Post-Treatment Care for HPV Warts: Essential Questions Answered - Urology

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Follow-up management of cauliflower infection?


Hello Doctor, I recently had two warts removed and underwent electrosurgery at a urology clinic.
I have only had one sexual partner, my girlfriend.
I would like to ask you the following questions regarding follow-up care:
1.
Should I take my girlfriend to a gynecologist to check if she is also infected with the HPV virus? She does not appear to have any visible warts; can a gynecologist confirm this?
2.
Should we both get the HPV vaccine to prevent reinfection?
3.
The cost of the quadrivalent HPV vaccine is $3,500 per dose, and three doses are required.
Is this reasonable?
4.
I plan to undergo electrosurgery for any future recurrences of warts and continue this until six months after the last recurrence, at which point I believe I can conclude that I have cleared the HPV virus.
Is this correct, or is there a better approach?
I have quite a few questions, and I appreciate your guidance.
Thank you very much!

Tony, 20~29 year old female. Ask Date: 2019/04/08

Dr. Du Shixi reply Urology


Hello: 1) It is recommended for women to visit a gynecologist, as some conditions may occur in the vagina and may not be visible externally.
It is important to inform the doctor if the sexual partner has genital warts.
2) The vaccine is for preventive purposes and is self-paid.
If financially feasible, it may provide some effectiveness since there are many types of genital warts, and the vaccine can only target a few strains for prevention.
3) The cost is approximately this amount.
4) If there are lesions, treatment is necessary; if none have developed, practicing safe sex is advisable.
Some strains of the wart virus may be managed by the body's immune system.
If no lesions appear for several months, the likelihood of new lesions developing is significantly reduced, but it does not guarantee that the virus is no longer present.
Various treatment methods seem to have an effectiveness of about 60-70%.
Wishing you good health.

Reply Date: 2019/04/08

More Info


Post-treatment care for HPV warts, also known as genital warts or condylomata acuminata, is crucial for both the individual who has been treated and their sexual partners. Here are the answers to your questions, along with some additional insights regarding HPV management.

1. Should I take my girlfriend to get checked for HPV?
Yes, it is advisable for your girlfriend to undergo an examination by a gynecologist. While she may not exhibit visible signs of HPV, such as warts, the virus can still be present asymptomatically. A gynecologist can perform a Pap smear and HPV testing to check for any abnormalities or the presence of the virus. Early detection is key to managing HPV and preventing potential complications.

2. Should we both get the HPV vaccine?
Yes, both you and your girlfriend should consider getting the HPV vaccine. The vaccine is effective in preventing the types of HPV that most commonly cause genital warts and cervical cancer. It is recommended for individuals up to age 26, but it can be given to those up to age 45 as well. Vaccination can significantly reduce the risk of future infections and is a proactive step in your sexual health.

3. Is the cost of the HPV vaccine reasonable?
The cost of the HPV vaccine can vary, but a price of $3,500 for three doses is within the typical range in many healthcare settings. The vaccine is usually administered in three doses over six months. While it may seem expensive, the long-term benefits of preventing HPV-related diseases, including certain cancers, can outweigh the initial costs.

4. Is my plan to manage potential recurrences correct?
Your plan to continue monitoring for any recurrences of warts after vaccination is reasonable. If warts do recur, treatments such as electrocautery (the method you previously underwent) can be effective. However, it is important to note that while the HPV vaccine can help prevent new infections, it does not treat existing infections. Therefore, even after vaccination, you should remain vigilant for any signs of recurrence. The idea of waiting six months after the last recurrence to consider yourself free of HPV is a common approach, but it is essential to understand that HPV can remain dormant in the body. Regular follow-ups with your healthcare provider are crucial for ongoing monitoring.


Additional Insights on HPV Management
- Understanding HPV: HPV is a very common sexually transmitted infection, and many people will contract it at some point in their lives. Most HPV infections resolve on their own without causing any health problems. However, certain high-risk types can lead to cancer, which is why monitoring and preventive measures are important.

- Immune Response: The body's immune system plays a significant role in controlling HPV. A healthy immune system can often suppress the virus, leading to the resolution of warts and the clearance of the virus over time.

- Safe Practices: While you are undergoing treatment and monitoring, it is advisable to practice safe sex, including the use of condoms, to reduce the risk of transmitting the virus to your partner or acquiring new strains.

- Emotional Support: Dealing with an HPV diagnosis and its implications can be emotionally challenging. Consider seeking support from healthcare professionals or support groups to help navigate the psychological aspects of living with HPV.

In conclusion, proactive management of HPV through vaccination, regular check-ups, and open communication with your partner is essential for maintaining sexual health and preventing the spread of the virus. Always consult with your healthcare provider for personalized advice and treatment options tailored to your specific situation.

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