Cauliflower Warts: Transmission and Treatment Options - Obstetrics and Gynecology

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Cauliflower (Condylomata Acuminata)


1.
If there are two fixed partners and one day there was unprotected intercourse in the morning followed by another unprotected intercourse with a different partner in the evening, and two weeks later only one partner developed genital warts (condyloma acuminatum), it is possible that the first partner could be a carrier of the virus.
The timing of the sexual encounters could suggest that the transmission occurred from one partner to the other, but it is also possible that the infection was present prior to the encounters.
2.
If you have genital warts and need medication, you can visit another gynecologist's office to obtain information and treatment.
They should be able to provide you with the necessary care and guidance regarding your condition.

zero zero, 30~39 year old female. Ask Date: 2018/08/09

Dr. Huang Jianzhong reply Obstetrics and Gynecology


1.
If there are two fixed partners, and one morning there was unprotected intercourse followed by cleaning, and then in the evening another partner had intercourse without a condom, two weeks later, only I developed warts.
Is it possible that I am a carrier because of the sexual encounters on the same day? Answer: Both partners should get tested.
2.
I have warts and need medication.
Can I find information at another gynecology clinic? Answer: Currently, there may not be any information available.

Reply Date: 2018/08/09

More Info


Cauliflower warts, commonly known as genital warts, are caused by certain strains of the human papillomavirus (HPV). Understanding the transmission, symptoms, and treatment options for this condition is crucial for effective management and prevention.

1. Transmission of HPV and Genital Warts: HPV is primarily transmitted through direct skin-to-skin contact during sexual activity. This means that if you had unprotected sexual intercourse with one partner and then with another, it is possible to transmit the virus between partners. In your case, if you had sexual contact with both partners on the same day, it is conceivable that you could have been the carrier of the virus, even if you did not show symptoms immediately. HPV can remain dormant in the body for a period before symptoms, such as warts, appear. Therefore, it is possible that you contracted the virus from one partner and transmitted it to the other, or you may have been infected previously and only now developed visible symptoms.

2. Diagnosis and Treatment Options: If you suspect you have genital warts, it is important to seek medical advice. A healthcare provider, such as a gynecologist or dermatologist, can diagnose the condition through a physical examination. They may also perform a Pap smear or HPV test to check for other strains of the virus that could lead to more serious health issues, such as cervical cancer in women.

Treatment options for genital warts include:
- Topical Treatments: These are medications applied directly to the warts. Common options include podophyllin resin, imiquimod, and trichloroacetic acid (TCA). These treatments can help to remove warts but may require multiple applications.

- Cryotherapy: This involves freezing the warts with liquid nitrogen, which can effectively eliminate them.

- Surgical Options: In some cases, warts may need to be surgically removed, especially if they are large or do not respond to other treatments.

- Laser Treatment: This is another option for removing warts, particularly for larger or more persistent lesions.

3. Consulting a Healthcare Provider: It is advisable to visit a healthcare provider for a thorough evaluation and to discuss treatment options. You mentioned considering visiting another gynecologist for information; this is a good idea. Different providers may have varying approaches to treatment, and getting a second opinion can be beneficial. They can also provide you with information on HPV vaccination, which can help prevent future infections with certain strains of the virus.

4. Emotional and Psychological Support: Dealing with a diagnosis of genital warts can be emotionally challenging. It is important to communicate openly with your partners about your condition and to seek support from healthcare professionals or counseling services if needed. Understanding that HPV is a common virus and that many people are affected can help reduce feelings of isolation or shame.

In summary, genital warts are a common sexually transmitted infection caused by HPV. They can be transmitted between partners, and if you have developed symptoms, it is important to seek medical advice for diagnosis and treatment. Various treatment options are available, and consulting with a healthcare provider can help you navigate your options effectively. Additionally, consider discussing preventive measures, such as vaccination, to protect against future infections.

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