Applying medication for cauliflower (likely referring to cauliflower-like warts or lesions)?
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 gel called Aldara to apply and instructed me to use the entire tube before my follow-up appointment.
However, just three days into the treatment, my menstrual period started.
Should I continue applying 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 felt in the areas with warts or if it can also affect normal skin.
It feels somewhat corrosive, and I am concerned it might damage healthy skin.
Since I need to use the entire tube before my follow-up, does that mean I should continue applying it even if the warts seem to be gone, or could this potentially harm the healthy skin?
Xiao Jie, 20~29 year old female. Ask Date: 2021/05/13
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, treatment should not cause significant discomfort.
If you experience severe side effects, please return for a follow-up with your physician for evaluation.
Thank you! Wishing you peace and health.
Dr.
Zhang
Reply Date: 2021/05/13
More Info
Managing flat warts, particularly those caused by the human papillomavirus (HPV), can be challenging and often requires careful consideration of treatment options and potential side effects. In your case, it seems that you have been prescribed a topical medication, likely a form of chemotherapy or immunotherapy, to treat the flat warts, which are also known as condylomata acuminata or genital warts.
Continuing Treatment During Menstruation
Regarding your question about whether to continue applying the medication during your menstrual period, it is generally advisable to follow your doctor's instructions unless otherwise directed. If the medication is causing significant discomfort or pain, it would be wise to consult your healthcare provider. They can provide guidance on whether to continue the treatment or adjust the regimen based on your current symptoms and the status of the warts.
Pain and Discomfort from the Medication
The burning and stinging sensations you are experiencing are common side effects of topical treatments for warts. These medications often work by causing a mild chemical reaction that helps to destroy the wart tissue. This reaction can lead to discomfort not only in the affected areas but also in the surrounding healthy skin.
1. Targeted Pain: The pain and burning sensation you feel are typically localized to the area where the medication is applied. However, if the medication spreads to normal skin, it can cause irritation there as well. It is crucial to apply the medication precisely as directed to minimize contact with healthy skin.
2. Corrosive Effect: The sensation of corrosion you describe is indicative of the medication's action on the wart tissue. While it is essential to treat the affected areas, excessive irritation of normal skin can lead to further complications, such as secondary infections or increased discomfort.
Treatment Duration and Follow-Up
You mentioned that you need to apply the entire tube of medication before your next appointment. This is a common practice to ensure that the treatment is effective. However, if you notice that the warts are resolving and you are experiencing significant pain, it is essential to communicate this to your healthcare provider. They may adjust your treatment plan based on your response to the medication.
Recommendations
1. Monitor Symptoms: Keep track of your symptoms, including the level of pain and any changes in the appearance of the warts. If the pain becomes unbearable or if you notice signs of infection (such as increased redness, swelling, or discharge), seek medical attention promptly.
2. Consult Your Doctor: If you are concerned about the effects of the medication on healthy skin or if the pain persists, contact your healthcare provider. They may recommend a different treatment approach or provide additional pain management strategies.
3. Follow-Up Appointment: Ensure you attend your follow-up appointment as scheduled. This visit is crucial for assessing the effectiveness of the treatment and making any necessary adjustments.
Conclusion
Managing flat warts can be uncomfortable, especially with topical treatments that may cause irritation. It is essential to follow your doctor's instructions while also being mindful of your body's responses to the medication. If you have any concerns about the treatment or its side effects, do not hesitate to reach out to your healthcare provider for guidance. They are best equipped to help you navigate your treatment options and ensure your comfort during the process.
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