Can Genital Warts Spread to Other Areas After Treatment? - Urology

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Hello doctor, three months ago I was diagnosed with genital warts and received immediate electrosurgical treatment.
Since then, the treated area has not shown any signs of recurrence.
However, today while showering and washing my genital area, I felt some very tiny bumps that are not visible to the naked eye (they are in a different location, not the original site).
I quickly took photos with a camera zoomed in ten times.
I would like to ask if this could be genital warts and if it indicates a recurrence or spread of the condition.

Niming, 20~29 year old female. Ask Date: 2019/02/21

Dr. Chen Jiansheng reply Urology


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Please seek medical evaluation.

Reply Date: 2019/02/21

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Genital warts, caused by certain strains of the human papillomavirus (HPV), can indeed spread to other areas of the body, even after treatment. It is important to understand that while treatments such as electrosurgery (the method you mentioned) can effectively remove visible warts, they do not eliminate the virus from the body. HPV can remain dormant in the skin and may reactivate or cause new warts to appear in different locations.

In your case, since you have noticed small bumps in a different area from where the original warts were treated, it is possible that these could be new warts caused by the same HPV strain. However, it is also important to consider that not all bumps or growths in the genital area are necessarily warts. They could be other types of skin lesions, such as skin tags, folliculitis, or other benign conditions.

Here are some key points to consider regarding your situation:
1. Follow-Up with a Healthcare Provider: It is crucial to consult with a healthcare provider, preferably a dermatologist or a specialist in sexually transmitted infections, to evaluate the new bumps. They can perform a physical examination and may recommend further testing or treatment if necessary.

2. Transmission and Spread: HPV is primarily transmitted through skin-to-skin contact during sexual activity. If you have active warts, there is a risk of transmitting the virus to your partner. Even if warts are not visible, the virus can still be present and contagious.

3. Monitoring for Changes: Keep an eye on the new bumps. If they change in appearance, grow, or become symptomatic (itching, pain, etc.), seek medical attention promptly. Early intervention can help manage any potential issues.

4. Preventive Measures: To reduce the risk of spreading HPV, consider discussing vaccination options with your healthcare provider. The HPV vaccine can protect against the most common strains that cause genital warts and certain types of cancer.

5. Emotional and Psychological Impact: Dealing with genital warts can be stressful and may affect your emotional well-being. It is important to seek support from healthcare professionals or support groups if you feel overwhelmed.

In summary, while it is possible for genital warts to spread to other areas after treatment, it is essential to have any new growths evaluated by a healthcare professional. They can provide a proper diagnosis and recommend appropriate treatment options. Remember that maintaining open communication with your healthcare provider is key to managing your health effectively.

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