Early Signs of Genital Warts: What You Need to Know and Do - Urology

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Suspected early-stage cauliflower-like lesions?


Hello, Doctor.
Over the past 2-3 weeks, I have noticed some small bumps around my anus (perineal area) while showering.
After researching online, I suspect it might be condyloma (viral warts), and I found suggestions that early treatment (cryotherapy) is more effective, which has made me quite anxious to address this issue quickly.
However, when I visited the hospital for an examination, the doctor informed me that there were no obvious lesions (but he suspected it might be condyloma) and recommended that I return in a month.
The doctor mentioned that treatment might require 2-3 sessions.
I asked if immediate treatment was possible, but the doctor said that without symptoms, he could not confirm it was condyloma, so surgery could not be performed.
Additionally, he did not provide much other information.
I would like to ask the following:
1.
Since I discovered the small bumps over three weeks ago and they seem to have increased in number, wouldn't it be better to address them early? I prefer cryotherapy and would rather not wait until they form larger clusters before undergoing electrosurgery.
Is there a reason the doctor did not proceed with treatment sooner? What is your recommendation?
2.
During the consultation, the doctor asked if I had undergone a Pap smear, and I informed him that the results were normal.
However, I had the Pap smear done at the same hospital shortly before I noticed the symptoms.
Is it possible for condyloma to be transmitted through medical instruments? Should I seek a diagnosis at another hospital for better assistance?
3.
I have a history of chronic vaginitis that I am continuously treating.
Is it possible that insufficient treatment could lead to an HPV infection?
4.
Can I receive the HPV vaccine while undergoing treatment for chronic vaginitis (using vaginal tablets)? Do I need to wait until the condyloma treatment is completed before getting vaccinated, or can I get vaccinated during the treatment period?
5.
I am feeling quite anxious about this situation and would like to know if you have any additional recommendations, such as whether I should make any specific adjustments to my daily routine or diet.
I appreciate your patience in reading through my many questions, and I hope you can take the time to provide some answers.

Qiaokeli, 30~39 year old female. Ask Date: 2023/09/02

Dr. Du Shixi reply Urology


Hello:
1.
I have noticed small lesions for over three weeks now, and it seems that they have increased in number.
Wouldn't it be better to address this sooner? I prefer cryotherapy and would rather not wait until they become larger and resemble warts before undergoing electrosurgery.
Is there any reason the doctor did not proceed earlier? What is your recommendation? --> Personally, I would not proceed without feeling confident, as there could be scarring, uneven healing, or poor wound healing after the procedure.
2.
During the consultation, the doctor asked if I had undergone a Pap smear, and I informed them that the results were normal.
However, I had the Pap smear done at the same hospital shortly before the symptoms appeared.
Is it possible for warts to be transmitted through medical instruments? Should I seek a diagnosis at another hospital for better assistance? --> If the Pap smear results are normal, there is no need for further testing.
3.
I have chronic vaginitis that I am continuously treating.
Is it possible that insufficient treatment could lead to an HPV infection? --> There is no correlation.
4.
Can I receive the HPV vaccine while undergoing treatment for chronic vaginitis (using vaginal tablets)? Do I need to wait until the treatment for warts is completed before getting vaccinated, or can I get vaccinated during the treatment period? --> There should be no issue, but the HPV vaccine is not 100% effective.
5.
I am a bit anxious about this situation and would like to know if the doctor has any other recommendations, such as whether I need to make any special adjustments to my daily routine or diet.
--> If you are concerned, consider switching to a larger hospital.
If they also say it’s not an issue, you should feel reassured.
Wishing you good health.

Reply Date: 2023/09/02

More Info


Genital warts, caused by the human papillomavirus (HPV), can be a source of anxiety for many individuals. It’s important to understand the early signs, treatment options, and preventive measures. Here’s a comprehensive overview based on your concerns and questions.


Early Signs of Genital Warts
Genital warts typically appear as small, flesh-colored or gray growths in the genital area, including around the anus. They can be flat or raised and may cluster together, resembling a cauliflower. If you notice small bumps or changes in the skin texture, it’s wise to consult a healthcare professional.


Importance of Early Treatment
1. Why Early Treatment Matters: Early intervention can prevent the warts from multiplying or becoming more pronounced. While your doctor may have assessed that immediate treatment isn’t necessary due to the absence of clear symptoms, it’s understandable to feel anxious about waiting. If you believe the warts are increasing in number or size, it’s reasonable to seek a second opinion or request a follow-up sooner than the suggested month.

2. Treatment Options: Cryotherapy (freezing the warts) is a common and effective treatment for genital warts. Other options include topical treatments and surgical removal. If you prefer cryotherapy, communicate this preference to your healthcare provider. They may have reasons for delaying treatment, such as ensuring a clear diagnosis or assessing the warts' progression.


Concerns About Transmission
1. Transmission via Medical Equipment: While HPV is primarily transmitted through skin-to-skin contact during sexual activity, it is theoretically possible, though rare, for it to be transmitted through contaminated medical instruments. However, reputable medical facilities follow strict hygiene protocols to minimize this risk. If you have concerns about the equipment used during your recent examinations, it may be beneficial to discuss this with your healthcare provider.

2. Seeking a Second Opinion: If you feel uncertain about the diagnosis or treatment plan, seeking a second opinion from another healthcare provider can provide clarity and peace of mind.


Chronic Vaginal Infections and HPV
1. Link Between Chronic Infections and HPV: Chronic vaginal infections, such as chronic vaginitis, do not directly cause HPV infections. However, a compromised immune system due to ongoing infections may make it harder for your body to fight off HPV. It’s essential to manage any chronic conditions actively.

2. HPV Vaccination During Treatment: You can receive the HPV vaccine while undergoing treatment for chronic vaginal infections. The vaccine is designed to prevent future HPV infections and is safe to administer during ongoing treatments. However, it’s best to discuss this with your healthcare provider to ensure it aligns with your treatment plan.


Lifestyle and Dietary Adjustments
1. Daily Routine and Diet: Maintaining a healthy lifestyle can support your immune system, which is crucial in managing HPV. Focus on a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Staying hydrated and getting regular exercise can also enhance your overall health.

2. Stress Management: Stress can negatively impact your immune system. Consider incorporating stress-reducing activities into your routine, such as yoga, meditation, or deep-breathing exercises.

3. Regular Check-Ups: Regular follow-ups with your healthcare provider are essential to monitor any changes in your condition and to ensure that any treatments are effective.


Conclusion
It’s completely normal to feel anxious about potential health issues like genital warts. Early detection and treatment are key to managing the condition effectively. If you have concerns about your diagnosis or treatment plan, don’t hesitate to seek a second opinion. Additionally, maintaining a healthy lifestyle and managing stress can greatly benefit your overall health and immune function. Always communicate openly with your healthcare provider about your concerns and preferences regarding treatment options.

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