Cauliflower Warts: Symptoms and Treatment Concerns

Questions about cauliflower (condylomata acuminata)?

Hello, Doctor.
I applied Leda-Med twice and used it for the third time yesterday (with intervals using the suppository).
Since it was applied internally, I noticed some residue on my hand after taking it out, which appeared to be yellowish-white and somewhat like curds.
It was odorless and quite a bit of it.
However, while applying the medication, it seemed that there were fewer protrusions on the vaginal wall.
Additionally, on one side externally, there are a few white protrusions that might be new, but they feel very painful and look somewhat like pustules.
I experienced significant pain while urinating yesterday, but today there is no discomfort.
Are these symptoms normal? Has anyone else experienced similar curd-like substances after using Leda-Med? Is this a reaction to the medication or a sign of worsening condition? The doctor told me to return for a follow-up in two weeks.
Should I see the doctor sooner for this situation? I alternate between applying Leda-Med and the suppository, using them on different days: 1, 3, 5 for Leda-Med and 2, 4, 6 for the suppository.
If I finish using Leda-Med first, can I use the suppository for two consecutive days? Thank you, Doctor.

OT, 20~29 year old female. Ask Date: 2019/05/02

Dr. Huang Jianzhong reply Obstetrics and Gynecology

I applied Lede Mei twice and yesterday was the third time (with intervals using the suppository).
Since it was applied internally, I inserted it and when I took my hand out, I noticed some residue that looked yellowish-white, somewhat resembling tofu curds.
It was odorless and there was quite a bit of it.
However, while applying the medication, it seemed that there were fewer protrusions on the vaginal wall.
Additionally, on one side externally, there are a few white protrusions that might be new, but they feel very painful and look somewhat like pustules.
I experienced significant pain while urinating yesterday, but today there is no discomfort.
I am unsure if these symptoms are normal.
Has anyone else experienced similar tofu-like substances after using Lede Mei? Is this a reaction to the medication or a sign that my condition has worsened?
Answer: It may have worsened because the doctor told me to return for a follow-up in two weeks.
Should I go back to the doctor for an examination given this situation?
Answer: Yes, you should return to the doctor for an examination.
I alternate between applying Lede Mei and the suppository, using one for days 1, 3, and 5, and the other for days 2, 4, and 6.
If I finish applying Lede Mei first, can I use the suppository continuously for two days?
Answer: Yes, you can.

Reply Date: 2019/05/02

More Info

Cauliflower warts, also known as genital warts, are caused by certain strains of the human papillomavirus (HPV). These warts can appear as small, flesh-colored or gray growths that may resemble cauliflower. They can be found in the genital area, including the vulva, vagina, cervix, and anus, and can sometimes be painful or itchy. Understanding the symptoms and treatment options is crucial for effective management.

From your description, it seems that you have been using a topical treatment, likely a medication like imiquimod or podophyllin, which is commonly prescribed for the treatment of genital warts. The yellow-white substance you observed, resembling "tofu dregs," could be a result of the medication interacting with the wart tissue. This is not uncommon, as these treatments often cause the wart tissue to break down and slough off. However, the presence of painful bumps that resemble pustules and the pain during urination are concerning symptoms that warrant further evaluation.

The pain you experienced while urinating could indicate inflammation or irritation in the genital area, possibly due to the warts or the treatment itself. It's essential to monitor these symptoms closely. If the pain persists or worsens, or if you notice any signs of infection (such as increased redness, swelling, or discharge), you should contact your healthcare provider sooner than your scheduled follow-up appointment.

Regarding your treatment regimen, alternating between different topical treatments can be effective, but it's crucial to follow your healthcare provider's instructions closely. If you have been advised to use the medications in a specific sequence, it's best to adhere to that plan unless directed otherwise by your doctor. Using the treatments consecutively without proper guidance may lead to increased irritation or reduced effectiveness.

In terms of whether you should return to your doctor before your scheduled appointment, if you are experiencing significant discomfort, new symptoms, or if you are unsure about the appearance of the warts, it is advisable to seek medical advice sooner. Your healthcare provider can assess the situation, determine if the treatment is working effectively, and make any necessary adjustments to your treatment plan.

In summary, while some side effects like the yellow-white discharge can be normal during treatment, the presence of painful bumps and urinary discomfort should be evaluated by a healthcare professional. It's essential to maintain open communication with your doctor regarding your symptoms and treatment progress to ensure the best possible outcome.

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