Did not notice the issue of scratching the cauliflower?
Hello doctor, I noticed small bumps in my genital area around May.
They may have been there before, but I didn't notice them because they were obscured by pubic hair.
When I visited a clinic in July, the doctor said it was genital warts.
Since I hadn't noticed the warts before, I often scratched the itchy area, which led to scratching other parts of my body.
I tend to scratch quite hard, so I frequently end up with skin abrasions.
Does this mean I could develop genital warts all over my body? Additionally, before I discovered the lesions, I had multiple sexual encounters with my girlfriend (with a condom).
Should I advise her to get checked as well?
Niming, 20~29 year old female. Ask Date: 2021/07/05
Dr. Du Shixi reply Urology
Hello: If the diagnosis is genital warts, the female partner should undergo a gynecological examination.
Genital warts prefer certain areas of the skin and do not typically spread all over the body.
Wishing you good health.
Reply Date: 2021/07/05
More Info
Genital warts, also known as condylomata acuminata, are caused by certain strains of the human papillomavirus (HPV). They typically appear as small, flesh-colored or gray growths in the genital area, and they can be itchy or uncomfortable. It’s important to understand the nature of this condition, especially regarding symptoms, scratching, and partner testing.
Firstly, scratching the affected area can lead to further irritation and potential secondary infections. When you scratch genital warts, you may inadvertently break the skin, which can create an entry point for bacteria. While scratching itself does not cause the warts to spread to other parts of your body, it can lead to the spread of the virus to other areas if you touch the warts and then touch another part of your body. This is particularly true if you have open wounds or broken skin. Therefore, it is crucial to avoid scratching and to keep the area clean and dry.
Regarding your concern about whether you could spread the warts to other parts of your body, the risk is relatively low if you maintain good hygiene. However, if you have scratched the warts and then touched other areas, there is a possibility of autoinoculation, which means transferring the virus to another area of your skin. It is advisable to refrain from scratching and to seek treatment for the warts to minimize any risk of spreading the virus.
As for your sexual partner, it is indeed wise to encourage her to get tested. HPV is a sexually transmitted infection, and even if you used condoms, they do not provide complete protection against HPV, as the virus can be present on areas not covered by the condom. Regular screenings and discussions about sexual health are important for both partners. If your partner has been exposed to HPV, she may also develop genital warts or other HPV-related conditions, including cervical dysplasia or cancer, which can be detected through Pap smears and HPV testing.
In terms of treatment, there are several options available for genital warts, including topical treatments, cryotherapy (freezing the warts), and surgical removal. It is essential to consult a healthcare provider for an accurate diagnosis and appropriate treatment plan. They can also provide guidance on managing symptoms and preventing the spread of the virus.
In summary, while scratching genital warts can lead to irritation and potential secondary infections, it does not directly cause the warts to spread throughout your body. However, maintaining good hygiene and avoiding scratching is crucial. Encouraging your partner to get tested is a responsible step in managing your sexual health. Consulting with a healthcare provider will help you both understand the best course of action for treatment and prevention.
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