Cauliflower Warts and Itchy Glans: A Urology Perspective

Q: Cauliflower Warts and Itchy Glans: A Urology Perspective

Hello： The cauliflower-like growth may require observation for more than six months, but the chances of recurrence decrease significantly over time. <br>It is important to use condoms during sexual intercourse. <br>When bathing, if you retract the foreskin, you may notice a white

Regarding cauliflower and itching of the glans?

Hello doctor, my symptoms of genital warts have not recurred for three months.
Initially, I consulted a traditional Chinese medicine practitioner and took medication for about two months, after which all the warts fell off.
Since they completely fell off, it has been three months without any recurrence.
How can I know if I am fully healed? Is it safe to engage in sexual activity now? Additionally, while there are no visible abnormalities on the glans, I occasionally experience slight pain and itching at the junction of the corona and the urethral opening.
Sometimes, when I retract my foreskin while showering, I notice some white discharge (I am not circumcised).
What could this issue be? Thank you for your response, doctor.

Wei, 40~49 year old female. Ask Date: 2017/02/06

Dr. Du Shixi reply Urology

Hello: The cauliflower-like growth may require observation for more than six months, but the chances of recurrence decrease significantly over time.
It is important to use condoms during sexual intercourse.
When bathing, if you retract the foreskin, you may notice a white discharge, which should be cleaned and kept dry (but it is not necessary to wash excessively; just wipe away any dirt.
If there is redness, seek medical attention).
Additionally, is there a concern about high blood sugar? Some diabetic patients may be prone to the accumulation of smegma under the foreskin.
(A physician cannot provide treatment, prescribe medication, or issue a diagnosis without a personal examination.)

Reply Date: 2017/02/06

More Info

Cauliflower warts, medically known as genital warts, are caused by certain strains of the human papillomavirus (HPV). These warts can appear as small, fleshy growths that may resemble cauliflower, and they can occur on the genital area, including the glans (the head of the penis) and surrounding skin. The fact that your symptoms have not recurred for three months after treatment is a positive sign, but it is important to understand the nature of HPV and its potential for recurrence.

1. Understanding Healing and Recurrence: While the visible warts may have disappeared, it is crucial to note that HPV can remain dormant in the body. This means that even if the warts have resolved, the virus may still be present and could potentially reactivate in the future. To determine if you are fully healed, a follow-up with your healthcare provider is recommended. They may perform a physical examination and possibly recommend a follow-up HPV test, depending on your specific situation.

2. Engaging in Sexual Activity: Regarding sexual activity, it is generally advisable to wait until you have been confirmed as free of warts and have consulted with your healthcare provider. Engaging in sexual activity while the virus is still present can pose a risk of transmission to partners, even if no visible warts are present. If you are considering resuming sexual activity, discussing this with your doctor will provide you with personalized advice based on your health status.

3. Symptoms of Itching and Discomfort: The itching and discomfort you are experiencing in the area of the corona (the ridge of the glans) could be due to several factors. It may be related to irritation, a secondary infection, or even a reaction to hygiene products. The presence of white discharge, especially if it is not associated with a foul odor, could indicate a normal secretion or a mild infection. However, if the symptoms persist or worsen, it is essential to seek medical advice. Your doctor may perform a physical examination and possibly recommend tests to rule out any infections or other conditions.

4. Hygiene Practices: Maintaining good hygiene is crucial, especially for uncircumcised individuals. Regular cleaning of the area under the foreskin can help prevent irritation and infections. If you notice any unusual changes in the discharge or if the itching becomes severe, it is important to consult a healthcare provider for further evaluation.

5. Long-term Management: Since HPV can remain in the body, regular check-ups with your healthcare provider are advisable. They can monitor for any changes or recurrences and provide guidance on vaccination against HPV, which can help prevent future infections from other strains of the virus.

In summary, while your current lack of symptoms is encouraging, it is essential to remain vigilant and consult with your healthcare provider for a thorough evaluation and personalized advice. Engaging in sexual activity should be approached with caution until you have received medical clearance. Additionally, addressing any discomfort or unusual symptoms promptly will help ensure your overall urological health.

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