Pain and Treatment for Genital Warts: A Patient's Guide

Pain from applying medication to cauliflower lesions?

A few days ago, I noticed an increase in discharge and felt a foreign sensation when wiping with toilet paper.
After checking in the mirror, I thought I might have genital warts, so I immediately went to see a gynecologist.
The doctor prescribed me a topical medication called Podophyllotoxin.
Initially, I didn't feel much after applying it, but soon after, I started experiencing a stinging sensation.
Upon checking again in the mirror, I noticed that my clitoris and labia were swollen, with noticeable congestion.
Is this normal? Should I continue applying the medication? Also, when I saw the doctor, they did not mention whether there were any warts inside the vagina.
I think I might have seen some myself, but the doctor didn't mention it.
Should I apply the medication there as well? Can the medication lead to a complete recovery? Will I be able to engage in sexual activity afterward? Thank you for your response.

Nǐ hǎ, 10~19 year old female. Ask Date: 2023/01/14

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your description, a definitive diagnosis cannot be confirmed.
The identification of warts relies on the appearance of the lesions, the location of the infection, and confirmation through biopsy.
Typically, during the onset, a flat protrusion appears on the epidermis, and in severe cases, it may develop into a large, flower-like mass.
The color can range from light white to pink, and even brownish-yellow.
Patients may experience a burning or itching sensation in the affected area.
However, a physical examination is necessary for an accurate assessment.
It is recommended to consult and discuss with your physician.
Thank you! Wishing you peace and health.
Dr.
Zhang

Reply Date: 2023/01/14

More Info

Genital warts, caused by certain strains of the human papillomavirus (HPV), can lead to discomfort and anxiety for many patients. It’s important to understand the nature of the condition, the treatment options available, and what to expect during the healing process.

Firstly, the symptoms you are experiencing, such as increased discharge and a sensation of foreign bodies, can indeed be associated with genital warts. The treatment prescribed by your doctor, which appears to be a topical medication (likely a form of imiquimod or podophyllin), is common for managing external genital warts. The initial lack of sensation after application followed by subsequent stinging or burning is not uncommon. This can be a sign that the medication is working, as it often induces a local inflammatory response to help eliminate the warts.

Regarding the swelling and redness of the clitoris and labia, this can also be a normal reaction to the medication, especially if it is causing irritation. However, if the swelling is significant or accompanied by severe pain, it is advisable to consult your healthcare provider. They may need to assess whether the reaction is within the expected range or if an alternative treatment is necessary.

As for whether you should continue applying the medication, it is essential to follow your doctor's instructions. If the irritation is mild and manageable, continuing treatment may be beneficial. However, if you experience severe discomfort, you should reach out to your healthcare provider for guidance. They may recommend a temporary cessation of the medication or suggest an alternative treatment plan.

Regarding your concern about the presence of warts inside the vagina, it is crucial to have a thorough examination by a healthcare professional. If the doctor did not mention any internal warts, it is possible that they did not observe any during the examination. However, if you suspect that there may be warts internally, it is important to communicate this to your doctor. They may perform a more detailed examination or recommend a procedure to assess the vaginal walls.

In terms of complete recovery, while topical treatments can effectively reduce and eliminate visible warts, it is important to note that HPV can remain dormant in the body. This means that while the warts may clear up, the virus can still be present, and there is a possibility of recurrence. Regular follow-ups with your healthcare provider are crucial to monitor your condition.

Regarding sexual activity, it is generally advised to avoid sexual intercourse while undergoing treatment for genital warts, especially if there is irritation or swelling. Engaging in sexual activity during this time can exacerbate irritation and increase the risk of transmitting the virus to a partner. Once the warts have cleared and any irritation has subsided, you can discuss with your doctor when it would be safe to resume sexual activity.

In conclusion, while the symptoms you are experiencing can be concerning, they are often part of the treatment process for genital warts. It is essential to maintain open communication with your healthcare provider, follow their recommendations, and attend follow-up appointments to ensure effective management of your condition. Remember, you are not alone in this, and many individuals successfully navigate the challenges posed by genital warts with appropriate care and support.

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