Genital Warts: Symptoms, Treatment, and Partner Testing - Urology

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Cauliflower (Condylomata Acuminata)


Hello doctor: I've been experiencing itching and pain in the vulvar area for the past few days.
I went to the gynecologist yesterday, and the result was that I have genital warts.
I also received the HPV vaccine.
A few days ago, I had sexual intercourse with my partner using a condom, but afterward, I noticed blood on the outside of the condom, which doesn't feel like menstrual blood...
Am I sick? Should my partner also get tested and treated?

Bu Bu, 20~29 year old female. Ask Date: 2018/09/19

Dr. Chen Jiansheng reply Urology


Please go for a medical examination together.

Reply Date: 2018/09/19

More Info


Genital warts, medically known as condylomata acuminata, are a common sexually transmitted infection (STI) caused by certain strains of the human papillomavirus (HPV). Understanding the symptoms, treatment options, and the importance of partner testing is crucial for effective management and prevention of further transmission.


Symptoms of Genital Warts
The primary symptom of genital warts is the appearance of small, flesh-colored or gray growths in the genital area. These warts can be flat or raised and may occur singly or in clusters, resembling a cauliflower-like shape. Other symptoms may include itching, discomfort, or pain in the affected area. In some cases, individuals may not exhibit any symptoms at all, which can lead to unknowing transmission of the virus to sexual partners.

In your case, the itching and pain in the vulvar area, along with the presence of blood on the condom after intercourse, could indicate irritation or trauma, possibly exacerbated by the presence of warts. It is essential to follow up with your healthcare provider to assess the situation further, especially since you have received a diagnosis of genital warts.


Treatment Options
Treatment for genital warts can vary based on the size, location, and number of warts. Common treatment options include:
1. Topical Treatments: These include medications like imiquimod (Aldara), podofilox (Condylox), and sinecatechins (Veregen), which can be applied directly to the warts to help reduce their size and number.

2. Cryotherapy: This involves freezing the warts with liquid nitrogen, which causes them to fall off over time.

3. Electrosurgery: This method uses electrical currents to burn off the warts.

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

5. Laser Treatment: This is used for extensive warts or those that do not respond to other treatments.

It is important to note that while these treatments can remove visible warts, they do not cure the underlying HPV infection. The virus may remain dormant in the body and can potentially reactivate or lead to new warts in the future.


Partner Testing and Treatment
Given that genital warts are an STI, it is crucial for your partner to be tested and potentially treated as well. Even if your partner does not show any symptoms, they could still be carrying the virus and may transmit it back to you or to others. Open communication with your partner about your diagnosis is essential for both of your health and well-being.

Your partner should consult a healthcare provider for evaluation, which may include a physical examination and possibly testing for HPV. Depending on the findings, they may also require treatment.


Conclusion
In summary, genital warts are a manageable condition, but they require attention and care. It is vital to adhere to your treatment plan, maintain open communication with your partner, and ensure they are tested and treated if necessary. Additionally, consider discussing the HPV vaccine with your healthcare provider, as it can help protect against certain strains of the virus that cause genital warts and cervical cancer. Regular follow-ups with your healthcare provider are also essential to monitor your condition and manage any potential complications.

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