Recurrence of Genital Warts and Safe Practices

Treatment for cauliflower (condylomata acuminata)

If there is a cauliflower-like growth around the anus that was previously treated with electrocautery in July 2020, and a new growth has appeared in January, it is not uncommon for such lesions to recur.
This can happen even after treatment.
It is advisable to consult a healthcare professional for further evaluation and management.
As for engaging in sexual activity, it is important to communicate with your partner about your health status.
Practicing safe sex, such as using condoms, can significantly reduce the risk of transmitting infections.
Maintaining good hygiene before and after sexual activity is also crucial.
Regarding the use of Western medicine versus traditional Chinese medicine, it is best to discuss this with your healthcare provider, as they can provide personalized recommendations based on your specific condition.
Your concern about not wanting to transmit anything to your partner is valid, and discussing these matters openly with them can help alleviate worries.
Always seek professional medical advice for the best course of action.

Bai tuo jie jue wo de you lv., 20~29 year old female. Ask Date: 2021/01/10

Dr. Ke Fangxu reply Surgery

Recurrence of cauliflower-like lesions is quite common, and it typically requires close monitoring for about six months to determine if there will be no further recurrence.
Engaging in sexual activity is permissible, but it is essential to use condoms throughout.
I am not familiar with traditional Chinese medicine, so I cannot comment on that.
Western medical treatment usually involves electrosurgery combined with topical medications, which generally leads to a successful recovery.

Reply Date: 2021/01/10

More Info

Genital warts, caused by certain strains of the human papillomavirus (HPV), can indeed recur after treatment, such as electrosurgery. It's not uncommon for individuals to experience a recurrence of warts even after successful removal. This is primarily because the virus can remain dormant in the body, and factors such as a weakened immune system, stress, or other health issues can trigger its reactivation.

In your case, having had a recurrence six months after treatment is not unusual. HPV is a persistent virus, and while treatments can remove visible warts, they do not eliminate the virus from the body. Therefore, it's essential to monitor any new growths and consult with a healthcare provider for appropriate management.

Regarding your sexual health and practices, it’s crucial to understand that HPV can be transmitted through skin-to-skin contact, including anal intercourse. If you have genital warts, there is a risk of transmitting the virus to your partner, even if you do not have visible warts at the time of intercourse. Using condoms can significantly reduce the risk of transmission, but it does not eliminate it entirely, as HPV can infect areas not covered by a condom.

If you are considering engaging in anal intercourse with a partner, here are some recommendations to minimize the risk of transmission:
1. Use Condoms: Always use condoms during anal intercourse. While they do not provide 100% protection against HPV, they can significantly reduce the risk of transmission.

2. Communication: Be open with your partner about your health status. Discussing HPV and its implications can help both of you make informed decisions about your sexual practices.

3. Regular Check-ups: Both you and your partner should have regular health check-ups. This is especially important for sexually active individuals, as early detection and treatment of any sexually transmitted infections (STIs) can help manage health risks.

4. Consider Vaccination: If you or your partner have not been vaccinated against HPV, consider discussing the HPV vaccine with your healthcare provider. The vaccine can protect against the most common cancer-causing strains of HPV and can help prevent the development of genital warts.

5. Avoid Sexual Activity During Outbreaks: If you notice any new warts or lesions, it’s best to avoid sexual activity until you have consulted with a healthcare provider and received appropriate treatment.

As for the use of Western medicine versus traditional Chinese medicine (TCM), it’s essential to consult with a healthcare professional who can provide guidance based on your specific health needs. Some individuals find that combining treatments can be beneficial, but this should be done under the supervision of a qualified practitioner to avoid potential interactions or complications.

In summary, while the recurrence of genital warts can be concerning, it is a known aspect of HPV infection. Practicing safe sex, maintaining open communication with partners, and seeking regular medical advice are key steps in managing your health and reducing the risk of transmission. If you have further concerns or questions, do not hesitate to reach out to a healthcare provider who specializes in sexual health.

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