and Treating Genital Warts: A Guide for Young Men - Urology

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Mysterious cauliflower


One day while showering, I noticed a white bump under the glans.
I didn't pay much attention to it at first, but now it has grown larger, and I'm quite certain it's genital warts because I have no sexual experience at all...
I'm still in high school, and it would be really bad if my family or classmates found out.
Since it's just one bump, I hope treatment can be quick! But I want to ask if genital warts on the penis can be treated with topical medication, right? It doesn't necessarily have to be treated with procedures like cryotherapy or cauterization...
because using medication would allow me to keep it discreet.

Gaozhong sheng, 10~19 year old female. Ask Date: 2018/08/05

Dr. Du Shixi reply Urology


Hello: It is not recommended to apply medication in your case, as if it is indeed genital warts, topical treatments can be slow to take effect.
If the treatment is not complete, it may lead to infection of the surrounding skin.
I suggest you seek medical attention to confirm if it is genital warts, and consider electrosurgical treatment.
Wishing you good health.

Reply Date: 2018/08/05

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, especially among young adults and adolescents. It's understandable to feel anxious upon discovering a growth on your genital area, particularly if you are inexperienced with sexual health issues.
Firstly, it’s crucial to recognize that genital warts can appear as small, flesh-colored or white bumps, and they may grow in clusters resembling a cauliflower. While it’s common to feel embarrassed about discussing such matters, seeking medical advice is essential for proper diagnosis and treatment.

Understanding HPV and Genital Warts
HPV is a virus with many different strains, some of which can lead to genital warts, while others are associated with more serious conditions, such as cervical cancer. The strains that cause genital warts are typically not the same as those that lead to cancer. It’s also important to note that HPV can be transmitted through skin-to-skin contact, not just through penetrative sexual intercourse. This means that even if you have not engaged in sexual activity, it is still possible to contract the virus.


Treatment Options
When it comes to treating genital warts, there are several options available. While topical treatments can be effective, they may not always be sufficient, especially for larger or more persistent warts. Here are some common treatment methods:
1. Topical Treatments: Over-the-counter medications like imiquimod (Aldara) or podofilox (Condylox) can be applied directly to the warts. These treatments work by stimulating the immune system or destroying the wart tissue. However, they require consistent application and may take several weeks to show results.

2. Cryotherapy: This is a procedure where the warts are frozen off using liquid nitrogen. It is typically performed in a healthcare provider's office and may require multiple sessions.

3. Electrosurgery: This method uses electrical currents to burn off the warts. It is effective but may leave scars.

4. Laser Treatment: For larger or more difficult-to-treat warts, laser therapy may be used to remove them.

5. Surgical Removal: In some cases, warts may need to be surgically excised, especially if they are extensive or resistant to other treatments.


Prevention and Future Considerations
While treatment is essential, prevention is equally important. The HPV vaccine, Gardasil, can protect against the strains of HPV that cause most genital warts and some cancers. It is recommended for preteens but can be given up to age 26, and in some cases, up to age 45.
Additionally, practicing safe sex by using condoms can reduce the risk of HPV transmission, although they do not provide complete protection since HPV can infect areas not covered by a condom.


Seeking Help
It is understandable to feel apprehensive about discussing this issue with family or friends, but it is crucial to consult a healthcare provider. They can provide a proper diagnosis and recommend the best treatment options. Remember, you are not alone in this, and many young men face similar concerns.
In conclusion, while genital warts can be distressing, they are treatable, and with the right approach, you can manage the condition effectively. Don’t hesitate to reach out to a healthcare professional for guidance and support. Your health and well-being should always come first.

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