Post-Cauterization Care for HPV: Do You Need Additional Treatment?

Q: Post-Cauterization Care for HPV: Do You Need Additional Treatment?

Hello： Cauliflower-like growths can develop, and freezing is one option for treatment. <br>Applying ointment after treating cauliflower growths is only an adjunctive measure and not necessary; it is merely for reference. <br>If you choose to use it, it will be out-of-pocket, and

Electrocautery of cauliflower without any treatment?

Hello: Recently, I underwent cryotherapy for Human Papillomavirus (HPV) type 18 and electrosurgery for genital warts.
I have read a lot of information, and most sources indicate that after electrosurgery, patients are usually prescribed medication, either topical or oral, to treat the wart virus.
However, I only had the electrosurgery, and the doctor did not prescribe any wart treatment medication; they only gave me tetracycline to apply to the wound.
I would like to ask: 1.
Do I not need to take or apply any wart treatment medication? 2.
Should I ask my doctor for it, or should I seek a second opinion from another doctor, or go to a different clinic? 3.
After cryotherapy for HPV type 18, will the virus be completely eliminated? This issue is very concerning for me...

Tongku Fanrao Ren, 40~49 year old female. Ask Date: 2019/01/21

Dr. Du Shixi reply Urology

Hello: Cauliflower-like growths can develop, and freezing is one option for treatment.
Applying ointment after treating cauliflower growths is only an adjunctive measure and not necessary; it is merely for reference.
If you choose to use it, it will be out-of-pocket, and it can only be applied to visible skin in the external genital area, as it may not be applicable inside the vagina.
Healing from cauliflower growths requires the body's own immune response, and applying ointment often stimulates this immune response.
However, if the body cannot heal itself, there is still a possibility of recurrence.
Wishing you good health.

Reply Date: 2019/01/21

More Info

When dealing with HPV (Human Papillomavirus) infections, especially after procedures like cryotherapy or cauterization, it's essential to understand the implications of your treatment and the necessary follow-up care. Here’s a comprehensive response to your questions regarding post-cauterization care for HPV.

1. Do You Need Additional Treatment?
After undergoing cryotherapy for HPV, particularly for high-risk types like HPV 18, it is common for patients to wonder about the necessity of additional treatments. In many cases, the cryotherapy itself is intended to remove the visible lesions (such as warts or abnormal cells) caused by the virus. The procedure can effectively eliminate the lesions, but it does not eradicate the virus from the body. HPV can remain dormant in the system, and while the lesions may be treated, the virus can still be present.
Generally, if your doctor did not prescribe any antiviral medications or topical treatments post-procedure, it may be because they believe the cryotherapy was sufficient for your current condition. However, if you have concerns about the effectiveness of the treatment or the possibility of recurrence, it is reasonable to discuss this with your healthcare provider.
2. Should You Consult Another Doctor?
If you feel uncertain about the treatment plan or if you believe that additional medications are necessary, it is advisable to seek a second opinion. Consulting another healthcare provider can provide you with more clarity and reassurance. You can bring your medical records, including the details of your cryotherapy procedure and any follow-up instructions you received, to the new doctor. This will help them assess your situation more accurately.

3. Will HPV 18 Be Gone After Cryotherapy?
Cryotherapy is effective in removing the lesions associated with HPV, but it does not guarantee that the virus will be completely eliminated from your body. HPV is a viral infection that can remain in a latent state, meaning it can become inactive but still reside in your system. Many individuals with HPV do not develop any further symptoms or lesions, as the immune system can often suppress the virus.
It’s important to note that while the visible signs of HPV may be treated, regular follow-up appointments are crucial to monitor for any recurrence of lesions or changes in cervical health. Your healthcare provider may recommend routine Pap smears and HPV testing to ensure that any potential issues are caught early.

4. Post-Cauterization Care:
After cryotherapy, proper care of the treated area is essential. Follow your doctor's instructions regarding wound care, which may include keeping the area clean and dry, avoiding irritants, and monitoring for signs of infection. The use of topical antibiotics like tetracycline may be prescribed to prevent infection in the treated area.
Additionally, maintaining a healthy lifestyle can support your immune system, which plays a critical role in managing HPV. This includes a balanced diet, regular exercise, adequate sleep, and stress management.
In summary, while cryotherapy can effectively treat the lesions caused by HPV, it does not eliminate the virus itself. If you have concerns about your treatment or the need for additional medications, do not hesitate to discuss these with your healthcare provider or seek a second opinion. Regular monitoring and follow-up care are essential to ensure your ongoing health and well-being.

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