Can Genital Warts Recur in Different Areas After Treatment? - Urology

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I was diagnosed with genital warts three months ago at the hospital and immediately underwent electrosurgery.
For the past three months, there has been no recurrence in the treated area, but today while showering and cleaning my genital area, I suddenly felt a very small bump that is not in the area that was treated with electrosurgery, but rather in another location that is not visible to the naked eye.
I immediately took photos using a camera with about ten times magnification (links below).
I would like to know if this could be a recurrence of genital warts.
Can genital warts recur in areas other than the previously affected site?
https://upload.cc/i1/2019/02/21/YnsAtw.jpg
https://upload.cc/i1/2019/02/21/nVpbAF.jpg
https://upload.cc/i1/2019/02/21/38JRlu.jpg
https://upload.cc/i1/2019/02/21/BKRzkd.jpg
https://upload.cc/i1/2019/02/21/gFEP20.jpg

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

Dr. Du Shixi reply Urology


Hello: It is very difficult to diagnose when it is so small.
Generally, some warts can recur, so it is essential to practice safe sex for a period after treatment.
Additionally, if it gradually increases in size, the likelihood of recurrence is very high, and it should be addressed.
For now, it may be best to keep the area clean and dry and monitor for any growth.
Furthermore, the recurrence may occur at the original site or in a different location; both are possible.
Wishing you good health.

Reply Date: 2019/02/21

More Info


Genital warts, caused by certain strains of the human papillomavirus (HPV), can indeed recur in different areas after treatment. The treatment you underwent, electrosurgery, is effective in removing visible warts, but it does not eliminate the virus from your body. HPV can remain dormant in the skin and may reactivate or cause new warts to develop in other areas.

It is important to understand that HPV is a sexually transmitted infection, and while treatment can remove warts, it does not cure the virus itself. This means that even after successful treatment, there is a possibility of new warts appearing, either in the same location or in different areas. The immune system plays a crucial role in controlling the virus, and in some individuals, the immune response may be strong enough to keep the virus in check, while in others, it may not be as effective.

Regarding the small bump you noticed, it is difficult to determine its nature without a physical examination. It could be a recurrence of genital warts, a different type of skin lesion, or even a benign condition. The best course of action is to consult your healthcare provider for an accurate diagnosis. They may perform a visual examination and, if necessary, a biopsy to determine the nature of the bump.

In the meantime, here are some general recommendations for managing genital warts and HPV:
1. Regular Monitoring: Keep an eye on any new growths or changes in existing lesions. Early detection can lead to more effective treatment.

2. Follow-Up Appointments: Schedule regular follow-up visits with your healthcare provider to monitor for any new warts or changes in your condition.

3. Safe Practices: Since HPV is sexually transmitted, practicing safe sex can help reduce the risk of spreading the virus to partners and potentially developing new warts.

4. Boosting Immunity: A healthy immune system can help control HPV. Eating a balanced diet, exercising regularly, managing stress, and getting adequate sleep can contribute to overall immune health.

5. Consider HPV Vaccination: If you haven't already been vaccinated, discuss the HPV vaccine with your healthcare provider. The vaccine can protect against the most common strains of HPV that cause genital warts and cervical cancer.

6. Avoid Irritation: If you notice any new bumps, avoid picking at them or causing irritation, as this can lead to further complications or spread the virus.

In summary, while it is possible for genital warts to recur in different areas after treatment, it is essential to consult your healthcare provider for proper evaluation and management. They can provide guidance tailored to your specific situation and help you navigate any concerns regarding HPV and its implications.

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