Follow-Up Care for Genital Warts: Treatment and Prevention

Q: Follow-Up Care for Genital Warts: Treatment and Prevention

Hello： Q1： Based on experience, different types vary; some may require one application, while others may need 3-4 applications. <br>Q2： For Lede Mei, you should only apply it once the wound is fully healed; please check the instructions for use, as they are essential. <br>Q3： It

Post-treatment for cauliflower (cauliflower ear)

Dear Doctor,
Condition: At the end of September, I discovered a small lesion approximately 5mm in size located on the penis, about 2cm below the glans, covered by the foreskin.
I initially thought it was a minor abrasion and didn't pay much attention to it.
By the day before yesterday (10/26), it had not subsided or increased in size, so I went to see a doctor, and the diagnosis was genital warts.
I underwent laser treatment that same day.

Q1: Based on your valuable experience, is the recurrence rate generally high? How many laser treatments are typically needed?
Q2: I also visited a dermatologist, who prescribed a 1000 NTD ointment called Anyu, stating that it is a Taiwanese version of Leda Mei (the urologist who performed the laser treatment prescribed Gan Der Mei for me).
I would like to know if Leda Mei is better? I am currently still in the scabbing stage, having only used it for two days.

Q3: During this period (from the end of September when the lesion appeared until the diagnosis on 10/26), my girlfriend and I had unprotected intercourse and performed oral sex on each other (I already have a 5mm lesion).
We only stopped sexual activity the day before yesterday.
Is there a risk of developing warts in our oral cavities? Currently, there are no lesions present.

Q4: The doctor recommended that I receive the quadrivalent vaccine.
Given that I just had laser treatment two days ago, when would be the best time to get vaccinated?
Thank you for your patient responses, Doctor.
Your dedication to helping others is greatly appreciated.

Caihua Ren, 30~39 year old female. Ask Date: 2017/10/28

Dr. Du Shixi reply Urology

Hello: Q1: Based on experience, different types vary; some may require one application, while others may need 3-4 applications.
Q2: For Lede Mei, you should only apply it once the wound is fully healed; please check the instructions for use, as they are essential.
Q3: It is possible, so practicing safe sex is advisable.
Q4: As far as I know, the vaccine approved by health authorities is for female use; you may want to look up more information online.

Reply Date: 2017/10/28

More Info

Dear Patient,
Thank you for reaching out with your questions regarding genital warts, their treatment, and prevention. I appreciate your detailed account of your condition, and I will address each of your queries based on current medical knowledge.

Q1: Recurrence Rate and Laser Treatments
Genital warts, caused by the human papillomavirus (HPV), can indeed have a recurrence rate. Studies suggest that the recurrence rate can be as high as 30% to 50% within the first few months after treatment, particularly if the underlying virus remains active. The number of laser treatments required can vary significantly from person to person, depending on the extent of the warts and individual immune response. Some patients may require only one treatment, while others might need multiple sessions. It’s essential to follow up with your healthcare provider to monitor for any new growths and to determine the best course of action.

Q2: Comparison of Topical Treatments
Regarding the topical treatments, both "安尤乳膏" (Anyou Cream) and "甘得黴" (Imiquimod) are used to treat genital warts, but they work in different ways. Anyou Cream is a newer formulation that may have different efficacy and side effects compared to Imiquimod. The choice between these treatments often depends on the specific characteristics of the warts and patient preference. It’s best to discuss with your dermatologist or urologist which option is more suitable for your case, considering your current condition and treatment history.

Q3: Risk of Oral Transmission
As for the concern about oral transmission of HPV, it is important to note that while HPV is primarily associated with genital warts, it can also infect the oral cavity. Engaging in oral sex with an active genital wart can potentially transmit the virus to the mouth, leading to oral warts. However, the likelihood of developing warts in the mouth is generally lower compared to genital areas. It is advisable to avoid sexual contact until the warts have been fully treated and cleared, and to maintain open communication with your partner regarding sexual health.

Q4: Timing for HPV Vaccination
Regarding the HPV vaccination, it is recommended to receive the vaccine even after a diagnosis of genital warts. The vaccine can protect against other strains of HPV that may not be covered by your current infection. The timing for vaccination can vary; however, it is generally advisable to wait until any active lesions have healed and you have completed your current treatment. This ensures that your immune system can respond effectively to the vaccine. Consult with your healthcare provider for personalized advice on when to schedule your vaccination.

In summary, managing genital warts involves a combination of effective treatment, monitoring for recurrence, and preventive measures such as vaccination. It is essential to maintain regular follow-ups with your healthcare provider to ensure the best outcomes. Please feel free to reach out with any further questions or concerns.

Best regards,
Doctor Q&A Teams

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