Anal Warts: Symptoms, Concerns, and Treatment Options - Urology

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Cauliflower?


Hello, Dr.
Weng.
I am a member of the LGBTQ+ community, and I engage in anal intercourse.
Recently, I noticed a few small growths on the outside of my anus, and I'm concerned that they might be genital warts.
These growths were not present before, but my boyfriend does not seem to have any similar symptoms.
I would like to know if this could be genital warts and how I should handle this situation.
I am from Yunlin, and if possible, I would like to seek treatment at Yunlin Hospital.
Thank you.
Additionally, could you please let me know your clinic hours? Thank you.

Xiao Zhang, 20~29 year old female. Ask Date: 2003/11/30

Dr. Weng Wenzhen reply Urology


If there are cauliflower-like growths around the anus, you can consult with the colorectal surgery department (Dr.
Lin Hong-Mao).
The clinic hours are Tuesday, Thursday, and Friday afternoons.

Reply Date: 2003/11/30

More Info


Anal warts, commonly known as genital warts, are caused by certain strains of the human papillomavirus (HPV). They can appear as small, flesh-colored or gray growths in the genital area, including around the anus. Given your description of small lumps around the anal area, it is indeed possible that these could be anal warts, especially since they have appeared recently. However, it is essential to have a healthcare professional evaluate them to confirm the diagnosis and rule out other potential conditions.

HPV is a sexually transmitted infection, and while it is common, not everyone who is infected will develop warts. The fact that your boyfriend does not show any symptoms does not necessarily mean that he is not a carrier of the virus. HPV can be asymptomatic, and individuals can transmit the virus without showing any signs themselves.
In terms of treatment options, there are several approaches to managing anal warts:
1. Topical Treatments: Your doctor may prescribe topical medications such as imiquimod (Aldara) or podofilox (Condylox) that you can apply directly to the warts. These treatments work by stimulating the immune system or directly destroying the wart tissue.

2. Cryotherapy: This involves freezing the warts with liquid nitrogen, which can effectively remove them. This procedure is usually performed in a healthcare setting.

3. Electrosurgery: This method uses electrical currents to burn off the warts. It is typically done in a doctor's office.

4. Surgical Removal: In some cases, warts may need to be surgically excised, especially if they are large or persistent.

5. Laser Treatment: This is another option for removing warts, particularly for those that do not respond to other treatments.

It is crucial to consult with a healthcare provider for an accurate diagnosis and to discuss the best treatment plan for your situation. You mentioned that you would like to visit a hospital in Yunlin; I recommend contacting the hospital directly to inquire about their dermatology or urology departments, as they typically handle such cases. They can provide you with information regarding appointment availability and the specific hours of operation for consultations.

In addition to treatment, it is also important to discuss preventive measures with your healthcare provider. Vaccination against HPV can significantly reduce the risk of developing genital warts and other HPV-related diseases, including certain types of cancer. The HPV vaccine is most effective when given before the onset of sexual activity, but it can still provide benefits for individuals who are already sexually active.

Lastly, while it is understandable to feel concerned about the appearance of new growths, it is essential to approach the situation calmly. Many conditions can cause similar symptoms, and not all of them are serious. Seeking medical advice will provide you with clarity and the appropriate steps to take for your health.

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