Genital Warts: Risks, Recovery, and Sexual Health Concerns - Urology

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Hello Doctor, about a month ago, I visited a urologist because I had a small bump on my glans.
The doctor suggested a biopsy, which later confirmed it was a wart, and advised me to monitor for any recurrence.
I understand that I should avoid sexual intercourse to prevent affecting my girlfriend, but I am concerned about masturbation.
If semen comes into contact with my hands or genital area, could I potentially reinfect myself? My girlfriend recently found out that I occasionally masturbate, and she has been upset about it.
However, I only feel sexual desire when we go out together, but I don’t want to harm her.
I would like to know if I need to abstain for the full 10 months as the doctor previously mentioned.
Additionally, I would like to ask about the procedure I underwent.
The doctor said it was done using electrocautery, and now there is a small scar in that area.
How long will it take to heal, or is it irreversible? It used to be smooth, and I am worried that it might grow back.
The current scar is a line rather than the small bump it was before.
Does this indicate a recurrence or is it just a scar?

Yu, 20~29 year old female. Ask Date: 2020/03/09

Dr. Li Xinyi reply Urology


I understand your anxiety, but the relationship between viruses and individuals cannot be predicted.
For instance, with the COVID-19 virus, it is impossible to know who may experience severe outcomes.
The human papillomavirus (HPV) can also be troublesome; some individuals may experience recurrent outbreaks, while others may recover after just one occurrence.
No one can determine your specific situation.
Therefore, doctors can only recommend regular follow-ups, which may also apply to your girlfriend, who should consider regular gynecological check-ups.
This is important because when women contract HPV, it often occurs in the vaginal area and may not be easily detected, and it is also associated with cervical cancer.
Only through routine examinations can one ascertain whether an infection is present.
Additionally, during this time, it is advisable to use condoms during sexual activity and ensure adequate lubrication to minimize the risk of skin irritation.
The healing of scars can vary from person to person, but generally, it takes about three to six months for them to mature.

Reply Date: 2020/03/09

More Info


Understanding genital warts, also known as condylomata acuminata, is crucial for maintaining sexual health and preventing transmission. Genital warts are caused by certain strains of the human papillomavirus (HPV), which is a common sexually transmitted infection (STI). Here’s a comprehensive overview of the risks, recovery, and sexual health concerns associated with genital warts.


Risks of Genital Warts
1. Transmission: Genital warts are primarily transmitted through direct skin-to-skin contact during sexual activity, including vaginal, anal, and oral sex. Even if warts are not visible, the virus can still be present and contagious. Therefore, it is essential to avoid sexual contact until the warts are treated and cleared.

2. Self-Transmission: If you have genital warts, there is a risk of self-inoculation, meaning that if you touch the warts and then touch another part of your body, you could potentially spread the virus. However, the risk of transmitting the virus to yourself through masturbation is relatively low compared to direct sexual contact with an infected partner.

3. Impact on Partners: Engaging in sexual activity while having genital warts can put your partner at risk of contracting the virus. It is commendable that you are considering your girlfriend's health and well-being by refraining from sexual activity during this time.


Recovery and Management
1. Treatment Options: Treatment for genital warts can include topical medications, cryotherapy (freezing), laser therapy, or surgical removal. The choice of treatment depends on the size, number, and location of the warts. It is essential to follow your healthcare provider's recommendations for treatment and follow-up care.

2. Observation for Recurrence: After treatment, it is crucial to monitor the area for any signs of recurrence. While some individuals may experience a complete resolution of warts, others may have recurrences. The fact that you have a scar from the electrosurgery indicates that the wart was removed, but it does not guarantee that new warts will not develop in the future.

3. Healing Time: The healing process can vary from person to person. Generally, the treated area may take several weeks to heal completely. The scar tissue may remain, but it should not be a cause for concern unless you notice new growths or changes in the area.


Sexual Health Concerns
1. Abstinence and Sexual Activity: It is advisable to abstain from sexual activity until you have been cleared by your healthcare provider. The recommendation of a 10-month period of abstinence may be based on the specific treatment you received and the time required for the virus to clear from your system. During this time, focus on maintaining open communication with your girlfriend about your health status and the importance of preventing transmission.

2. Psychological Impact: It is understandable that your girlfriend may feel frustrated or upset about your condition. Open and honest communication about your health, the nature of genital warts, and the steps you are taking to manage the situation can help alleviate concerns and strengthen your relationship.

3. Future Considerations: After the treatment and recovery period, consider discussing HPV vaccination with your healthcare provider. The HPV vaccine can protect against the strains of the virus that cause genital warts and certain types of cancer, providing an additional layer of protection for you and your future partners.


Conclusion
In summary, managing genital warts involves understanding the risks of transmission, adhering to treatment protocols, and maintaining open communication with your partner. While the presence of a scar may be concerning, it is essential to focus on healing and preventing future outbreaks. Abstaining from sexual activity during the recovery period is crucial for both your health and that of your partner. If you have any further questions or concerns, do not hesitate to reach out to your healthcare provider for personalized advice and support.

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