Recurrence: Concerns About Anal Warts After Treatment

Is it a recurrence?

Two years ago, I was diagnosed with genital warts and underwent approximately three rounds of electrosurgery, with the last treatment occurring in July of last year.
After that, my follow-up appointments with the doctor indicated that everything was fine, so I thought there might not be a recurrence.
However, in June of this year, I accidentally discovered a small white spot around the anal area (although I have been checking for any protrusions every time I shower).
It seems that the white spot is not raised.
Two weeks ago, I became concerned that it might be a recurrence of the warts, so I used a wart removal gel.
After a week of treatment, I noticed that it had disappeared, but a week later, I saw a very small white spot in the same area again (I am worried whether the warts might be coming back).
Is it really possible for a recurrence to happen almost a year later? During this time, I have been careful and have not engaged in any risky behavior.
However, I cannot find any information regarding the appearance of white spots around the anal area.
The white spot is small and requires stretching the skin around the anus to see it.
I have been troubled by genital warts and am constantly worried about my safety.

Xiao Wei, 30~39 year old female. Ask Date: 2020/06/27

Dr. Ke Fangxu reply Surgery

Early-stage anal warts can be difficult to confirm.
To obtain an accurate diagnosis, a pathological biopsy is the most reliable method.
If the lesion is small, applying a wart removal cream can be effective.
However, if the warts increase in size or number, it is important to consult a physician for evaluation to determine if it is a recurrence.

Reply Date: 2020/06/27

More Info

It’s understandable to be concerned about the potential recurrence of anal warts (condyloma acuminata) after treatment, especially given your history of multiple treatments. Condyloma acuminata is caused by certain strains of the human papillomavirus (HPV), and while treatment can effectively remove visible warts, it does not eliminate the virus from the body. This means that there is always a possibility of recurrence, even after a significant period without visible symptoms.

In your case, the appearance of a small white spot around the anal area could be a cause for concern, but it’s important to note that not all white spots are indicative of warts. They could be benign skin changes, irritation, or other dermatological conditions. The fact that you have been diligent in monitoring the area and have not noticed any significant changes until recently is a positive sign, but it’s still advisable to consult with a healthcare professional for a thorough examination.

Using over-the-counter treatments like wart removal creams can sometimes help, but they may not be effective against all types of lesions, especially if they are not caused by HPV. If the white spot reappears after treatment, it’s essential to have it evaluated by a healthcare provider. They may perform a physical examination and, if necessary, a biopsy to determine the nature of the lesion.

Regarding your concerns about recurrence after nearly a year, it is indeed possible for warts to recur even after a long period of absence. HPV can remain dormant in the body, and factors such as stress, a weakened immune system, or other health changes can trigger a recurrence. It’s also worth noting that some individuals may experience multiple recurrences, while others may not have any further issues after initial treatment.

To address your worries about safety and recurrence, here are some recommendations:
1. Regular Monitoring: Continue to monitor the area for any changes. If you notice any new growths, changes in color, or other symptoms, seek medical advice promptly.

2. Consult a Specialist: If you are concerned about the white spot, consider scheduling an appointment with a dermatologist or a specialist in sexually transmitted infections. They can provide a more accurate diagnosis and recommend appropriate treatment options.

3. Maintain a Healthy Immune System: A strong immune system can help keep HPV in check. Focus on a balanced diet, regular exercise, adequate sleep, and stress management techniques.

4. Follow-Up Care: Regular follow-up appointments with your healthcare provider can help ensure that any potential recurrences are caught early and managed effectively.

5. Education and Awareness: Educate yourself about HPV and its implications. Understanding the virus can help reduce anxiety and empower you to make informed decisions about your health.

In conclusion, while it is possible for anal warts to recur, not every white spot or change in the area is necessarily a sign of recurrence. Consulting with a healthcare professional is the best course of action to get a definitive diagnosis and appropriate management. Your proactive approach to monitoring your health is commendable, and with the right support and care, you can navigate this situation effectively.

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