Genital Warts: Causes, Treatment, and Recovery Insights - Obstetrics and Gynecology

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Hello, Doctor.
At the beginning of December, I noticed something growing between my vagina and anus, and there was also a growth at the vaginal opening.
I sought medical attention at the end of December and was diagnosed with genital warts in early January.
I have a fixed sexual partner, and so does my partner.
Recently, I went to various campuses for awareness campaigns, and it was during my menstrual period when I used their seated toilets.
Could my genital warts have been contracted through this route? Additionally, I have already undergone cryotherapy, and the doctor only prescribed vaginal suppositories for me at that time.
Could you please tell me what I should pay attention to after undergoing cryotherapy? I would like to know if this condition can be cured.
Thank you, Doctor.

Xiao Li, 20~29 year old female. Ask Date: 2018/01/04

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, genital warts are generally transmitted through direct contact, and any route is possible.
After cryotherapy, maintaining proper hygiene is essential.
Genital warts can typically resolve on their own.
Wishing you good health.

Reply Date: 2018/01/04

More Info


Genital warts, medically known as condylomata acuminata, are caused by certain strains of the human papillomavirus (HPV). This sexually transmitted infection is quite common and can affect anyone who is sexually active. The strains of HPV that typically cause genital warts are different from those that can lead to cervical cancer, but it is crucial to understand that there are many strains of HPV, and some can be more harmful than others.

In your case, it is important to note that genital warts can be transmitted through direct skin-to-skin contact during sexual activity, including vaginal, anal, and oral sex. While it is less common, it is theoretically possible to contract HPV from surfaces like toilet seats, especially if there are micro-abrasions or cuts in the skin, but this is not considered a primary mode of transmission. The most likely route of infection is through intimate contact with an infected partner.

Regarding your treatment, you mentioned undergoing cryotherapy (freezing treatment) for your genital warts. Cryotherapy is a common and effective method for removing warts. It works by freezing the wart tissue, causing it to die and eventually fall off. After this treatment, there are a few important points to keep in mind:
1. Follow-Up Care: It's essential to attend any follow-up appointments with your healthcare provider to monitor the area for any signs of recurrence or complications.

2. Avoid Irritation: After cryotherapy, the treated area may be sensitive. Avoid using harsh soaps, lotions, or any products that could irritate the area. It’s also advisable to refrain from sexual activity until the area has healed completely.

3. Watch for Symptoms: Keep an eye on the treated area for any unusual symptoms, such as increased pain, swelling, or discharge, which could indicate an infection.

4. HPV Management: While the warts can be treated, the HPV virus may remain in your body. This means that warts can recur, and it is important to maintain regular check-ups with your healthcare provider.

As for the question of whether genital warts can be cured, it is important to understand that while the visible warts can be treated and removed, the HPV virus may remain dormant in the body. Many individuals with HPV do not experience any symptoms and may clear the virus naturally over time. However, some may experience recurrences of warts.
In terms of prevention, vaccination against HPV is highly recommended. The HPV vaccine can protect against the strains of the virus that most commonly cause genital warts and certain types of cancer. It is advisable to discuss vaccination options with your healthcare provider, especially if you are under the age of 26, as the vaccine is most effective when given before the onset of sexual activity.

In summary, while genital warts can be treated effectively, ongoing management and awareness are crucial. Regular check-ups, safe sexual practices, and considering vaccination can help manage the risk of HPV and its associated complications. If you have further questions or concerns, do not hesitate to reach out to your healthcare provider for personalized advice and support.

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