the Progress of Genital Warts Treatment: Is It Normal?

Cauliflower (Condylomata Acuminata)

Currently, I have confirmed that I have genital warts and am undergoing cryotherapy.
I have researched that the treatment course typically takes about three months.
I am now on my fourth session of cryotherapy.
Initially, I felt a slight granular sensation (it felt like there were not many noticeable bumps), but now I can clearly feel raised white lesions (many small white spots visible to the naked eye).
Is this condition a normal phenomenon, or has it actually worsened? The cryotherapy sessions are done approximately every 7-10 days, and I apply medication once a day.
Up to now, after four sessions, there has been no reduction in the lesions or any feeling of smoother skin.
I am a bit concerned that this might be abnormal.
Therefore, I am seeking a professional answer from a physician regarding the anal area.

Additionally, when the lesions first appeared, I did not take any specific photos; I only used my fingers to feel them.
After treatment, I have been paying special attention, but it seems like there are actually more bumps now.
I took some photos, and they all show several raised white lesions, even though I am currently undergoing treatment.
Is this normal or not?

Meihao de Mingtian, 20~29 year old female. Ask Date: 2021/11/19

Dr. Chen Jiansheng reply Urology

You can directly consult with the treating physician.

Reply Date: 2021/11/19

More Info

When it comes to the treatment of genital warts, particularly with methods such as cryotherapy, it is important to understand the typical progression and what can be expected during the healing process. Genital warts, caused by certain strains of the human papillomavirus (HPV), can be frustrating to manage, and it’s common for patients to have concerns about the effectiveness of their treatment.

From your description, it seems that you are currently undergoing your fourth session of cryotherapy. Initially, you noted a "micro-particle" sensation, which has now progressed to more pronounced white, raised lesions. This change can indeed be concerning, but it is essential to recognize that the appearance of warts can fluctuate during treatment.
Cryotherapy works by freezing the wart tissue, which causes the cells to die and eventually slough off. After treatment, it is not uncommon for the warts to appear more pronounced before they begin to diminish. The process of healing can involve inflammation and the formation of new tissue, which may temporarily make the warts look more prominent. This is a normal part of the healing process, and it does not necessarily indicate that the condition is worsening.

Typically, after cryotherapy, you might experience some swelling, redness, or even blistering in the treated area. These symptoms are part of the body’s natural response to the treatment. The timeline for healing can vary significantly from person to person, but generally, you should start to see improvements within a few weeks following each treatment session. If you are not noticing any reduction in the size or number of warts after several treatments, it may be worth discussing this with your healthcare provider. They may consider adjusting your treatment plan or exploring alternative therapies.

It’s also important to adhere to the post-treatment care instructions provided by your healthcare provider. This may include applying topical medications as prescribed and avoiding irritants in the area. Consistency in following these instructions can significantly impact the effectiveness of the treatment.

If you are feeling anxious about the changes you are observing, it is advisable to reach out to your healthcare provider for a follow-up appointment. They can assess the treated area, provide reassurance, and determine if any additional interventions are necessary. It’s crucial to maintain open communication with your healthcare provider throughout your treatment journey.

In summary, while it can be disheartening to see what appears to be an increase in the number of warts during treatment, this can be a normal part of the healing process following cryotherapy. However, if you have persistent concerns or if the warts do not begin to resolve after a reasonable period, do not hesitate to seek further evaluation. Your health and peace of mind are paramount, and your healthcare provider is there to support you through this process.

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