 20~29 year old female. Ask Date: 2016/12/28
Dr. Du Shixi reply Urology
Hello: The general usage duration is a few weeks, not to exceed 16 weeks.
In multinational studies, the clearance rate is 60%, so some may not respond well and may require alternative treatment methods.
Usage instructions: 1.
Apply a thin layer of the ointment directly onto the warty lesions.
2.
The maximum amount used each time should not exceed 250 mg (approximately a 0.5 cm length of ointment).
3.
Apply three times a day until the lesions are completely cleared, but do not exceed 16 weeks.
4.
After using the ointment, wash your hands thoroughly.
5.
There is no need to wash off any residual ointment from the treatment area before each application.
6.
Do not use on the eyes, mouth, vagina, or inside the anus.
7.
This medication should not be interrupted until the warts are gone, with a maximum duration of 16 weeks.
Reply Date: 2016/12/28
More Info
Penile warts, also known as genital warts, are a common sexually transmitted infection caused by certain strains of the human papillomavirus (HPV). These warts can appear as small, flesh-colored bumps or growths on the genital area, including the penis, scrotum, and surrounding skin. It's understandable to feel concerned when you notice changes in your genital area, especially when it comes to growths that seem to multiply.
From your description, it seems that you have been diagnosed with early-stage genital warts, which can indeed resemble small bumps or lesions. The fact that you have noticed an increase in the number of these bumps over the past week is not uncommon, as genital warts can proliferate if left untreated. The treatment you have been prescribed, a topical medication called Podofilox (often referred to by its brand name, Condylox), is commonly used to treat genital warts. It works by destroying the wart tissue and is generally effective for many patients.
However, it's important to note that while some individuals may see improvement within a week or two, others may take longer to respond to treatment. The growth of additional warts during the first week of treatment can happen, especially if the warts were already present but not yet visible. The medication may take time to work, and it’s crucial to apply it as directed by your healthcare provider.
Here are some key points to consider regarding your situation:
1. Treatment Duration: It’s typical for topical treatments to take several weeks to show significant improvement. If you have been using the medication for only one week, it may be too early to assess its effectiveness fully. Continue using the medication as prescribed, and monitor the warts for any changes.
2. Follow-Up: If you do not see any improvement after a few weeks of treatment, or if the warts continue to multiply, it is essential to follow up with your healthcare provider. They may consider alternative treatments, such as cryotherapy (freezing the warts), laser therapy, or surgical removal, depending on the severity and extent of the warts.
3. HPV and Recurrence: HPV is a virus that can remain dormant in the body, and even after treatment, there is a possibility of recurrence. Regular follow-ups with your healthcare provider are important to monitor for any new growths or changes.
4. Safe Practices: Since HPV is sexually transmitted, it is advisable to practice safe sex to reduce the risk of transmitting the virus to partners. Using condoms can lower the risk, but they do not provide complete protection since HPV can infect areas not covered by a condom.
5. Vaccination: If you haven’t already, consider discussing the HPV vaccine with your healthcare provider. The vaccine can protect against the most common strains of HPV that cause genital warts and certain types of cancer.
6. Emotional Support: Dealing with genital warts can be emotionally challenging. It’s important to seek support from trusted friends, family, or mental health professionals if you feel anxious or stressed about your condition.
In summary, while it can be concerning to see new growths, it’s important to give the treatment time to work and to maintain open communication with your healthcare provider. If you have any further questions or concerns, don’t hesitate to reach out to them for guidance.
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