and Managing Genital Warts: Your Questions Answered - Urology

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Cauliflower issue


Hello Dr.
Lee, in mid-April this year, I noticed a small white wart in the coronal sulcus of my penis.
After a doctor's diagnosis, it was confirmed to be genital warts.
However, the doctor mentioned that it was small and that applying medication would suffice, so I was prescribed 250 mg of Aldara (imiquimod) to apply twice a week for two weeks.
It has been a week since I started the treatment, and the wart has not spread, but it has become slightly elevated and irregular in shape, measuring about 0.2 cm.
The skin around the wart is a bit red.
Is this normal? Additionally, can I engage in masturbation (using a condom to cover the wart) before the lesion falls off? I am concerned whether masturbation during the treatment period will affect my condition.
Thank you, doctor.

Jian Zhi, 20~29 year old female. Ask Date: 2017/04/30

Dr. Li Xinyi reply Urology


Does masturbation affect the condition? Although there is no literature reporting this, it is possible.
It is recommended to consult a urologist for electrocautery treatment.

Reply Date: 2017/04/30

More Info


Dear Patient,
Thank you for reaching out with your concerns regarding genital warts, also known as condylomata acuminata, which are caused by certain strains of the human papillomavirus (HPV). It’s understandable to have questions about the treatment process and what to expect during this time.

Firstly, regarding the treatment you are currently undergoing with the topical medication, Podofilox (commonly known as Condylox), it is not unusual for the wart to appear slightly elevated or irregular during the treatment process. The redness around the wart may indicate a mild inflammatory response, which can occur as the medication works to destroy the wart tissue. However, if the redness increases significantly, or if you experience pain, swelling, or any discharge, it would be advisable to consult your healthcare provider for further evaluation.

As for your question about engaging in sexual activity, including masturbation, while undergoing treatment for genital warts, it is generally considered safe to do so as long as you take precautions. Using a condom can help reduce the risk of transmitting the virus to a partner, and it may also protect the wart area from irritation. However, it’s important to be cautious. If the wart is irritated or if you notice any bleeding, it might be best to refrain from any sexual activity until the area has healed.

It’s also worth noting that while the treatment is effective for many, warts can sometimes recur after treatment, as the underlying HPV may remain dormant in the body. Therefore, regular follow-up with your healthcare provider is essential to monitor for any new growths or changes.

In terms of managing genital warts, here are a few additional points to consider:
1. Follow-Up Care: After the initial treatment, it’s important to have follow-up appointments with your healthcare provider to assess the effectiveness of the treatment and to check for any new warts.

2. Alternative Treatments: If topical treatments are not effective, there are other options available, including cryotherapy (freezing the warts), laser therapy, or surgical removal. Your healthcare provider can discuss these options with you if necessary.

3. Preventive Measures: Since HPV is sexually transmitted, using condoms can help reduce the risk of transmission. Additionally, the HPV vaccine is available and can protect against the most common strains of the virus that cause genital warts and cervical cancer. Discussing vaccination with your healthcare provider may be beneficial.

4. Emotional Support: Dealing with genital warts can be emotionally challenging. It’s important to seek support from friends, family, or mental health professionals if you are feeling anxious or distressed about your diagnosis.

5. Education: Understanding HPV and its implications can empower you to make informed decisions about your health. Reliable resources include the Centers for Disease Control and Prevention (CDC) and the American Sexual Health Association (ASHA).

In summary, while it is normal for the wart to change slightly during treatment, keep an eye on any significant changes or discomfort. Engaging in sexual activity, including masturbation, is generally safe with precautions. Regular follow-ups and open communication with your healthcare provider will help ensure the best outcomes for your treatment.

If you have any further questions or concerns, please do not hesitate to reach out. Your health and well-being are of utmost importance.

Best regards,
Doctor Q&A Teams


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