You have been diagnosed with genital warts! However, you are unsure about what to do and feel confused?
I went to the hospital today for either electrosurgery or laser treatment (I'm not sure which), but I felt that the doctor's professionalism was lacking.
Whenever I asked him questions, he said it wasn't necessary! So I thought I would come here to ask.
Since I am currently staying abroad for an extended period, I went to the pharmacy and bought Aldara (Imiquimod).
Although the doctor said it wasn't necessary, I still purchased it! Currently, I have warts on both my anus and the top of my penis.
The warts on my anus have already been removed through electrosurgery.
The ones on my penis have also been treated with electrosurgery, and I also had a circumcision done at the same time.
Now, I'm unsure if I should use Aldara.
If the wound from my circumcision hasn't healed yet, can I still use Aldara? Can Aldara be applied to the anus as well? I saw that some people use Aldara in conjunction with Wartrol (Podofilox) — applying Aldara on days 1, 3, and 5, and Wartrol on days 2, 4, and 6.
But wouldn't that be too much? I also received a vaccine that requires three doses, with the second and sixth doses scheduled for the next months.
The doctor mentioned that it could prevent warts.
Is it still useful to get the vaccine if I already have warts?
Guo Xiansheng, 20~29 year old female. Ask Date: 2018/08/18
Dr. Wu Yuxin reply Dermatology
The vaccine that can prevent cervical cancer targets specific types, while other types cannot be prevented.
Reply Date: 2018/08/18
More Info
Managing genital warts can be a complex issue, especially when you are dealing with multiple treatments and concerns about healing. It sounds like you have already undergone some procedures, including electrosurgery or laser treatment for the warts, and a circumcision. You also mentioned using a topical treatment called "Leda Mei" (likely referring to a topical medication for warts) and have questions about its use in conjunction with your current condition.
First, it's important to understand that genital warts are caused by certain strains of the human papillomavirus (HPV). While treatments like electrosurgery or laser therapy can effectively remove visible warts, they do not eliminate the virus from your body. This means that while the warts can be treated, HPV can remain dormant and may cause new warts to appear in the future.
Regarding your specific questions:
1. Using Leda Mei on Healing Wounds: If you have recently undergone circumcision and the wound is still healing, it is generally advisable to avoid applying any topical treatments directly on open or healing wounds unless specifically directed by your healthcare provider. Using Leda Mei on a healing circumcision site may irritate the skin or interfere with the healing process. It’s best to consult your doctor or a pharmacist about the safety of using this medication on or near the surgical site.
2. Application on the Anus: Leda Mei is typically used for external warts, but you should be cautious when applying any topical medication to sensitive areas like the anus. If you are considering using it there, it’s crucial to consult with your healthcare provider first to ensure it’s safe and appropriate for that area.
3. Combination with Other Treatments: The regimen you mentioned, alternating between Leda Mei and another treatment (possibly "Tai Yao Gel"), should also be discussed with your doctor. Combining treatments can sometimes be effective, but it can also lead to increased irritation or adverse reactions. Your healthcare provider can give you the best advice tailored to your specific situation.
4. HPV Vaccine After Diagnosis: Regarding the HPV vaccine, it is designed to prevent certain strains of HPV that can lead to genital warts and cervical cancer. If you have already been diagnosed with genital warts, getting the vaccine can still be beneficial. It will not treat existing warts but can protect against other strains of HPV that you may not have been exposed to yet. It’s advisable to discuss this with your healthcare provider to understand the best timing and benefits for your situation.
5. Follow-Up Care: Since you are receiving treatment and vaccinations, regular follow-up with your healthcare provider is essential. They can monitor your healing, manage any side effects from treatments, and provide guidance on the best practices for care and prevention of future warts.
In summary, while you have taken proactive steps in managing your genital warts, it’s crucial to communicate openly with your healthcare provider about your treatment plan, the use of topical medications, and the implications of the HPV vaccine. They can provide personalized advice based on your medical history and current condition, ensuring that you receive the best care possible.
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