Cauliflower issue
On July 11 and July 12, lesions were discovered located next to the genital ligament, with three lesions measuring 0.2 x 0.2 x 0.2 cm on each side.
On July 15, I visited a large hospital for a consultation (the doctor said it didn't look like much).
On July 20, a surgeon performed an excision under local anesthesia.
On July 29, during a follow-up appointment to review the report, the doctor diagnosed it as genital warts.
That same day, I received the first dose of the HPV vaccine.
A month later, there are no obvious lesions, but I experience slight itching and a sensation of something being there when touched, although nothing is visible.
However, I feel that the doctor was somewhat dismissive.
During this period, I have not applied any ointment and have read many articles online, which has caused me significant psychological stress.
I am unsure if the doctor can provide some advice.
Additionally, are there any recommended clinics or hospitals in the Hsinchu and Taoyuan area? I really want to recover quickly.
Furthermore, my sexual history is quite simple, and I have not engaged in any promiscuous behavior, so I am unclear about how I contracted this.
I hope the doctor can offer some suggestions, as I currently have no ointment and, being a student, I feel completely lost.
It feels like I am just waiting for a recurrence...
Please, doctor!
Bb, 20~29 year old female. Ask Date: 2020/08/23
Dr. Du Shixi reply Urology
Hello: If diagnosed, there is no need to apply ointment after the procedure.
This condition has a possibility of recurrence, and using ointment may also lead to recurrence.
You can visit National Taiwan University Hospital in Hsinchu or Linkou Chang Gung Memorial Hospital for consultation; their approaches may be similar.
Wishing you good health.
The key is to practice safe sex with protection.
You can refer to https://www.cdc.gov.tw/Category/ListContent/BcwrIdNHhlziwBeJq9UJ7Q?uaid=1TI7GoOkq9v7X-lr2QtYog.
Reply Date: 2020/08/23
More Info
Genital warts, caused by certain strains of the human papillomavirus (HPV), are a common sexually transmitted infection (STI). They can appear as small, flesh-colored or gray growths in the genital area and may cause discomfort or itching. Understanding the treatment options and support available is crucial for managing this condition effectively.
Treatment Options
1. Surgical Removal: As you have experienced, surgical excision is one method to remove visible warts. This is often done under local anesthesia, and while it can provide immediate relief from visible symptoms, it does not eliminate the virus from the body.
2. Topical Treatments: There are several topical medications that can be prescribed to treat genital warts. These include:
- Imiquimod (Aldara): This cream helps boost the immune response to the virus and can be applied directly to the warts.
- Podophyllin and Podofilox: These are plant-derived compounds that can be applied to the warts to destroy them.
- Trichloroacetic Acid (TCA): A chemical that can be applied by a healthcare provider to burn off the warts.
3. HPV Vaccination: You mentioned receiving the HPV vaccine, which is an important step. The vaccine can help prevent future infections from the strains of HPV that cause genital warts and certain types of cancer. It is most effective when given before the onset of sexual activity, but it can still be beneficial for those already infected.
Psychological Support
It’s understandable to feel anxious and stressed about the diagnosis of genital warts. Here are some strategies to help manage your mental health during this time:
- Education: Understanding your condition can alleviate some fears. Knowing that genital warts are common and often manageable can help reduce anxiety.
- Support Groups: Consider seeking out support groups, either in-person or online, where you can share experiences and gain insights from others who have faced similar challenges.
- Counseling: Speaking with a mental health professional can provide coping strategies and emotional support as you navigate this experience.
Follow-Up Care
Regular follow-up appointments with your healthcare provider are essential. They can monitor any changes and provide additional treatments if necessary. If you notice any new growths or changes in your symptoms, it’s important to contact your doctor promptly.
Recommendations for Clinics/Hospitals
In the Hsinchu and Taoyuan areas, there are several reputable clinics and hospitals where you can seek further treatment and support. Look for facilities that specialize in dermatology or sexual health. You may want to consider:
- Local Hospitals: Many hospitals have dermatology departments that can provide specialized care for STIs.
- Sexual Health Clinics: These clinics often provide comprehensive services for STIs, including testing, treatment, and counseling.
Conclusion
While dealing with genital warts can be distressing, it is important to remember that you are not alone, and effective treatments are available. Continue to communicate openly with your healthcare provider about your concerns and treatment options. With the right support and care, you can manage this condition and maintain your overall well-being. If you have further questions or need assistance finding a healthcare provider, don’t hesitate to reach out for help.
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