the Risks and Symptoms of Genital Warts - Urology

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Risk of cauliflower infection


Hello Doctor, I had sexual intercourse with a woman on September 4th (with a condom throughout).
Later, while showering, I noticed small bumps around the coronal sulcus of the glans.
On October 10th, I visited a urologist, who said it was pearly penile papules, but I am still concerned and would like to ask you.
What are the early symptoms of genital warts? If there are no cauliflower-like growths after more than three months, does that mean there is nothing to worry about?

Lè, 20~29 year old female. Ask Date: 2019/10/20

Dr. Du Shixi reply Urology


Hello: Please monitor if there are any new growths, if existing ones have increased in size or number, and seek medical attention if so.
Currently, genital warts should be observed in relation to skin contact with a partner (using condoms significantly reduces the risk, making it almost negligible).
If there are no new growths after three months, the likelihood decreases further, although some individuals may develop warts even after a longer period.
However, this is quite rare.
Wishing you good health.

Reply Date: 2019/10/20

More Info


Genital warts, caused by certain strains of the human papillomavirus (HPV), are a common sexually transmitted infection. Understanding the risks, symptoms, and management of genital warts is crucial for anyone who may be affected.


Symptoms of Genital Warts
Genital warts typically appear as small, flesh-colored or gray growths in the genital area. They can be flat or raised, single or multiple, and may resemble a cauliflower-like appearance when they cluster together. However, not all individuals with HPV will develop visible warts. In some cases, the virus can remain dormant in the body without causing any symptoms for an extended period.
In your case, you mentioned discovering small bumps in the coronal sulcus area of the penis. While your doctor diagnosed them as pearly penile papules (which are harmless and not related to HPV), it is understandable to feel concerned about the possibility of genital warts. The initial symptoms of genital warts can vary, and they may take weeks or even months to appear after exposure to the virus.

Risks and Transmission
Genital warts are primarily transmitted through skin-to-skin contact during sexual activity, including vaginal, anal, and oral sex. Using condoms can reduce the risk of transmission but does not eliminate it entirely, as HPV can infect areas not covered by a condom.

Diagnosis and Monitoring
If you have been diagnosed with pearly penile papules, it is important to note that these are benign and do not require treatment. However, if you notice any changes in the appearance of the bumps or develop new symptoms, it is advisable to follow up with your healthcare provider.
The absence of cauliflower-like growths three months after your initial exposure is a positive sign, but it does not guarantee that you are free from HPV. Regular check-ups and monitoring are essential, especially if you have concerns about potential exposure to sexually transmitted infections.


Treatment Options
If genital warts were to develop, treatment options include topical medications, cryotherapy (freezing the warts), laser treatment, or surgical removal. The choice of treatment depends on the size, location, and number of warts, as well as the patient's preferences and medical history.


Prevention
Preventive measures are crucial in managing the risk of HPV infection. The HPV vaccine is highly effective in preventing the strains of the virus that cause genital warts and certain types of cancer. It is recommended for preteens and young adults, but it can be administered at any age. Additionally, practicing safe sex by using condoms and having open discussions with sexual partners about STIs can help reduce the risk of transmission.


Conclusion
In summary, while your current diagnosis of pearly penile papules is not a cause for concern, it is essential to remain vigilant and monitor for any changes. Regular check-ups with your healthcare provider will help ensure that any potential issues are addressed promptly. If you have further questions or experience new symptoms, do not hesitate to seek medical advice. Understanding your health and taking proactive steps is the best way to manage your sexual health.

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