Managing Genital Warts: Treatment Questions and Concerns

Applying medication for cauliflower (likely referring to cauliflower-like lesions, such as warts or other skin conditions)?

Recently, I noticed white lesions in my genital area that are more flat than raised.
I went to a gynecologist for a biopsy, and the results showed that I have genital warts.
The doctor prescribed me a topical gel called Aldara (Imiquimod) to apply, and instructed me to use the entire tube before returning for a follow-up.
However, I started my menstrual period just three days after beginning the treatment.
Should I continue using the medication or stop? Additionally, the application of the gel is very painful, causing a burning sensation and intense stinging in the treated area.
I would like to know if the pain from the medication is only experienced in the areas with warts, or if it can also affect normal skin.
It feels somewhat corrosive, and I am concerned it might damage the healthy skin.
Since I need to finish the entire tube before my follow-up, does that mean I should continue using it even if the warts seem to be gone, or could this risk harming the healthy skin?

Xiao Jie, 20~29 year old female. Ask Date: 2021/05/12

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your description, it is recommended to pause the application of medication during your menstrual period.
Generally, the treatment should not cause significant discomfort.
If you experience severe side effects, please return to the clinic for evaluation by your physician.
Thank you! Wishing you peace and health.
Dr.
Chang

Reply Date: 2021/05/12

More Info

Managing genital warts, also known as condylomata acuminata, can be a challenging experience, particularly when it comes to treatment and understanding the implications of the condition. Genital warts are caused by certain strains of the human papillomavirus (HPV), which is a sexually transmitted infection. The treatment you are currently using, the topical gel prescribed by your gynecologist, is likely aimed at reducing the warts and alleviating symptoms.

Regarding your specific questions about the treatment and the experience of pain and discomfort, here are some insights:
1. Continuing Treatment During Menstruation: It is generally safe to continue using the topical treatment during your menstrual period unless your doctor has specifically advised against it. However, if you experience significant discomfort or if the bleeding is heavy, it may be wise to consult your healthcare provider for personalized advice. They can provide guidance on whether to continue the treatment or adjust your regimen based on your current symptoms.

2. Pain and Discomfort from the Medication: The burning and stinging sensations you are experiencing are common side effects of topical treatments for genital warts. These medications often contain active ingredients that work by destroying the wart tissue, which can lead to irritation of both the affected and surrounding healthy skin. It is important to apply the medication only to the areas where the warts are present and to avoid contact with normal skin as much as possible. If the pain becomes unbearable or if you notice severe irritation, you should reach out to your healthcare provider for advice.

3. Impact on Healthy Skin: While the medication is designed to target the warts, it can indeed cause irritation to the surrounding healthy skin. If you are concerned about damaging normal tissue, it is crucial to apply the medication carefully and as directed. If you notice excessive redness, blistering, or other signs of severe irritation on healthy skin, you should stop using the product and consult your doctor.

4. Completing the Treatment: It is important to follow your doctor's instructions regarding the duration of treatment. Even if the visible warts seem to improve or disappear, completing the full course of treatment is often necessary to ensure that any remaining virus is effectively managed. Stopping treatment prematurely could lead to a recurrence of the warts.

5. Follow-Up Appointments: After completing the treatment, it is essential to return for a follow-up appointment as scheduled. Your doctor will assess the effectiveness of the treatment and determine if any further interventions are needed. Regular follow-ups are crucial in managing HPV-related conditions, as they allow for monitoring and timely adjustments to your treatment plan.

6. Emotional and Psychological Support: Dealing with genital warts can be emotionally taxing. It is important to seek support from friends, family, or mental health professionals if you are feeling anxious or distressed about your condition. Remember that you are not alone, and many people experience similar issues.

In summary, continue with your treatment as directed unless advised otherwise by your healthcare provider. Monitor your symptoms closely, and do not hesitate to reach out to your doctor if you have concerns about pain, irritation, or the effectiveness of the treatment. Managing genital warts is a process, and with the right care and support, you can navigate this challenging situation effectively.

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