HPV: Questions and Concerns About Treatment and Management - Urology

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Many questions?


Because I work abroad, I discovered a polyp in my pubic area six months ago.
When I returned to my home country, I consulted a doctor who diagnosed me with genital warts.
I then underwent electrosurgery, during which two warts were removed—one measuring 0.5 cm and the other about 0.3 cm.
Both were small.
The doctor asked if I had noticed any other lesions, but I wasn't aware of any at the time.
After the electrosurgery, I returned to my workplace five days later.
The doctor prescribed me Podophyllotoxin to apply, stating that it could help eliminate any lesions that had not yet appeared.
However, after using it, I discovered a new lesion that is already about 0.5 cm in size, located at the base of my penis, which is different from the previous ones.
I have been applying Podophyllotoxin for nearly a week, and I noticed many small white spots and slightly raised granulation tissue near the lesion.
Some of these spots resemble acne on the face.
I would like to ask the doctor:
1.
If I am abroad and delay seeking treatment for a month (while continuing to apply Podophyllotoxin), will this affect the spread of the lesions?
2.
I have been taking immune-boosting medications and have avoided many foods.
Currently, aside from smoking, I am eating very lightly.
Does this help prevent the growth of any hidden lesions?
3.
I plan to continue taking detoxifying and antipyretic traditional Chinese medicine to improve my health.
Will this be beneficial?
4.
Since I have received the HPV vaccine, does this mean that no new viruses will invade me? Will I only be left with the existing virus?
Thank you, doctor, for your response.
This virus has made me feel completely overwhelmed.

AAbslk123, 30~39 year old female. Ask Date: 2021/11/29

Dr. Du Shixi reply Urology


Hello:
1.
I am currently abroad.
If I delay seeking medical attention for a month (while continuously applying phenylephrine), will it affect the spread of the lesion? -- It is possible.

2.
I have been taking over-the-counter medications to boost my immune system and have avoided many foods.
Currently, aside from smoking, my diet is quite light.
Does this help promote the growth of any hidden diseases? -- Boosting the immune system can reduce the chances of infection.

3.
I will continue taking detoxifying and antipyretic traditional Chinese medicine to adjust my body.
Is this helpful? -- I have no experience with traditional Chinese medicine treatment and do not understand its effects.

4.
If I have received the HPV vaccine, does that mean no new viruses can invade? Will only the existing viruses remain? -- The vaccine provides prevention but is not 100% effective and does not have therapeutic effects (as stated in the package insert).
Practicing safer sex is advisable.

Wishing you good health.

Reply Date: 2021/11/29

More Info


Understanding HPV: Questions and Concerns About Treatment and Management
Human Papillomavirus (HPV) is a common sexually transmitted infection that can lead to various health issues, including genital warts and, in some cases, cervical cancer. Your concerns about HPV and its management are valid, especially considering your recent diagnosis and treatment. Let's address your questions one by one.

1. Delay in Seeking Treatment: If you wait a month before seeking further medical attention, it could potentially allow the HPV infection to spread or worsen. HPV can lead to the development of new lesions, and if you notice new growths, it’s crucial to consult a healthcare provider as soon as possible. The longer you wait, the more difficult it may become to manage the condition effectively. Early intervention is key in preventing the spread of the virus and managing any associated symptoms.

2. Diet and Immune System: While maintaining a healthy diet and lifestyle can support your immune system, it’s important to understand that no specific food or supplement can cure HPV. However, a balanced diet rich in fruits, vegetables, and whole grains can help bolster your immune response, which is essential for your body to fight off infections. Avoiding smoking is also beneficial, as smoking can weaken your immune system and make it harder for your body to clear HPV.

3. Traditional Medicine and Detoxification: Using traditional medicine or detoxifying herbs may provide some benefits in terms of overall health and well-being, but there is limited scientific evidence to support their effectiveness in treating HPV specifically. It’s essential to discuss any herbal remedies with your healthcare provider to ensure they do not interfere with conventional treatments or medications you may be using.

4. HPV Vaccination: The HPV vaccine is designed to protect against certain strains of the virus, particularly those that are most commonly associated with cervical cancer and genital warts. However, if you have already been infected with a strain of HPV, the vaccine will not eliminate that existing infection. The vaccine is most effective when given before the onset of sexual activity, but it can still provide protection against other strains of HPV that you may not have been exposed to yet. It’s important to continue regular screenings and follow-up with your healthcare provider.

In addition to addressing your specific questions, it’s crucial to maintain open communication with your healthcare provider. They can offer personalized advice based on your medical history and current condition. If you are experiencing new lesions or changes in your symptoms, do not hesitate to seek medical attention, even if you are abroad. Many clinics and hospitals can provide care for HPV-related issues, and they may have experience dealing with international patients.

Lastly, it’s understandable to feel overwhelmed by an HPV diagnosis. It’s important to remember that many people are affected by HPV, and most infections resolve on their own without causing serious health problems. Support from friends, family, or counseling services can also be beneficial as you navigate this experience. Focus on taking care of your physical health and seeking the appropriate medical care to manage your condition effectively.

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